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Inspection on 10/03/08 for Oakhurst Court Rest Home

Also see our care home review for Oakhurst Court Rest Home for more information

This inspection was carried out on 10th March 2008.

CSCI found this care home to be providing an Adequate 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

Oakhurst Court provides a homely, comfortable and well-maintained environment for the people who live there. The home is very clean and tidy. Residents feel well supported and cared for by the staff who they say treat them with kindness and respect. The grounds are very well cared for. There are a variety of fresh and wholesome meals available that residents say they enjoy. Visitors are made welcome.

What has improved since the last inspection?

Ongoing redecoration and refurbishment is evident in the home. Staff training is being progressed with both the acting manager and his partner achieving the registered managers award.

What the care home could do better:

The management of the home needs to ensure that all prospective residents are suitably assessed before they accepted for admission to the home to ensure their needs can be met. The care documentation needs to be improved to ensure each resident has an individual plan of care that provides clear guidance to care staff and promotes person centred care. Residents or their representatives need to be involved in the planning of this care. Suitable individual risk assessments need to be completed and should be reviewed regularly along with the residents assessments to ensure residents receive the best and safest care. Staff need to be vigilant to ensure medicine records are accurate and can be used for auditing purposes. The home needs to have an appropriate policy and procedure to follow once an allegation or suspicion of abuse is made to ensure appropriate action is taken in response. Robust Health and Safety systems need to be adopted and recorded to ensure staff and resident`s safety to include up to date risk assessments are reported on and responded to with appropriate control measures put in place in consultation with the local Environmental Health Department, to ensure resident safety. Suitable policies and procedures also need to be established to underpin best and safest practice.

