Inspection on 23/08/07 for Kingston Court Care Home

This inspection was carried out on 23rd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kingston Court Care Home 01/09/09

Kingston Court Care Home 24/07/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingston Court Care Home Newtown Road Carlisle Cumbria CA2 7HY Lead Inspector Nancy Saich Unannounced Inspection 23rd August 2007 9:30 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 Kingston Court Care Home DS0000068983.V343098.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. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingston Court Care Home Address Newtown Road Carlisle Cumbria CA2 7HY 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) 01228 528 542 01228 528638 Express Care (Guest Services) Ltd Mrs Jean Walker Care Home 80 Category(ies) of Dementia (27), Old age, not falling within any registration, with number other category (53) of places Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 53) Dementia - Code DE (maximum number of places: 27) The maximum number of people who can be accommodated is: 80 Date of last inspection Brief Description of the Service: Kingstown Court is a modern purpose built home that provides nursing care for older people and for up to 27 people with dementia. The home is arranged over three floors with the top floor accommodating people with dementia. Express Care owns the home. They have other homes in England – including one other home in Cumbria. Mrs Jean Walker manages the home on their behalf. The home has been registered since spring of 2007 and this is the first inspection since it opened. The home is situated in central Carlisle near to the Cumberland Infirmary. It is within easy travelling distance of the centre of town and its amenities. It is also within walking distance of local shops and amenities. The home has its own grounds and accommodation is in single occupancy rooms. The cost of care ranges from £396 to £500 per week depending on need. Further information about the costs can be obtained from the manager or the company. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this new home. The lead inspector Nancy Saich sent out surveys to residents, relatives, social workers and health professionals some weeks before the visit. There was a good response to these questionnaires. She also asked the manager for information about the service and this was received promptly. On the day of the visit another inspector, Di Jinks, accompanied her. Together they met with the manager, a representative of the company and looked at various documents that relate to the management of the home. They spent time with residents and read their care files. They met some visitors to the home and also spent time with staff and read the documents relating to their employment. Much of their time was spent observing and discussing how things were coming together in this very new service. What the service does well: The manager has made a good start with the systems that make sure the home only takes in new people they know they can care for and who will settle into the home. The senior team make sure that people get medical care when necessary. Nurses on the team have started to build on what promises to be good preventative medicine and on good treatment plans. Medicines were being dealt with properly. Residents said that most staff treated them well and were “respectful”, “caring” and “pleasant”. Most staff on the day of the inspection had an easy but polite approach to residents. Residents said they could spend their time as they wanted and a number of people enjoyed spending time alone in their rooms. Visitors said they were always made very welcome in the home. The catering in the home is well organised and people said: • • “The food is very good….” “I enjoy my meals and get a choice ….the chef will make me something different if needs be…” The home has had no complaints but there are arrangements in place for dealing with complaints. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 6 The house is clean, warm and bright. The bedrooms are large and airy. The décor, fixtures and fittings are of a very high standard. The staff make sure that the house is clean and fresh in all areas and that residents clothes and linens are kept nice and well pressed. The home has a staff team that show promise of being well balanced with a good mix of different skills. A good proportion of them have qualifications in nursing or care. The inspectors judged that the staffing levels are just about right but will continue to look at this as more residents come to the home. The home has a good basic training programme in place and the company say they plan to update and include more specialised training shortly. The home has a suitably trained and experienced manager and the company give her good levels of support. The company has good systems in place to help her manage the home. The building was well maintained and health and safety measures in place. What has improved since the last inspection? What they could do better: The home has written plans of the care needs of residents but with more details these will really help with the care of people with complex physical, psychological and social needs. The manager needs to make sure that everyone on the team is really aware of how to treat people with dignity and respect no matter their physical or mental frailty. The home needs to develop good community links, introduce regular activities and entertainments and find a way for residents to participate in the life and future planning of the service. The manager needs to make sure she has specific plans in place so that people with dementia are given the option of being able to benefit from specialised activities. The manager needs to make sure that if she suspects any form of adult abuse she takes the right steps to report it to Social Services. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 7 The company needs to make sure they use the shared spaces in the home to the best advantage, that they provide somewhere for people to smoke if they wish to and that the garden is safe and secluded for residents. The manager must make sure that any new member of staff has thorough checks on their background. She also needs to make sure that there is always enough staff on duty to give people good levels of care and services. The company need to provide some more specialist training so that staff can meet the complex needs of the people who live in the home. The manager now needs to put the company’s quality assurance system into action, working with everyone involved to look at whether the home is giving good quality care. The company need to use this quality review to prepare a plan for the way they – and the people who live there – want things to progress in both the short and long term. The manager must make sure she notifies the lead inspector of any matter that affects the safety and well-being of residents. A number of accidents and incidents had not been reported. 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. The summary of this inspection report can be made available in other formats on request. