Inspection on 30/10/07 for Chesterholm Residential Care Limited

This inspection was carried out on 30th October 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chesterholm Residential Care... 18/12/06

Chesterholm Residential Care... 18/01/06

Chesterholm Residential Care... 31/05/05

Similar services:

21 High Street

Vale House

Chestnut Walk

Dunwood Manor Nursing Home

The Old Vicarage

Excelsior

Cherwood House Care Centre

Durban House Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Chesterholm Residential Care Limited 10 Britten Road Lee On Solent Hampshire PO13 9JG Lead Inspector Liz Palmer Unannounced Inspection 30th October 2007 10:00 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 Chesterholm Residential Care Limited DS0000064256.V347601.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. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chesterholm Residential Care Limited Address 10 Britten Road Lee On Solent Hampshire PO13 9JG 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) 023 9255 0169 023 9279 6812 Chesterholm Residential Care Limited Susan Stacey Care Home 16 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0) of places Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing only - to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 2. Mental disorder, excluding learning disability or dementia (MD) The maximum number of service users to be accommodated is 16. Date of last inspection 18th December 2006 Brief Description of the Service: Chesterholm Lodge is a care home providing personal care and accommodation for up to fifteen male and female service users over the age of 50 years with various old age, dementia and mental disorder care needs. Mrs Kay Moss owns the home and employs Mrs Sue Stacey as the registered manager. The home is registered as a limited company. Chesterholm Lodge is situated in a quiet residential area within walking distance of the seafront and local amenities. The home is a two-storey domestic house in keeping with the local area. There is a mature front garden laid mainly to lawn with a patio area and ample parking at the rear of the house. A chair lift provides level access between the ground and first floor. The home has nine single bedrooms of which five have en-suites and a further three double bedrooms without en-suite facilities. There are two lounges with dining areas and a conservatory that is used as a smoking area. The registered manager stated that basic rate of fees were £395 for a shared room and £416 for a single room. Fees may vary according to assessed need. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection included a site visit to the home over a period of five hours. During this time two staff and five people who use the service were spoken to and observed. Care plans, medication records, policies and staff records were sampled. Other information used to make judgements about the standard of care in the home included two relatives surveys and five surveys from people who live in the home, three staff surveys and two professional surveys. The last inspection report was also taken into account and information received from the home including their Annual Quality Assurance Assessment (AQAA). This was received within the timescale requested by the commission. These have been referred to throughout the report. What the service does well: People who live in the home say staff are kind and helpful, they are happy and well cared for. The home is clean, welcoming and well maintained. The home encourages people to pursue their hobbies and interests, maintain their independence and it welcomes visitors. People who use the service say they have enough to do and value the respect and autonomy the home offers them. Staff are well trained and know the service users really well, they say it is a nice place to work and there is a low staff turn over. The home is well run and staff and people who live in the home say they have confidence in the manager and feel they can talk to her about things that worry them. Comments about the home from a relative’s surveys; ‘there is a special, friendly atmosphere throughout the home’. A professional involved in the home said ‘a very individualised approach to client care’ and ‘I have always found staff to be kind, empathetic and understanding’. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Chesterholm Residential Care Limited DS0000064256.V347601.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 Chesterholm Residential Care Limited DS0000064256.V347601.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): 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for assessing prospective service users enable the home to be sure that only those whose needs can be met are admitted to the home. No service users are admitted for intermediate care. EVIDENCE: The AQAA states that new service users are admitted only after the proprietor or manager have visited them and made a full and comprehensive assessment of their needs and wants. This is done with the aid and consultation of significant others, and full input and written assessments from relevant care professionals (if appropriate). They say they will only admit new service users if they can provide accomodation suitable for their needs and wants and staff have the training and experience to care for and support them. Risk Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 9 assessments are written and implemented with input from the service user, significant others and relevant care professionals. Any support required from outside sources is set up and ready to be implemented on admission. The file of one new service user was looked at. They were admitted at the beginning of October 2007. The file contained a full pre admission assessment, a care plan and risk assessments. The pre-admission assessment covered areas such as health, mental health, likes and dislikes regarding food, a personal history and a summary of significant events. Personal details, such as the name of their general practitioner (GP) and their next of kin were included. The assessment was clearly linked to the care plan which included details of support required and how staff should meet these needs and retain the individuals independence and sense of well being. