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Inspection on 03/05/05 for Evelyn May House

Also see our care home review for Evelyn May House for more information

This inspection was carried out on 3rd May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The building is modern, bright and clean in appearance. In general, the homes fitments, furnishings and decoration are of a good standard. Residents spoke well of the care they receive and positive comments were received from a visiting professional and relative. Staff were helpful and cooperative. The home had an open and friendly atmosphere.

What has improved since the last inspection?

Since last inspection, the home has an extra member of care staff on duty on the top floor of the home at night. Agency staffing levels have now been reduced to an absolute minimum and many of the staff vacancies have been filled. There is now a more stable group of staff working within the home. The home now has an acting manager who intends to apply for the position of a registered manager.

What the care home could do better:

Some standards within the home have declined since the last inspection. Many of the records required by law were not in order or not available. Some areas of the home were potentiality unsafe and dangerous for residents. The home lacked consistent direction and leadership. There was little evidence that systems, practices, routines and the environment are routinely assessed, monitored and where necessary put right by Runwood plc. This inspection highlighted a number of shortfalls, which should have been identified by Runwood plc.

CARE HOMES FOR OLDER PEOPLE Evelyn May House Florence Way Langdon Hills Basildon Essex SS16 6AJ Lead Inspector Ann Davey Vicky Dutton Unannounced 3 May 2005 09:30 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 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. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Evelyn May House Address Forence Way Langdon Hills Basildon Essex SS16 6AJ 01268 418683 01268 558984 evelyn.may@runwood.co.uk Runwood Homes plc Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) position vacant Care Home only 59 Category(ies) of OP Old age registration, with number DE(E) Dementia - over 65 of places Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users for whom personal care is to be provided shall not exceed 59 2. Personal care may be provided for up to 37 older people over the age of 65. 3. Ground and first floor accommodation to be provided to 37 older people, of whom up to 19 may have dementia care needs. 4. Second floor accommodation to be provided to 22 older people with dementia care needs. 5. Personal care to be provided to no more than 41 service users with dementia over the age of 65 years and 1 service user under the age of 65 (details of this service user are known to the CSCI). Date of last inspection 25/2/05 Brief Description of the Service: Evelyn May is a purpose built establishment providing care for up to 59 older people. The registration category permits the home to provide care for up to 41 residents who have dementia. The home has three floors. All bedrooms are for single occupancy and have ensuite facilities. Each floor has bathrooms, toilets and lounge/dining areas. The home is situated in the Laindon Hills area of Basildon and is in reasonable distance to/from local community services and amenties. The home has a large adjacent car park. There is very limted garden/patio areas surrounding the home. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of 8 hours. As there were two inspectors, this equated to 16 hours input. The inspection mainly focused on the process the home had made since the last inspection. It is now coming up 18 months since the home last had a registered manager. For a period of 16 months, one of Runwood plc Operational Manager’s held the position of acting manager, but has since returned to her senior management post. The home now has another acting manager. A partial tour of the premises took place and staff and care records were selected at random and inspected. A large number of residents and staff were spoken with, and one visiting professional and visitor. An Operational Manager for Runwood plc was present through the majority of the inspection and following a full and detailed ‘feedback’ at the end of the visit, assured that immediate action would be taken to address the most serious shortfalls identified. A full response from Runwood plc will follow in due course. What the service does well: What has improved since the last inspection? Since last inspection, the home has an extra member of care staff on duty on the top floor of the home at night. Agency staffing levels have now been reduced to an absolute minimum and many of the staff vacancies have been filled. There is now a more stable group of staff working within the home. The Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 6 home now has an acting manager who intends to apply for the position of a registered manager. 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. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 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 standard(s) 4 Staff have not received the required training to meet the assessed identified needs of all residents. EVIDENCE: One resident has been admitted with diagnosed epilepsy. No staff in the home have been trained in how to provide care for this medical condition. