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Inspection on 06/11/07 for Dorton College Of Further Education

Also see our care home review for Dorton College Of Further Education for more information

This inspection was carried out on 6th November 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Dorton College residential units provide a caring, supportive and empowering environment for the students. There is a good range of activities available based on individual and collective need. The staff work positively with the students encouraging and assisting them to communicate their needs, wishes and aspirations and to develop greater levels of independence and confidence. There appears to be good leadership within the residential unit ensuring that staff and student opinions are heard and the service continues to develop. Health and safety processes are maintained and there is a good staff development programme in place.

What has improved since the last inspection?

The Manager and staff continue to examine the care and support that is provided looking to innovate and further develop the service. Work has been undertaken in response to the requirements and recommendations of the last inspection report. Care planning documentation has been introduced to encompass, support needs, aspirations and ambitions, and risk management. Students and key workers are developing individual Life Skills Profiles to help students take ownership of their development. Some physical improvements to the bathroom facility have been completed as part of an ongoing development plan. Meals are now taken in a more appropriate setting. Staff 1-1 supervision and training opportunities have increased.

What the care home could do better:

Further development in support practices and documentation and the residential environment are subject to ongoing planning. Regulatory requirements relating to recording and notification of incidents (Reg. 37) and the policies and procedures covering topics set out in Appendix 3 of the NMS were discussed and the manager agreed to address the shortfalls. The provision of sufficient usable communal space in the Units and the condition of some of the fittings in the kitchens were also discussed and are reportedly the subject of development plans.

