Inspection on 22/02/06 for Eglantine Villa Residential & Nursing Home

This inspection was carried out on 22nd February 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

Eglantine Villa Residential &... 24/04/07

Eglantine Villa Residential &... 16/09/05

Eglantine Villa Residential &... 08/12/04

Eglantine Villa Residential &... 21/07/04

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The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Eglantine Villa Residential & Nursing Home Eglantine Lane Horton Kirby Dartford Kent DA4 9JL Lead Inspector Helen Martin Unannounced Inspection 22nd February 2006 15:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 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. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eglantine Villa Residential & Nursing Home Address Eglantine Lane Horton Kirby Dartford Kent DA4 9JL 01322 863019 01322 860552 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) www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Mrs Geraldine Pauline Alice Martin Care Home 51 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (26) of places Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 14 of the 26 older people bedspaces are provided for people requiring nursing care. 16th September 2005 Date of last inspection Brief Description of the Service: The home, owned by BUPA Care Services Limited, provides accommodation and personal care for people with residential and nursing needs and those with Dementia. The main premises (Jasmine Lodge) offers facilities on three floors (served by a shaft lift and stair lift) for residents with nursing needs. The second premises, Lavender Cottage (access to which is gained directly from Jasmine Lodge), offers accommodation to people with Dementia. This is a single storey building and has its own bedrooms and communal facilities. Lavender Cottage offers twenty-five ensuite single rooms: Jasmine Lodge offers twenty-two ensuite single and two ensuite double rooms. The home has some sixty members of staff: a manager and administrative staff, registered nurses, care assistants/senior care assistants/team leaders/activities organisers, maintenance/gardening and catering/housekeeping staff. There are extensive grounds and gardens (including a sensory garden) surrounding the home and there are good car-parking facilities. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken on 22nd February 2006 between 15.15 and 18.20. The visit included talking with a senior staff nurse, nurses, carers, a cook, the administrator and residents. The manager was not present on this occasion. Some judgements about the quality of life within the home were taken from observations and conversation. Some records were looked at. In addition, a tour of the home and garden was undertaken. The home comprises of two houses, Jasmine Lodge and Lavender Cottage. Currently Jasmine Lodge has twenty-four residents with no vacancies and Lavender Cottage has twenty-three residents with one vacancy. Presently shared rooms are being used for single occupancy. What the service does well: What has improved since the last inspection? The home continues to make good progress. Re-decorating is in progress in the reception area, hallway and stairwell of Jasmine Lodge. One part of the gardens outside Lavender Cottage has recently been landscaped. A greenhouse has been purchased recently. The home has introduced a new system for waste medication provided by a registered disposal agency. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4, 5 Prospective residents and their representatives are able to visit the home prior to admission, to ensure that it is suitable to meet their needs. They benefit from written terms and conditions of residence. EVIDENCE: It was not possible to assess the service users’ guide, as documentation was unavailable on the day of inspection. This has been assessed during previous inspection. Each resident is given written terms and conditions of residence when they move into the home and documentation was seen. Prospective residents and their representatives are able to see if the home is suitable before they move in. They are able to visit the home beforehand and a trial period can be arranged if required. It was stated that some residents admitted for respite care decide to stay at the home on a permanent basis. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 9 The senior staff nurse and the administrator both demonstrated a clear understanding regarding the category and needs of residents that the home could meet. A potential application to vary the home’s current registration was discussed. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Residents are treated with respect. Their health and personal care needs are met, although minor amendment to some care plans would better reflect this. EVIDENCE: A written plan of care is prepared from a pre-admission assessment for each resident. This gives staff guidance about action to be taken to meet the health and welfare needs of residents. Individual goals and preferences are included. Care plans included a range of holistic issues, including health and personal care, nutrition, weight, pressure areas, behaviour, manual handling, falls, social and emotional needs. The senior staff nurse said that residents’ care was reviewed regularly, although it was noted in one care plan that records had not been updated. Risk assessments are undertaken and recorded. Daily notes reflect residents’ changing needs and include residents’ activities. Each resident has a keyworker to ensure consistency of care. Keyworker information is recorded. The promotion of residents’ health care needs is maintained. Their access to social and health care professionals, such as GP, chiropodist, optician and dentist are recorded. Residents’ nutrition is assessed and their weight is Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 11 monitored. Individuals’ intake of food is observed and recorded to monitor choice and health. A monthly observation chart is recorded. Residents are protected by the arrangements in place for the storage and administration of medication. A ‘Nomad’ system is used. Medication is stored securely in two rooms, one in Jasmine Lodge and the other in Lavender Cottage. Room and fridge temperatures are monitored and recorded. Nurses check and sign for the receipt of medication from the pharmacy. Medication administration records are completed adequately and kept with photographs of residents. A staff signature list is available. Controlled drugs are stored and recorded appropriately. Homely remedies are signed for as approved by a GP. Oxygen is adequately stored and signed. The home has introduced a new system for waste medication provided by a registered disposal agency. Information regarding medication is recorded in each resident’s care plan. Staff were observed to speak with residents in a respectful and appropriate manner. Arrangements are in place to maintain residents’ privacy and dignity. Individuals are able to make telephone calls and receive visitors in private. The senior staff nurse demonstrated an understanding of the challenges of aging faced by residents and regarding the death of a person close to them. It was stated that residents could stay at the home for as long as possible as long as their needs could be met. The home has a written policy and procedure regarding death and dying and bereavement. The wishes of residents in the event of death are recorded. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents are able to make choices about their lives within their own capacities. They enjoy a good range of activities, varied to suit their differing expectations and preferences. EVIDENCE: The routines of daily living and activities made available are flexible and varied to suit residents’ differing expectations, preferences and capacities. There is an activities co-ordinator employed by the home who is available five mornings per week. A variety of activities are provided for residents within the home and a written programme is available for both Jasmine Lodge and Lavender Cottage aimed at the differing needs of residents. Activities are arranged daily and include musical entertainment, bingo, clothing parties, strawberries and cream tea and a beer festival. Themed events are available such as Burns afternoon, Valentine’s lunch, pancake tossing, St David’s welsh lunch, St. Patrick’s Day entertainment, Easter egg roll, St. Georges day, May Day, Halloween, Bonfire Night and Christmas. Residents are offered outings to places of local interest such as garden centres and the coast. The home invites local community groups to a programme of events throughout the year. Relatives and friends of residents are involved. Eglantine Villa produces a newsletter to give residents Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 13 information about the home and forthcoming events. The home provides a hair salon and activities room as well as quiet rooms, conservatory and lounges. In the grounds, a sensory garden, remembrance garden and vegetable garden are available. A greenhouse has been purchased recently. Residents in Lavender Cottage benefit from a relaxed and generally peaceful atmosphere supported by music and the use of pastoral colours. Residents enjoyed singing and playing catch with beanbags on the day of inspection. The activities room evidenced much art and craftwork. Residents are encouraged to keep contact with their relatives and friends if they wish. Visitors are welcome at any reasonable time. They can be met in private and in comfortable surroundings. Relatives are invited to attend the events and entertainment organised by the home. It was stated that residents are asked every morning for their choice of food for that day. There is a choice for all meals and records contain a good variety of options. Special diets are provided where necessary, such as gluten free and Diabetic. It was evident that food was made for special occasions such as residents’ birthdays and social events. The cook said that drinks and snacks are available to all residents throughout the day and in the evenings. It was mentioned that a variety of evening snacks are left out for residents in Lavender Cottage. Residents’ intake of food is observed and recorded to monitor choice and health. Residents benefit from experienced catering staff. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17, 18 Procedures are in place, which protect residents from abuse. EVIDENCE: The administrator said that only one complaint had been received recently and that all complaints were recorded. It was not possible to assess the homes record of complaints, as documentation was unavailable on the day of inspection. This has been assessed during previous inspection. All permanent residents, who wish it are on the electoral role and are able to vote if they wish. It was mentioned that postal votes could be arranged. The home has guidance for staff regarding adult protection. Written policies are available. The senior staff nurse is aware of the procedures should the need arise. Residents are protected by the procedures within the home. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26, Residents enjoy living in a clean and pleasant environment with attractive grounds. They benefit from a good standard of accommodation and facilities. EVIDENCE: The home is a large detached house, situated in a semi-rural area. The home is well decorated, furnished and equipped. Re-decorating was in process in the reception area, hallway and stairwell of Jasmine Lodge on the day of inspection. The grounds are attractive and well maintained. A sensory garden, remembrance garden and vegetable garden are available. The garden outside Lavender Cottage has recently been landscaped. There are suitable offices (and work stations) for management, administrative staff, team leaders and staff nurses. Recreational and individual accommodation is provided. There are several communal areas available and residents have a good choice of where to spend their time. These are attractively decorated and furnished and different in character, some contain a television and some do not. In addition the home Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 16 provides a hairdressing salon, activities room, conservatory and quiet rooms. Communal areas are homely and comfortable for residents and visitors. Residents’ rooms seen were pleasant and personalised. Bedrooms seen were well furnished and decorated. All bedrooms have en-suite facilities. There are also adequate communal bathrooms, shower rooms and toilets. Assisted baths are provided for residents who are less mobile or a hoist can be used. The home has a range of specialist equipment and adaptations to meet the various needs of residents. Jasmine Lodge has a shaft lift and stair lift for facilities on three floors. Specialist equipment is available depending of the needs of residents. It was mentioned that several hoists are provided and that they can access all parts of the home. One resident’s room is situated beyond three steps; the senior staff nurse said that this individual had been assessed as sufficiently mobile and that a ramp was available for a hoist if necessary. Lavender Cottage has ground floor accommodation that provides safe and specialist facilities for people with Dementia. Colour, signage, memorabilia, ‘memory boxes’ and sensory equipment are designed to support residents’ needs. The grounds adjacent to Lavender Cottage offer a safe environment for residents. A staff call system is available throughout the home. Guarded or low surface temperature radiators protect residents. Water temperature regulators have been fitted to reduce the risk of scalding. One hot water outlet tested at the time of inspection was an appropriate temperature to the touch. The senior staff nurse said that bath temperatures were checked and recorded. It was mentioned that all hot water outlets are checked on a regular basis. The room temperature of the home was appropriate. Rooms are naturally ventilated. The premises are kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection. Sluice rooms seen were maintained in a clean and hygienic manner. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, Staff meets residents’ needs, although their presence in appropriate numbers at all times would enhance this. There was no access to staff records on the day of inspection; therefore it was not possible to evidence that residents are protected by a sound recruitment procedure. EVIDENCE: Currently Jasmine Lodge has twenty-four residents and no vacancies for residents with nursing needs. Lavender Cottage has twenty-three residents and one vacancy for residents with Dementia. Presently shared rooms are being used for single occupancy. There was one nurse and three carers on duty in Jasmine Lodge at the time of inspection. It was stated that Jasmine Lodge was one carer less than usual as they were sent to Lavender Cottage because of short staffing. One nurse and two carers are provided at night in Jasmine Lodge. Lavender Cottage provides four carers during the day with two waking night staff. The senior staff nurse said that enough nurses are on duty to meet the current nursing needs of residents. Staffing rosters are maintained. The home also employs staff for management, staff training, administration, organising residents’ activities, catering, maintenance, gardening, laundry, housekeeping and domestic duties. It was stated that laundry and catering staff are available every day. There was no access to staff records on the day of inspection, therefore it was not possible to evidence that a sound recruitment procedure was in place. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 18 It was not possible to assess staff qualifications and training, as documentation was unavailable on the day of inspection. This has been assessed during previous inspection. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36, 37, 38 Residents benefit from an open and positive atmosphere within the home. Their health, safety and welfare are protected, although this could be enhanced by a review of staff supervision and the availability of all records for inspection. EVIDENCE: The home has an open and positive atmosphere generated by a combination of management and administrative staff, nurses and care assistants, activities organisers and others. Residents meetings are held on a regular basis and these are advertised in the home’s newsletter. The newsletter gives residents information about the home and forthcoming events. Residents in Lavender Cottage benefit from a relaxed and generally peaceful atmosphere supported by music and the use of pastoral colours. The senior staff nurse and administrator both indicated that, as far as they were aware, the home was financially viable. An in date insurance certificate is Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 20 displayed within the home. Business accounts were not inspected on this occasion. Residents or their representatives deal with their own finances. The home does not hold cash on their behalf. The administrator confirmed that the organisation was not an appointee for any resident. Staff spoken with said that they found the manager helpful and supportive. It was mentioned that the training co-ordinator supervised newer members of staff. Individuals spoken with were unclear whether regular formal recorded on-to-one sessions took place. Records are stored securely and in a manner that preserves confidentiality. Accident and incident records are completed appropriately. Staff records were not available for inspection. Previous inspection identified that records and certificates indicated the regular testing and maintenance of systems and equipment within the home. Each resident has an individually recorded fire and COSHH (safety for storage of chemicals and cleaning materials) risk assessments within their care plans. The main kitchen in Jasmine Lodge and the satellite kitchen in Lavender Cottage are both maintained in a clean and hygienic manner. Records are kept for hot food, meat, milk and fridge and freezer temperatures and kitchen cleaning. Hot food is transferred to Lavender Cottage in a ‘Bain Marie’; temperatures are tested and recorded. Refrigerated and dried food is stored in an appropriate manner. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 4 4 3 3 3 4 3 3 STAFFING Standard No Score 27 2 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X 3 3 2 2 3 Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 22 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 OP1 OP16 OP28 OP29 OP30 OP36 OP37 Regulation 17(3)(b) Schedule 4 Requirement The registered person shall ensure that the records referred to in Schedules 3 and 4 are at all times available for inspection in the home by any person authorised by the Commission to enter and inspect the care home. In that, staff records must be made available for inspection at any time in order to evidence a sound recruitment procedure and appropriate supervision. It was not possible to assess aspects of the service users guide, the record of complaints and staff qualifications and training, as documentation was unavailable for inspection. Records must be made available for inspection at any time. Timescale for action 23/02/06 Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 23 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 Refer to Standard OP7 OP27 OP36 Good Practice Recommendations It is recommended that records of reviews of residents’ care should be kept updated in all care plans. It is strongly recommended that, in the event of staff absence, replacement carers should be provided. It is recommended that a review should take place to confirm that formal recorded one-to-one supervision is undertaken on a regular basis for all staff. Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 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 Eglantine Villa Residential & Nursing Home DS0000026161.V282919.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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