Inspection on 27/06/06 for Kiln Lodge

This inspection was carried out on 27th June 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

Kiln Lodge 08/06/07

Kiln Lodge 10/11/05

Kiln Lodge 11/04/05

Kiln Lodge 27/10/04

Kiln Lodge 02/06/04

Kiln Lodge 26/04/04

Kiln Lodge 04/08/03

Kiln Lodge 11/09/02

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Kiln Lodge 66 Kiln Road Fareham Hampshire PO16 7UG Lead Inspector Michael Gough Unannounced Inspection 27th June 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 Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kiln Lodge Address 66 Kiln Road Fareham Hampshire PO16 7UG 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) 02380 233 808 Mr Mark Cowling Mrs Jean Cowling, Mr Steven Cowling Rosemary Olive Kingdon Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: Kiln Lodge provides care for older persons and older persons with mild to moderate dementia. Service users are encouraged to maintain their independence but assistance is given when help with personal care is required. Accommodation is provided in an older house converted to meet the needs of the service users. Bedrooms provide a mix of shared and single accommodation, some with en suite facilities. The home is situated in a residential area and is close to a busy road. There is a large rear garden with a lawn and patio area that provides a pleasant seating area for service users. The front of the property is set back from the road and has ample parking for several cars. Fees at the home are £375 per week and service users are responsible for paying for their own toiletries, hairdressing, chiropody and items of a personal or luxury nature. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours and was unannounced. The homes registered manager assisted the inspector throughout the inspection. The home is registered for up to 20 service users and at the time of the inspection there were 19 service users living at the home. Evidence for this report was obtained by speaking with the homes manager, from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to speak with 8 service users, 3 members of staff and 1 visiting GP. What the service does well: What has improved since the last inspection? What they could do better: The home needs to improve the information in service users contracts, as these do not give details of the room to be occupied, although the home has one fee for all rooms at the home, both double and single. The inspector discussed the current needs assessments for potential new service users to the home and the procedure needs to be improved so that the home has the Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 6 information that is needed to ensure that the assessed needs of service users can be met before they move into the home. This has an impact on the care plans at the home and these must be further developed, especially with regard to the daily recording to give clear evidence that any identified actions are undertaken and outcomes are recorded. Medication is delivered to the home weekly by the pharmacy, however there is no record of receipt of medication recorded by the home and the home must ensure that any medication received into the home is clearly recorded, this will allow for a clear audit trail to be established. Also medication administration record sheets must clearly show the amount of medication issued to each individual service user. The home does not normally use agency staff to cover staff sickness or holidays, however if agency staff are used the home needs to ensure that any staff sent to the home have had appropriate recruitment checks carried out. Health and safety issues were discussed and the home needs to obtain an in date certificate for the homes gas appliances. The home is still using the old style accident book for recording accidents at the home and this should be replaced with the new style that allows for pages to be removed and stored in individual files, this provides confidentiality of information. 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. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 Quality in this outcome area is “adequate”. This judgement has been made using available evidence including a visit to the service. Prospective service users have the information they need to make an informed choice about where they wish to live and each service user has a written contract, however contracts do not provide clear information on the room to be occupied, which may be detrimental to service users. No service users move into the home without having their needs assessed, however the assessments on file did not always provide all the information that would be required to ensure that all needs could be met in every case and this could be detrimental for service users. The home does not provide intermediate care. EVIDENCE: All service users and relatives are issued with a copy of the homes statement of purpose and the terms and conditions of the home. The inspector viewed contracts for privately funded service users and also for those service users who were funded by the local authority. These contracts did not give details of the room to be occupied, although the home has one fee for all rooms at the Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 9 home both double and single. Contracts gave details of the fees payable and by whom and detailed the rights and obligations of the service user and the provider if there was a breach of contract. Contracts at the home must give clear information on the room to be occupied. Needs assessments were looked at for 3 service users and these did not always contain sufficient information. Assessments viewed only had general information and did not contain information on specific health needs. Some service users had social service assessments, while other social service clients did not have any assessment. The issue was discussed with the homes manager and she stated that she did not always receive assessments from the local authority before service users moved into the home. The manager at the home must further develop the needs assessment procedure so that the home has the information that is needed to ensure that the assessed needs of service users can be met before they move into the home Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is “adequate”. This judgement has been made using available evidence including a visit to the service. The health, personal and social care needs of service users are set out in an individual plan of care however these need to be further developed, especially on how recording takes place, as currently there is not sufficient information and this is detrimental to service users. Service users are able to keep their own GP if possible and have access to all relevant health care professionals and the health care needs of service users are generally met. The storage and administration of medication was generally satisfactory however medication procedures at the home require some improvement to ensure that service users are fully protected. Service users at the home are treated with dignity and respect. EVIDENCE: Care plans were seen for 3 