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 8 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 Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has made a good start on developing the way they visit and make decisions about who comes to live in the home. EVIDENCE: The home has suitable documents in place that describe the care they can provide. The inspectors asked the company to make some minor changes to the wording. Residents surveys said that generally people were happy with the information available. The inspectors asked people about how they chose to come to the home and also read about this in surveys sent to residents and to social workers. They found that peoples’ needs were assessed before they came in and that anyone who was unsure could visit and even stay overnight. They judged that there are the right kind of systems in place to ensure that the management only take in people who can be cared for properly. Kingston Court Care Home DS0000068983.V343098.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,910 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The way care is delivered needs to be refined so that everyone receives the best care possible. EVIDENCE: The inspectors discovered that every resident had a written plan of care. They saw that an initial plan was written for the first 72 hours of care. Staff thought this helped them to settle new people. The inspectors read a number of the full care plans in depth. They found that there was a lot of information in the plans and that for some people the care and nursing plans were of a good standard. One social worker said he thought that these helped one person to “thrive under the care given”. However the inspectors judged that for some people with very complex mental or physical health problems, the care plans need to have more specific strategies in place. They also judged that for some people the staff needed to include a little more about social and recreational needs. There was also a problem where the nursing staff hadn’t communicated needs fully to kitchen Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 11 staff. They look forward to the very good formats for ‘life stories’ being completed. The residents’ notes showed that GP’s visit and that the nurses on the staff have started to do the work needed to keep people as well as possible. The staff have used the services of specialists in dementia care and in terminal illness care. The inspectors look forward to the senior team continuing to strengthen these contacts. The inspectors checked on medication given to residents and they found that this was being managed properly. Surveys sent to residents, relatives and professionals showed that generally staff treated residents with respect and dignity. Here are some of the things said in the surveys. • “Staff are very good” • “The staff are all very polite and nice.” • “Interactions observed have been dignified and with a respect for individual privacy”. On the day the inspectors observed generally very good, caring and respectful responses from staff. Residents said they were treated well. However there were some examples of practice that needed to be looked at by the management team to make sure that people were always treated with dignity. Kingston Court Care Home DS0000068983.V343098.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management team need to build and develop social, recreational and therapeutic activities so that residents get the kind of life they want and need. EVIDENCE: Residents said they could get up and go to bed when they wanted. Some people liked spending time in their own rooms and were able to pursue their own hobbies and interests. Relatives said they were made very welcome in the home and they could visit whenever they wished. Several visitors were in the home during the day and they were happy with the visiting arrangements. The inspectors were told of plans the manager had for activities and outings for residents. Already some people go out to local cafes and there are some visitors from local churches. The home does employ an activities organiser. Several people on the day said they wanted to go outside but currently the garden is not ready for sitting out in. (This is discussed further under ‘Environment’.) A number of residents said they would like to have more activities. Some of the people with dementia would benefit from specialised activities. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 13 The inspectors judged that local networks need building on and that the cultural and social life of a home needs time to develop. More work needs done in this area and they recommend that this has a priority as it was the area where residents felt they wanted more. So far the home doesn’t have a residents committee and haven’t started to consult residents about future planning. They do talk to people individually but the inspectors judged that they could do more to ask residents what they wanted for the future of the home. One of the inspectors shared a very pleasant lunch with residents and both inspectors met with the chef. The kitchen was clean and well organised. The menu looked to be nutritional and well balanced. Residents were happy with the food provided. Kingston Court Care Home DS0000068983.V343098.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager needs to make sure that any suspicion of adult abuse is dealt with correctly. EVIDENCE: The inspectors saw the complaints procedures and these were easy to follow. The manager said there had been no complaints. Residents and their relatives were fairly confident about how any complaints would be dealt with. Staff knew how to help and support someone if they had a complaint. The company have a good policy and procedure about handling any potential or actual abuse. Most residents said that there was nothing of the sort happening in the home. Staff were aware of how to protect residents. However the inspectors were told that there had been some concerns about the attitude and approach of one staff member. The manager needs to look at this more closely just to ensure that there was no problem with how residents were treated. The manager and a representative of the company agreed this on on the day. They also judged that there was evidence of a potential protection issue that needs to be dealt with by Social Services. The manager said she was going to deal with this. Kingston Court Care Home DS0000068983.V343098.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This brand new building provides residents with a clean, comfortable and wellfurnished home. EVIDENCE: This brand new purpose built home is situated right next door to the Cumberland Infirmary. It is about 5 or 10 minutes drive to the centre of the city and there is a regular bus service. The home has a car park to the front. The building has good access for people who have mobility problems. The building is arranged over three floors. All three units have bedrooms bathrooms, dining area and lounge. There are also some seating areas outside of each unit and a very pleasant ‘sensory’ room where people can sit and relax with soothing lights and music. The home doesn’t as yet have a designated smoking room. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 16 The furniture and fittings were of a very good standard and residents were happy with their new home. The inspectors did judge that the manager would need to work closely with staff to make sure that they help residents make the most of the shared spaces. These rooms do meet the minimum standards but the residents and staff wondered how spacious they would seem once the home is full. The inspectors will look at this at the next visit and recommend that the company give this some consideration. A number of residents wanted to go outside on the day of the inspection, as the weather was fine. People with dementia are on the top floor and a number of them wanted to go outside. The inspectors judged that the external garden needs to be developed so that all the residents can walk or sit in a secure and secluded area. The company representative said they would deal with this. The residents allowed the inspectors to look at their individual bedrooms. These rooms are spacious, with ensuite toilet and basin, nice furniture and décor. Residents can lock their rooms. Staff had helped residents to bring in their own personal possessions. Residents were very positive about their rooms. Staff were aware of how to minimise any infection. There were no bad odours anywhere and the residents’ clothes and bedding were clean, fresh and ironed. Kingston Court Care Home DS0000068983.V343098.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing arrangements need to be strengthened to allow residents to always get safe and suitable care and services. EVIDENCE: The surveys showed that some people felt that the home was occasionally understaffed. The inspectors looked at four weeks worth of rosters. They also spoke to staff who said they could do more in terms of care, housekeeping and catering if there were a few more hours available. The manager agreed that this had been difficult. The inspectors judged that at times the balance of staff to residents might not always have been right. They judged that the staffing levels were now acceptable but will check on this again at the next visit. Some staff (around 35 ) already have National Vocational Qualifications and the home employs trained nurses. Other members of staff are going to be registered to do their NVQ qualification. The inspectors checked on how the manager recruited new staff. They discovered that for the most part this had been done correctly. However they did find that one person didn’t have the most appropriate references and that this person was going into residents rooms alone and hadn’t yet had a criminal record bureau record check. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 18 The home has a training programme in place and this covers all of the basic training needs of staff. The inspectors suggested that the plan could be improved if some more specialised training was also included. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,34,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager needs to make sure that she is putting all the management systems into place correctly so that residents get the best care possible EVIDENCE: The manager is suitably trained and experienced for the post of manager. There was evidence to show that she had worked hard to get the home through the first phase of its development. She said she had good levels of support from the company. The inspectors want to be kept informed of how the next phases are being managed and the company representative agreed to send copies of their monthly reports to the lead inspector. The inspectors saw some evidence to show that the company do have a suitable way of checking that quality standards are met. The manager now Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 20 needs to complete a quality audit to help residents to have more of a say in how the home will develop. The company did provide CSCI with an initial plan for the home but the inspectors would like to see a formal plan of how they are going to move the home forward. The inspectors did not inspect arrangements for residents’ money but asked that the company look at financial arrangements for some people who come under specific legislation. This will be checked at the next visit. The inspectors saw some staff supervision notes. These were of a reasonable standard and the manager is aware she needs to keep building on this good start. The inspectors will look at these again once the team is more established. Although generally records were quite well kept a number of things had happened in the home that the lead inspector hadn’t received notification of. The manager must do this so that the Commission for Social Care Inspection is kept fully informed of anything that might affect the health and well being of residents. The inspectors checked on the systems for health and safety in the home. They also spoke to staff and made general observations. There were good records on food hygiene and fire safety and staff knew about their responsibilities. The systems that were checked when the home first registered were seen to work in practice. There were no hazards seen on the day. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 2 X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 2 X X 1 3 Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NA 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 OP18 Regulation 13 (6) Requirement The registered manager must ensure that she follows company and local procedures when there is any suspicion of abuse. The registered manager must make sure that she always completes all the checks on new staff prior to them having unsupervised access to vulnerable adults. The registered manager must notify the Commission without delay of deaths, illnesses and any event that adversely affects the well-being or safety of any service user. Timescale for action 15/10/07 2 OP29 19 15/10/07 3 OP37 37 15/10/07 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 OP7 Good Practice Recommendations It is recommended that care plans for people with complex needs are reviewed and more detailed strategies for care DS0000068983.V343098.R01.S.doc Version 5.2 Page 23 Kingston Court Care Home 2 OP10 3 OP12 4 5 OP14 OP20 6 7 8 OP27 OP30 OP33 9 OP34 are written into them It is recommended that the manager makes sure that staff – especially the less experienced members of the team – are quite sure that they understand the concepts of dignity and respect. It is recommended that, after consultation with residents and advice from specialists, a programme of activities and outings be drawn up which will meet the needs of all the residents. The manager needs to provide specialist activities for people with dementia. It is recommended that the manager make arrangements to consult and involve service users so that they are able to influence the way the home operates. The company needs to review how residents use the communal spaces inside the home, how they will make arrangements for residents who smoke and how they will make the garden a suitable place for all the residents to use as they wish. It is recommended that the manager makes sure that nursing, care and ancillary staffing levels are always maintained to give residents good standards of care. It is recommended that the training plan be updated so that staff have more opportunities once they have done their basic training courses. It is recommended that the home now do their first audit of quality so that residents and other people involved with the home are fully consulted on where they think things are going well and where they are not. It is recommended that the good practice of business development and planning be undertaken for the home with both short and long term goals. This ought to be shared with people who live in the home, other interested parties and with the lead inspector. Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Kingston Court Care Home DS0000068983.V343098.R01.S.doc Version 5.2 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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