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Inspection on 30/06/08 for Latham Lodge Nursing and Residential Care Home

Also see our care home review for Latham Lodge Nursing and Residential Care Home for more information

This inspection was carried out on 30th June 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There was evidence that information about residents have been obtained before they went to live at the home. This means that staff can have an understanding of residents needs to ensure these can be met before an offer of admission is made. Residents made positive comments about having access to heath care professionals and leading fulfilling lives at the service. We saw that an activities programme is in place and residents felt they were able to participate in hobbies similar to those they had before they came to live at the service. Residents said there is a good choice of food available and they are consulted regarding the choice of food. There are opportunities to meet with the chef on a regular basis to discuss menus and this is advertised in the main foyer of the home . This means that residents are able to express their opinions and are provided with a varied diet.Staff receive training and are care staff are engaged in a National Vocational Qualification training programme. Trained nurses are supported to keep their clinical practice up to date and attend training courses such as train the trainer, for teaching staff safe handling techniques.

What has improved since the last inspection?

Since the last inspection work has been carried out in respect of care plans. These now contain more detailed information relating to the individual health care needs of residents. Medication records have now been reviewed and those inspected had been completed correctly. This minimises the risk to residents of them not receiving their medication correctly. A new manager has been appointed who is providing consistency and leadership for the service. This may enable the quality of the service to improve. The manager is applying for registration with the Commission.

What the care home could do better:

The ongoing maintenance programme including redecoration of some areas of the home will enable residents to enjoy more comfortable surroundings.

