Inspection on 27/10/05 for Newlands Cottages (10)

This inspection was carried out on 27th October 2005.

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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newlands Cottages (10) 29/03/07

Newlands Cottages (10) 05/10/04

Newlands Cottages (10) 13/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Newlands Cottages 10 Newlands Cottages Fox Lane Coulsdon Common Coulsdon Surrey CR3 5QS Lead Inspector Claire Taylor Unannounced Inspection 27October & 11 November 2005 10:00 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newlands Cottages 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) 10 Newlands Cottages Fox Lane Coulsdon Common Coulsdon Surrey CR3 5QS 01883 349 507 01883 349 507 thfcare@newlandscottages.fsnet.co.uk THF Care Estates Limited Dana Thompson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 April 2005 Brief Description of the Service: 10 Newlands Cottages is owned by THF Care Estates Limited and is registered to provide residential care for up to three adults with moderate learning disabilities. An all male group of three service users currently resides at the home who are aged between their mid- twenties and thirties. The cottage is an older style detached property situated in a quiet rural area between Coulsdon and Caterham. The home is very close to a local bus route, country pub and a parade of local shops. 10 Newlands cottage is built over two-stories comprising of three good-sized bedrooms, two communal lounges, an open plan kitchen and dinning room area, an office, two WC’s and a bathroom. The cottage shares its laundry facilities, which are located in the garage, with no. 8 Newlands, also owned by THF Care Estates. The home has a garden, its own vehicle and ample space in the front drive for parking. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection for the year and was unannounced. The report is based on findings from two visits, as some records were not accessible during the first inspection. A brief second visit was therefore undertaken on the 11 November to meet with the manager and check some records related to previous requirements. Inspection time was spent examining records, talking to one service user and one staff. The main inspection lasted four hours and took place over a lunchtime and afternoon. A walk round the premises took place and one service user’s bedroom was viewed with their permission. It must be noted that there are similarities in this inspection report as there are in the report for the adjoining care home, 8 Newlands Cottages. The documentation is almost the same, as there is a joint staff team and the two cottages are run together, have the same registration category and are owned by the same organisation. One service user has moved in to the home since the last inspection. All key standards were assessed at the home’s previous inspection in April 2005 and the reader is therefore referred to that report should they require any further information. What the service does well: This home continues to provide good support for service users to live as independently as possible and improve their quality of life. Due to its small size and high staffing ratio, the service users benefit from a family type environment. There are many activities offered in a variety of ways. Support is often given on a one to one basis, offering service users quality time with members of staff. Staff encourage service users to make choices and to plan what they want to do each day. They are encouraged to take responsibility for running their home and learn, or further develop independent living skills such as cooking, domestic tasks and organising their personal leisure activities. The care planning process is managed to a good standard. Individual plans of care are reviewed and revised regularly and service users are fully involved. This ensures that the home continues to meet their individual needs. Time was spent independently and informally with individual service users who gave favourable comments about the home and that they liked the staff team and activities. The management of the home is open and inclusive; staff are well supported to carry out their duties and have a variety of skills and knowledge as well as experience relevant to meet the needs of this service user group. The home is comfortably furnished/decorated and provides pleasant and homely surroundings for the people who live there. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 6 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. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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): 3, 4 and 5 The home has its own assessment plan to ensure that any new service user’s needs are fully assessed prior to their admission and that staff are aware of how to support them. Full contracts need to be provided to ensure that service users are fully informed about the services and support they can expect to receive. EVIDENCE: Copies of needs assessments were on file for each service user as well as detailed needs assessments completed by their placing authorities. I.e. undertaken by their care managers. Content of the assessments was detailed and person centred to the service user’s individual needs. This provides staff with comprehensive information about the individual and how they should be supported. A detailed assessment was available for the service user who had recently moved to the home. Records showed that the service user had received appropriate support to settle in. In addition, the person was able to continue with their preferred activities and hobbies such as golf and watching football. Copies of contracts between each service user and their placing authority are still being held at the owning organisation’s central offices. These must be made available to service users in the home as they outline full terms of occupancy including other arrangements for holiday costs for two service users. This requirement is therefore repeated. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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 The care planning process is well managed and ensures a very personalised and consistently high level of service provision for the people living in the home. Staff encourage service users to make decisions about their lives that maximises their involvement and opportunities to contribute to the operation of the home. Service users are provided with the necessary support to take risks so that independence is maximised as far as possible. EVIDENCE: All of the service users have a plan of care that reflects their identified needs. Records indicated that service users are fully involved in their individual planning meetings and supported to achieve their personal goals and aspirations. As part of the review process, each service user has a key worker who is responsible for updating their key service users monthly ‘progress sheets’ which form part of their care plan. Daily records are also kept which highlight progress; achievements and any activities participated in. Plans are flexible so that daily programmes can alter if service users wish to do something different. Through regular house meetings with service users, relevant issues are discussed concerning all aspects of life in the home and in relation to individual needs. Care plans illustrate detailed risk assessments for each service user. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 10 These cover a variety of different areas for each individual, for example, money management, cooking, taking medication and going out in the community. Risk plans are reviewed by staff regularly and show that action is taken to minimise risk, whilst encouraging independence for service users. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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): 11, 13, 14 and 17 Service users have the opportunity for self-development, are part of the local community and are supported to continue education and appropriate activities, so that they can maximise fulfilment and achievement in their lives. Improvements could still be made towards funding social activities however. Meal provision reflects variety and choices, whilst seeking to maintain a healthy lifestyle for service users. EVIDENCE: A good range of activities is provided on both an individual and group basis, with staff focused on promoting independence and valuing service users individuality. All three service users attend Tandridge Hill Farm five days a week, which provides them with a wide variety of opportunities to develop their educational, vocational, and practical life skills through animal care, gardening, horticulture, and art and crafts. The registered provider for the home also owns the farm and working at the farm forms part of the service users contract / fees. The home keeps a social activity diary of all activities undertaken by service users. This includes going out on a monthly social event that is chosen by each service user. Recent events included a visit to “Cadbury’s World” and a carnival. Entertainment facilities are available within Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 12 the home including TV, music system, videos, computer and a “Playstation” console for one service user. Disappointingly, the registered providers, THF Estates have not addressed the previous recommendation concerning the funding of activities for service users. When an outing is arranged, service users are expected to pay for staff costs as well as their own. E.g. admission fees, meals out, travel cards any other costs. With the exception of travelling to the farm, service users also contribute towards petrol expenses for the home’s own vehicle when going out socially. Given that the majority of other organisations contribute funds towards service users social activities, the registered provider should provide a budget for staff expenses and /or social outings. The menus are displayed in the kitchen and are planned around service users choices. Each service user has their own menu chart for recording their chosen preferences on a weekly basis. Mealtimes are arranged flexibly to suit individual work and activity schedules. Food provided is nutritious and offers a well balanced diet. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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): 18, 19 and 21 Service users welfare is closely monitored and suitable arrangements are in place to ensure that their physical health and emotional needs are met. Standard 20 was assessed as met at the April 2005 inspection. EVIDENCE: Where needed, staff offer service users guidance about personal care/hygiene and individuals have specific goal plans to help them develop their personal care skills. Daily routines and house rules promote independence and individual choice for service users. Times for getting up/going to bed are flexible, as are mealtimes. Staff were observed to consult with service users in a courteous manner and respect their preferences. The home encourages service users to be responsible for housekeeping tasks to develop their independence. One service user keeps a timetable in his room and said this helps him to remember his daily routines for helping around the house. Information relating to personal and healthcare needs including both routine and one off health interventions are well recorded. Care plans and specific strategies identify individual and specialist needs, and also reflect any changing needs. Detailed records were in place and involvement with specialist services highlighted. Service users are registered with a local GP practice and have access to other NHS facilities as necessary. E.g. dentist, optician, Consultant, chiropodist, and community psychiatric nurse. Potential Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 14 complications and problems are identified and dealt with through prompt referrals to the appropriate health professional. All service users are offered annual health checks and the newest service user had been supported to register with a new GP practice within a month of moving to the home. The home has developed a form to record service users wishes concerning ageing, illness and death so that their beliefs would be observed and choices respected. Relatives had also been consulted about their views where individuals may find it difficult to discuss this issue. Appropriate records were kept in each care plan. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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 Arrangements for dealing with complaints are well managed to ensure that service users feel listened to and their views are acted upon. Standard 23 was assessed as met at the April 2005 inspection. EVIDENCE: A clear complaints procedure is included in the service users guide and conspicuously displayed in the home. Service users spoken to were clear about who they would speak to if they felt unhappy. Informal concerns raised by service users are addressed through discussion with staff on a day- to- day basis and at regular house meetings. Each service user is provided with a summary of the complaints procedure which they had signed receipt for. A log of complaints is kept in a book and no complaints had been made about the home since the last inspection. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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, 26, 27, 28 and 30 Overall, the home is decorated and furnished in a homely, modern fashion and provides service users with clean and comfortable surroundings in which to live. The garden area could be improved however and the door handle on the downstairs toilet needs replacing. Bedrooms are designed and furnished to meet service users personal preferences and individual lifestyles. EVIDENCE: The home has a detailed planned programme of maintenance for the redecoration of the home. As previously required, woodwork in the hall, landing and staircase has been repainted as well as the ceiling by the front door. The home has two lounge areas with one being used when people want some quiet time on their own. One of the service users is able to play games on his “playstation” in the smaller lounge. One service user is thanked for their time to show the inspector their bedroom and talk about their personal interests. As previously required, the carpet in the office has yet to be replaced and could present as a potential trip hazard due to its unsecured fitting. In addition, the office would benefit from refurbishment and redecoration for which a recommendation has been made. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 17 Good hygiene practices are in place and the home appeared clean, tidy and free from offensive odours. As previously required, improvements have been made in the laundry room. Suitable lighting has been fitted and a hot water supply is now available. Bathroom and toilet facilities were clean and in a fairly good state of repair although there was no handle on the downstairs toilet and this should be addressed. The provider is also required to make improvements to the rear garden, as it appeared poorly maintained with overgrown shrubs and grass. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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): 32, 33, 35 and 36 The home has a stable staff team, who have a range of experiences and relevant training that enables them to meet the needs of the service users living at the home. EVIDENCE: Since the last inspection, the staff team remains largely unchanged and a consistent core team of bank staff is used to cover any leave or staff sickness. Rota allocation allows for one to two members of staff per shift with one sleep in staff at night. Due to the home’s small size and high staffing ratio, the service users benefit from a family type environment and one to one support and supervision from staff. Service users feedback on staff was positive with one service user saying that they were happy with the staff working in the home. The senior bank staff on duty during this inspection demonstrated a clear understanding of the service users needs and how to support them. In addition, she spoke respectfully with the service users; supported them to make choices and carry out their routines as they wished. The staff described what training she had received which included an orientation to the home, abuse awareness, first aid and food hygiene. In addition, training on mental health awareness had recently been held in the home which she also attended. Regular staff meetings are held on a monthly basis and in depth consultations about the home’s care practices and service users needs are routinely discussed. To check a previous requirement concerning staff records, a second Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 19 visit was carried out on the 11 November to meet with the manager. This had been addressed in that the manager had completed an annual job appraisal with one of the registered providers. Records showed that training needs had been identified for the manager and included a very positive appraisal of her work performance. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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): 39 and 42 Further improvements are still needed with the quality assurance system to ensure that quality of care is regularly appraised and the home is meeting its objectives. The health, safety and welfare of service users is generally protected although an electrical safety inspection for the premises is still needed. If left unchecked for too long, people living and working in the home could be put at risk. Standard 37 was assessed as met at the April 2005 inspection. EVIDENCE: At the previous inspection, the home was required to implement a quality assurance system and an annual development plan. The home has offered questionnaires to service users, their relatives and other interested parties but findings from these have yet to be evaluated. Information gathered from these questionnaires needs to be published in an annual development plan for the home. The results of any surveys carried out should be made available to the service users, staff and any interested stakeholders. This would them Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 21 demonstrate what action the home has taken to act upon any findings and thus, improve its quality of care. As this has not commenced, the requirement remains in force. Overall, health and safety practices are well observed. The servicing and maintenance records for the home were sampled at random and generally up to date. As previously required, the manager had reviewed risk assessments for safe working practices and the premises. A regular check and walk round the premises is carried out monthly to ensure that it remains safe for service users, the staff and any visitors. Fire drills are organised at regular intervals and fire alarms and equipment had been checked in September 05. Accurate records are kept for accident and incident reporting. The home keeps the Commission appropriately informed of any incidents that affect the service users well being. The previous requirement concerning electrical safety had been partly addressed. Records showed that electrical appliances had been checked but there was no certificate to evidence that the home’s overall electrical system was satisfactory. An electrical safety report must be available to show that the premises comply with legislation. Service users and staff safety could be compromised if necessary maintenance checks are not completed. Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 3 2 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 2 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newlands Cottages Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000025818.V262621.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES- 4 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 YA5 Regulation 5(1) 17(2) Requirement Contracts between the service user and their placing authority must be made available to them in the home. (Timescale of 31/05/05 not met) The loose carpet in the office needs to be made secure or replaced. (Timescale of 31/07/05 not met) The rear garden is in need of attention due to its overgrown condition. A handle needs to be fitted to the downstairs toilet door. The registered provider must ensure an annual quality assurance development plan is implemented for the home. A copy of which must be sent to the local office of the CSCI.(Outstanding from inspection October 2004) Timescale for action 31/12/05 2. YA24 23(2)(b) 12(1) 31/01/06 3. YA24 23(2)(b & o) 23(2)(b & c) 24(2) 31/03/06 4. 5. YA27 YA39 31/12/05 31/12/05 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 24 6. YA42 13(4) The registered provider must arrange another electrical safety inspection for the home to demonstrate that the system complies with current legislation. (Timescale of 31/07/05 not met) 31/12/05 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 YA14 Good Practice Recommendations The registered providers, THF Estates should consider alternative ways of funding service users activities i.e. pay towards staff expenses and/ or provide a budget for social activities.(Recommendation outstanding from April 2005 inspection) The office would benefit from redecoration and refurbishment. 2. YA24 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Newlands Cottages DS0000025818.V262621.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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