Inspection on 27/06/07 for Kingswood Care Centre

This inspection was carried out on 27th June 2007.

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

Kingswood Care Centre 27/02/06

Kingswood Care Centre 27/09/05

Kingswood Care Centre 30/03/05

Kingswood Care Centre 23/10/04

Kingswood Care Centre 09/08/04

Kingswood Care Centre 22/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingswood Care Centre Wotton Road Kingswood Nr Wotton-under-edge Glos GL12 8RA Lead Inspector Mr Adam Parker Key Unannounced Inspection 27th June 2007 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 Kingswood Care Centre DS0000036568.V340208.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. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Care Centre Address Wotton Road Kingswood Nr Wotton-under-edge Glos GL12 8RA 01453 844647 01453 520281 kingswood@highfield-care.com 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) Southern Cross Care Centres Limited Mrs Jacqueline Rosemary Attewell Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Temporary Variation - To accommodate a named service user under the age of 65 years. This condition will be removed when the service user no longer resides at the home. Temporary Variation - To accommodate a named service user under the age of 65 years. This condition will be removed when the service user no longer resides at the home. To accommodate four service users between the ages of 55 to 65 years. These service users to be accommodated within the registration of 47 and one place to be for the named individual identified in the previous Condition of Registration. Temporary Variation - To accommodate a named service user with dementia. This condition will be removed when the service user no longer resides at the home. 30th March 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Kingswood Care Centre is part of the Southern Cross Care Centres, and provides personal and nursing care for the elderly. The Home itself is an extended listed building sited in grounds shared by its sister home. Kingswood Care Centre however, has its own car park and gardens. Accommodation is provided across the building on two floors and divided into units. The home has undergone refurbishment and redecoration to improve the environment for the residents. Current fees are £413.95 to £636.25. Hairdressing and chiropody are charged extra. The home makes information about the service, including CSCI reports available to service users and their representatives through a service user guide and statement of purpose available in the entrance of the home. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was carried out by one inspector over two days in June 2007. Four residents were spoken to during the inspection visit to gain their views on the service provided. The registered manager of the home was present for both days of the inspection visit which consisted of a tour of the premises and examination of residents’ care files. In addition staff recruitment and training was looked at as well as documents relating to the management and safe running of the home. A sample of residents were selected for inspection against a number of outcome areas as a ‘case tracking’ exercise. Comment cards were received from residents, their relatives and from General Practitioners (GP). The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 6 Ceiling blinds have been fitted in the conservatory to provide comfortable temperatures while residents eat their meals. The garden at the side of the home has been improved with a fish pond and raised flower beds for the use of residents and their relatives. In addition lighting outside of the home has been improved making it safer for those visiting residents after dark. Food surveys have been introduced for residents and comments received have led to changes in the way some meals are served. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure ensures that all service users are admitted to the home on the basis of a full assessment of their needs, so that they can receive the care that they require. EVIDENCE: The assessment documentation for a number of residents recently admitted to the home was looked at. These had been completed following an assessment of the service user’s needs recorded on an a comprehensive pre-admission assessment document. Following assessment a letter is sent confirming that the home can meet the needs of the prospective resident. In addition copies of assessments and care plans produced by funding authorities had been obtained as well as information from other care homes when a resident had been transferred. Generally following an enquiry to the home the family of the prospective resident are invited to view the home where inspection reports and information Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 9 about the service are available. The registered manager stated that in the case of potential residents receiving funding from a local authority, the home would insist on receiving a copy of the assessment and care plan prior to admission. The home does not provide intermediate care and so Standard 6 does not apply. Kingswood Care Centre DS0000036568.V340208.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): 7,8,9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Assessment and care planning backed by frequent quality checks ensure that residents health and personal care needs are met and their privacy and dignity is upheld. EVIDENCE: Care Plans were detailed and individualised giving clear instructions for staff to follow to meet residents’ needs. Care plans identify strengths as well as areas where input is required and note potential risks. Relatives of residents are invited to exchange information about the care of residents using a relatives communication record kept in residents rooms, which includes photographs of the residents named nurse and key worker. This is a useful tool not only in maintaining a good relationship with relatives but as a way of exchanging information about residents’ care and health needs. Risk assessments had been completed for pressure areas, moving and handling, nutrition and falls. The home uses a malnutrition screening tool where there may be problems with weighing a resident. Both care plans and Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 11 risk assessments had been reviewed on a monthly basis and it was clear that where a need was identified through assessment, a care plan was written to manage this. There was evidence of residents receiving input for health needs from visiting professionals such as physiotherapists and opticians. Pressure area care arrangements and care plans in general are audited as part of the quality assurance in the home. One resident was receiving input from mental health services although the home had not been told if Care Programme Approach arrangements were in place from mental health services. It would be beneficial if the home were made aware of any such arrangements in the interests of the residents mental health. Medication storage arrangements and administration records were in good order. Storage temperatures for the refrigerator and the medication storage room were being monitored and recorded and had had been maintained at the correct levels. Liquid