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 10 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 good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning ensure that people who use the service have their health and personal care needs met in a way that respects their views and upholds their right to privacy. EVIDENCE: Three care plans were looked at. These were drawn up from the initial assessments undertaken prior to moving in. Both relatives’ surveys said that they feel care needs are met in the home and that they are involved and kept informed of any changes. One survey said ‘Chesterholm Residential Care Staff and myself keep in regular contact over all matters’. The plans included details of people’s individual care needs and how these should be met. Independence is encouraged, for example, one care plan Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 11 stated that a service user likes to do their own washing, daily records confirmed that they are supported to do this. Social interests and hobbies and preferences were also noted with details of how these needs and wishes should be met. People who use the service are all registered with a local GP. Daily records were sampled and seen to be detailed and reflect care plans. Recordings showed evidence of medical needs being met in a timely and suitable way. Details of follow up and outcomes were recorded. Service users spoken to said they could rely on staff to seek medical help when they needed it. The care plans looked at had details of healthcare needs recorded, including any mental health issues. Care plans are reviewed monthly and changes noted. The surveys received from people who live in the home all said they were satisfied with the care provided and people spoken to on the day all said they felt well cared for and that staff treat them with respect and respected their privacy. One survey said ‘the home is excellent’. A visitor to the home who used to be a service user said he had moved on to independent accommodation thanks to all the help and support he got from the staff at Chesterholm. Other service users commented on the kindness and helpfulness of staff. They said their privacy was respected and they were treated with respect by staff. During the inspection staff were observed interacting with people in a positive and respectful way at all times. Evidence of people’s diverse needs being met was seen. A service user with hearing impairment was provided with headphones so they could listen to their favourite radio programmes. Their care plan detailed other needs and how they should be met, these were seen to be observed during the inspection. Staff receive training in administering medication. The manager assisted the inspector in sampling the storage and recording of medication. The medication cabinet was seen to be suitably secure, clean and organised. A separate safe for storing controlled drugs has been fitted and is secured to the inside of the medication cabinet. No controlled drugs are currently administered. The home uses a monthly blister pack system delivered by a local pharmacy. Records for recording were sampled, there was some confusion over tablets being taken from the end of the blister packs rather than starting at the beginning. The manager stated that the staff member with responsibility for ordering and stock control was aware of this and could explain the reason. However, she agreed that it left them open to errors and potential harm to service users. The manager agreed to rectify the situation immediately. The day after the inspection the manager took steps to rectify this through the local pharmacist. She has given assurances that by the next delivery of medication the problem will be solved. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. Arrangements for social and leisure activities in the home ensure that people have enough to do and are engaged in activities of their choice. EVIDENCE: The AQAA states that ‘all service users are encouraged and enabled to lead as full and active life as possible. There are activities offered daily by trained activities co-ordinators and service users are free to take part or decline as they wish. We have our own adapted minibus and Service users are able to enjoy a variety of outings. One of the activities co-ordinators is a trained Reiki practitioner and aromatherapist, these services are also offered to our service users free of charge’. 100 of the service user surveys returned said they could do want they wanted to do, during the day, at night and at weekends. One survey said ‘within reason given my state of health at any given time’. This shows the home treats people as individuals and continually assesses their Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 13 needs so that the appropriate care and support can be given without impinging on people’s independence. A relative’s survey said ‘they are allowed to do whatever they prefer, a lovely lady comes in each morning to play games, sew and help them with therapy’. They went on to say ‘there is always plenty of laughter when I visit, most days. People spoken to on the day confirmed they could choose how to spend their time and had enough to occupy them. Some people are very independent and were seen to be visiting the local shops, doing errands for other service users such as bringing back their tobacco and newspapers. The atmosphere was relaxed and friendly. Both relatives’ surveys said they support their relatives to keep in touch. Services users spoken to said they could use the telephone or ask a staff member to ring their family. They also said their visitors are always made welcome and given a cup of tea. The AQAA states that ‘all service users have the right to handle their own financial affairs if they have the capacity and wish to do so. Any service users monies administrated by the manager are clearly recorded, and signed for by the service user’. People were seen on the day requesting money and being supported to access their money in a respectful and appropriate manner. The manager has arranged training for staff to learn about the new Mental Capacity Act and how this will impact on the people who use the service. People said the food was always good in the home. The AQAA states that ‘cooks have been trained in catering for the older person, and the menu is varied nutritious and planned after consultation with service users. Most diets and religious or cultural needs can be catered for. Dieticians at the local hospital are readily accessible to offer help and advice if required’. A cook was spoken to on the day and observed preparing fresh, ‘home cooked’ food for the days lunch. The cook knew dietary needs and personal preferences of service users off the top of her head. She spoke highly of the food standards in the home and said the owner was ‘very good’ where the budget was concerned. Menus are on each small dining table with photographs of the food to help those who may not be able to read or understand the written menu. When asked if they could have something if they didn’t like the planned meal, one service user said ‘it has never happened’ another said ‘yes’ they could choose an alternative. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 14 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. People who use services are confident that could complain if they needed to and the procedures and training for staff protect them from abuse. EVIDENCE: The home has a complaints procedure which is given to all service users when they move in. All the surveys from relatives and people who live in the home stated they knew how to make a complaint. Relatives said concerns were ‘always’ responded to appropriately by the home. People who use the service said they could talk to the manager or the owner if they had a complaint. Most said they had never had cause to complain but had confidence that any concerns they had would be sorted out by the home. There have been no formal complaints to the home since the last inspection. The AQAA states there is no history of complaints, abuse or neglect in the home. Staff are trained in Adult Protection. Those spoken to are generally aware of the home’s policy and their responsibilities within it. No allegations have been Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 15 made. People who use services said they felt safe and well protected in the home. Chesterholm Residential Care Limited DS0000064256.V347601.R01.