Inspection on 05/12/05 for Kentwood House Ltd

This inspection was carried out on 5th December 2005.

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

Kentwood House Ltd 18/06/08

Kentwood House Ltd 31/07/07

Kentwood House Ltd 12/12/06

Kentwood House Ltd 10/05/05

Kentwood House Ltd 14/12/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Kentwood House Nursing Homes Ltd Darenth Road South Darenth Dartford Kent DA2 7QT Lead Inspector Helen Martin Announced Inspection 5th December 2005 10:30 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 Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kentwood House Nursing Homes Ltd Address Darenth Road South Darenth Dartford Kent DA2 7QT 01322 279771 01322 279131 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) Kentwood House Nursing Homes Ltd Mrs Iqbal Sandhu Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: Kentwood House is a home providing nursing care and accommodation for up to thirty-five older people. Kentwood House Nursing Homes Limited owns the home. Kentwood House is located in a rural setting in Darenth, close to Dartford. The house is a large detached property with good parking facilities and gardens. Accommodation for residents is over two floors accessed by a lift. There are twenty-one single and seven shared bedrooms. All rooms, with the exception of one, have an en-suite facility with a shower. They are all connected to the staff call bell system. Kentwood House employs nursing and care staff, working a roster, which gives twenty-four-hour cover. Ancillary staff are provided for laundry, catering and domestic duties. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 5th December 2005 between 10.30 and 17.30. The visit included talking with the owner, staff and residents. Some judgements about the quality of life within the home were taken from observations and conversation. Some records were looked at and a tour of the home and garden was undertaken. In addition some comment cards were received as part of the inspection process from residents’ relatives and health and social care professionals. Some comments have been included within the main body of the report where appropriate. The home currently has thirty-one residents with four vacancies. The owner said that currently three shared rooms are used for single occupancy. What the service does well: What has improved since the last inspection? What they could do better: Residents would be better protected by a review of some procedures for the storage and disposal of medication and improvements to the procedures for fire, financial records, food storage and quality assurance. They would benefit from improvements to the storage for hoists and the review of some infection control procedures. Residents’ choice regarding activities and food could be Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 6 better reflected in records. A review of staffing hours would confirm that sufficient staff are available. 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. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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): 6 The home does not currently offer intermediate care. EVIDENCE: The home does not currently offer intermediate care, although some respite care is provided. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10, 11 Residents are treated with respect. Their health and social care needs are met. Residents would be better protected by a review of some procedures for the storage and disposal of medication. EVIDENCE: There are detailed care plans for each resident, which reflect individuals’ personal and health care needs and provide guidance for staff. The promotion of residents’ health care is maintained. They have access to all local NHS community services, including GPs and health care professionals. Residents are offered appropriate exercise on a regular basis, such as yoga, exercise to music, ball exercises and keep fit. The owner said that no residents currently have pressure sores, although suitable equipment is available for their prevention. Residents spoken with at the time of inspection said that the care provided by the home was good. Comment cards received stated that ‘the care given to my (relative)…has always been very good…’ Procedures are in place for the storage and administration of medication within the home. Medication records are completed appropriately and kept with Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 10 photographs of residents. A signature list for staff administering medication is maintained. Drug storage is secure. Facilities are available for the storage and administration of controlled drugs, although currently none are used within the home. GPs undertake regular recorded medication reviews, which include homely remedies. Oxygen is stored within the home and warning notices are provided with the exception of residents’ rooms. One cylinder is stored appropriately, although in an upstairs corridor. Others are stored in the owner’s office and are not secured. It was unclear to the inspector whether all cylinders are individually prescribed. It was unclear at the time of inspection whether the home’s pharmacy was registered for the disposal of waste medication. Arrangements are in place to maintain residents’ privacy and dignity. Staff were observed to speak with residents in a respectful and appropriate manner at the time of inspection. The owner said that the payphone could be used in all residents’ rooms, enabling them to make calls in private if they wish. A hairdresser comes to the home on a regular basis. The owner demonstrated sensitivity about issues surrounding the aging and death of a resident. It was stated that relatives could visit and stay as often and for as long as they wished; a visitors’ room and meals can be made available. Specialist nurses are accessed if required. The home has a written policy, which is available for staff. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15 Residents are able to exercise some choice, although this could be better reflected in records regarding activities and food. EVIDENCE: The routines of daily living and activities made available aim to be flexible. One resident spoken with said that they could choose when to get up and when to retire. The home has an activities co-ordinator and volunteers who provide activities for residents. Activities include yoga, music, exercise to music, ball exercises, keep fit, bingo, karaoke and sing-a-longs. A recorded weekly programme was seen. The owner explained that volunteers undertake the recorded programme with additional activities provided by the activities co-ordinator. One resident spoken with at the time of inspection explained that they liked to feed the birds; they preferred not to join in the group activities and enjoyed occupying themselves with their own interests. Residents are encouraged to keep contact with their relatives and friends if they wish. One resident spoken with described how their relatives and friends are able to visit them on a regular basis at the home. A visitors’ room/quiet room is provided in addition to the lounge area. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 12 The owner said that residents are asked for their choice of food during the day. Written menus were seen, although these contained no recorded options. The owner said that, in future, they would keep a record of food consumed by individual residents. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 the following standard(s): 16, 17, 18 Residents’ views are listened to and receive proper consideration. Procedures are in place, which protect residents from abuse. EVIDENCE: Residents are at ease talking with staff who listen to their views and concerns. The owner stated that they had not received any complaints. Letters of compliments and thanks from relatives were seen. It was mentioned that, should any complaints be received that these would be investigated and recorded appropriately. All permanent residents are on the electoral role and are able to vote if they wish. The owner demonstrated an understanding of the procedures in place within the home for the protection of residents from potential abuse. Written policies and procedures are available for staff. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Residents enjoy living in a clean and comfortable environment. They would benefit from improvements to the storage for hoists and the review of some infection control procedures. EVIDENCE: The home is well decorated throughout and suitable for residents’ needs. The gardens are attractive and include a patio area available for all residents, a pergola and a fountain. Lounge and dining facilities with a visitors’ room/quiet room and hairdressing room are provided. There are twenty-one single and seven shared bedrooms. The owner said that currently three shared rooms are used for single occupancy. All rooms, with the exception of one single, have an en-suite facility with a shower. There are five communal bathrooms. Adequate toilet facilities are provided. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 15 Residents’ rooms seen were pleasant and personalised. One resident spoken with at the time of inspection said that they liked the general environment and their room. All residents are provided with a lockable facility within their room. The owner assured the inspector that all residents and their relatives did not wish to have a lock on their bedroom door and that this choice had been recorded. Various aids and adaptations are provided throughout the home. Accommodation for residents is over two floors accessed by a lift. Three mobile hoists are available. A staff call system is provided. There is a ramp to the garden from the lounge area. The owner said that storage is available for wheelchairs and Zimmer frames. Hoists are kept and charged in the visitors’ room when they are not being used, which means that the room can’t be fully used when this takes place. The owner assured the inspector that alarms were not necessary for external doors. Residents are protected by low surface temperature radiators. A specialist company has checked the water system within the home. The general ventilation and temperature of the home was appropriate on this occasion. Lighting is bright and domestic in nature. The premises are clean, hygienic and free from offensive odours throughout, with the exception of a slight odour in one of the two sluice rooms, one sluice room contained some bedpans that needed additional cleaning and not all clinical waste had been dealt with according to the home’s policy. Neither sluice room was locked. The laundry room contained suitable facilities and included a hand washing facility. Soiled and clean items are kept separately. Soiled items are dealt with appropriately. A written policy regarding infection control is available for staff. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 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, 30 Residents benefit from appropriately recruited and trained staff. A review of staffing hours would confirm that sufficient staff are available. EVIDENCE: The home currently has thirty-one residents with four vacancies. At the time of inspection sufficient staff were available to meet the needs of residents. The home’s pre-inspection survey stated that a total of 562.8 care hours are provided for 29 residents with medium and 2 with high dependency needs; this excludes any time spent for nursing care. Guidance from the Residential Forum recommends that 594.96 care staffing hours should be provided to include social, recreational and cultural activities. In addition to the care hours stated, the owner spends some time with the direct care of residents and the home provides a co-ordinator and volunteers for residents’ activities. The home runs an adaptation training scheme for some nurses. Ancillary staff are provided for laundry, catering and domestic duties. Staffing rosters are maintained. Three residents spoken with said that staff are very good and that they always come quickly when they use the staff call system. The recruitment procedure in place within the home aims to ensure that suitable staff are appointed to meet the needs of residents. The owner described the system for pre-employment checks. It was mentioned that Criminal Records Bureau (CRB) checks were undertaken for all staff and volunteers. Staff files seen contained all of the necessary documentation, Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 17 including an application form, proof of identity, references and evidence of CRB checks. Equal opportunities are monitored and a written policy is available. The home has a training programme, which aims to enable members of staff to update their levels of competence, gain new skills and insights. Training undertaken includes induction, food hygiene, infection control, fire, health and safety, medication, loss and bereavement, risk assessment and manual handling. Some documentation and certificates were seen in staff files. Training is monitored by regular recorded assessment and competency testing. The owner explained that over 50 of the care staff team are qualified to NVQ level 2. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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, 34, 35, 36, 38 Residents benefit from a competent manager and appropriately supervised staff within a relaxed and inclusive atmosphere. Their welfare could be better protected by improvements to the procedures for fire, financial records, food storage and quality assurance. EVIDENCE: The owner is competent, has a good knowledge of the needs of residents and is a qualified nurse. They have been managing the home for fifteen years and have had previous experience of nursing care. They are in the process of undertaking the Registered Managers’ Award. It was stated that the course is due to be completed in February 2006. The home is welcoming and has a relaxed and inclusive atmosphere. Residents are able to approach the staff with ease. Two individuals spoken with at the time of inspection said that the owner talked with residents everyday. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 19 The home has a quality assurance system in place and individuals are able to express their views. It was said that questionnaires are currently sent to residents’ relatives, but that this would be expanded to include residents and health and social care professionals. The home has a development plan, although this is not presently recorded. The owner said that a recorded annual plan would be developed in conjunction with the expansion of the quality assurance system. The home has a range of comprehensive policies and procedures available for staff. The owner stated that the home was financially viable. An up to date insurance certificate is displayed within the home. Business accounts were not inspected on this occasion. The owner explained that they are not an appointee for any resident. The home holds small amounts of cash on behalf of some residents. This is stored individually and securely. Receipts are kept and accounts of all transactions maintained, although these were not signed. One resident’s cash inspected tallied with the records kept. A staff supervision system is in place. Regular recorded sessions are undertaken every two months and staff training needs are monitored. The owner described how nurses under adaptation training are appropriately supervised and assessed. The home has a system for the maintenance and storage of information pertaining to residents. Records are stored in a manner that preserves confidentiality. Accidents and incidents are recorded appropriately. Certificates and documentation seen reflect the regular maintenance and testing of systems and equipment within the home. The fire logbook is completed appropriately with the exception of the identification of the call point. A fire risk assessment has been undertaken and recorded. The owner assured the inspector that the fire authority had approved the use of beanbags to prop open fire doors. The owner said that cleaning chemicals were stored securely and that COSHH sheets are available. Window restrictors are provided. Arrangements are in place for the maintenance of food hygiene. The kitchen is clean. All refrigerated and dry food is stored appropriately with the exception of two open and unsealed bags. Records are kept for fridge, freezer and hot food temperatures. The programme of staff training includes relevant aspects associated with health and safety and general aspects of care provision. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 2 3 3 2 Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 31/01/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the home. In that, the home must dispose of waste medication with a registered agency. The storage and use of oxygen within the home must be reviewed. 2 OP26 13(3) The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. In that, all offensive odours must be eliminated, however slight. A review must be undertaken to ensure that bedpans used are kept appropriately clean. All clinical waste must be disposed of according to the home’s policy. A review must be undertaken to ensure that sluice rooms accessible to residents do not compromise infection Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 Page 22 Requirement 31/01/06 control. 3 OP38 23(4)(a) (c)(i)(v) The registered person shall, after 31/01/06 consultation with the fire authority, take adequate precautions against the risk of fire; make adequate arrangements for containing fires and for reviewing fire precautions at suitable intervals. In that, the owner must confirm with the fire authority that the use of beanbags to prop open fire doors is appropriate. 4 OP38 17(2) Sch.4.14 The registered person shall maintain in the care home the records specified in Schedule 4. A record of every test of fire equipment (including fire equipment). In that, all call points used for the testing of the fire alarm system must be identified in the fire logbook. 31/01/06 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 Refer to Standard OP12 OP15 Good Practice Recommendations It is recommended that the recorded activities programme should fully reflect the choices offered to residents. With regard to choice of food, it is recommended that: • Written menus should fully reflect the meal choices and options available to residents. DS0000043103.V261474.R01.S.doc Version 5.0 Page 23 Kentwood House Nursing Homes Ltd • 3 OP22 A record of food consumed by individual residents should be kept. Regarding equipment and adaptations, it is recommended that: • • Mobile hoists should be stored appropriately, enabling full use of the visitors’ room/ quiet room. A review should be undertaken regarding alarms for external doors. 4 OP27 It is recommended that a review should be undertaken with regard to the staffing hours provided for residents’ care (with the exclusion of nursing care), in conjunction with guidance from the Residential Forum, to confirm that sufficient hours are provided. It is recommended that a recorded annual plan should be developed, in conjunction with the expansion of the quality assurance system, to include the views of residents and health and social care professionals in addition to relatives. It is recommended that all transaction records and receipts regarding monies held on behalf of residents should be signed: • • • Monies received should be signed for by the home and the person depositing, a receipt should be given. Wherever possible, residents should sign for their cash, when given to them by the home. All receipts for monies spent on behalf of residents should be dated and signed. 5 OP33 6 OP35 7 OP38 It is strongly recommended that all dry food should be stored in sealed containers. Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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 Kentwood House Nursing Homes Ltd DS0000043103.V261474.R01.S.doc Version 5.0 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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