medication had been dated on opening as an indication to staff of the expiry date. Medication administration records(MAR) had no gaps in recording and any hand written entries had two staff signatures although these should also be dated. The Mar chart folders also contained a homely remedies policy and list signed by GPs, advice and guidelines on medication, photographs of residents to aid recognition for staff and a space to record any allergies which had been completed. In addition there were individual protocols for the administration of medicine on an ‘as required’ basis. Two residents were administering some of their own medication and a separate record of this was being kept. Medication audits were carried out by the registered manager or the lead nurse on a monthly basis. Staff were observed treating residents with respect and up-holding their privacy. Residents confirmed that staff knocked on doors before entering and were polite. One resident however had some issues with another resident entering her room which affected her privacy. Staff had been made aware of this situation. Kingswood Care Centre DS0000036568.V340208.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): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes an active role in encouraging residents’ contact with family, friends and parts of the local community. This is in conjunction with varied and stimulating activities providing a good degree of social contact. EVIDENCE: Activities are displayed prominently on a notice board near the entrance to the home. Different activities are on offer each week day and the schedule is changed on a three weekly basis. Among the activities on offer are bingo, table skittles and gardening with units of the home competing in a sunflower growing competition. Trips out of the home have been organised with Bristol Zoo being a destination in the past although recently trips have not been taking place due to the minibus being out of use. As well as group activities the activities coordinator spends time with individual residents in their rooms talking and giving nail care. Residents also have musical entertainers visiting the home and there had been a recent visit from the ‘Pat a Dog’ scheme where pet dogs are brought into the home to visit residents. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 13 At Christmas local schools have visited the home to perform Carols. A service is held in the home by the Church of England once a month and staff have information about other religions if this should be needed. One resident attends a local church every Sunday. The activities organiser is undertaking a NVQ course in providing activities in care homes. In the entrance of the home there is a large amount on information for residents and their relatives including information on advocacy services. Some activities such as the annual fete are publicised and relatives take an active role in supporting these. Lunch was observed being served in a number of locations in the home. Some residents eat in the main dining room while others who have a preference or need individual assistance take their meals in their rooms. Menus are displayed on a notice board near the kitchen and the home has recently changed over to seasonal menus. Two choices of main course are given at lunch as well as two choices of dessert. Residents are made aware of the menu for the day in advance with any choices noted. Where meals were pureed they were presented in an attractive way with all the portions of the meal identifiable. Supper offers a choice of sandwiches or other snack such as salad. Some concerns had been expressed on surveys received from residents’ relatives about the standard of the meals provided. One resident commented that the food was “100 better” since the appointment of a new cook and confirmed that a choice of meals was offered. Another resident was enjoying the salads on offer as part of the seasonal change in the menu. Although one resident commented on a survey that “Supper is too early, 5:15 pm for the last meal of the day is too much.” Kingswood Care Centre DS0000036568.V340208.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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are acted upon in the interests of residents and the home’s approach to training staff should ensure that residents are protected from abuse. EVIDENCE: The home has a register for recording complaints. The procedure for complaints is that on receipt, a letter is sent and following investigation a response is given within 28 days. The documentation and responses to three recent complaints were looked at. Information about how to make a complaint is available in the entrance to the home along with a wealth of other information about the service. The home has a policy for protecting residents from abuse as well as a ‘whistle blowing’ policy. These are available in the administration office for easy access for staff. Training in protecting residents from abuse has been given to all but two of the staff employed in the home. There have been no reported incidents of abuse in the home. The registered manager was aware of local authority adult protection procedures but the home should obtain some information from the Gloucestershire County Council in the form of their ‘Alerter’s Guide’. Staff spoken to during the inspection visit were able to recount what they had learned in training about protecting residents from abuse. Posters giving Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 15 information about how to deal with abuse are displayed at staff work stations in the home. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 16 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): 19,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the benefit of living in a well maintained and clean, environment with personalised individual rooms. EVIDENCE: A tour of the premises was conducted. All areas of the home inspected were found to be clean and well maintained with appropriate and attractive decoration. The home smelt fresh throughout. There are a variety of communal rooms and lounges available for residents throughout the home. These include a reminiscence room, a ‘pamper’ room with a number of foot spas and a music lounge equipped with a piano. The reminiscence room was still in the process of being equipped with suitable material. A small kitchen is available in one area for relatives and residents to make drinks. The home also has a small shop selling toiletries, sweets and drinks. Outside there are well maintained gardens to the side and front of the Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 17 home. Recent work on the garden to the side has improved this as a facility for residents and their relatives with raised garden beds and a fish pond. One resident commented on a survey “I enjoy going out into the garden and having tea.” In addition lighting outside of the home has been improved following comments from residents visitors regarding safety when visiting after dark. Residents rooms were comfortable and contained various degrees of personalisation. The registered manager was aware of the issue with the misting of some double glazed windows due to a failure of the seals and there are plans to replace those worst affected. The laundry was rather cramped and the ironing board had been set up in such a way that the hand washing facilities were not readily accessible. A carpet square had also been placed in one corner which may hinder the process of hygienically cleaning the floor. These issues were pointed out to the registered manager who arranged for extra hand disinfection arrangements to be put in place and the removal of the carpet square before the end of the inspection. It was reported that some consideration had been given to extending the laundry facility into another room and this should be further explored. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 18 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): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works well to provide residents with a consistent staff team to care for them, equipped with suitable knowledge and skills and recruited using robust procedures. EVIDENCE: Although the home has separate units the staffing is arranged for the whole home. Generally, two registered nurses work throughout the day with one at night. On the morning shift there are seven carers with six in the afternoon and four at night. The home also provides domestic, laundry, catering, administrative, maintenance and activities staff. There has been no use of agency staff in recent times. The home has achieved 50 of care staff with an NVQ level 2 or equivalent using the NARIC system of verification the qualifications of staff from abroad. Both NVQ and other training is closely monitored by the registered manager and in the very few examples of staff not attending certain recent training there were valid reasons for this. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 19 Records for recently recruited members of staff were examined. All the required information and documentation had been obtained including an employment history against which any gaps in employment could be explored. Checks against the Protection of Vulnerable Adults list were being made as well as with the Criminal Records Bureau. Staff receive induction training with this being recorded in an induction training document. However on inspection this document did not reflect the most recent changes to induction training nationally. On enquiry it was revealed that a new document reflecting these changes was in preparation and the home had a copy of this by the end of the inspection visit. Staff whose first language is not English have been attending English speaking courses organised by a local college, these have been held at the home and one session was in progress in the training room during the inspection visit. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is excellent 31,33,35,36 & 38 This judgement has been made using available evidence including a visit to this service. The home is well managed with a variety of quality assurance audits in operation and safety checks to ensure that the home is run in the best interests of residents. EVIDENCE: The registered manager has had over 30 years experience of general nursing in a number of settings and has been managing care homes for 10 years. She has achieved the registered managers award and has a diploma in nursing studies and a city and Guilds management for care award. The registered manager has recently undergone training in fire safety, moving and handling, the use of bed rails and is an NVQ assessor. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 21 Quality assurance is central to the operation of the home and there is evidence that as well as quality checks by management, the views of residents and their representatives have been adopted and have led to improvements in the service provide in the home. Comments about the temperatures of meals on surveys of residents led to this information being fed back to staff for action in line with individual preferences. At a relatives meeting there were comments about the garden at the side of the home. As a result improvements were made to the garden for the benefit of residents and their visitors. A validation audit is carried out on a monthly basis alternately done by the registered manager and the operations manger. This is a thorough audit of quality in the home. Other audits take place concentrating on accidents, care plans, environment, pressure area care, medication and night shifts. The majority of quality checks have been designed by the provider although others have been introduced by the registered manager. The home provides secure facilities for residents money and looks after money for a number of residents. Each resident had a clear plastic wallet which was a useful way of checking the amount held. Appropriate computer records were maintained of any money held. Two samples were checked and the records were accurate in respect of the amounts held. The home does not pay any money into bank accounts on behalf of residents. Staff supervision is carried out so that staff receive six supervision sessions a year plus an annual performance appraisal. The responsibility for supervision is cascaded down from the registered manager to heads of departments who then supervise their staff. Appropriate records had been kept. Staff have received training in first aid, moving and handling, health and safety fire safety, infection control, food hygiene and controlling hazardous substances. Regular maintenance checks are carried out and recorded on equipment in the home such as hoists, lifts, bed rails, wheelchairs and the staff call system. In addition temperatures from hot water outlets are checked and recorded and cleaning and disinfection of shower heads is carried out in line with reducing the risk of Legionella at the home and following an audit by a specialist consultant. Central heating boilers were being serviced during the inspection visit. The electrical wiring in the home has been checked as well as portable electrical appliances. Cleaning substances are stored securely and there is no decanting of substances into unmarked containers. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 22 Information folders have been devised for the use of staff in the event of a fire and these are distributed in each unit of the home with an extra copy with more information in the manager’s office. Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 23 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 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 4 X 4 X 3 4 X 3 Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action No Requirements 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 Where residents are receiving input from mental health services, the home should check if Care Programme Approach arrangements are in place and request any relevant information. All hand written entries on medication administration sheets should be dated. The home should obtain a copy of the Gloucestershire County Council ‘Alerter’s Guide’ for safeguarding adults. Further consideration should be given to improving the laundry facilities. 2. 3. 4. OP9 OP18 OP26 Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Kingswood Care Centre DS0000036568.V340208.R01.S.doc Version 5.2 Page 26 - 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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