Inspection on 07/08/07 for Chilton Court Residential Home

This inspection was carried out on 7th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chilton Court Residential Home 05/09/06

Chilton Court Residential Home 09/02/06

Chilton Court Residential Home 16/05/05

Chilton Court Residential Home 25/02/05

Chilton Court Residential Home 17/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Chilton Court Residential Home Gainsborough Road Stowmarket Suffolk IP14 1LL Lead Inspector Jane Offord Unannounced Inspection 7th August 2007 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chilton Court Residential Home DS0000024357.V348341.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. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chilton Court Residential Home Address Gainsborough Road Stowmarket Suffolk IP14 1LL 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) 01449 675320 01449 675320 simon@stowcare.co.uk Stowcare Limited Mrs Jean Mary Hayward Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: Chilton Court is a private residential home for older people. The home was first registered in 1986 to accommodate 19 residents. In April 1998, the original building was converted to accommodate a further four residents. A further extension was added in 2000 taking the number of residents to 33. The owners of Chilton Court have since extended the service provision by the creation of The Courtyard, a care housing complex on the same site as Chilton Court, which was completed in May 2000 and officially opened in September of the same year. The Courtyard enables people to receive support and assistance with personal care in the comfort of their own homes and can accommodate up to 14 residents. This increased the homes registration to 47 residents. Chilton Court and The Courtyard are situated on the Gainsborough Estate, approximately one mile from Stowmarket town centre. The building is in pleasant surroundings with well-maintained gardens and a pond that is home to a large number of ducks. The fees for the residential home range between £450.00 and £495.00 per week. The fees in the Courtyard range between £380.00 and £655.00 per week. All fees depend on the accommodation occupied and the dependency of the resident. The fees do not cover the cost of hairdressing, chiropody, newspapers or toiletries. Chilton Court Residential Home DS0000024357.V348341.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 9.15 and 15.30. The registered manager was on annual leave but the general manager and a senior carer were present and assisted with the inspection process. This report has been compiled using information available prior to the inspection and evidence found on the day. All areas of the house and courtyard were visited in the course of the day and a number of residents and staff spoken with. The policy folder, the duty rotas, the menus and some residents’ and staff files were all inspected. Part of a medication administration round was followed and medication administration records (MAR sheets) were seen. Care practice and the serving of the lunchtime meal were observed. Residents were using all areas of the home and looked comfortable and relaxed. The home was clean and tidy with no unpleasant odours noted. The meal at lunch looked appetising and judging from the cleared plates was enjoyed by the residents. Interactions between staff, residents and visitors were friendly. What the service does well: What has improved since the last inspection? Pre-admission assessments are completed correctly and fully. The documentation available to make an informed choice about living in the home is up to date and informative. Mar sheets have been completed correctly to allow an audit trail of medicines. Chilton Court Residential Home DS0000024357.V348341.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. The summary of this inspection report can be made available in other formats on request. Chilton Court Residential Home DS0000024357.V348341.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 Chilton Court Residential Home DS0000024357.V348341.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 a pre-admission assessment of need and assurance that their needs can be met by the service prior to moving in to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose was seen and contained all the required information listed in standard 1 of the national minimum standards (NMS) for care homes. The process of admission to the home was detailed with a pre-admission assessment and the offer of a month’s trial period to ensure the service matched the resident’s expectations. This service does not offer intermediate care. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 9 The files for three newly admitted residents were seen and each one had a pre-admission assessment form completed that was dated prior to the admission date of the resident. The form covered areas of health need such as mobility, continence, personal hygiene, diet, sight and hearing. Known allergies were recorded as was past medical history and any present health problems. The person’s mental state, cognition and memory were assessed and notes were made of their social needs and family involvement. Chilton Court Residential Home DS0000024357.V348341.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, 10. Quality in this outcome area is good. People who use this service can expect to have a care plan to help staff support them as they would wish and be protected by the medication administration practice but they cannot be assured that all medication is safely stored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans and daily records of three newly admitted residents were seen. The care plans are divided into physical care needs, behavioural needs and social needs. There was evidence that the care plans are reviewed monthly and updated as required in between. The physical needs had interventions for diet, continence, mobility, skin integrity, night needs and personal hygiene. The resident’s choice of a shower or bath and how often they wished for one was recorded. One had chosen a morning shower and wanted a carer present to assist, another had chosen baths twice weekly and would need help changing bed linen on one of those days. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 11 The behavioural plans looked at communication, co-operation with staff to meet the resident’s needs, aggression, concentration, motivation and mood while the social plans had interventions for family involvement, relationships, social and community interaction. The care plans were tailored to the individual’s needs so one had an intervention for their preferred daily newspaper and another specified that the resident needed a soft diet as they had swallowing problems. All the files had details of any health professional involved with the support of the resident such as GP, community nurse, optician, speech and language therapist and chiropodist. Records of visits to and by the professionals were made together with details of any treatment prescribed. One resident had had problems with their hearing aid and it was discovered that the aid was clogged with wax. A community nurse was asked to check the resident’s ears and prescribed some drops to soften the wax. This was noted in the daily records for the resident and on their care plan. Daily records are kept in computer format. The carers also keep a communication book for handovers between shifts. Read together these two written notes offer a detailed and informative record of the residents’ days and activities. Part of the medication administration round at lunchtime was followed. Medication is kept securely in the clinic room accessed through the office. The home uses a monitored dosage system (MDS) so medicines are dispensed into blister packs by the local pharmacy according to the prescriptions. The MAR sheets all had identification photographs with them and no signature gaps were noted. The carer said they had done medication training with a recognised trainer when the home commenced using the MDS system. This was confirmed on the training matrix. Medicines that required refrigeration were kept in the domestic refrigerator in the staff room. Neither the room nor the refrigerator were locked and the medicines were not kept in a locked container in the refrigerator. Some eye drops were stored there but also a large quantity of pre-packed insulin devices. The temperature of the refrigerator was not regularly recorded to ensure it was functioning within safe limits for the storage of medicines. Care practice was observed and staff were seen to knock on doors prior to entering rooms. Residents were called by the name they preferred so some were Mr. or Mrs. and some used their first name. Residents were offered choice about where they wanted to be and then encouraged to manage as much independently as they could. Chilton Court Residential Home DS0000024357.V348341.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, 15. Quality in this outcome area is good. People who use this service can expect to have a lifestyle to meet their expectations and be offered a well-balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not have an activities co-ordinator in post at the present time but the general manager said they were in the process of drawing up an advertisement for the job. In the meantime the care team was helping with some pastimes for the residents. A bingo session took place in one of the lounges in the afternoon. The resident’s religion if they practised one was recorded and in some cases their final wishes were noted. For one resident it was noted that they attend the local Baptist church each Sunday and also like to go to some meetings during the week as well. The statement of purpose says the home has visit monthly from representatives of the Church of England, Baptist and Methodist churches and can arrange on request visits from Roman Catholic, United Reform and Salvation Army members. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 13 The activities record book showed that there had been a variety of activities offered by the previous co-ordinator including quizzes, crafts, exercises, music and reminiscence. A group of residents had recently visited Needham Market Lake to see the wild fowl there. On the notice board were announcements for a forthcoming fashion show and a visit from an entertainer. All the files seen had contact details of the residents’ next of kin and others important to them. The home has open visiting and a number of people came and went during the day. They were greeted by staff and assisted to find the person they wished to visit. As well as the two main lounges the home has a number of smaller seating areas that can be used to have private meetings. The Courtyard also has a communal lounge and dining area that can be used by residents as well as their own private rooms. Meals for all residents in the main home or the Courtyard are served in one of the dining rooms or the residents’ own room, as they choose. One resident of the Courtyard said they have their breakfast and tea in their own rooms but enjoy going to the dining room for lunch, as it is, ‘a social event’. The dining rooms are attractively decorated and the tables laid with linen napkins. Lunch on the day of inspection was a choice between lamb casserole, scampi or salad. Dessert was fruit crumble and custard followed by cheese and biscuits and coffee or tea. Residents spoken with said they had enjoyed the meal, ‘food is very good here’. The kitchen was visited and found to be clean and tidy. The stores of dry ingredients were varied and there was plenty of fresh fruit and vegetables. Temperatures for the refrigerators and freezers showed they were functioning within safe levels for food storage and records were kept of temperatures of the hot trolleys and probed food before it was served. Some food stored in refrigerators and freezers was not labelled with content and only dated with a day of the week not date. One resident had a birthday on the day of inspection and had been visited by their grand children. In the kitchen was a home made birthday cake ready for teatime together with some cheese straws and cakes for residents with diabetes. Chilton Court Residential Home DS0000024357.V348341.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, 18. Quality in this outcome area is good. People who use this service can expect to have their concerns taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a robust complaints policy that was displayed in the entrance hall. Residents spoken with were clear about who they would talk to in they had any concerns. The complaints log was seen and contained one complaint since the start of the year. It was from a relative who had arrived one day to find their parent had been incontinent of urine and needed changing. The manager dealt with the issue and recorded the steps they had taken to resolve the problem. CSCI has had no complaints about this service since before the last inspection. The home has a clear unambiguous policy relating to the protection of vulnerable adults (POVA). Staff spoken with were able to discuss aspects of abuse and how they would recognise more subtle abuse if it was happening. They were clear about their duty of care and how to refer any concerns. Fifty percent of staff have achieved an NVQ at level 2 or above and part of the instruction includes POVA awareness but the training matrix shows independent POVA training has been taking place as well and been attended by some ancillary workers as recommended at the last inspection. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 15 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 a comfortable, clean and wellmaintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken during the day and all areas were revisited in the course of the inspection. Everywhere was clean and tidy with no unpleasant odours noted. Individual rooms were personalised with small items of furniture, photographs and pictures. Records for one resident showed they had recently had a new mattress for their bed and the communication book recorded that they, ‘had the best night’s sleep since being here’. Toilets and bathrooms were clean and supplied with liquid soap and paper towels for hand washing. The toilet in bathroom 2 had no seat attached and the general manager said they would address the issue. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 16 The Courtyard is a series of one and two bed roomed bungalows and houses built around an area that has been landscaped and planted with shrubs and flowers. Each residence has its own front door but is connected to the main building by an access corridor at the back of the properties. Residents in the Courtyard can have as much or as little support as they choose. One resident said they have help with a bath and bed linen change once a week but they knew they could ask for help more often if they wished. Cleaning is done by domestic staff from the main house and the whole development looked well maintained. The laundry was visited and the machines were seen to have sluice wash programmes and automated product feed to protect staff from handling potentially hazardous substances. The infection control policy gave clear guidance to staff on managing soiled linen and preventing cross infection. Staff spoken with were clear about the use of protective clothing. The door to the laundry is a fire door but does not close correctly. The general manager said the action of the door had been changed on the advice of the fire officer from swinging both ways to only one way but now did not close properly. The maintenance person was in the process of ordering a new door. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 17 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 adequate numbers of correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas for the year are written on a planner in the office. They showed that in the mornings there is a senior carer with five other care staff. One of the carers helps with the early resident support until linen arrives in the laundry room when they are then responsible for doing the laundry. One member of staff said this change had helped the morning routine greatly and gave residents more choice about when they got up. On a late shift there is a senior and four carers and two carers cover the nights. The home has an ancillary team including cooks, kitchen assistants, domestic staff, maintenance personnel and an administrator. The registered manager is supernumerary and the general manager is available in the home most days. The home employs twenty-six carers of whom thirteen have achieved an NVQ level 2 award or above. This meets the recommended fifty percent of standard 28 of the national minimum standards (NMS) for care homes. A further two carers are working towards the award, which will raise the percentage more. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 18 The files for three new staff members were seen and all contained two references and a copy of the terms and conditions of employment. They had a full work history and a criminal record bureau (CRB) check. There was no documentary evidence that the identity of each person had been verified although some must have been seen to apply for a CRB however copies must be kept in the files and available for inspection. There was evidence of an induction programme being followed that included instruction in fire awareness, moving and handling, food hygiene and infection control. The training matrix showed that mandatory training in moving and handling, food hygiene and infection control was repeated at intervals and staff doing medication administration had received appropriate training for the task. Additional training was given in first aid, POVA and continence management. Staff spoken with confirmed that they had had induction and training. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 19 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, 36, 38. Quality in this outcome area is good. People who use this service can expect to be consulted about the home and have their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has worked for Stowcare Ltd since 1989. They were promoted to deputy manager in 2001 and became registered manager in 2005. They hold an NVQ level 4 in care management and have undertaken certificated courses in dementia care and protection of vulnerable adults (POVA). Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 20 Residents spoken with said they had occasional meetings with the management of the home. The general manager confirmed this but was unable to produce the minutes of any meetings held as evidence. In the past the home has not handled personal monies for any residents. The general manager confirmed that this remains the case. Staff spoken with said they had regular supervision with the manager and records seen showed that a wide range of issues was discussed at supervision sessions. Training needs were identified and team working was discussed. A number of service sheets and certificates were seen including the gas safety certificate that had been issued in November 2006, the employers liability insurance that was valid until May 2008 and a certificate from external consultants for checking the fire alarms and emergency lighting in March 2007. The certificate for the passenger lift showed that remedial work recommended during the service had been completed promptly. The fire log recorded daily checks of fire escape routes and airing cupboards. Hoists had been serviced in March 2007 and all the special baths in August 2006. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 21 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 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 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 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13 (2) Requirement Provision must be made for suitable secure storage of medicines requiring refrigeration and the monitoring of the equipment to ensure it functions within safe limits for storing medication to make sure residents’ property is safe and does not deteriorate. Food that is prepared and stored in refrigerators and freezers must be clearly labelled with content and date to ensure residents are protected from food that has deteriorated. This is a repeat requirement from the last inspection 05/09/06. 3. OP19 23 (2) (b) The change to the laundry door and the replacement of the toilet seat in bathroom 2 must be undertaken urgently so that residents live in well maintained surroundings protected from fire risk. 21/09/07 Timescale for action 31/08/07 2. OP15 13 (3) 13 (4) (c) 07/08/07 Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 23 4. OP29 19 (1) (b) (i) Documentary evidence of identification checks made on prospective staff must be retained in their files and available for inspection to ensure residents are protected by the use of correct recruitment practices. 07/08/07 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 OP33 Good Practice Recommendations Minutes of meetings with residents and other quality assurance documentation should be available to residents and for inspection to show that residents are consulted about the service they receive. Chilton Court Residential Home DS0000024357.V348341.R01.S.doc Version 5.2 Page 24 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 Chilton Court Residential Home DS0000024357.V348341.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. 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