service users and these individual plans gave information for staff on the care needs of individuals and there was evidence that some risk assessments had been carried out and one care plan contained consent for the use of bed rails. However the recording of daily notes and Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 11 monthly reviews do not provide written evidence that care has been delivered effectively therefore it was not clear if care needs were always met. Daily notes for one service user indicated that the service users was feeling unwell, the next entry on the recording notes was 3 weeks later and this did not provide clear information as to how long it was before the service user was feeling better. It is a requirement that care plans must be further developed to give clear evidence that any identified actions are undertaken and outcomes are recorded. Service users at the home are registered with 2 local GP surgeries and also the local health centre, although they may have different GP’s. Service users may keep their own GP if they wish. The health centre provides dental treatment and home visits can be arranged. A visiting optician provides eye care and the home has a visiting chiropodist who calls once per month, some service users at the home have foot care provided by the local health centre via GP referrals. The home uses a monitored dose system from a local chemist and the home has a policy and procedure for administering medication. Medication is delivered to the home weekly by the pharmacy, however there is no record of receipt of medication recorded by the home and a requirement was made for the home to ensure that any medication received into the home is clearly recorded. This will allow for a clear audit trail to be established. Medication administration record sheets do not always clearly show the amount of medication issued as recording sheets for 2 service users indicated that one or two tablets should be administered, therefore a further requirement was made for the home to clearly record the actual amount of medication administered. The inspector looked at the medication cabinet and a sample of stocks was checked against records and found to be correct. Controlled drugs were stored appropriately and clear records are kept. Service users spoken to were very positive about the care received at the home. All service users said that staff were very caring, helpful, and friendly and stated that they were always treated with dignity and respect. Observations made by the inspector confirmed that service users and staff get on well together. Staff were observed interacting with service users and were seen to treat service users with dignity and respect. Staff knocked on service users doors before entering and used service users preferred form of address when talking to them. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is “good”. This judgement has been made using available evidence including a visit to the service. The home provides a range of activities for service users, which meets their expectations and the religious and recreational interests of service users at the home are provided for. Service users are able to maintain contact with family and friends and visitors are welcome at any time. Service users are supported to exercise choice and control over their lives and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. EVIDENCE: Activities at the home include bingo, games with the staff, skittles, musical movement, video’s, gardening, trips out and visiting entertainers. On the day of the inspection there was an entertainer playing at the home and service users were observed singing along and enjoying the activity. The home does not have a dedicated activities co-ordinator but staff at the home stated that they enjoy organising activities for service users. Service users spoken to were happy with the activities provided, some stated that they preferred watching TV whilst others were happy relaxing and watching what was going on, some service users preferred to stay in their rooms. Service users Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 13 interests are documented and there are no restrictions on bathing, getting up or going to bed. The home has a visiting policy and there are no restrictions on visitors and the visitor’s book at the home showed that there is a regular stream of visitors to the home. Service users spoken to were able to confirm that they are able to make informed choices on what they wished to do and were able to control their own lives. The manager stated that a local vicar visits the home once per month and that service users could choose to attend if they wish. The inspector was informed that service users were consulted regularly and that staff at the home respected their views and that if they wanted anything all they had to do was ask. A number of service users had bought some of their own possessions into the home and rooms had been personalised. All service users spoken to were happy with the food provided by the home and stated that the food was plentiful and good. The home operates a four week rolling menu and service users are offered a choice at meal times and are able to eat their meals in the dining room, their own rooms or elsewhere if they prefer. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is “good”. This judgement has been made using available evidence including a visit to the service. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures protect service users from any form of abuse. EVIDENCE: Service users spoken to were aware that the home had a complaints procedure and stated that they would address any complaint they may have to a staff member. The home has a policy and procedure for dealing with any complaints and this contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were also aware of the complaints procedure. Since the last inspection all staff at the home have received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Staff spoken to know what to do should they suspect any form of abuse or poor practice had taken place Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is “good”. This judgement has been made using available evidence including a visit to the service. Service users live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities. The home was clean, pleasant and hygienic and free from offensive odours. EVIDENCE: A tour of the building was undertaken and the home was clean throughout with no unpleasant odours. Furniture in the home was in a satisfactory state of repair, communal areas were well lit and service users spoken to were happy with the facilities available. Service users have access to safe and comfortable indoor and outdoor communal facilities and service users were seen to be using the communal lounge in the home and this was bright and airy. Routine maintenance is carried out and the home is decorated on a needs led basis. The laundry at the home has an industrial washing machine that can wash clothing at suitable temperatures and also 2 industrial tumble driers. Staff at Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 16 the home carry out laundry duties and suitable protective clothing is provided for staff. Any soiled laundry is brought down in yellow bags so that it is clearly identified. The home has infection control policies and procedures and all staff at the home have received training with regard to infection control. The home has a number of hand washing gel dispensers around the home to help prevent the spread of infection. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is “good”. This judgement has been made using available evidence including a visit to the service. The home has a mix of staff that has a range of skills and there were sufficient numbers of staff on duty to meet the needs of service users. Staff morale was good and service users benefit from a staff team that has had sufficient training to meet the needs of service users and they are competent and qualified. The homes recruitment policy and practice generally supports and protects service users. EVIDENCE: Staff morale was good and there was a good rapport between service users and staff. The homes rota showed that there is a minimum of 1 senior carer and 2 care staff on duty between 0800 and 2000, there are also 2 staff members on duty between 2000 and 0800, this is in addition to the homes manager who works between 0830 & 1600 Monday to Friday and the care staff are supported by dedicated domestic staff that carry out cooking and cleaning duties. The home employs a total of 12 care staff and of these, 10 members of staff are currently undertaking NVQ2 training. Recruitment records were inspected for 3 members of staff and records contained all the required information, including CRB checks and POVA checks where appropriate. The home does not normally use agency staff to cover shifts at the home, however it was recommended that if the home does use agency staff, that they get written confirmation from the agency that all staff Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 18 who are sent to the home have undergone appropriate recruitment checks Staff training records showed that staff have completed training in, fire, medication, moving and handling, first aid, adult protection, food hygiene, infection control, and pressure care. Staff spoken to confirmed that they receive regular training and they were confident that they could meet the needs of service users. The home has a new induction booklet provided by a training organisation, which covers care practice and principles of care. There is also an in house induction to cover procedures within the home. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is “adequate”. This judgement has been made using available evidence including a visit to the service. The home is run by a manager who is responsible and of good character. The home is run in the best interests of service users and the views of service users as to how well the home is performing are taken into consideration. Service users are safeguarded by the accounting procedures in the home and individual service users finances are protected. Staff at the home are appropriately supervised and the health, safety and welfare of service users and staff are generally promoted and protected, however the gas safety certificate at the home is out of date and this puts service users at risk. Also accidents at the home are not recorded in a new style accident book and this does not provide effective confidentiality of information. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 20 EVIDENCE: The homes manager has been running the home for 11 months and has considerable experience of managing a care home, she undertakes regular training to update her knowledge and is currently undertaking a 16 week course in dementia care. The home has regular staff meetings and the manager meets service users families on a regular basis, at present the home is developing its quality assurance system and is planning to have questionnaires to gain the views of service users and other interested parties. There is a book of comments and cards received from relatives and the inspector had the opportunity to speak with a visiting GP who was happy with how the home meets its objectives. Service users relatives mainly handle the financial affairs of service users, however the home does keep some personal money. This money is kept individually and clear records are kept along with receipts. The balances of 2 service users were checked and found to be in order. All staff at the home receive formal supervision at least 6 times per year and appropriate records are kept. The Fire logbook was inspected and all required testing had been carried out, the fire officer visited on the 9/6/06 and his report indicated that fire arrangements at the home were satisfactory. Certificates for the testing of stair lifts and the passenger lift were in date as were certificates for hoists and call systems. The homes fixed electrical wiring was inspected in September 2005, as was private electrical equipment. The gas safety certificate at the home was out of date and it is a requirement that the home must obtain an in date safety certificate for the homes gas appliances. The environmental health officer visited in January 2006 and verbal feedback indicated that there were no issues identified, however the home is still awaiting a written report. The home is still using the old style accident book for recording accidents at the home and it is recommended that this is replaced with the new style that allows for pages to be removed and stored in individual files, this provides confidentiality of information. Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 X X X X X X 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 X 2 Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 22 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. 2. Standard OP2 OP3 Regulation 5 (1)(c) 14 Requirement Contracts at the home must give clear information on the room to be occupied. The home must further develop the needs assessment procedure so that the home has the information that is needed to ensure that the assessed needs of service users can be met before they move into the home Care plans must be further developed to give clear evidence that any identified actions are undertaken and outcomes are recorded. The home must clearly record the actual amount of medication administered to each individual service user. The home must ensure that any medication received into the home is clearly recorded The home must obtain an in date safety certificate for the homes gas appliances Timescale for action 30/09/06 31/08/06 3. OP7 15 31/08/06 4 OP9 13(2) 31/07/06 5 6 OP9 OP38 13(2) 13(4)(a) 31/07/06 31/07/06 Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP29 Good Practice Recommendations It is recommended that if the home does use agency staff, that they get written confirmation from the agency that all staff who are sent to the home have undergone appropriate recruitment checks It is recommended that the home obtains a new style accident book 2. OP38 Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Kiln Lodge DS0000012314.V293618.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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