Inspection on 14/02/06 for Kingswood Lodge

This inspection was carried out on 14th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingswood Lodge 30/01/09

Kingswood Lodge 08/09/08

Kingswood Lodge 22/11/07

Kingswood Lodge 16/03/07

Kingswood Lodge 06/09/05

Kingswood Lodge 02/04/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Kingswood Lodge 25 Railway Street Gillingham Kent ME7 1XH Lead Inspector Anne Butts Unannounced Inspection 14th February 2006 10:00 Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 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 Lodge DS0000028918.V286211.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 Adults 18-65. 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 Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingswood Lodge Address 25 Railway Street Gillingham Kent ME7 1XH 01634 580797 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) Doson Limited Mrs Delores Celene Lee Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Eighteen (18) People with Learning Disabilities, One (1) of which will have a Physical Disability. 6th September 2005 Date of last inspection Brief Description of the Service: Kingswood Lodge is located in the centre of Gillingham and is close to the main railway station and other local transport. It is a short walk from the high street and other amenities. There is car parking to the rear of the property and the garden is attractively laid out with raised flowerbeds, a lawn and seating area. The home provides accommodation on three floors with sixteen single rooms and one shared room. There is a lift to the first floor. There is a games room and a choice of sitting rooms. There is a spacious dining area with a conservatory attached. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the morning of 14th February. An unannounced inspection is when an inspector visits with no prior warning and enables an overview of how the home operates on a daily basis. Time was spent talking to service users and staff, viewing records and taking a tour of the premises. There were some service users in the home, although others were out either at day centres or at voluntary placements. Overall this was a positive inspection with the manager, staff and service users all relating well and being positive about the home. What the service does well: What has improved since the last inspection? What they could do better: There are areas of the home that are still in need of some maintenance particularly with regards to the laundry and there are some bedrooms that are in need of redecoration and bedding needs to be of an improved quality. There Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 6 are some health and safety issues with regards to storage in bedrooms and windows that need addressing. There are some areas with regards to medication that need to be addressed in that some storage could be improved and record keeping with regards to carrying forward the amount of medication held for individual service users is in place. There is a central office – however it was noted that if there are no staff in attendance the office door is still left open – the home needs to ensure that the office is left secure under these circumstances. 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. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were inspected at the last visit in September 2005 and were deemed to have been met. EVIDENCE: Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Service users benefit from having clear and in-depth care plans that identify individual needs and give clear guidance to staff on how to support them in making decisions and participate in the running of the home. Improved risk assessments further protect service users, but they would benefit even more from further expansion of ways of reducing risks. EVIDENCE: Care plans contained a personal profile for each service user so allowing for staff to have an awareness of the background and individuality of the service user. They evidenced that carers and family are involved in the care planning process, and there is a key worker system in place. Care plans contained information as to how the staff can assist service users with their daily living. Service users independence is actively promoted and one service user explained how went out to work on a voluntary basis and how he liked living in this home. Another service user, who has recently moved into the home, stated “This is a nice place, I like my room and the staff are very nice”. People can choose how they like to spend their days and there are choices of activities in the home. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 10 Since the previous inspection risk assessments have improved and now contain some more detail on how to reduce risks following any identified hazards – they would still benefit from containing further detail and the movement and handling assessments are in need of updating. Daily record keeping was seen to be well maintained and the information from these is being expanded upon and used in the review process. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Service users benefit from support and care in their daily living routine that is flexible to suit their needs and preferences. Meals are varied and balanced with choices available on request. EVIDENCE: The daily routines within the home promote the independence and choices of the service users. The manager and staff were seen to interact well with the people within the home. Service users can have a key to their own bedrooms and staff do not enter without permission. Staff assist service users with daily living task and support them in letter writing, going out and general activities during the day. Many of the service users choose to go out to attend day centres or work placements. There is a ‘games’ room that all service users can access. Menus were viewed and an alternative is not offered on the menu, but staff stated that if something different is requested then there are choices available. The home keeps records if service users choose to have anything different, although these were not fully completed – the member of staff spoken to Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 12 stated that more often than not people are happy with the meals that are being served, and a service user confirmed this. However in order to ensure that the home can evidence this is happening – a recommendation is being made that records are kept of choices offered and whether or not service users decide on an alternative. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The service users’ welfare is largely protected by the home’s policy and procedures with regard to the handling and administration of medication; however, improved storage and record keeping would further protect service users safety. EVIDENCE: Medication was looked at and the inspector observed the lunchtime medication routine. Medication is mainly stored appropriately and securely in a locked cupboard. However, the home has purchased a small fridge to store medication that needs to be kept at lower temperatures and this is not of a suitable quality, this was following a requirement from the last inspection – and therefore this remains outstanding and a fridge suitable for the needs of storing medication needs to be purchased. The home has a controlled drugs container, and although this is a metal case – this is not secure as it not bolted to the wall and the home must make proper arrangements for the storage of any controlled drugs in line with The Royal Pharmaceutical Guidelines. Other medication is all stored in individual sections under the service users name. There are samples of signatures and initials and only staff that are trained administer medication. PRN protocols are in place (this is for medication which Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 14 is given on an as and when basis i.e. over the counter pain killers). On observation the member of staff always locked the cupboard when leaving it to give out medicines and although this increased the length of the process it actually ensured that the medication is always kept securely and works well for the structure of the home. Medication was seen to be checked against the MAR sheets. The manager also stated that regular audits are carried out to ensure a medication ‘trail’. One MAR sheet did not reflect the amount of medication held for the service user, and on investigation this was because medication from the previous month had not been carried forward – a requirement is being made that the records for medication held within the home are accurate at all times. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a clear and effective complaints system in place. Robust adult protection policies and procedures and appropriately trained staff protect service users from the risk of abuse.. EVIDENCE: The home has a complaints procedure in place that is comprehensive and has appropriate timescales as to how the home will address any complaints. The manager stated that there had been no complaints since the last inspection. There is an Adult Protection policy and procedure in place and all staff are trained in adult protection protocols – the registered manager is a trainer in Adult Protection. Since the last inspection there had been an Adult Protection issue raised against the home – they worked closely with the local authority and following the investigation processes it was deemed to be unfounded. Staff have a full CRB / POVA check and do start employment until these are found to be satisfactory. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Service users benefit from living in a homely and mainly clean environment and have safe access to indoor and outdoor communal areas. Not all of the areas are well maintained and some re-decoration and replacement of furnishings and furniture is necessary. EVIDENCE: As this was an unannounced inspection it allowed the inspector to gain an overview of how the home is generally maintained on a daily basis. The home has had problems with odour in the past, but the registered manager has been working hard to address this issue and there has been a vast improvement in the environment with no odour being detected anywhere in the home on the day. The home is situated in the centre of Gillingham and has easy access to local amenities and transport. This is a large and spacious property that is set out over three floors. There are several communal areas including a spacious dining area – these are pleasantly decorated with furnishings of a homely nature in place. There are sixteen single bedrooms and one double room. Bathrooms and toilets are situated on all floors. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 17 Bedrooms were viewed and they all showed evidence of individuality. One bedroom had recently had water leak into the room and at the time of the inspection it was being redecorated – the manager stated that the service user had chosen the colour scheme for the room. There are other bedrooms that are in need of redecoration and the manager stated that these would be done when the service users are on holiday in June. Some chairs in individual bedrooms have been refurbished or replaced. Mattresses and pillows are also on an ongoing replacement programme. It was noted, however, that the bedding was all quite old and of a poor quality – the home needs to purchase new bedding for service users and take into account service user choice. There are items being stored on top of wardrobes and more appropriate storage needs to be arranged. Service users bedrooms are lockable and where appropriate individual service users have their own keys. Bathrooms are mainly well maintained – but they are in need of a deep clean as some pipe-work and tiles were seen to be quite dirty. It was also noted that a call bell cord was tied up in one of the bathrooms and the bathroom on the top floor has no over-ride lock on the door and both of these issues need to be addressed. There is a lift to the second floor and there are adaptations and equipment in place to assist service users who are less mobile. The home has had a full Occupational Therapist assessment carried out and they have plans to further adapt one of the bathrooms. Some of the windows did not have restrictors on them – which could pose a risk to service users and a requirement is being made that all windows must be assessed and appropriate restrictors fitted where the need is identified. A requirement had been made at the previous inspection for the flooring in the laundry room to be replaced – this has not yet been carried out although the manager stated that this was due to be completed in June – a new timescale has been allowed on this occasion to reduce any disruption to the service users – but this must be addressed within the new timescales. The kitchen was clean and tidy and there is a separate hand-washing basin in place for staff to use. Overall the manager and staff work hard to maintain the home – but there are still some environmental issues that need addressing. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 32, 33, 34, 35 and 36. Service users can be confident that their care and support needs are met by trained and competent staff, who are well supervised. EVIDENCE: A selection of staff files were viewed and these included the newest member of staff. There were seen to contain job descriptions which detailed care staff’s role within the home and there are codes of conduct in place. Contracts are in place for staff and the home also promotes key workers in supporting service users. Staff are well supported in carrying out their role in the home and nearly all staff have completed training in at least NVQ level 2 – this exceeds the 50 recommended in the National Minimum Standards. Staff were observed working and interacting well with service users and are supported and made aware of the specific needs of this service user group. The rotas evidenced that there are sufficient staff on duty and the manager is on duty during the week and available during unsociable hours. The home also employs a driver, cook, handyman and laundry staff as well as the care staff. The manager stated that staff turnover is fairly low and there are not undue amounts of sickness. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 19 The home operates a through recruitment procedure and records viewed for a new member of staff evidenced an application form, written references (the manager also stated that phone contact is made first and then these are followed up by written references, and no member of staff starts until references are received), terms and conditions, The General Social Care Council’s code of conduct booklet is supplied to staff and CRB / POVA checks are carried out prior to starting. The manager advertises through the Medway workforce development group for new members of staff. All staff receive a full structured induction training programme, which encompasses general health and safety, values and principles of care, policies and procedures, legislation, risk assessments and issues relating to the service users within the home. Records viewed evidenced this and staff sign to say that they have received this training. This is supplemented by a two-day course at the local college in induction in care. Training is a high priority within the home, and staff are up to date with mandatory training. They are also in receipt of additional training that is specific to the needs of the service users. Only staff who are trained administer medication. The manager had just completed a training needs analysis and programme for staff for the up and coming year and had submitted to the provider so that the training budget could be allocated – she was confident that all future training needs would be met. The manager is also a trainer in adult protection issues. Regular staff supervision is carried out – the format of which has recently been improved. Records evidenced regular supervision and staff meetings. One member of staff stated “I feel well supported in this home and the I enjoy working here”. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 41 Service users benefit from a manager who is clearly committed to safeguarding and promoting individuals independence, rights and choices and is assisted by a stable staff team who offer a good quality of support to the service users. EVIDENCE: A registered manager who holds an NVQ level 4 in management and care manages the home on a daily basis. She is also a qualified assessor for NVQ and a trained trainer for induction in care. She has many years experience in care and is a qualified nurse. During the course of the inspection it was observed that the manager had good relationships with the service users and interacted well. A concern was raised at the start of the visit to the dress and cleanliness of one service user and the manager dealt with this immediately in a sensitive manner. Records viewed showed that she informs the provider of any concerns and requests with regards to the ongoing needs of the home. The manager is actively involved in the day-to-day management of the home and works with staff and service users. Staff and service users confirmed that Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 21 the manager is always available and one member of staff stated that how the manager “is always available and I know that there is someone to talk to if I need support”. Records showed that staff are made fully aware of the policies, procedures and philosophies relating to the home – and the manager aims to ensure that there is an open and positive relationship with staff and service users and this is a two way process. The home maintains good records and they are stored in the main office – however it was noted that if there is no one in attendance in the office the door still remains open and this could compromise any data protection issues and a recommendation is being made that the home ensures that all records are stored confidentially. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 3 27 2 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 2 4 3 X X 3 X x Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(2) Requirement Timescale for action 07/04/06 2. YA20 13 (2) The Registered Person shall make arrangements for the recording, handling, safekeeping, safe administration and safe disposal of medicines received into the care home - in that (1) A suitable lockable medication fridge is purchased for the safekeeping of medicines. (2) Any controlled drugs must be stored in a metal cupboard that complies with the current guidelines and regulations issued by The Royal Pharmaceutical Society of Great Britain. The Registered Person shall 31/03/06 make arrangements for the recording, handling, safekeeping, safe administration and safe disposal of medicines received into the care home - in that If any the records of any medication need to be carried forward onto new MAR sheets this is identified and signed and DS0000028918.V286211.R01.S.doc Version 5.1 Kingswood Lodge Page 24 witnessed by two persons. 3. YA24 13 (4) (a) (c) The registered person shall ensure that unnecessary risks to the health and safety of the service users are eliminated in that: Call bells are accessible in all rooms. The tops of wardrobes are not used for storage. All windows are assessed for the need for restrictors and these are fitted appropriately. The registered person must ensure that all bedding is of good quality and designs: In that – old bed coverings are replaced. An action place for this renewal must be sent the Commission within the timescales stated. The registered person must ensure so that to prevent the spread of infection that the laundry floor is replaced and the walls need to be made good and maintained and they are of an impermeable finish. This requirement remains outstanding from the previous inspection. 31/03/06 4. YA26 16 (2) (c) 31/03/06 5. YA30 13 (3) 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA9 Good Practice Recommendations It is strongly recommended that risk assessments continue to be expanded upon and actions to be taken by staff on how to meet individual service users needs contain more detail. They must also be reviewed on a more regular basis. It is strongly recommended that the home must ensure DS0000028918.V286211.R01.S.doc Version 5.1 Page 25 2. YA10 Kingswood Lodge 3. YA17 4. YA24 that all records and documentation held and stored with regards to both service users and staff are maintained in a secure location at all times in that: The office door must be secured if there is not a member of staff in attendance in the office It is strongly recommended that the home keeps daily records of choices offered with regards to meals and whether service users choose to have an alternative or not. It is strongly recommended that the home ensures that any bedrooms that are in need of redecorating are completed whilst the service users are on their holiday in June. Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kingswood Lodge DS0000028918.V286211.R01.S.doc Version 5.1 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!