Inspection on 24/07/07 for Eastbourne Grange

This inspection was carried out on 24th July 2007.

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

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

Other inspections for this house

Eastbourne Grange 25/08/06

Eastbourne Grange 06/12/05

Eastbourne Grange 16/06/05

Eastbourne Grange 04/02/05

Eastbourne Grange 21/06/04

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

CARE HOMES FOR OLDER PEOPLE Eastbourne Grange 2 Grange Gardens Blackwater Road Eastbourne East Sussex BN20 7DE Lead Inspector Elizabeth Dudley Key Unannounced Inspection 24th July 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eastbourne Grange DS0000021091.V345718.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. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbourne Grange Address 2 Grange Gardens Blackwater Road Eastbourne East Sussex BN20 7DE 01323 733466 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) esatbournegrange@btinternet.com Mr Trevor Pearce Mrs Patricia Pearce Mrs Patricia Pearce Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty-five (25). That service users must be aged sixty- five ( 65 ) years and over on admission. 25th August 2006 Date of last inspection Brief Description of the Service: Eastbourne Grange is a care home providing care for up to twenty-five (25) residents over the age of sixty-five (65). Nursing care is not provided at this establishment. There is a pleasant garden at the rear of the building. There is limited parking at the home, however there is free parking available in adjacent streets. Eastbourne Grange is a large semi-detached house in a quiet residential area of Eastbourne, close to the seafront, town centre and local amenities. There is access to public transport in the town. Rooms are located over three floors, with some mezzanine floors within the home. There is a passenger shaft lift available to assist residents to access all areas of the home. Fifteen rooms are for single occupancy and there are five double rooms. All rooms have en suite facilities. There are four communal toilets located throughout the home. There is one assisted bath and one assisted wheel in shower for residents to use. There are two lounges and a spacious dining area. There are grab rails placed throughout the home in areas where residents may require some assistance with mobilisation. Weekly fees range between £385 and £435. There are additional costs for extra services such as hairdressing and chiropody and full information regarding these can be obtained from the manager. This information was given to the CSCI on the 27th July 2007 Eastbourne Grange DS0000021091.V345718.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 took place on the 24th July 2007 and was facilitated by the manager who is co-owner in the home. This inspection took place over a period of five hours and during this time a tour of the home was undertaken, records and documentation relating to care planning, medication, catering and health and safety and personnel and training records was examined. Seven residents and four members of staff were spoken with. Resident’s comments included ‘ I came in for a visit and decided that this was the right place for me’. ‘ There are sufficient activities to stop me from being bored’. ‘ ‘The food is good’. Staff said that generally there were sufficient staff on duty and that they were able to care for the residents in an unhurried manner, and that they were encouraged to undertake relevant training. Prior to the inspection fifteen questionnaires were sent out to residents and eleven were returned. These provided mainly positive comments about the home including “ Excellent in everything” and “My family and I enjoy any parties we have, good choice of food and a good atmosphere”. One resident however said that the “ suppers were rarely tempting” but all other residents said that the food was good. The residents, manager and the staff are thanked for their courtesy, hospitality and help during the inspection. What the service does well: The home provides personal care for older people in a pleasant and wellmaintained environment. There are comfortable communal areas and access to a rear garden, which backs onto the local communal gardens. A range of activities are provided which the residents said were sufficient for their needs and provided adequate stimulation. A varied menu, which allows for residents preferences and choices is provided and the cook is able to provide for any special diets. The majority of the room are spacious and residents can bring in their own furniture if they wish. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 6 Many of the staff have worked in the home for a number of years and residents said that they found the continuity beneficial. All residents are addressed by a formal title unless they request otherwise. What has improved since the last inspection? What they could do better: Attention is required to address areas in which resident safety is not fully protected. During the inspection, windows above first floor were allowed to open to far to protect residents, water temperature monitoring to ensure that residents were not at risk of scalding had not taken place and doors to residents rooms were being wedged open which put residents at risk in case of fire. The manager stated that protective mechanisms had been purchased but had not yet been put in place. Cleaning agents, which could put residents at risk, if ingested in error, were left in bathrooms and there were cables reaching across parts of resident’s rooms. The manager has given assurances since the inspection, that all these issues have been addressed. A requirement has been made that regular risk assessments relating to the environment and residents are undertaken. Eastbourne Grange DS0000021091.V345718.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. Eastbourne Grange DS0000021091.V345718.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 Eastbourne Grange DS0000021091.V345718.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): 1.2.3.4.5.6 People who use the service experience good quality outcomes in this area. Prospective residents receive full information about the home including an opportunity to visit the home before they decide whether they wish to live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide meet the National Minimum Standards and the regulations. All residents receive a copy of the Service User Guide on their admission to the home, and recommendations were made to the manager that items of interest to residents including times of meals could be added to this. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 10 The manager assesses prospective residents to ensure that the home is able to meet their needs. Discussions were held around giving residents written confirmation that the home can accommodate the resident and the manager said that she would commence this. Information gained at this assessment was thorough and addressed psychological, social, health and personal care needs of the residents and formed the basis of the care plan. Residents and their representatives are encouraged to visit the home prior to deciding whether they wish to live there and all are admitted on a month’s trial period. All residents have received a statement of terms and conditions, which meets the standard. Residents made comments stating ‘ It was a good choice of home’. ‘The manager visited me before I came to live here’. Eastbourne Grange DS0000021091.V345718.