CARE HOMES FOR OLDER PEOPLE Latham Lodge Nursing and Residential Care Home 137 - 139 Stakes Road Purbrook Hampshire PO7 5PD Lead Inspector Kathryn Emmons Unannounced Inspection 30th June 2008 09:30 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 Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Latham Lodge Nursing and Residential Care Home 137 - 139 Stakes Road Purbrook Hampshire PO7 5PD Address 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) 023 9225 4175 023 9226 2281 latham@caringhomes.org latham@caringhomes.org Latham Lodge Ltd Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category - OP The maximum number of service users who can be accommodated is: 40 10th April 2006 Date of last inspection Brief Description of the Service: Latham Lodge is registered as a care home where nursing care can be provided for up to forty people in the categories of old age, terminal illness or physical disability. The home can also admit up to eight people above the age of 55 in the category of terminal illness and physical disability. Latham Lodge Limited owns the home. A manager who is not currently registered is managing the home. The home has twenty-six single rooms (of which twelve have en-suite bathrooms) and seven shared rooms (one of which is en-suite). The home is located in a residential area. The building is on two floors with a shaft lift to access the first floor. The home has a large car park at the front of the building and a garden accessible to the residents at the rear. The provider makes information available about the service, including the commissions report to prospective residents on request. Copies of this information are available at the home and may be sent out by post on request. The home states in the pre-visit information questionnaire completed by the manager that the fees range from £375 to £600 for residential care and from £442 to £789 for nursing care per week. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. A visit to the service took place on 30th June 2008. This visit was unannounced and took place over 5 hours. The registered manager no longer works at the service and a manager who is in the process of applying for registration undertakes the management of the service. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff detail records. Staff were spoken with and the care they provided was observed. We received comment cards back from residents and relatives before we visited the service. During the visit we spoke with 8 of the residents, two relatives and three members of staff. We also received a completed self-audit document completed by the previous manager to provide information before we did a site visit. This is called the AQAA (Annual Quality Assessment Audit). We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. What the service does well: There was evidence that information about residents have been obtained before they went to live at the home. This means that staff can have an understanding of residents needs to ensure these can be met before an offer of admission is made. Residents made positive comments about having access to heath care professionals and leading fulfilling lives at the service. We saw that an activities programme is in place and residents felt they were able to participate in hobbies similar to those they had before they came to live at the service. Residents said there is a good choice of food available and they are consulted regarding the choice of food. There are opportunities to meet with the chef on a regular basis to discuss menus and this is advertised in the main foyer of the home . This means that residents are able to express their opinions and are provided with a varied diet. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 6 Staff receive training and are care staff are engaged in a National Vocational Qualification training programme. Trained nurses are supported to keep their clinical practice up to date and attend training courses such as train the trainer, for teaching staff safe handling techniques. What has improved since the last inspection? 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. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Through pre admission assessment systems residents can be confident that their assessed needs can be met when they are admitted to the home. Up to date information enables residents to make an informed choice regarding living at the service. EVIDENCE: We looked at the admission procedure for the three residents we case tracked. We could see that information regarding resident’s needs had been obtained before they had been admitted to the home. We also saw letters sent to residents or their relatives confirming the residents assessed needs could be met by the service. There were records to show that assessments had been obtained from health and social care professionals. This means that the service can be clear on a prospective residents needs and will be able to be confident that the needs can be met if the resident decided to live at the service. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 9 Two documents are in place called the service user guide and the statement of purpose. These two documents are available to residents and their relatives and inform them of the services they can expect if they live at the home. Details also include who the staff are and what jobs they do, what the environment is like and what to do if they have any concerns. We saw that contracts were in place, which had been signed by the resident or their relative. This enables residents to have confidence that they are going to live in a home where they can expect a consistent and quality service. Currently the service does not offer intermediate care but the manager told us that residents are able to live at the service for a short time and this is called respite care. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments, which are regularly reviewed, minimize residents risk of not having their needs met. Medication systems enable residents to receive their medication safely. Good access to health care services enables residents to have their health needs met. Resident’s dignity and privacy and individual identify is acknowledged and maintained EVIDENCE: Through case tracking we looked at three residents care files. In each file there was a comprehensive assessment of residents needs. There were risk assessments for activities such as going out of the home and having bed rails attached to the bed. Either the resident or their relative has signed the care plans and we could see that reviews were taking place. Residents we spoke with told us about the care they received. All comments were positive but we received one comment, which said that it took quite a while for staff to answer bells when someone wanted to use the toilet. We Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 11 monitored during the visit how long it took to answer bells. There was only one occasion during lunchtime when the bell was ringing for more than one minute. We discussed this with the manager who has said that she will review the deployment of staff during the lunchtime. A relative told us that they had requested a doctor to see their relative and the member of staff dealt with the request immediately, which the relative felt “shows you how efficient the care is”. Another resident said “I couldn’t be anywhere else as it wouldn’t be a good as here”. Another resident said they saw the doctor and nurses from the local surgery when they needed to and we saw from one record that an optician had visited the home. Medication records were seen for all residents. Generally records had been competed correctly and we spoke to one of the trained nurses regarding the medication system and how changes had been made following the last inspection to ensure medication records were completed correctly. As part of the quality assurance system medication records are reviewed by the manager regularly. Stocks of medication were stored safely and all staff who administered medication had been assessed as competent when they started working at the service. We saw many interactions between staff and residents. Residents told us “I can have a laugh with the staff” and “Its like a big family, they tell you about themselves so its not just someone helping you”. Staff were seen to be patient with residents and were giving them choice over how they received their care. Residents told us they were treated with respect and addressed in their chosen form. Interactions were seen by us that were valuing and appropriate. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with appropriate activities and are supported to continue with hobbies they enjoyed before living at the service. Staff have an awareness of residents’ spiritual and emotional needs. Residents have control over who visits them. Dietary needs and preferences are catered for. EVIDENCE: Residents made very positive comments regarding the activity programme in place at the home. We spoke with the activities coordinator who gave examples of the type of activities provided. There is time to provide activities to all residents and if residents are to unwell to attend events in the lounge area the activities coordinator will stay an talk with the resident and provide diversion therapy. A life history and biography is taken by the coordinator so activities can be planned to encourage residents to continue with hobbies they had before they lived at the service. During the visit we saw a resident playing a board game with the coordinator, another resident said they went to the local shop with staff and another resident said they spent a lot of time knitting, Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 13 which staff sometimes helped with. The AQQA informs us that the staff support residents to continue to be as independent as possible and are aiming to encourage residents to have more community integration. Residents religious and spiritual needs and choices are acknowledged and respected. These are recorded in care notes. A church service is held in the home and residents can attend worship outside of the home if they choose. Residents told us that they could have visitors when they chose and there were various spaces around the home where residents can meet with visitors in private if they don’t want to use their bedroom. Staff were seen to be welcoming and accommodating to visitors who attended the home during our visit. We spoke to a relative during the visit who stated that they were always made to feel welcome and could visit the service whenever they wanted to. Through comment cards and direct discussion with residents we were told that residents “always” enjoy the food and “I’ve rarely had something I don’t like” and “Today it was something I didn’t like so I had an omelette they will give you want you want”. The cook has meetings with residents to obtain their views on the food provided and to have their input in devising the menus provided. This is another example of how the service tries to enable residents to have control over how they live at the service. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy on display enables people to know how to make a complaint. A Safeguarding adults policy and staff training in safeguarding adults enables residents to be confident they are cared for by staff with a working awareness of what constitutes abusive practice. EVIDENCE: Prior to the visit pre inspection self-audit information was sent to the commission this had been completed by the previous manager of the service. This recorded that there had been a high number of complaints however on looking at the complaint folder and complaints records and speaking with residents and the new manager and organisations representative we can evidence that this information was incorrect. Residents told us “If I have any worries I will speak up but its not like that here”. Staff told us that they had received guidance in how to deal with any issues raised. We spoke to relatives and saw from comment cards that no issues of concern had been raised .A complaints procedure is in place and is on display in the main entrance area of the service. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 15 A safe guarding adults policy is in place. Two staff when asked said they had received Safe Guarding adult training. We could also see this from the training plan. Staff we spoke with were given a scenario regarding safeguarding adults and asked what action they would take. They answered appropriately and said that they were sure that all staff had a working knowledge regarding what constituted abuse and that all staff knew to report any concerns they may have. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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): 19,23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and comfortable environment. Adaptation aids are in place to meet needs and residents are encouraged to have control over their environment. EVIDENCE: The home was clean and tidy and fresh throughout and residents we spoke with told us they were satisfied with their bedrooms. We could see that residents had been supported to personalise their rooms. We were able to look at eight residents bedrooms, as part of speaking with residents in private. A couple of residents required a hoist to be assisted to get out of bed, and there was sufficient room for staff to carry this task out safely. Another Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 17 resident used a wheelchair to move around the home. They said “I really like my room its big enough for me to move around in without feeling squashed”. We could see that the dining room had been redecorated since the last inspection visit and further refurbishment work was planned. One of the bedroom sinks we saw is in need of repair and the manager said that a full itinerary of repairs had been planned for the following couple of months. There is a maintenance plan in place and further redecoration of the home is planned. Corridors were free of hazards and residents were able to access the home safely. Staff were seen to be wearing plastic aprons when dealing with food and drink and gloves were worn when carrying out personal care. This means that staffs have an understanding of practices, which minimize cross infection. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An enthusiastic and trained care team support residents. The organisation’s recruitment procedures are followed which means that residents can have confidence that the right people care for them. EVIDENCE: Residents spoken with made positive comments about staff such as “they are very good”, “things are good”, “They are friendly and are interested in doing the best they can”. Resident’s comments indicated that they had no issues with the staffing levels generally but that sometimes staff were busy first thing in the morning. Staff also said that sometimes the morning shift was busy but that this was not always the case. The manager said that she was monitoring morning activity and constantly reviewing staffing levels with the organisation representative and that following the comments would review levels again. During our visit we saw staff go about their jobs in an unhurried manner and were able to sit and talk to residents at various times. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 19 Pre inspection information showed that staff have been trained in National Vocational Qualifications and that 67 had NVQ 2 or above. Staff informed us that they did receive training such as moving and handling training and health and safety. Three recruitment files were looked at. A recruitment policy is in place and all files seen contained the correct checks such as references, completed application form and Criminal Records Bureau checks and identification. This means that staff have been recruited safely and residents can be confident that they are cared for by people who have the necessary skills and attitude to care for them. We spoke with 2 staff who told us about their induction and how they were recruited to work at the service. Both said they enjoyed working at the service and that there was “more team work now” and that ” I am encouraged to do training and learn more about my job”. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager who has a good rapport with residents, and visitors manages the service. Residents are protected by the services health and safety polices and procedures. Financial management systems keep residents monies safe. Quality assurance systems show how the service is run in the best interests of the residents. EVIDENCE: The service is currently being managed by a manager who has not yet been approved for registration as the manager for the service. However the manager has been registered in respect of other services. Staff told us that “There is a really good team feel” and “The new manager wants to keep Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 21 improving here which is good”. Residents made comments like “I can go and see her and tell her what I want” and “I like it that she knows what help I need”. The manager is in the process of making application to be considered for registration. This was confirmed by one of the organisations representative who was present during the visit. There is a quality assurance system in place. The representative confirmed that monthly reports are produced on the running of the home and the manager also has to do many checks on systems in the service such as cleanliness, medications, health and safety issues and staff training needs. This means that the organisation have an ongoing understanding of the service and what action they can take to continually improve the service. Residents and relatives and other stakeholders are given a questionnaire to complete every year. Pre inspection information evidenced that polices and procedures are maintained and had been updated in the late 2007. The manager confirmed that since she had been in post she had reviewed most of the polices and prodecures and these were sometimes sent from the organisations head office. Records are in place at the home, which show that servicing of equipment and systems such as the fire safety system, heating system and gas are up to date. Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 22 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 23 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 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Latham Lodge Nursing and Residential Care Home DS0000011509.V365418.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. 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!