Inspection on 06/12/06 for Murray House

This inspection was carried out on 6th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Murray House 12/01/06

Murray House 02/08/05

Murray House 22/02/05

Murray House 13/07/04

Murray House 30/01/04

Murray House 03/09/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Murray House Royal Borough of Kingston Community Care Services Acre Road Kingston Upon Thames Surrey KT2 6EE Lead Inspector Diane Thackrah Key Unannounced Inspection 6th December 2006 11:00 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 Murray House DS0000033769.V322819.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. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Murray House Address Royal Borough of Kingston Community Care Services Acre Road Kingston Upon Thames Surrey KT2 6EE 020 8547 6300 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) Community Care Services Alyson Jayne Piper Care Home 38 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (38) of places Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Approved only for persons aged 60 years whose assessed needs can be met by the Home. Three (3) places for service user category dementia for older people as agreed on 24th August 2006. 12th January 2006 Date of last inspection Brief Description of the Service: Murray House is a purpose built resource centre, built in 1974 and owned and operated by The Royal Borough of Kingston Upon Thames. The resource incorporates a day centre which provides a range of activities and events for older people from throughout the Borough, and a care home providing 38 residential places. The home is situated in a residential area of north Kingston, yet is close to the town centre and local transport facilities. Murray House is one of four resource centres for older people operated by the Community Care Services division of The Royal Borough of Kingston. Fees are set at £525.64 per service users/week. Service users will pay for their personal requisites. The home provides information about its services in a Service User Guide, which is made available to current and potential Service users. Additional information can be found in the home’s Statement of Purpose. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 6th December 2006 between 11.00 and 16.30. A partial tour of the premises took place and care records were examined. Observations of care practices also occurred. The Registered Manager and four staff members were spoken with, as were eleven service users and one visitor. The views of three relatives, one general practitioner and ten service users have been received via comment cards. The views of these people will be reflected in this report. What the service does well: What has improved since the last inspection? All Requirements that were set at the last inspection of the home have been met within agreed timescales. There have been a large number of environmental improvements including the redecoration of a number of rooms, new furniture and carpets purchased and new equipment for the kitchen and laundry. Staff training has been ongoing and has included specialist training for some staff members in dementia awareness and in training aimed at improving the life experiences of older people in residential care. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 6 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. Murray House DS0000033769.V322819.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 Murray House DS0000033769.V322819.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): Quality in this outcome area is good. (3 and 4. 6 is not applicable) This judgement has been made using available evidence including a visit to this service. The home conducts pre-admission assessments so that the needs of potential service users are identified. This means that each service user can be reassured that the home has taken into account their individual needs, and feels that it can meet them; and the staff in the home can be as familiar as possible with new service users, and have an understanding of what specific service they will need to provide. EVIDENCE: During this site visit service users were consulted about all aspects of their care including the arrangements for their admission and they confirmed that they met with staff from the home before being admitted and that they had every opportunity to share their ideas about how the home might support them. Two case files of recently admitted service users were checked. The case files indicate that full needs assessment take place before admission. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 9 The majority of feedback received about the home was positive and service users indicated that their needs were well met. One relative said that they were “very satisfied” with Murray House and that the staff members were always very polite and helpful. They confirmed that there relative was “very happy” in the home. Comments from service uses included “the staff members are very helpful” “the staff are polite” “I receive all the care I need” “It’s very good here” “I feel respected by the staff members” Murray House DS0000033769.V322819.