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a clean, pleasant and homely environment. EVIDENCE: The home’s AQAA states that ‘Health and safety is paramount at Chesterholm and the home is always kept clean and tidy. Regular maintenance is carried out throughout the year, as well as planned maintenance. All Fire Safety checks and training are carried out according to the NMS. Certificates are held for the following, Health and Safety, Fire Safety, Stair lift Service, Electrical Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 17 Appliance Testing, Bath Hoist Service, Gas Appliances Service. Fire Safety and Health and Safety notices are placed throughout the home in the appropriate places’. During the inspection, all communal areas and some bedrooms were looked at. Generally, all areas seen were exceptionally clean, homely and furnished and maintained to a high standard. Two of the bathrooms are in need of updating. The manager explained that they are ‘on the list’ for updating. The kitchen is planned for a refit in the next twelve months. The bedrooms seen were, clean, cosy and personalised. People asked said they had everything they needed. They also said they thought the home was clean and hygienic. Chesterholm Residential Care Limited DS0000064256.V347601.R01.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 excellent. This judgement has been made using available evidence including a visit to this service. The arrangements for recruiting staff protect the people who use the service. The training and support for staff enables them to carry out their roles confidently and competently. EVIDENCE: Two staff were spoken to during the inspection. They were seen to be confident and competent at their jobs. They said they liked their jobs and were able to describe in detail the needs and preferences of individual service users. They spoke highly of the on going training provided including mandatory courses such as, first aid, food hygiene, infection control, health and safety, adult protection and fire training which are provided to all staff. Other courses undertaken include; dementia, medication and adult protection. One staff survey said they would like more training on mental health issues. The manager stated more training has been booked, this is being designed to meet specific individual needs of service users in the home. Staff are supported to undertake National Vocational Qualifications (NVQs). Over 50 of care staff have achieved NVQ level 2, or above and the home has a training Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 19 matrix in place to ensure that the level does not fall below this. Training records were sampled and were seen to be up to date. The home has a stable and well-trained staff team which ensures consistent care at a high standard. During the inspection there were suitable numbers of staff on duty to attend to the needs of service users and spend time with them socially. People living in the home said there were always enough staff on duty. Staff were observed interacting in a positive and respectful manner at all times. They responded promptly to requests from service users and were caring and polite. All service users met were well dressed, clean and looked well cared for. When asked, they said they felt in safe hands. They spoke highly of the staff making comments such as, ‘they are wonderful’. The AQAA states ‘we make our staff feel valued and provide and encourage ongoing staff training. We follow strict recruitment procedures based on equal opportunities and ensuring the protection of the service users. New staff cannot be started until all of the necessary checks are in place’. The recruitment file of the most recently recruited staff member was looked at. This was seen to contain the records required to meet the standards. For example, an application form, two suitable references, a criminal record check and a protection of vulnerable adults check. Evidence of a comprehensive induction programme was seen. Two of the staff surveys returned said they ‘sometimes’ meet with their manager for support and to discuss how they are working, one said they ‘often meet. Evidence seen during the inspection show that regular supervision was taking place as were annual appraisals. Some of these records were not securely stored to ensure confidentiality. This was discussed and the manager agreed to rectify this immediately. Chesterholm Residential Care Limited DS0000064256.V347601.R01.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, 33, 35 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 is well managed and has the views and best interests of people who use the service at the forefront of its planning. EVIDENCE: The home’s AQAA states that the current manager, Sue Stacey has been employed at the Home for the past 15 years, working her way up from a care assistant to senior care assistant. The manager has level 3 NVQ and is working towards level 4. The owner Mrs Kay Moss is a Registered Mental Health Nurse Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 21 and has level 4 in Management and 30 years experience in care and mental health. They also say that they have a very good working relationship and constantly look at ways of improving management sytems and policies which lead to the smooth running of the home. They say they have a very good reputation within the community for delivering good quality care in a good clean, safe environment. Their beds are always full, with a waiting list. The views of service users are very important as are the views of relatives and other care professionals. They receive annual feed back from everyone involved in the service, including staff via questionairres that are sent out. Some of these were seen and it was discussed with the manager how she might analyse the feedback and publish the outcomes of the questionaires. The manager agreed to look into new ways of improving the quality assurance. Plans for this were also included in their AQAA. The AQAA also states that policies and procedures relating to health and safety are regularly updated and training is provided to ensure the safety and welfare of people who live in the home. Regular maintenance checks are undertaken and the manager reports all incidents to the commission as required. Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 22 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 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 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Chesterholm Residential Care Limited DS0000064256.V347601.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!