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 9 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 standard(s) 7, 8, 9, 10 Staff are not following the home policies and procedures concerning medication issues and place residents at risk. Residents personal and health care needs are not accurately reflected in the plans of care and/or risk assessments. Residents rights of privacy and dignity are not always upheld. EVIDENCE: Care needs with plans of care did not always detail specific care needs and there was a lack of assessments concerning clear specific areas of risk. Detail within documentation often varied from individual members of staff perception of care needs. Residents with diagnosed conditions such as epilepsy, asthma and diabetes did not have detailed care plans and/or associated risk assessments. With the daily observational records was not always a follow up’ or ‘follow through’ by the home. This left care and medical issues inconclusive. Residents are potentially at risk if their care needs are not fully identified and know to staff. Some bathrooms/toilets doors did not have locks and staff were observed to walk straight into them without knocking whilst they were clearly occupied. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 10 Some residents did not have any form of leg or foot covering. Staff told the inspectors that the reason for this action was documented within individual care plans, but this was not evident. This matter was raised at the last inspection. Residents rights of privacy and dignity are not being met. Due to the lack of storage space, a number of bedrooms had 6/7 boxes of new incontinent pads stored in them. This does not promote the dignity of these residents when they have visitors. Some reference to care needs in records was made in an insensitive manner. Since the last inspection, there has been substantiated complaint(s) and/or notification(s) required by regulation to the Commission concerning wrong dosages of medication being given to residents. The home gave assurances that these serious matters had been addressed. The inspectors found 3 pots of prescribed creams all belonging to different residents in other residents bedrooms. A 4th pot of cream was also found in a bedroom with no lid. One resident administers their own medication, but no risk assessment or protocol was available. This medication was found in an unlocked drawer, which would have been accessible to other residents. Staff were undertaking ‘blood sugar tests’ on residents with no training provided. If staff do not follow the homes written policies and procedures concerning medication issues, residents are potentially at risk. A visiting community nurse spoke positively about the working relationship she has with the home and felt that communication was effective. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13,14,15 The home has a very limited daily activities/social/occupational programme which cannot meet the preferences, choices and expectations of residents. The home has established links with families, friends and the wider local community. Established systems are not in place to support residents exercise choice within the home. There is no systematic approach to recording keeping to evidence that residents are provided with a balanced, nutritional diet. EVIDENCE: The home does not have a designated activities coordinator. At present a member of the care staff is ‘acting up’, but has no experience in caring for those with dementia or activity/social events, and had been employed in the home for a week. Individual members of staff were observed to be making some attempts to stimulate and occupy residents, but this was very limited and the majority of residents were noted to be sitting around in chairs all day with either the TV or radio for company and stimulation. The home did not have a consistent approach to completing the activities record. The home encourages visits from residents families and friends and a relative spoken with was positive about the care her mother received within the home. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 12 There was no established system observed within the home whereby residents were consulted about the activities of the day. Routines were mainly task orientated. The lunch served looked appetising, but the home does not have a systematic approach to recording keeping demonstrating the residents receive a balanced nutritional diet. Residents were positive about the quality and quality of food served. Staff were noted to be assisting residents with their lunch in a sensitive, dignified manner. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 17, 18 The home does not have an established system whereby residents legal rights are promoted. The home must develop their training programme to ensure that all staff are fully aware of the polices and procedures to protect residents from abuse and of the correct reporting procedures. EVIDENCE: The general election postal voting papers of two residents were noted to have been left in their respective bedrooms. As the election was only 2 days away, the inspectors made some enquiries about this. Initially, there was no clear approach to the management of this issue and staff gave the impression that they thought that the respective families were dealing with this, although there was no documentation to support this varying view. The home then took the initiative to manage and deal with the situation ‘in house’. Until this time, there was no evidence that the home had given appropriate consideration to dealing with this legal right of residents. Some staff spoken with were quite vague and/or required prompting concerning POVA (Protection of Vulnerable Adults) procedures. This potentially puts residents at risk if the correct all staff do not adhere to reporting procedures. It was noted that one senior member of staff was on duty supervising other staff who did not have a cleared Criminal Records Bureau check. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,20,21,23,24,25,26 The overall standard of the furnishings, décor and fitments within the home is of a satisfactory standard. However, some aspects of the environment were potentially dangerous and/or unpleasant to residents. EVIDENCE: Residents bedrooms in the main were well decorated, furnished and equipped. Some were very personalised, whilst others were sparse in personal effects. A very unpleasant stale urine odour was evident throughout the day on the top and middle floor areas. The home continues to lack storage and shelving space, whereby wheelchair and lifting hoists are stored in corridors, bathrooms and around corners. The lack of storage space means that latex gloves and plastic bags used for incontinent pads are left within easy reach of residents with dementia. It was noted that there are insufficient ‘easy chairs’ in the main dining/lounge areas for all residents to sit on. This means that some residents sit up at a table for long periods of the day. The home does have some additional smaller Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 15 lounges on each floor, but there was no evidence that staff encourage their use. Therefore, if the larger areas are mainly to be used, appropriate seating must be provided. Two toilets were noted to have been left in an unhygienic state with ‘cleaner’ just squirted over the top. The brackets securing wardrobes to walls were broken in many bedrooms, 2 loose bolts were found in one bathroom, the radiator cover in one bedroom had been ‘propped up’ against the wall, a ‘grab rail’ in one bathroom was held on by 1 screw instead of the intended 4, there was a hole in the wall of one bedroom with plaster left on the floor, there are still no individual controls on bedroom radiators, the bedside light of a residents who spends most of the day in bed was missing and the laundry/ironing area containing chemicals and electrical machinery was left unsupervised. There was no evidence that regular premises audits take place to ensure that the home is safe and/or maintained to a satisfactory standard. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Staff records could not evidence that the homes recruitment process, induction and training was sufficient to safeguard and protect residents. EVIDENCE: Four staff files were selected at random to assess compliance. Of these 4 staff, one was in a senior position of supervising other staff and ‘managing’ a floor at night. This member of staff had no cleared Criminal Records Bureau, induction and training records were either incomplete or not available. Another was working with only one reference received by the home, the induction record was incomplete and no training records were available. The home could not locate a Criminal Records Bureau request. Two staff did not have authenticated references, recruitment records/induction/training records where either incomplete or not available. There was also some discrepancy about the role of these two staff as the application form stated one post, but documentation within the folders referred to different post. Of these two posts, one request for a Criminal Records Bureau check could not be located. Records were in a state of disorder. Staff were undertaking ‘blood sugar level’ tests without any training and no awareness training had been provided to meet care needs associated with epilepsy and asthma. The home had admitted residents with these diagnosed medical conditions. Two members of staff were working with residents who had dementia, but had received no awareness training about this condition. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 17 As a result of the recent proven complaints concerning the maladministration of medication, five senior staff are subject to further training, competency tests and disciplinary action. Although this process has not been completed, these staff continue to administer medication to residents. Please also see standard 9 concerning the inspectors findings at this inspection. The staff rota for the past 2 weeks did not identify the ‘person in charge’ in the absence of the acting manager and the administrator ‘doubles up’ as the ‘person in charge’ on some occasions. Roles and responsibilities must be clear and defined on the rota. On arrival, there was some initial confusion about who was ‘in charge’ and the detail on the rota wasn’t an accurate reflection of senior staff on duty for that day. Although much of the interaction between staff and resident was task orientated, rapport was appropriate and in general, residents were not to be left for too long in a group situation unsupervised. Residents spoke positively about members of staff. It was noted that a number of residents ‘wandered’ up and down corridors on the top and middle floor throughout the day aimlessly and without purpose. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36,37,38 The home lacks clear management direction and leadership. EVIDENCE: The home does not have a registered manager in post. The acting manager intends to make application for this post. It will mean that in order to attend college to achieve her qualification, she will not be able to be full time in the home. The home does not have a deputy at present. There was no evidence that routine management audits take place to ensure that the environment is safe, care plan documentation, risk assessment documentation, nutritional records, activity records, medication issues and staff records (recruitment, induction and training) are regularly monitored to ensure order and compliance. This should all be monitored through the monthly Regulation 26 visits with are undertaken by Runwood’s senior management staff. Many of shortfalls identified could not have occurred within a few weeks prior to the inspection. Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 19 Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 1 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 1 2 3 3 3 2 1 2 STAFFING Standard No Score 27 2 28 1 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 2 1 2 2 x x x 1 1 1 Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 21 yes 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 4 Regulation 14 Requirement The regisitered person must not offer a placement to a resident until it is confirmed that staff have the ability through training to meet assessed or identified care needs. The registered person must ensure that all residents have a current comprehensive plan of care. This must include all deatils of the care required, risk assessments, health care records, medication records, and daily observation records.Records must be kept in accordance with regulatory requirements and the NMS. The registered person must make arrangements for appropriate staff training & supervision regarding medication. Appropriate storage and recording systems must be in place concerning all medication issues. The registered person must ensure that the privacy and dignity of residents is upheld at all times. This is with reference to residents wearing leg/foot covering of their choice, I56 S44401 EvelynMay 222939 030505 Stage 4.doc Timescale for action 3/6/06 2. 7 15 3/6/05 (previous timescale of immediate not met) 3. 9 13 3/6/05 (previous timescale of 1/4/05 not met) 4. 10 16 3/6/05 (previous timescale of 1/4/05 not met) Page 22 Evelyn May House Version 1.30 5. 15 16 6. 18 13 7. 19,20,24,2 5,26 & 38 23 8. 28,30,36 & 37 18 bathrooms/wcs having locks and staff entering a bathroom/wc which is known to be occupied without knocking or making the entry known and providing suitable storage space for incontinent pads. The registered person must maintain a current record to demonstrate that residents have been provided with an adequate diet. The registered person must ensure that residents are protected from abuse. Care staff without a cleared Criminal Records Bureau check should not be left in a position of senior responsibility for other staff and residents. All staff must be able to demonstare competence in POVA reporting procedures. The registered person must ensure that the home is in a good state of repair and the enviroment is safe and suitable for residents. A full audit of the premesis must be undertaken and sent to the Commission within 28 days. This should also include how the home intends to monitor environmental safety standards in the future. See report for specific aspects. The registered person must ensure all staff at all times are suitably qualified, competent and experienced to under their expected and delegated duties. This is with specfic reference to staff undertaking blood sugar testing without training, working with residents with diagnosed medical conditions with no awareness training and senior staff undertaking medication administration duties who are subject to further I56 S44401 EvelynMay 222939 030505 Stage 4.doc 3/6/05 3/6/05 3/6/05 3/6/05 Evelyn May House Version 1.30 Page 23 9. 29 19 training/competency testing/disciplinary action The registered person must ensure that robust recruitment procedures are in place. 10. 31,32 18 The registered person must demonstrate that whilst the home is without a registered manager, appropriate support and monitoring systems are in place to ensure that the home is managed on a day to day basis in an effective manner. 3/6/05 (previous timescale of 1/4/05 not met) This is the 4th repeat. 3/6/05 11. 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 12 & 14 Good Practice Recommendations The registered person should ensure and be able to demonstrate at the next inspection that the home has an appropriate activities/social/occupational programme in place and takes into consideration the preferences, choices, aspects of control and expectaions of all residents The registered person should ensure that the legal rights all of residents are supported. The registered person should ensure that a suitable application for the position of a registered manager is sent to the Commission without delay. Assurances were given that this is being addressed. The registered person should ensure that a suitable person is left in charge of the home at all times and their name and designation is clearly identified on the rota. Staff rotas must be clear. This will be monitored at the next inspection. 2. 3. 17 31 4. 27 Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Evelyn May House I56 S44401 EvelynMay 222939 030505 Stage 4.doc Version 1.30 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. 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