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): Quality in this outcome area is good. (7, 8, 9 and 10) This judgement has been made using available evidence including a visit to this service. There are good arrangements for care planning and service users continue to have their health, social and personal care needs well met. There are generally satisfactory arrangements for ensuring that medication is handled safely, however, there is a need for some improved practice in this area in order to fully protect service users. A strong emphasis is placed on protecting the dignity, and respecting the privacy of service users. This ensures that the well being of service users is protected. EVIDENCE: Each service user has a care plan setting out their individual social and health care needs so that staff can use this plan as the basis for the care they deliver. Care plans seen had been drawn up in consultation with the service user and their family members were relevant, and had been reviewed on a monthly basis. It was positive to note that one staff member was reviewing a service Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 11 user’s care plan, along with the service user during this inspection. The home is promoting and maintaining service users’ health by ensuring they have access to health care services to meet their assessed needs and in doing so the home is supporting service users to make decisions about how their health will be managed. There were records detailing that service users have their weight monitored regularly and see opticians, dentists and chiropodists as necessary. The home has in place procedures for ensuring the safe management of medicines. This includes, where appropriate, support and risk management for service users who wish to be responsible for their own medication so that they may do so safely. One staff member demonstrated a clear understanding of the issues involved in handling medication safely. There were records detailing that the home correctly seeks confirmation of the medicines to be administered from the doctor who provides the original prescription. The date of opening is recorded on eye drops in line with a recommendation made at the last inspection of the home. However, it is of concern that the Medication Administration Record for one service user detailed that they had not been administered their eye drops for a period of four days. This was because the medication had not been reordered until it had run out. It is of further concern that the Medication Administration Record for a new admission detailed that one item of their medication had not been obtained by the home until five days after their admission. Further more, the coding that had been used to record on this service user’s Medication Administration Record was unclear as there was no key indicating it’s meaning. There must be improved procedures for handling medication in order to ensure the wellbeing of service users and Requirements are made regarding these issues. When providing personal care staff members ensure service users’ privacy and dignity is maintained. All of the service users spoken with were positive about the staff team and the way that they were cared for. Two service users said that staff members knock on their bedroom door before entering. Another service user said that they were consulted with at all times about how they wanted to spend their time. The diversity needs of service users from different cultures or lifestyles are discussed during the assessment and admissions process. Religious belief and lifestyle wishes can then be catered for. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (12, 13, 14 and 15) This judgement has been made using available evidence including a visit to this service. There continues to be a varied activities programme and wholesome and enjoyable meals are provided; therefore differing expectations and lifestyles are well catered for. EVIDENCE: As found during past inspections of the home, there are very good opportunities for recreational activities. During this inspection, service users were noted to be engaged in an arts and crafts group, an outing to a local pub for lunch and a newspaper reading group. The reading group was being facilitated by the fulltime activities coordinator, and a volunteer. Large print newspapers had been photocopied for service users and the topic of discussion was ’10 Golden Rules of Grand parenting’ Some service users were spending time socialising, or watching television in one of the communal lounges, and some were spending time in their bedrooms. There was a hairdresser visiting the home. All service users spoken with said that they were very happy with the arrangements for daily living. One service user said that there was always enough things to do. It was evident that there are good opportunities for service users to go on outings, and to meet with their family members and friends in the home. There was a notice board in the entrance Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 13 hall displaying art work created by service users and photographs and newspaper articles about recent social events held in the home. A Thai evening, with dancing and food has recently been held in the home as part of Black History Month. Since the last inspection a new ‘visitors area’ with tea and coffee making facilities, has been created. This provides a pleasant space for service users to meet with their visitors. Also new is a newsletter which is sent service users and their relatives. This Standard has been marked as ‘exceeded’ as the home has demonstrated an ongoing commitment to developing and improving with an aim to enhancing the lifestyles experienced by service users. There was very positive feedback about food served in the home and meals seen looked nutritious and well presented. A weekly menu available on each table in the dining room detailed that meals provided are varied and that a choice of meal was always available. Menu holders were found to be grubby, however, they were cleaned and found to be satisfactory by the end of this inspection. Some service users spoken with said that they enjoyed food in the home. One service user said, “The food is good, they ask us what we want” Another service user said, “We always get a choice” and another service user said that the food was “fine” There was a vegetarian menu available. One service user said that they enjoyed the vegetarian food. A new hot plate has been purchased for the kitchen since the last inspection of the home in line with comments by service users about some meals being served either too hot or too cool. Service users spoken with said that this had improved since the new hotplate had been purchased. In general, good arrangements are in place for storing food appropriately. However, it was disappointing to note that there was cereal stored in Tupperware boxes that had not been sealed. All food items must be stored in a sealed container once opened. A Requirement is made regarding this. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (16 and 18) This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place for the protection of service users and arrangements for complaining about, or commending the service are in place so as to assure service users that their concerns will be heard and complaints dealt with in a professional manner. EVIDENCE: No issues requiring referral to the ‘protection of vulnerable adults’ procedures were identified and no complaints have been made regarding the home. There remain satisfactory policies and procedures for dealing with complaints and allegations of abuse. The Registered Manager demonstrated a commitment for dealing with any issues, before they became a problem. Induction records examined detailed that some new staff members have completed training in adult protection. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (19, 21, 25 and 26) This judgement has been made using available evidence including a visit to this service. The home is maintained, decorated and furnished to a good standard, which ensures that service users live in a pleasant, homely and comfortable environment. Facilities are in general clean and safe, and improvements have been made since the last inspection, however, there is a need for some improvements in order to ensure the well being of service users. EVIDENCE: It was positive to note that a number of environmental improvements have been made in the home since the last inspection. A number of rooms have been redecorated and some new carpets and furniture have been purchased. Some new kitchen equipment has been purchased, including a new fridge to replace one found to be unclean at the last inspection of the home. One bedroom was found to have some chipped paintwork and a small hole in the wall. There were records detailing that this bedroom is soon to be redecorated as part of the home’s rolling programme of redecoration. There was Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 16 documentation detailing that the London Fire and Emergency Planning Authority visited the home in November 2006 and found it to comply with fire safety regulations. Action has been taken by the home to address the requirements made by the Environmental Health officer following their most recent visit to the home. Good efforts have been made to create a homely and comfortable environment for service users to live in. It is recommended, however, that the camp bed used when staff members have to ‘sleep-in’ be removed from the small lounge as it hinders the ‘homely’ appearance of the room. There is a pleasant garden and tidy grounds. Toilet and bathrooms are satisfactory. One bathroom was in the process of being renovated at the time of this inspection. The majority of service users spoken with said that they were happy with their bedrooms. Most bedrooms seen had been personalised and were homely. Two service users said that their only concern about the home was that they could not control the heating in their bedrooms, and the rooms became far to hot. One service user said that this had made them “feel sick” Standard 25 is not found to be fully met as heating cannot be controlled in individual bedrooms. The Registered Manager was able to provide documentation detailing that there are plans to provide heating that can be controlled in each service user’s bedroom in early 2007. The home was clean and there were cleaning staff members on duty. A Requirement made at the last inspection of the home regarding an offensive odour in one bedroom has now been met. All areas of the home seen were fresh smelling. Some service users said that they found the home to be clean and well maintained. Laundry facilities are suitable and new washing machines have recently been purchased. There are suitable hand washing facilities throughout the home, however, it took approximately four minutes to acquire hot water from the ground floor staff toilet near the office. There are currently good systems in place for testing the water temperature in the home, however, this issue should be dealt with as a matter of priority. There was a waste paper bin in a communal lounge that had been used to dispose of plastic gloves. Used plastic gloves must be disposed on in the clinical waste bin only. Staff members must be reminded of their responsibilities for doing this. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (27, 28, 29 and 30) This judgement has been made using available evidence including a visit to this service. Staff members are provided in sufficient numbers and the procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living in the home. There is a staff training and development programme that provides staff members with skills necessary for meeting the needs of service users. EVIDENCE: Staffing levels as detailed in the staff rota, and in the numbers on shift at the time of this inspection are appropriate, and in line with the needs of current service users. There was feedback from staff members, service users, and visitors that staffing levels are sufficient. All service users spoken with said that they were happy with the staff members. One service user said that the staff were always polite and another said that the staff were helpful. Two new staff members have been employed to work in the home since the last inspection. Personnel files for these staff members were examined. Files contained the majority of the information and documentation required and there was documented evidence that all required checks had been carried out prior to the staff members commencing work in the home. There was only one written reference for one of the staff members. Also, there were no records of induction for this staff member. The Registered Manager said that Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 18 this was because the staff member had been transferred from another Royal Borough of Kingston residential establishment for older people. There have been no concerns about staff recruitment procedures at past inspections of this home, however, the Registered Manager has been reminded of her responsibility for ensuring that there are two written references held in the home for all staff members. It is acknowledged that there are generally very good procedures in place for ensuring that staff members receive induction training, however, there is a need to ensure that records are available detailing that all new staff members have undertaken such training. The Registered Manager must ensure that all new staff members are clear about the home’s individual policies and procedures (as these may differ from those at other Royal Borough of Kingston establishments) There is a good training programme for staff members and records indicate that staff training has been ongoing. There has been specialist training for some staff members in dementia awareness and in training aimed at improving the life experiences of older people in residential care. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. (31, 33, 35 and 38) This judgement has been made using available evidence including a visit to this service. Staff members continue to receive good support and guidance from the manager and there is an effective quality assurance system, this ensures that the home is run in the best interests of the service users. There are good arrangements for handling service user’s finances, which ensure that service users financial interests are safeguarded. There have been improvements in the arrangements for managing health and safety in the home, this ensures that the well being of service users, in general, is promoted and protected. EVIDENCE: Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 20 The Manager has been successful in her fit persons interview and has become registered with the Commission for Social Care Inspection since the last inspection of the home. The Manager has demonstrated good practice and competence in running the home since being in post. Relaxed and positive interactions were noted between her and service users, visitors and staff members alike. There are a number of tools for self- monitoring. Service users and their family members and staff members are surveyed on a regular basis about their views on the home. There were minutes of service user’s meetings detailing that service users have been consulted with formally about daily living issues in the home such as food, the environment and activities. A Business plan for 2005/6 has recently been reviewed. The Registered Manager has carried out ‘spot checks’ in the home this year, including one at night and an early morning visit. This is good practice. The arrangements for protecting service users’ finances are satisfactory. There were records detailing that staff members are trained in safe working practices such as moving and handling, food hygiene, infection control and first aid. A Requirement has been made however, regarding the need for all new staff members to undergo a full induction programme. Records indicated that there are regular safety checks on water temperatures, fridge and freezer temperatures, the fire alarm, emergency lighting, fire fighting equipment, and door guards. There are regular fire drills, gas and electricity safety checks, portable electrical appliance safety checks and testing for legionella. Safety checks on the lift, wheelchairs, hoists and bath seats occur. There are risk assessments in place for chemicals and all accidents and incidents are recorded. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP9 Regulation 13 (2) Requirement The Registered Provider must ensure that any medication prescribed to service users, is made available to them. The Registered Provider must ensure that Medication Administration Records provide an accurate and clear record of medication administered to service users. The Registered Provider must ensure that all food items are be stored in a sealed container once opened The Registered Provider must ensure that used plastic gloves are disposed of in clinical waste bins only. The Registered Provider must ensure that all new staff members undergo induction training and records are kept in the home detailing when this training has occurred. Timescale for action 01/01/07 2. OP9 13 (2) 01/01/07 3. OP15 16 (2)(g) 01/01/07 4. OP16 13 (4)(c) 16 (2)(k) 18 (1)(a)(i) 01/01/07 5. OP30 01/01/07 Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations The Registered Provider should ensure that the camp bed is removed from the small communal lounge. Murray House DS0000033769.V322819.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Murray House DS0000033769.V322819.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!