Inspection on 29/08/06 for Keller House

This inspection was carried out on 29th August 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

Keller House 04/10/07

Keller House 06/12/05

Keller House 12/05/05

Keller House 11/01/05

Keller House 15/06/04

Keller House 03/06/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Keller House 52 Carew Road Eastbourne East Sussex BN21 2JN Lead Inspector Debbie Calveley Key Unannounced Inspection 29th August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Keller House DS0000021145.V309312.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. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Keller House Address 52 Carew Road Eastbourne East Sussex BN21 2JN 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) 01323 722052 `F/P` 01323 722052 Mr Twalebuddeen Durgahee Mrs Erlinda Durgahee Mr Twalebuddeen Durgahee Mrs Erlinda Durgahee Care Home 15 Category(ies) of Dementia - over 65 years of age (15) registration, with number of places Keller House DS0000021145.V309312.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 fifteen (15). That only service users with a dementia type illness may be accommodated. 6th December 2005 Date of last inspection Brief Description of the Service: Keller House is registered to provide care and accommodation for fifteen service users that meet the registration category of older people with dementia. It is a large detached house situated approximately ¾ of a mile from Eastbourne town centre and the train station. The home comprises of eleven single bedrooms and two double bedrooms. There is a large lounge area, a separate dining room, which is situated next to a compact kitchen. On the lower floor there is a conservatory, which leads out to a natural well-tended garden. To the front of the house there is a patio area. There is a passenger lift and a stair lift that allows level access to all areas of the home. The home aims to provide a comfortable and homely environment for older people with dementia on a long-term basis and to care for them with dignity and to respect their rights as individuals. Copies of inspection reports and the homes Statement of Purpose are made available only if requested. Fees charged as from 1 April 2006 range from £366 to £380, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Keller House will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and contact with resident’s representatives and visiting health and social care professionals. The unannounced visit included a meeting with the registered manager who received the inspector’s feedback at the end of the inspection. On the day of the home visit the inspector spent most of her time meeting with residents and their visitors, speaking with staff and observing practice in the home. During the inspection visit 5 residents care documentation was reviewed in depth. A further selection of documentation was reviewed as part of the inspection process and this included the statement of purpose and service users guide, staff duty rotas, training records, 4 recruitment files, records relating to health and safety and a number of policies and procedures. Three staff members were also interviewed in private. In addition service users surveys were given to 6 residents or their representatives and staff surveys were sent to the home for staff to return. The information contained in the returned surveys has been incorporated into this report. What the service does well: Keller house provides a good standard of personal care and support care within a friendly and homely environment. The premises are well maintained and all parts of the home are clean and hygienic. All resident were smartly dressed, wearing appropriate clothing for the temperature of the home. Time and attention had been given to their appearance, including nails and hair, the men were shaven. Residents and visitors expressed satisfaction with the care provided and their comments included ‘It is a good home’, ‘I am very happy and content here’ ‘ I am so well looked after’. The care staff met on the day of the inspection had a good understanding of the residents needs and preferences and responded in a considerate manner to these. Links with resident’s family and friends are actively encouraged along with any community link that a residents wishes to maintain. Residents receive a varied diet with meals being of good quality and plentiful. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 6 Staff provision is well maintained with good recruitment practice being followed and appropriate numbers of staff suitably trained working in the home. The staff group on the whole is stable both residents and their relatives spoke highly of all the staff saying ‘staff are always nice and kind’ ‘staff are helpful, approachable and are available to talk to’. What has improved since the last inspection? 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. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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 Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: There is a range of information available about the home and the services it provides, which is given to all residents and their families before their admission to the home. This includes a statement of purpose and the aims and objectives of Keller House. As yet there is still a need to develop a suitable service users guide specifically for the residents to refer to. It is acknowledged from talking to the residents at Keller House that it not something that they feel is important to their comfort, but it is a useful document for family members and representatives to refer to. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 9 There is a statement of terms and conditions, which includes the services covered by the fees and the room to be occupied. A review of the care documentation confirmed that pre-admission assessments are completed, and are currently completed by the manager. A new care plan system has recently been instigated and one new pre-admission assessment form was seen completed in full. The assessments viewed during the inspection were found to be completed in full and were used to ensure that admissions to the home were suitable and that the home have the staff and environment to meet the care needs of the new resident. The information contained in these assessments is then used to provide the basis of the care documentation in the home. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. None of the residents spoken with had a clear recollection of how they came to live at Keller House. The manager was able to verbally demonstrate her knowledge and awareness of the different specialities admitted to the home and ensures that the carers employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain medical complaints. Trial visits to the home can be arranged. The manager confirmed that selffunding residents are invited to a trial period to ensure suitability of the home; this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. Intermediate or rehabilitative care is not provided at Keller House. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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 and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Generally care plans provide a good framework for the delivery of care, however these need to provide clear guidance to care staff on all the care needs of all the residents. The home was found to be meeting resident’s health and general needs with accessed additional specialist support when needed. Medication practices at present are satisfactory. EVIDENCE: The care documentation pertaining to five residents were reviewed as part of the inspection process. These were found to include plans of care, nutritional assessment, and personal histories and risk assessments. On the whole the care documentation was seen to be greatly improved and demonstrated that the care was reviewed and evaluated on a regular basis, however it was noted that the plans of care did not always cover all the communication needs of residents. For example one resident who has communication problems did not have any guidance in the documentation to facilitate this vital need. There was evidence of a nutritional risk assessment being performed on all residents, Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 11 and further guidance for staff in completing these assessments would be beneficial. As staff become more familiar with the new care plan system, the quality of the care plans will continue to improve. Two surveys received from visiting professionals commented that “ I have no concerns regarding the care of residents” and “ the residents seem content and the staff are knowledgeable regarding the residents health problems”. Two relatives spoken to were completely satisfied with the care provided at the home one saying that the home ‘the staff are very caring’. Residents spoken to were also satisfied, comments included ‘I am happy and content here’ ‘ I think I am well looked after’. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication; they were last updated in October 2005. The medication administration records were viewed and were completed correctly. A recommendation of good practice is that any verbal orders taken should be signed and dated. During the inspection the residents were seen being cared for with respect and kindness and their dignity being protected at all times. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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 and 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Meals remain good in respect of both quality and variety that meets service users tastes and choice. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. EVIDENCE: The inspector observed residents being able to spend time where and how they wanted moving around the home freely. Set routines are avoided as far as possible and residents are able to determine when they would like to go to bed and what time they would like to get up in the morning. This was confirmed during chats with the residents living in the home. Residents are able to choose whether they wanted to join in the activities provided which are available in the mornings and afternoons and include bingo, skittles, exercise sessions, bowls and games. Residents and their representatives felt the activities and entertainment provided was satisfactory. The activities provided did not demonstrate any creative sessions, such as flower arranging or painting and this might be enjoyed by the residents. Care plans have been developed but there is still little information recorded Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 13 regarding past lives and interests. Two surveys received by post would like more outside trips arranged. On speaking to residents and visitors it was clear that visiting is very positively encouraged with no restrictions being imposed. One visitor expressed a satisfaction that staff made him feel welcome whenever he visited. The meal viewed by the inspector was found to be well presented with an emphasis on home cooking and fresh ingredients. The main meal was chicken casserole, with a dessert of their choice. There was evidence in the food diary of alternative meals being provided dependent on the residents’ personal preferences. Residents were able to have their meals where they wanted to and to have extra portions if they desired. Most residents and visitors praised the food, and the vegetarians in the home were well catered for. Some residents were less forthcoming in the view on the home, saying it was “O.K” “satisfactory” and “all right”. The dining room is situated on the first floor adjacent to the kitchen. There is now a supper cook that comes in the evening to prepare suppers, which the manager confirmed has improved the time constraints on the carers. One area that needs to be reviewed regularly is the provision of drinks throughout the day, tea and coffee were offered at set times, but there were no jugs of water/squash available in the lounge areas that residents can access if they want to. A recent Environmental Health inspection was carried out with positive feedback. It was mentioned that the cook attend her basic food hygiene course and the manager confirmed that this has been attended to. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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): 16 and 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The complaint procedure is clearly detailed in the Statement of Purpose and is available to residents and their families enabling them to share their concerns formally and confidentially. Staff spoken with had a good understanding and knowledge of Adult Protection policies and procedures, which protect the residents from harm and abuse. EVIDENCE: There are appropriate policies and procedures in place regarding complaints, and it was confirmed that these are followed when investigating any concerns raised at Keller House. The complaint book was viewed and this demonstrated that all complaints are recorded, along with the outcome and action taken by the home to resolve the complaint. A little more information regarding the action taken and outcome should be recorded. The staff spoken with were knowledgeable regarding the complaint procedure and of how to start the process if the manager is not available. No complaints have been received by the CSCI since the last inspection. Three surveys received stated that they were aware of the complaint procedure and would have no problem with raising a concern if they wanted to. The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in Protection of Vulnerable Adults. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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): 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in an attractive home that is well maintained and clean. Infection control practice was seen to be satisfactory. EVIDENCE: The inspection included a tour of the premises and the home was found well maintained and the décor was good throughout. Keller House provides comfortable and homely communal areas, consisting of one large lounge area and a dining room on the first floor. Resident bedrooms have been redecorated, as have the communal areas. Residents are encouraged to personalise their own rooms and many have done so with ornaments, pictures and small pieces of furniture. Maintenance of the home was seen in the main to be good, one bedroom ceiling showed evidence of water damage, and this was reported to the manager. There are toilet, washing and bathing facilities to meet the needs of the service users, including showers and assisted baths. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 16 Random water temperatures were taken and were of the recommended temperature of 42 ° Celsius, the record book for the tests of water, fire alarms and call bells indicate that they are regularly tested. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. A call bell facility is in place. There is one bathroom on the second floor that does not have hand-washing facilities, and this needs to be reviewed as to its use. The residents in the dining area and lounge area do not have access to a call bell when staff are not present, those residents that can’t physically ring for help, need to have an appropriate risk assessment in place and a plan of action/monitoring to ensure their safety and comfort. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. Good practice by staff was observed during the day. The laundry room floor has been replaced and is now impermeable. The residents’ clothes are well looked after and wardrobes and drawers evidenced that staff respect the resident’s personal property. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing arrangements are adequate and suitable and ensure the needs of the residents living in the home are met at this time. Residents are protected by the home’s recruitment policy and practices. EVIDENCE: The staff rota evidenced that there are two carers on duty continuously throughout the 24 hours. The night shift has one carer awake and one sleeping. The manager confirmed that the staffing levels are flexible if a resident is unwell. Mrs Durgahee is supernumery to these numbers and is on call at all times. The recruitment process was found to be robust; Four staff files of employees were examined and were found to contain all the necessary documentation and Criminal Record Checks. Staff training is on-going and the recording of staff training evidenced that all staff are receiving the necessary training to perform their jobs. The staff confirmed that they receive adequate training and that they are supported in performing their job. The manager continues to be pro-active in accessing appropriate training courses for the staff. All new staff complete an induction programme in line with Skills for care. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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 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): 31, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The Registered Manager has the necessary experience and qualifications to run the home effectively. All aspects of resident’s health, safety and welfare were seen to be protected and promoted. EVIDENCE: The registered manager is suitably qualified and experienced to run the home. She takes responsibility for the day-to-day running of the home and is supernumery to the care staff; she is also on call for any emergencies. Resident meetings are held and There are systems in place to safeguard residents financial interests; there are also policies and procedures in place for staff to follow in respect of gifts and rewards from residents and their families. Regulation 26 visits were discussed and they are performed monthly by the Registered provider and will be emailed to the area office to be kept electronically on file. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 19 Formal staff supervision is provided in accordance with the regulations and is recorded and kept in the staff files. Staff training in moving and handling, infection control, first aid, fire safety and food hygiene are undertaken and recorded, and all staff are receiving training in Caring for people suffering from Dementia, Nutrition, Risk Assessment Management and Prevention of Adult Abuse. It was discussed that for staff employed that do not have English as their first language will be supported to attend English school and that specific training policies will be provided in their first language so as to ensure a thorough understanding, e.g. fire safety and health and safety. Documents relating to safe working practices and Health and Safety were available and found to be satisfactory as were accident records. Weekly testing of the call bell system and water delivery temperatures are undertaken and recorded to ensure residents health and safety are protected. Two requirements that were immediately actioned is that all cleaning chemicals are locked away and that a lock is put on to the cleaning storage cupboard and that objects used to keep doors open were removed. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 2 Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 21 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 OP7 Regulation 15 (1) Requirement That care plans detail the actions needed to ensure that all aspects of the health and social care needs of service users are identified and which make explicit the actions needed to meet these needs. In particular communication. Timescale for action 01/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP1 OP7 OP12 OP15 Good Practice Recommendations That an up to date service users guide be available to residents and their representatives in a format suitable for the category of resident cared for in the home. That all staff receive guidance and support when completing risk assessments and formulating care plans. That the care plans are further developed to include life histories and life style preferences. That jugs of water/juices are provided in communal areas to encourage residents to help themselves or staff to DS0000021145.V309312.R01.S.doc Version 5.2 Page 22 Keller House 5 6 OP17 OP30 encourage residents to drink in between the set times. That more information is recorded regarding the outcome of a complaint and the action taken by the home. That all staff whose first language is not English receive support and guidance in respect of training, and that all health and safety training is clearly understood. Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Keller House DS0000021145.V309312.R01.S.doc Version 5.2 Page 24 - 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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