CARE HOMES FOR OLDER PEOPLE Oakhurst Court Rest Home Carron Lane Midhurst West Sussex GU29 9LF Lead Inspector Melanie Freeman Unannounced Inspection 10:00 10 March 2008 th 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 Oakhurst Court Rest Home DS0000014644.V359618.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. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakhurst Court Rest Home Address Carron Lane Midhurst West Sussex GU29 9LF 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) 01730 816242 Mr Ivor Elliott Mrs Hazel Jane Elliott, Mr Gerald Michael Elliott Mrs Hazel Jane Elliott Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 persons in the category OP (over 65 years) Date of last inspection 8th November 2006 Brief Description of the Service: Oakhurst Court is a privately owned establishment registered to accommodate six persons in the category of OP (Old Age over 65 years of age). The detached property is set in it’s own attractive grounds and is situated in a rural area approximately one mile from Midhurst town centre. Accommodation is provided on the ground and first floor level. There is no lift available, therefore only people who can manage the stairs are to be accommodated above ground floor level. The establishment has been in the same ownership since 1986 when first registered. Mr. I. Elliott, Mrs. H. Elliott and Mr. G. Elliott are the registered providers. Mrs. H. Elliott is the registered manager although Mr. G. Elliott confirmed that his application to become the registered manager is being processed by the Commission. The range of fees charged (at the time of this report) are £420 - £460 per week, with additional charges for chiropody, hairdressing, toiletries, and any newspapers. Oakhurst Court Rest Home DS0000014644.V359618.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 1 star. This means the people who use this service experience adequate quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Oakhurst Court Care Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with Mr. G. Elliott on of the registered providers and the acting manager. The allocated inspector spent approximately four and a half hours in the home and was able to discuss the service and care provided with the senior carer in the home and the residents in the home. During the assessment visit the inspector was able to spend most of her time meeting with the staff, residents and observing practice in the home. A brief tour of the premises was undertaken and a range of documentation was reviewed including the, pre-admission assessment documents, the systems in place for handling complaints and safeguarding vulnerable adults, and a selection of policies and procedures and some health and safety records. The care documentation pertaining to three residents were reviewed in depth. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from three resident representatives. The required Annual Quality Assurance Assessment (AQAA) was not available to the allocated inspector to inform the inspection process or the report. What the service does well: Oakhurst Court provides a homely, comfortable and well-maintained environment for the people who live there. The home is very clean and tidy. Residents feel well supported and cared for by the staff who they say treat them with kindness and respect. The grounds are very well cared for. There are a variety of fresh and wholesome meals available that residents say they enjoy. Visitors are made welcome. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oakhurst Court Rest Home DS0000014644.V359618.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 Oakhurst Court Rest Home DS0000014644.V359618.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): 1, 3 and 6 People who use this service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents, with information about the home, its facilities, services and the costs involved. The admission procedures do not ensure that all prospective residents are fully assessed by a competent person before admission. EVIDENCE: The senior carer who was in charge of the home in Mr.G.Elliott’s absence was not able to locate the statement of purpose, service users guide or the last inspection report. Telephone contact with Mr.G.Elliott following the inspection visit confirmed that he and is partner are rarely away from the home but recognised that staff working in the home in their absence must have access to relevant information. He advised that a statement of purpose and service Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 9 users guide is retained in the home with the last inspection report and that they needed to be updated to reflect recent changes. The last inspection report recorded that the homes statement of purpose and service users guide had been seen and found to include the required information. An assessment of the admission process included a review of the documentation used in respect of two recent admissions to the home. The care documentation viewed did not evidence that any pre-admission assessment had been completed on either of these residents. Later discussion with Mr. G. Elliott clarified that one of these residents had not been assessed before admission and he did not know why this had not been completed. The other residents had been assessed although the documentation did not clearly record when and by whom this was completed. Information was supplied by the discharging hospital and care home for each of these residents and these documents were included in the relevant care documentation file. Intermediate care is not provided at Oakhurst Court Care Home. Oakhurst Court Rest Home DS0000014644.V359618.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 People who use this service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Whilst resident’s health care needs are met with evidence of regular input from health care professionals as necessary, resident’s health, personal and social care needs are not set out in an individual plan of care. The homes practice does not ensure resident’s medicines are administered safely, residents are treated with respect and have their privacy and dignity maintained. EVIDENCE: The care documentation pertaining to three residents were reviewed as part of the inspection process and each of these residents were met with during the inspection visit to the home. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 11 Although individual needs assessments are completed and there was evidence of review they were not dated or signed. One of the residents did not have a plan of care despite being in the home for a month. The other two plans of care reviewed were minimal in content and did not provide clear guidelines on how any care was to be provided. They did not cover all the health personal and social care needs or reflect a person centred approach to care, there was also no evidence that they were completed in consultation with the resident or their representative. It was also noted that they were not dated or signed. Mr.G. Elliott expressed a wish following the inspection visit to replace the care documentation to improve all record keeping. It was clearly demonstrated through the care records and speaking with residents and staff, and a visiting health professional, that the health care needs of residents are well promoted and maintained. Residents and relatives were satisfied that resident’s health care needs were met. Staff demonstrated a good awareness of individual needs. All residents were very happy with the care they received provided at the home and this view was supported by the surveys received. One residents said that ‘The care in the home is very good’ and talked about feeling safe in the home. A visiting health care professional was also very positive about the care provided saying ‘the home was excellent’. Individual risk assessments are not well documented and did not record that all risks are assessed and responded to. Although the inspector was advised that residents are weighed this was not recorded in the care documentation and no other nutritional screening is completed. The medicine records were examined and it was noted that the records relating to the last two days had not been completed. The senior carer said that the medicines were administered but she had not recorded this fact. Mr Elliott was advised of this shortfall. No resident self-administers and it was evidenced to the inspector that staff had recently received training on medicine handling. Residents confirmed that they received their medication when they needed them. The home does not have a recent photograph of each resident and this was identified to the senior carer in the home. Throughout the inspection visit staff were seen to be attentive and kind to residents and to speak to them in a respectful way. Oakhurst Court Rest Home DS0000014644.V359618.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to maintain contact with family, friends, representatives and the local community and are able to exercise choice over their lives. The food is home cooked, wholesome, appealing and enjoyed by residents. EVIDENCE: The residents lead a life very similar to what they would do at their own home. Activity is based around daily life routines and they spend a lot of time together talking and chatting with each other. Visitors are made welcome in the home. The visitor’s book was seen during the visit and friends and relatives of the residents were frequent visitors. One resident said, ‘It’s like a home from home. We all know each other well and get on well’. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 13 Residents’ bedrooms were seen to include personal possessions that they had brought from their own homes. Residents are encouraged to keep control of their own monies and to go out with relatives whenever they want to. Oakhurst Court does not provide a written menu as meal choices are discussed directly with residents. The lunchtime meal was eaten in the dining room and all residents said how much they enjoyed the food in the home. One resident said ‘the food is always very good here’. Menus are based on the likes and dislikes of residents and alternatives are provided if wanted. Oakhurst Court Rest Home DS0000014644.V359618.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that any complaint made would be managed appropriately, with residents knowing who to complain to. The homes procedures and staff training do not ensure the home would respond effectively and appropriately to an allegation or suspicion of abuse. EVIDENCE: The homes complaints procedure does not reflect the current registering authority or reference to social services who are often the placing and funding authority. Mr Elliott was advised of these required improvements and said that he would make the necessary amendments and confirmed that there had not been any complaints since the last inspection. He explained that the regular contact with the residents ensured any issues were resolved. Contact with residents confirmed that this approach worked and they had not needed to complain about anything. The homes Adult Protection (safeguarding vulnerable adults) and Whistle blowing procedure is not suitable and staff on duty said that they had not had any training on adult abuse issues. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 15 Mr.G. Elliott advised that he and his partner have enrolled to attend the West Sussex Safeguarding Adults road show where he will get a copy of the new local policies and procedures. He also acknowledged that the other staff working in the home had not received training and would be addressing this along with updating the homes policies and procedures once he had attended the training. Oakhurst Court Rest Home DS0000014644.V359618.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, 25 and 26 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: Oakhurst Court is a converted detached family home situated in its own attractive grounds close to the local amenities in Midhurst. Accommodation is provided on two floors. It has a comfortable and homely atmosphere. It was seen to be clean and tidy throughout. Furniture, floor coverings and carpets were in good condition. All bedrooms are very personalised, and residents said that they liked their rooms. Some rooms have en suite facilities and there is one bathroom on the ground floor. There is no lift so the two residents living upstairs need to be Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 17 able to manage the stairs safely. There is an attractive lounge with an adjoining dining area. During the inspection visit it was that the radiators in the communal areas are not guarded and Mr Elliott said that the risks associated with these had been assessed and responded to. At the time of this visit the radiators were not hot and did not present a risk to residents. Risk assessments associated with hot water and radiators were, not seen by the inspector, as they could not be located. All laundry is completed on sit and there is a separate designated area for this in an outhouse. Clearer infection control policies and procedures need to be established that take into account most recent Department of Health guidelines. Oakhurst Court Rest Home DS0000014644.V359618.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is sufficient staff that are suitably trained on duty to ensure that residents receive the level of care they need although ongoing staff training needs to be maintained and clearly recorded. EVIDENCE: At the time of this assessment visit five residents were living at Oakhurst Court Care Home. Staffing rotas are not retained by the home and Mr Elliott was reminded that these records must be written and retained by the home he agreed to do this in the future. Two people work in the home during the waking day hours with two people on call, via a call system, at night. Residents all felt that whenever they needed help it was available. Mr Elliott said that he and his partner work and live in the home and provide 90 of the staffing provision. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 19 Staff files were not available for inspection as Mr Elliott has these stored securely. The last inspection report recoded that the staff files examined were found to include all the required documentation, including an application form, two written references, and a Criminal Records Bureau Check. Most of the training provided in the home is in-house and discussion with staff working in the home indicated that they had received a good amount of training that had included safe moving and handling, basic food hygiene and fire training, but did not know how or where this was recorded. Mr Elliott said that a full record of training provided to people working in the home is maintained. Both Mr. G. Elliott and his partner have completed the Registered Managers Award. Oakhurst Court Rest Home DS0000014644.V359618.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management arrangements provide clear leadership and an appropriate management structure although these needs to be formalised. Systems for monitoring the quality of care take account of resident’s views and are used to improve the service. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff are generally promoted and protected although practice in the home needs to be supported by appropriate risk assessments, and policies and procedures. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 21 EVIDENCE: Oakhurst Court has three registered providers one of which is Mr. G. Elliott who explained that his parents are retiring and that he has applied to become the registered manager to replace his mother. He has completed the NVQ 4 and Registered Manager’s Award and lives in the home with his partner providing the daily management. All feedback received about the management of the home was positive and reflected an open friendly atmosphere in the home. Although there was no evidence available to confirm that a process for quality monitoring is followed. Mr.G.Elliott said that resident questionnaires are completed every year and responded to however no audit or report is generated from these. He said that as they have such a close contact with the residents they are reviewing the service and care on a daily basis. The home does not hold any money on behalf of residents and their affairs are managed either by themselves or family members. Some safety certificates were available for inspection and included the gas boiler safety certificate. Environmental risk assessments were not seen although Mr Elliott said these were in use. The homes policies and procedures manual was reviewed and those seen were not up to date and did not reflect thorough risk assessment processes. The homes policies and procedures need to be reviewed and updated to reflect best practice and current legislation. Oakhurst Court Rest Home DS0000014644.V359618.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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 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 2 3 X X X X X 2 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 2 Oakhurst Court Rest Home DS0000014644.V359618.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. 1 Standard OP3 Regulation 14(1) Requirement Timescale for action 01/05/08 2 OP7 15 3 OP8 13 4 OP9 13(2) That a full needs assessment is completed by a competent person for each perspective resident before admission. That individual care plans 01/05/08 providing specific guidance on person centred care for staff to follow is devised for each resident in consultation with the resident or their representative That individual risk assessments 01/05/08 that cover all residents risk are recorded and responded to with evidence of regular review and evaluation of care and risks. That all medicines are handled to 01/04/08 ensure residents safety and accurate records are maintained. That each resident has an up to date photograph held on file. That clear up to date procedures 01/05/08 are in place to be followed when a suspicion or allegation of abuse is made. That all staff receive training on safeguarding vulnerable adults. That robust health and safety 01/04/08 practice is adopted to include DS0000014644.V359618.R01.S.doc Version 5.2 5 OP18 13(6) 6 OP25 OP38 12 (1) 13 (5) Oakhurst Court Rest Home Page 24 clear polices and procedures and thorough environmental risk assessment that are actioned as necessary in consultation with the Environmental Health Officers. 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 OP33 Good Practice Recommendations That any quality assurance questionnaires completed are audited and reported on. Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 25 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 Oakhurst Court Rest Home DS0000014644.V359618.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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