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): 7,8,9,10,11 People who use the service experience good outcomes in this area. The standard of care planning and the care given to residents ensures that the staff meets the assessed needs of the resident. A procedure around one aspect of medication administration does not fully safeguard the residents or comply with pharmaceutical requirements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection a total of six care plans (33 ) were examined in depth to provide an overall summary of the care recorded and given. Care plans identified all the care and social needs of the resident and gave clear guidance both on the needs of the residents and on the actions to be taken to deliver the care required and to the level of the residents expectations. Where necessary, actions to address psychological requirements were demonstrated, Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 12 and there was clear indications throughout regarding results of visits of health care professionals. Manual handling and skin integrity care plans were in place and assessed the actions to be taken to prevent any injury or tissue damage to residents. When tissue damage or wounds had been treated the results of this had been documented. All care plans had been reviewed on a regular basis following consultation with the resident or their representative, and where this was not possible, this had been stated. Staff will accompany residents on visits to hospital or the doctor’s surgery if the resident cannot go alone or relatives cannot accompany them. It was recommended that the present practice of keeping daily records relating to the resident’s care in a communal book was changed, to ensure that confidentiality of other residents was not compromised should an individual’s record be required by the CSCI or other official persons. Risk assessments were in place, in some cases they required expanding to fully identify all risks to the specific individual, particularly when a resident’s preferences could pose a risk to other residents. A resident was seen being transported by wheelchair without footrests in place, this could cause injury to the resident. The manager stated that she would take steps to ensure this practice ceases. Residents’ dignity and privacy is maintained. All residents are addressed by their title by the staff unless the resident requests otherwise. Residents spoken with said that the care was good and the staff respected their privacy and were always polite. The standard of medication administration and storage was satisfactory, with all medications correctly stored and in date. Medications that require to be treated as controlled drugs under pharmaceutical requirements to care homes were stored in an additional locked box, a running total of these drugs kept in the home must be recorded. The manager gave assurances that this would commence. All staff that undertake medication administration have received medication training. One resident self medicates and a risk assessment was in place. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 13 Residents can stay in the home when they are reaching the end of their lives with nursing provided by the community nursing teams. The manager is becoming involved in the end of life initiative run by the Primary Care Trust and hopes to involve the staff in this training. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 14 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, People who use the service experience good quality outcomes in this area. The scope of the activities and standard of catering provided satisfy the expectations of the residents of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an activities programme in place, which includes a monthly raffle, bingo sessions, physical motivation and some outings. Staff take residents into the town either singly or in small groups. The home recently put on a ‘ Round the world trip’ which involved the home being dressed to resemble a cruise liner, incorporated posters from various sources such as cruise companies and featured recipes from a different country each day, this was reported in the local newspaper. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 15 Residents commenced a monthly newsletter, which informs of the activities to take place and includes contributions from residents. Residents spoken with said “ There are enough activities going on”. “ There are different things going on and we can choose what we want to do, and go in the garden when we wish”. Three residents said that staff did not have much time to talk to them and that they wished staff could spend more time talking on a one-to-one basis. There is an open visiting policy with relatives invited to various functions held at the home. A local ecumenical group who hold services at the home on a regular basis serves religious needs; other ministers of religion visit the home according to resident’s wishes. Residents spoken with said that they could choose their times of rising and retiring and that they spent their days how they wished, and that meals would be saved for them if they were out at mealtimes. The menu provides a varied diet with two options available at each meal; care staff inform residents of what is on the menu that day and the choices available. Residents may benefit from the day’s choices being displayed on a menu in the dining room. There was evidence that fresh fruit and vegetables are used in meals and cakes and puddings are baked in the home. All catering staff have the food hygiene course and all records as required by the Environmental Health Authority were in place. Most residents said that they enjoyed the food, that it was varied and that staff knew their likes and dislikes. However one resident said that there was too much jelly given at dessert. The cook stated that she was aware of the requirements of various medical dietary needs. The atmosphere in the dining room was relaxed and friendly with staff giving discreet assistance as required. Breakfast is served at times in accordance with resident’s wishes and a cooked breakfast is available for any resident that wishes to have this Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 16 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): 16,17,18 People who use the service experience good quality outcomes in this area The complaints procedure indicates that complaints will be dealt with in a professional and discreet manner. Staff were aware of their responsibilities of safeguarding residents in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that there have been no complaints received in the past year. Minor concerns received have been recorded but it is recommended that the outcomes to these be also recorded. There is a complaints procedure in place and this is included in the Service User Guide, amendments to this are needed to reflect the new contact details of the CSCI. Two residents spoken with were not aware of how to make a formal complaint but both said they make any concerns known to the manager. Residents are able to participate in the civic process by the provision of postal votes. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 17 The manager and all staff have undertaken recent training in the safeguarding of the vulnerable adult and there is a policy that refers to multi-agency guidelines relating to this. There has been one adult safeguarding allegation in the past year, this related to care of a resident, was investigated by social services adult safeguarding team and was not substantiated. Staff spoken with were aware of their responsibilities towards those in their care. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 18 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): 19.20.21.22.23.24.25.26 People who use the service experience good outcomes in this area Residents live in a clean and homely environment with access to gardens and comfortable communal facilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is generally well maintained and decorated and provides communal accommodation by way of a first floor lounge and another small seating area, a separate dining room is accessible by shaft lift. There is a garden to the rear of the home, which also gives entrance to a communal garden belonging to the properties in the road. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 19 The lift has a two-way access that enables residents to access parts of the building that have a mezzanine floor and prevents them from having to negotiate the steps. Residents are able to bring their own possessions including furniture into their rooms and most rooms have a lockable door and drawer. Risk assessments must be put in place for all residents who require a key. There are no records kept of the water temperature to residents’ outlets or any evidence that water temperatures have been monitored, this was noted in the last inspection report. The manager has since confirmed that she has started to check and record these. All windows had restrictors but in some cases these allowed too much access and could pose a hazard to residents, the manager has notified the CSCI that this has been attended to. The home has two assisted bathrooms both with bathing chairs and rooms have ensuite facilities consisting of WC and washbasin, with five rooms either having an ensuite bath or assisted shower. Suitable equipment is provided to meet the needs of the residents living in the home, including bathing aids and grab rails. The home was clean and comfortable and staff were aware of the basics of infection control. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 20 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. People who use the service experience good quality outcomes in this area. Staff receive suitable training to care for the residents living at the home. Present night staffing arrangements, whilst sufficient in present circumstances will not ensure future safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rota, and conversations with staff and residents, showed that generally there were sufficient staff to meet the needs of the residents in the home in an unhurried manner. However two residents said that staff were busy and did not have sufficient time to spend with them for social interaction. One waking night staff is employed, currently the manager and her family live in the flat in the home and are therefore on call during the night. However when circumstances change the staffing arrangements will not be sufficient to ensure residents safety in an emergency. The manager has agreed to review these arrangements in due course. Care staff are supported by domestic and catering staff. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 21 Staff have received the mandatory training as required by health and safety regulations and three members of staff (40 ) have a National Vocational Qualification level 2 in care. New staff undertake an induction specific to the home and follow this with a nationally recognised induction course which leads into the National Vocational Qualification level 2 in care . The staff turnover is low, and some staff have been employed for over twenty years. Recently employed staff had all records in place as required by the regulations including two written references and all staff have a Criminal Records Bureau check and Protection of Vulnerable Adults First check. The manager must ensure that any family members, who may attend to residents in her absence by providing help at night, must have a Criminal Records Bureau check. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 22 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): 31,32,33,35,36,37,38 People who use the service experience good quality outcomes in this area Whilst management systems in the home generally support the residents and staff, some areas within the home put residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is one of the registered providers, has gained her Registered Managers Award and has maintained her registered nurse (level 1) registration. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 23 The home has a relaxed and friendly atmosphere and residents spoken with said ‘. I am very happy at Eastbourne Grange’, “ I decided it was the best home for me”. The home has a quality monitoring process that gains the views of residents and visitors to the home and uses them to inform services in the home. There are residents meetings every few months and staff meetings. Minutes were available of all meetings. The manager undertakes a monthly audit of the home and policies and procedures have been reviewed. It is recommended that the quality audits be expanded to gain the views of health and social care professionals that visit the home. The home does not act as appointee for any of the residents and does not hold any resident monies for safekeeping. Care staff receive supervision on a two monthly basis and other staff have yearly appraisals. Records relating to the servicing of utilities and equipment were examined and these were up to date. Risks to resident’s safety and wellbeing were seen during the tour of the home. Two residents preferred to have their doors left open and there were no risk assessments to address the risk in the event of fire. The manager said that she had purchased devices to ensure that doors close in the event of fire but had not yet put them in place, but gave assurances that this would be undertaken in the week following the inspection. A range of cleaning chemicals was seen to be kept in all ensuite bathrooms, these pose a risk to residents and the manager sent a member of staff to move them during the inspection. Cables were seen to be trailing across the floor in some resident’s rooms. Information since received is that all matters identified at the inspection have been addressed. Risk assessments across all areas need to be in place and to be kept under regular review. Eastbourne Grange DS0000021091.V345718.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 2 Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation Reg 13(4) (a)(c) Requirement That risk assessments are undertaken around the home at regular intervals with reference to all matters noted in the main body of the report as putting service users at risk. Timescale for action 15/08/07 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 OP9 Good Practice Recommendations That drugs that are required by pharmaceutical regulations to be treated as controlled drugs have records in place identifying the amount remaining following administration. Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 26 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 Eastbourne Grange DS0000021091.V345718.R01.S.doc Version 5.2 Page 27 - 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!