Inspection on 07/11/06 for Church Farm Bungalow

This inspection was carried out on 7th November 2006.

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

The inspector 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

Church Farm Bungalow 05/07/07

Church Farm Bungalow 17/11/05

Church Farm Bungalow 04/07/05

Church Farm Bungalow 22/11/04

Church Farm Bungalow 22/06/04

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

CARE HOMES FOR OLDER PEOPLE Church Farm Bungalow Church Farm Bungalow Guildford Road Chertsey Surrey KT16 0PL Lead Inspector Vera Bulbeck Unannounced Inspection 7th November 2006 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 Church Farm Bungalow DS0000013603.V318915.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. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church Farm Bungalow Address Church Farm Bungalow Guildford Road Chertsey Surrey KT16 0PL 01932 873082 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) Welmede Housing Association Ltd Mrs Caroline Burgess Care Home 12 Category(ies) of Dementia (1), Learning disability (12), Learning registration, with number disability over 65 years of age (7), Physical of places disability (7), Physical disability over 65 years of age (3), Sensory impairment (2) Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be admitted from the age of 50 years onwards only Date of last inspection 17th November 2005 Brief Description of the Service: Church Farm Bungalow is a care home in a cul de sac very close to St Peters Hospital. The home can accommodate twelve service users. The property is located in Chertsey, Surrey and is within walking distance of Ottershaw and a short drive from Woking town centre. Accommodation for service users is provided on the ground floor and has twelve single bedrooms. The home has a kitchen, a good size dining area, through lounge, two laundry rooms, bathing and toilet facilities and a quiet / activity room which is used by the staff as an office. The home has two vehicles both are able to accommodate service users in wheelchairs. The gardens are nicely laid out, secluded and private with ramps for wheelchair access. Private parking is available to the front of the property. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit to be undertaken by the Commission for Social Care Inspection as part of a key inspection. Mrs Vera Bulbeck, Regulation Inspector, carried out the inspection. The registered manager Mrs Caroline Burgess was off duty at the time of the inspection and Miss Sarah Gibbs and Mrs Sandra Chandler, shift leaders, were present. The inspection took 6 hours 15 minutes commencing at 11.15am and finishing at 18.00, on the first day and a further 1 hour on the 21/11/06 to inspect staff recruitment files. There are currently ten service users living in the home, and the majority of the service users have lived in the home for some time. Six service users were in the home on the day of the site visit. The inspector was able to speak with the majority of the service users throughout the day. However, communication was difficult for some service users, who were only able to express themselves by facial expression, body language and signs. The service users are over the age of fifty year, although some are mobile and are able to undertake light duties with the support of staff. The staff members on duty were spoken with and one member of staff commented the home operates an open management style and the staff team feel supported and work together as a stable team. A full tour of the premises was undertaken. Two care plans were inspected. The inspector received six comment cards from service users and comments were positive. Three of the comments stated they would like to be more involved in decision making in the home and another comment was that they feel safe sometimes. Two comment cards were received from relatives/visitors and both were positive, stating they are happy with the care provided in the home. The fees are £1,233.00 per week. The inspector would like to thank the service users and staff members for their time, assistance and hospitality during the inspection. What the service does well: Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 6 On the day of the site visit, it was noted that staff had a good rapport with the service users and it was clear to the inspector that staff had a good understanding of the service users needs. The home has two transport vehicles for use and in the care plans it was noted that the service users go out regularly in the homes transport mini bus. The service users attend a variety of activities. One service user attends a day centre on Tuesdays and Thursdays and another two service users go to bingo at a local community hall. This outing is alternated by the service users to enable all those service users who wish to play bingo have the opportunity. Snoozelem sensory sessions are enjoyed by service users, and two service users go to church on Sundays with two members of staff. “Us in a Bus” visit the home and every other Monday a performer visits the home to sing to the service users. What has improved since the last inspection? What they could do better: All staff working in Church Farm Bungalow require some updating to their training, to ensure the needs of the service users are fully met. It was also noted on the second visit to Church Farm Bungalow on the 21/11/06, that records for a new member of staff on duty who had been working in the home for a few weeks, were not available and the required recruitment checks had not been completed. A letter of serious concern was sent to the Responsible Person and registered manager as cleaning materials were found in an unlocked laundry and an unlocked cupboard in the kitchen. Please contact the provider for advice of actions taken in response to this Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 7 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. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The inspector was informed that all perspective new service users are assessed to ensure the home can meet their needs. However, the pre assessment for the last service user entering the home was not available. The home does not offer intermediate care. EVIDENCE: The pre assessment records for a service user who was admitted to the home in December 2005 were not available. The home has provided a service users’ guide to all service users and relatives. As this was not checked on this visit, the inspector would advise management of the home to ensure the statement of purpose and the service users guide is reviewed on a regular basis. A copy should be provided to all service users in a format they are able to understand. Relatives also need to be provided with Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 10 a copy, particuarly, if a service user is unable to be involved with the drawing up of their care plan. The home does not offer intermediate care. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance are planned and were documented in care plans and discussion with a service user was evidently provided, where needed, in a respectful and sensitive manner. Policies, procedures and practices are in place. EVIDENCE: Three service users care plans were sampled and there was evidence that service users health, personal and social care needs had been identified and assessed. Care notes are well documented and detailed. A number of risk assessments have been updated for all service users living in the home. Medication records were found to be generally well documented and a list of sample staff signatures was recorded on the file, although some gaps were noted on the medication administration record (MAR) sheets. Photographs of the service users were present on the (MAR) sheets. Medication is Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 12 administered from blister packs and two members of staff are involved with the process. Storage facilities were appropriate. It was noted that a service user had been administered medication prior to being admitted to hospital on the 20/11/06, but this medication had not been recorded on the (MAR) sheet on the day of the inspection, although it had been recorded on the daily report. The staff informed the inspector at times two service users are unable to swallow tablet form medication and another method of administering their medication was being undertaken. The inspector advised the home to speak with the G.P to ensure this method is appropriate for the service users, and to ensure the method and agreement by the G.P is documented in the care plan. The service users spoken to confirmed that staff are respectful, and it was observed by the inspector, that staff knock on the door before entering bedrooms. It was also noted that service users and staff have a good rapport, and service users are able to discuss with the staff any worries they may have. Staff reassure service users, by supporting, explaining, and helping to clarify any problems and to ensure service users have a clear understanding. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Service users are supported and encouraged to maintain contact with family and friends. Meals are well balanced and varied with individual choices and preferences as well as special dietary needs catered for. EVIDENCE: The Majority of service users have little contact with family and friends and those service users who do not have representatives, the inspector would recommend the management of the home to obtain the services of an advocate to support service users when required. There is a planned activity programme and the service users go out on a regular basis. One service user attends a day centre two days a week and two service users go to bingo at a local community centre. Musical performers are invited to the home on a regular basis. An in house activity programme is organised by the staff and during the afternoon, time permitting staff spend time with the service users. The service users seem to spend a lot of their time chatting in the lounge, all appeared to be contented and those spoken to confirmed they were happy to be living in the home, and one service user stated the staff are very nice. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 14 The meals served in the home appeared nutritious in content and well balanced. The staff and service users are involved with the menu planning. There are two cooks working in the home who are aware of the service user’s likes and dislikes. The cook was on holiday at the time of the visit, but a member of staff who was undertaking the cooking, advised that there is a choice of meal five days a week. On the other two days a roast meal is served which is enjoyed by all, and fish and chips are on the menu for Fridays. Several service user’s confirmed the food is very good. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. A number of required policies, procedures and practices are in place to ensure that service users are safeguarded, as far as reasonably possible, from harm or abuse. However, there is a need for all new staff to have a POVA check undertaken. Service users indicated their views are listened to. EVIDENCE: There were no recorded complaints in the home and a member of staff stated the home had not received any complaints. The home had a copy of Surrey Multi Agency procedures and the four staff on duty confirmed they had received training in this. However, this training was some time ago and all staff are required to receive regular updates. All staff are aware of the whistle blowing policy and this was confirmed with the staff. They stated that they would take any necessary action if required. The inspector was informed that a Protection of Vulnerable Adult (POVA) check had not been undertaken on a new member of staff who is currently working in the home. The inspector was informed by North Surrey Primary Care Trust (NSPCT), that all staff are requested to sign a declaration regarding any criminal convictions. The NSPCT undertake the personnel side of recruitment for Welmede Services, the inspector was informed that POVA checks are not undertaken on new staff as this is the organisational policy and has been agreed with the Criminal Record Bureau (CRB). Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 16 Where service users were able, they indicated that they feel safe and know they can speak with the staff if they have any concerns. Service users finances were inspected and records were well documented and receipts were checked. Staff confirmed they have access to service users finances. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 17 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. There are some minor improvements needed to some areas of the home requiring attention in order to ensure a safe and well-maintained environment for service users. The home was observed to be generally clean and hygienic at the time of the visit. EVIDENCE: The environment is homely and service users were able to indicate they enjoy living in the home. There is a very nice fish tank in the hallway and staff maintain the upkeep of the tank, which appeared to be well maintained. There is a budgie that does not have a name in a large cage in the hallway. The staff look after all the animals, including the homes cat called Bonny. There are several areas around the home that require attention, including the carpet in a service users bedroom which needs cleaning as it was noted to Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 18 have stains and had an odour. A handle was missing off a chest of drawers and several lights were in need of cleaning as insects were seen inside. The maintenance record book needs to be completed and used on a regular basis. The record should indicate the date the problem was reported, the date work was completed and signed by the maintenance person. The garden is well maintained and accessible for all the service users. It was clear from the layout of the garden that the garden is well used. The inspector was informed that the service users enjoy sitting in the garden in the warmer weather and the garden is nicely laid out to meet the needs of the service users. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 19 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 Adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets service user’s needs. The home has a comprehensive staff recruitment and training programme which, incorporates all areas needed to ensure, as far as reasonably possible, that service users are in safe hands at all times. However, all staff files should be available including new staff for inspection. EVIDENCE: The staffing arrangements during the early shift include five care staff on duty and four care staff on duty during the late shift. There are two waking night staff on duty every night. The home has a domestic on a part time basis, and two cooks on a rota system. Care staff also undertake the cooking in the absence of the cooks. Full recruitment procedures need to be followed. All staff have been checked against the Criminal Records Bureau (CRB) except a new member of staff, for whom this is currently in progress. The majority of staff records were found to be well documented, including contracts and terms and conditions. However, there were no records available for a member of staff who commenced work in the home on 25/10/06. All staff records must be available for inspection as required. Training has been ongoing and the majority of staff have attended a number of training courses. However, the inspector would advise a training plan needs to Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 20 be kept up to date to enable management to ensure all staff training is completed. This should include updates to training. The majority of staff have received protection of vulnerable adults training except a new member of staff. The home has 46 of staff with NVQ Level 2 and above. Certificates for training should be available for inspection. It was identified at the time of the visit that the registered manager and all staff need to attend equality and diversity training. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 21 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 Adequate. This judgement has been made using available evidence including a visit to this service. The systems for service users consultation are varied and have been devised specifically to enable the service users to make their views known. Improvements are required to ensure that the health, safety and welfare of service users is promoted and protected. EVIDENCE: The member of staff in charge of the home informed the inspector that the registered manager has completed the Registered Managers Award. The management of the home conducts regular monthly visits are these were seen to be well balanced and a number of areas in the home are checked on each visit. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 22 The inspector would advise the home to ensure the maintenance book is kept up to date with dates of reporting work to be undertaken with dates and signatures when work is carried out. A number of records were observed and it was noted that the accident books for service users and staff contained completed accident forms and these were still in the books. These need to be filed in the appropriate person’s individual file. Fire records were seen to be well documented, but it is necessary to produce an emergency contingency plan for any serious emergencies. The inspector would advise the home to consult the fire safety officer to discuss fire safety arrangements further. Service users finances were checked and found to be well documented, clear records were in place and receipts for each item were numbered and recorded. As mentioned previously, the registered manager was not on duty on the day of the site visit. The shift leader advised that the staff files are held in a cabinet in the office and that only the registered manager holds the key. The inspector returned to the home following the registered manager’s holiday to check the staff files. The inspection report needs to be made available for service users, staff and visitors to read. It was disappointing that when the inspector tested the call bells the staff did not respond to the call. This was undertaken twice to ensure the bells were working properly, which they were. All staff should be made aware of the need for a speedy response and further training regarding this should be considered, as many service users have mobility problems. It was also noted that the temperature of hot food had not been recorded on every occasion, and the fridge and freezer temperatures need to be recorded on a daily basis. On the day of inspection it was noted that the main cupboard on the first floor containing substances hazardous to health, was locked. However, the cupboard under the kitchen sink was unlocked, and there were a number of hazardous materials inside and the staff were unable to locate the key immediately. The key was eventually found and the cupboard was locked before the inspector left the home. The two laundry areas need to be locked as they both contain cleaning materials, which may be hazardous to health and the inspector advised the home to fit a lock on both doors. The registered manager informed the inspector that locks had been placed on both laundry doors almost immediately. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 23 An immediate requirement letter was sent to the Responsible Person and Registered Manager on this occasion, regarding the unsafe storage of hazardous substances. However, it was noted by the inspector that the majority of the service users were unable to go into the kitchen or laundry area because of mobility problems. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 24 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 2 X X 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 5 Standard OP3 OP9 OP18 OP29 OP30 Regulation 14 13 19 18 18 Requirement Pre assessment documents must be available for inspection. Medication records must be completed at all times. POVA checks must be undertaken on all new staff. Staff details must be available in the home at all times. A number of staff training courses need to be undertaken and some updates, staff training certificates need to be available. A fire risk assessment and an emergency contingency plan must be held in the fire record folder. The fridge and freezer and meat probe temperatures must be recorded daily. A number of health and safety certificates were not available; these include portable appliance testing and Legionella. Timescale for action 22/12/06 08/11/06 21/11/06 21/11/06 26/01/07 6 OP38 13 22/12/06 7 8 OP38 OP38 17 17 08/11/06 22/12/06 Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP19 OP19 OP38 OP38 OP38 Good Practice Recommendations A carpet in a service users bedroom needs attention. Some light covers need cleaning and a shade is required in the quiet room. The accident/incident records must be numbered and completed records must be filed in the appropriate persons file. Staff to receive further training and be made aware of the procedure when call bells are in use. The maintenance book needs to be kept up to date with work required around the home. Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Church Farm Bungalow DS0000013603.V318915.R01.S.doc Version 5.2 Page 28 - 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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