CARE HOME ADULTS 18-65 Dorton College Of Further Education Seal Drive Seal Sevenoaks Kent TN15 0AH Lead Inspector Geoff Senior (with Ruth Burnham) Unannounced Inspection 6th November 2007 10:00 Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 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 Dorton College Of Further Education DS0000023864.V345855.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 Adults 18-65. 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. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dorton College Of Further Education Address Seal Drive Seal Sevenoaks Kent TN15 0AH 01732 592600 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) Royal London Society for the Blind Care Home 21 Category(ies) of Sensory impairment (21) registration, with number of places Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users can be admitted from 16 years of age Date of last inspection 23rd November 2006 Brief Description of the Service: Dorton College of Further Education is registered to accommodate up to 21 young adults who have a sensory impairment with additional care needs alongside students who do not fall within the remit of this report. Other educational services for younger children are also provided in separate buildings on the campus. The establishment is managed by the Royal London Society for the Blind. The College is situated in extensive grounds, close to the town centre of Sevenoaks. For the purpose of this report service users are referred to as students. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Dorton College included an unannounced visit that was undertaken on 06/11/07 an lasted approximately six hours. Time was spent talking with the Manager and with staff on duty. The opportunity was taken to discuss with a number of the students individually and in groups, their experiences and opinions of the College in general and the residential provision in particular. They indicated that they were settled in the College, were comfortable in the company of staff and had plenty to do. Throughout the visit, observations of the staff’s interactions and attention to the students’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records was inspected. The Manager, supported by staff, has fostered a positive and active culture within the residential provision. Staff keep in contact with student relatives and significant others to update on progress and changes. The lunchtime meal was taking place in the refectory during the visit; the students were offered a variety of hot or cold foods from the servery. There was a busy but relaxed atmosphere in the room. There were ample staff present to offer help or assistance in a discreet and sensitive manner. Survey questionnaires were distributed to students, staff, care manager, relatives and health professionals. The responses were noted and are reflected in the text of the report. Information about fees can be obtained by application to the college. They have not been included in the report as they vary according to need. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group What the service does well: Dorton College residential units provide a caring, supportive and empowering environment for the students. There is a good range of activities available based on individual and collective need. The staff work positively with the students encouraging and assisting them to communicate their needs, wishes and aspirations and to develop greater levels of independence and confidence. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 6 There appears to be good leadership within the residential unit ensuring that staff and student opinions are heard and the service continues to develop. Health and safety processes are maintained and there is a good staff development programme in place. What has improved since the last inspection? What they could do better: Further development in support practices and documentation and the residential environment are subject to ongoing planning. Regulatory requirements relating to recording and notification of incidents (Reg. 37) and the policies and procedures covering topics set out in Appendix 3 of the NMS were discussed and the manager agreed to address the shortfalls. The provision of sufficient usable communal space in the Units and the condition of some of the fittings in the kitchens were also discussed and are reportedly the subject of development plans. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 7 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. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4. Quality in this outcome area is good, Prospective student’s needs and aspirations are assessed and documented, prior to being offered a permanent placement, to ensure the placement will be mutually beneficial, Prospective students and their relatives/representatives have an opportunity to visit the home to help in their decision making process This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was reported that there is a wealth of information available, and support provided, to prospective students in order to help them decide whether the College can meet their support needs. Staff described the admission process and how it is tailored to the individual. Admission follows two visits to the college both of which involve overnight stays. This provides the prospective service user with the opportunity to meet and spend time with existing students and staff. They may view the accommodation and find out about the routine and lifestyle they could expect to experience at Dorton. Service specific training is offered to staff to ensure they can offer support to meet the assessed needs. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9.Quality in this outcome area is good Service user plans identify needs, aspirations and goals and are regularly reviewed. Students are encouraged to contribute to the decision making process This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observations made at this visit indicated that the staff respect and encourage the students ’ rights to make decisions. All students spoken with were happy with the care they receive at the college and were positive about the role they play in planning their own future. The staff continue to develop the content and structure of the service user files. Those seen indicated a positive response to the last inspection report findings and are much improved with a more ‘person centred’ approach and Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 11 now include risk management. It was reported that staff have undertaken risk management training. The manager provides good support in encouraging the key workers and students to work together. The personal profiles are reportedly a result of key worker/student collaboration. It was recommended that they include information on significant relationships. One member of staff spoken to appeared to be well informed about the cultural needs of specific individuals and described ways in which they are supported. This information should also be available within the service user files. The daily records seen record factual information about activities and physical care but offer little about responses or state of being from which to establish trends and patterns. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. The home provides a range of therapeutic and leisure activities based on personal needs, wishes and interests. Students are offered the opportunity to enjoy a balanced diet eaten in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, supported by staff, has fostered a positive and active culture within the residential provision. Students are encouraged and supported to maintain and develop daily living skills within the house units, working towards the level of independence they would like in their future lives. Staff have worked positively with the students to establish interests, likes and dislikes. They are supported by the College to provide a range of formal and informal activities for both recreational and educational purposes. Students talked Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 13 enthusiastically about their own particular interests and pursuits, their study programme and their lifestyle at Dorton. A number gathered at the Student centre for social interaction. The inspectors had lunch with a number of students who were being served food in the dining area of the Student Centre. There is a variety of food to choose from at lunchtime including a hot option. Students spoken to agreed that the food was good although there are always things on the menu that they don’t like in which case they can choose another option. Ample staff were present and offered help or assistance where needed in a discreet and sensitive manner. Breakfast is provided on the house unit and lunch and dinner for most students is served in the college cafeteria. Students plan menus for meals taken in the residential units in the evenings and at weekends and are involved in shopping for food. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. Personal and healthcare support and assistance is planned and provided, where needed, in a respectful and sensitive manner. The pharmacist inspection reports: Residents are supported to self-administer their medicines, This judgement has been made using available evidence including a visit to this service. EVIDENCE: Students are treated with dignity and respect and levels of privacy are maintained. The College ensures that staff are instructed and supervised to provide assistance with personal hygiene and care thoughtfully and sensitively to all students. Students are encouraged to make daily lifestyle choices and live their lives as autonomously as possible.. The healthcare needs of students are monitored and addressed. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 15 The college was subject to a specialist pharmacist inspection on 23/11/06. The findings are contained within a separate report. The judgement was that the quality in this area is good Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is adequate. Systems are in place to ensure that students feel their views will be listened to and that they are safeguarded, as far as possible, from harm. The Manager should ensure that action is taken to inform the Commission and appropriate agencies of all incidents, inline with the Regulations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The college has a complaints procedure in place. Most of the Students spoken to and surveyed are aware of who to talk to if they are worried, concerned or not happy. All Students are allocated a key worker with whom they meet regularly. Those spoken with and surveyed also said that they feel safe at the college and were seen to be comfortable and at ease in the company of staff on duty. It was noted at the last inspection that the Manager and Responsible Individual were unaware of their responsibility to inform the Commission of all incidents in line with the Regulations, this was discussed and it was agreed that adjustments would be made to ensure compliance in the future. Events preceding this inspection visit indicated a need for the subject to be revisited. The criteria for reporting and the format of reports under Regulation 37 were Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 17 discussed and assurances given by the Manager of prompt and appropriate action in the future. It was reported that there is an issue currently under review by the LA Safeguarding Team. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is adequate. Students benefit from many of the facilities available to them on site. The size and layout of the communal areas however limit opportunities for meaningful relaxation. The condition of some of the kitchen facilities in the residential units may compromise the maintenance of health and hygiene standards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The college provides students, in the main, with adequate accommodation within the residential units on campus. Each includes a lockable study/bedroom, toilet and bathroom facilities and access to a small lounge/diner/ kitchen area. In some units service users still do not have sufficient communal space, this is further compounded in one unit by the fact that there are students on this residential unit with significant mobility problems, 2 use wheelchairs and 1 Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 19 walks with the aid of a walking frame. There are 2 well equipped en-suite bedrooms, however the only communal space in this unit is provided in a very small kitchen/ dining /sitting area which has barely enough room for one small sofa, dining table and chairs, leaving little room to move around the furniture. It was pleasing to note that action had been taken to renovate a shower room and make it more accessible There remains concern that there are still no clear laundry procedures on view given that washing machines are located in the kitchens on the residential units. There has been no general assessment of the premises or consultation with an appropriate environmental health adviser re health and safety and Food hygiene issues to ensure the protection of students in these areas particularly where problems were noted; damaged work surfaces, the layout and the procedures used in kitchens on the residential units. Away from the residential units the students have access to extensive wellmaintained grounds, a sensory room, sports facilities and swimming pool. There is also the Student Centre for social gathering and a newly created quiet room. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36.Quality in this outcome area is good. The college has training and recruitment procedures designed d to ensure that students are supported by competent and qualified staff and that, as far as reasonably possible, they are protected from harm This judgement has been made using available evidence including a visit to this service. EVIDENCE: The College residential unit offers staff a good development programme. There is an induction process that staff are supported to work through. Mandatory training is now provided and staff receive updates, refreshers and service specific courses as required. The Management is aware of the expectations of the standard regarding training. Staff members are encouraged to complete appropriate training for their roles including NVQ training. The support team is generally well established. It was reported that there are sufficient staff on duty in the units and available on call to adequately support and supervise the students at all times during the day and evening. Each unit has staff on duty overnight. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 21 The Management indicated an awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and to protect the students. Staff files contain appropriate CRB and reference checks. All interactions observed between staff and students were seen to be mutually respectful and caring and the students were relaxed and comfortable in the company of staff. Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42.Quality in this outcome area is adequate. The manager, staff and apprentices benefit from an open, positive and inclusive atmosphere. The quality assurance processes that are in place endeavour to ensure that the home is run in the best interests of the Students. Regulatory requirements relating to recording and notification of incidents and the policies and procedures covering topics set out in Appendix 3 of the NMS need to be available, understood and implemented by staff as appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 23 The manager has management qualifications and, having worked at the college for many years on the educational side she has a lot of experience with the particular needs of students and knows the staff team. She appeared to be a well-informed, experienced and committed individual who is willing to undertake the required care qualifications. All interactions observed between the acting manager, staff and students evidenced an open, positive and inclusive atmosphere. One member of staff commented that one of the most rewarding things about working here is that the staff help students to direct their own support needs. The team ‘enables’, but doesn’t ‘do’, for people. Monthly monitoring visits are now carried out by a representative of the organisation, ensuring that the standard of care and relevant documentation is maintained and the premises are in good order. Student’s views are sought on a regular basis. They meet monthly with their key workers and there are also regular meetings where their views and opinions are sought. Information received prior to the visit indicated that maintenance checks and certification are satisfactory and up to date. Regulatory requirements relating to recording and notification of incidents and the policies and procedures covering topics set out in Appendix 3 of the NMS were discussed and the manager agreed to address the shortfalls. Dorton College Of Further Education DS0000023864.V345855.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 Adults 18-65 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x 3 x 3 2 x 2 x Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 25 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 Standard YA30 Regulation 13(4) & 16(2) (j) Requirement Timescale for action 31/01/08 2 YA24 YA28 23(2)(a) (g) & (e) The registered person shall having regard to the numbers and needs of the service users after consultation with the environmental health authority maintain satisfactory standards of hygiene in that laundry procedures must be clear where facilities are sited in food preparation areas to eliminate risk of infection and kitchens must be in a good state of repair. This requirement has been brought forward from the last inspection report The registered person shall 31/01/08 having regard to the numbers and needs of the service users ensure that the physical design and layout of the premises meet the needs of service users in that shared areas in residential units must provide enough space for students, including those with mobility problems to relax and eat in comfort. This requirement has been brought forward from the last inspection report DS0000023864.V345855.R01.S.doc Version 5.2 Dorton College Of Further Education Page 26 3 YA23 37 (1) The registered person shall give notice to the Commission without delay of the occurrence of… Regulation 37 (1) (a-g) 30/11/07 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 YA40 YA42 Good Practice Recommendations The home’s written policies and procedures comply with current legislation and recognised professional standards, covering the topics set out in Appendix 3 of the National Minimum Standards for Adults (18-65). Dorton College Of Further Education DS0000023864.V345855.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Dorton College Of Further Education DS0000023864.V345855.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. 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!