Inspection on 24/10/06 for Orchard View

This inspection was carried out on 24th October 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 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Orchard View 22/10/08

Orchard View 07/03/06

Orchard View 05/10/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Orchard View Orchard View 1 Parsonage Lane Frindsbury Strood Kent ME72 4HP Lead Inspector Jo Griffiths Key Unannounced Inspection 24th October 2006 10:45 Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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 Orchard View DS0000063306.V306085.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 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. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard View 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) Orchard View 1 Parsonage Lane Frindsbury Strood Kent ME72 4HP 01634 725363 01634 725363 The Regard Partnership Limited David Michael Clements Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th June 2006 Brief Description of the Service: Orchard View is a care home for adults with a learning disability and can accommodate 9 people. It is situated just off a main road in Frindsbury and is not far from the town centre of Strood. The home provides 24 hour support and has single bedrooms and spacious living areas. The service specialises in supporting younger adults that are preparing to move into adult life. It also has specialist knowledge in supporting people that present difficult behaviours. The fees currently charged for this service range from £1215 to £1890 per week. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The Inspector spent time talking with the Manager and two of the people that live at the home. Care plans and other records in the home were seen as part of this inspection. There were 7 people living in the home. Comment cards were received from the GP, one care Manager, 3 service users and 5 relatives. Overall the comments were very positive about the home. There were some concerns raised about the need for more male staff in the home and this was discussed with the Manager. (See staffing section) Some of the comments from the feedback received included; “The staff are kind and understanding” “X seems very content and happy” “I feel that the staff work to a very high standard” “The home is always clean and very welcoming” What the service does well: What has improved since the last inspection? Some areas of the home have been newly decorated. The guidelines for supporting people who become distressed or aggressive have been reviewed. These now give staff more information on how to best help the person. Orchard View DS0000063306.V306085.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. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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 Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they will have their needs assessed before being offered a place at the home. EVIDENCE: People that have recently moved into the home have had a full assessment of their needs, which was carried out by the Manager of the home. Some care managers have also provided assessments of need. In addition to the pre admissions assessment other assessments have been conducted as needed, for example, by the psychologist or behavioural specialist. For those people who have been living at the home for some time, their assessment of needs has been kept under review. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have a person centred plan that meets their needs. Service users are supported to make decisions about their lives. Service users participate in the running of the home. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Each individual living in the home has a person centred plan. These have been completed with the person themselves. The plan includes the support the person needs within everyday life as well as their hopes and wishes for the future. The plans have been adapted to include pictures and symbols and the Manager hopes to develop this further to make it even easier for people to Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 10 understand their own plans. Some really good examples were seen of how photos had been used to build a persons life story. This helps staff to understand the person as a whole. Work has begun to help people understand and sign their plans to give them some ownership and control. Person centred plans are kept under review and each person meets with their keyworker regularly to see how things are going. The people living in the home are encouraged and supported to make choices and decisions about their own lives. Various communication tools, including pictures and symbols, are used to help people to communicate what they want and how they feel. The decisions that people make are respected by the staff, for example, on the day of the visit one person had chosen not to go to his activity so was offered alternatives. Meetings are held in the home for the people that live there. These are called “Our meetings”. This is an opportunity for people to say how they feel about things in the home and to share any ideas, suggestions or concerns. Minutes are taken of these meetings and any action points are followed up at the next meeting. Where possible individuals are supported to manage their own money. Some people rely on an appointee for their income support and other benefits. At present this is someone within The Regard Partnership. It is recommended that the appointee be someone not connected with the company. Individuals are supported to take risks as part of an independent lifestyle. Risk assessments have been completed for activities that people wish to do and measures taken to reduce the risks as far as possible. Good risk assessments within the home have allowed individuals to go out independently and to enjoy a range of activities. All the risk assessments had been reviewed in September 2006. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users have opportunities for personal development. Service users are supported to do the activities they want to and to get a job if they wish. Service users engage in the leisure activities they choose to do. Service users are part of their local community. Service users are supported to build and maintain relationships. Service users rights are recognised and they are aware of their responsibilities. Service users enjoy a balanced diet. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 12 EVIDENCE: Each person has a plan of activities that is available for them to do each week. One person spoken with said they had been involved in drawing up their activity planner. Records show that people have busy and fulfilled lifestyles. The types of activities that people do include courses at college, shopping and banking, social club, going to the pub, trampolining, art lessons, exercise classes, cookery, using the home computer, drama and volunteer work. One person spoke of his new job and how he was looking forward to starting it. He said he had ideas for what he would like to do in the future and the Manager was helping him to look into these. He also said “ I am always busy and I like to go out for lunch each month with my family.” Visitors are welcomed to the home and people living in the home are supported to keep in contact with their family and friends. At the time of the inspection four service users had gone ten pin bowling and out for lunch. Another person had gone shopping. Two people were at home. There is good public transport in the area and the home has a vehicle. The rights of the people living at the home are respected and they are supported to make their own decisions. Keys are available for all the bedroom doors and some people have chosen to lock their rooms. This is respected by staff. They are also supported to understand their responsibilities within the home. These are included within the Service User Guide that each person gets when they move in. People are supported to be involved in some household tasks to help them learn new skills and become more independent. There is a 4 week menu that offers a balanced and nutritious diet. Regular meetings are held with the people living in the home to get their views on the menu. They make suggestions for things they would like to add or remove and picture cards are available to help them with this. On a daily basis people can choose to have something different to what is on the menu. Snacks and drinks are available at anytime of the day or night. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users personal care needs are met. Service users health needs are met. Service users would benefit from staff undertaking accredited training in medication administration. EVIDENCE: Each persons plan states the levels of support they need with everyday tasks. People living at this home are able to do most things for themselves and need very little support with their personal care. People have their health needs identified within their person centred plan. They are each registered with a GP and staff support them to make appointments as needed. Appointments are also made, as needed, with the optician, dentist and other health care specialists. Referrals are made through the GP or the local Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 14 learning disability team for support from psychologists and behavioural specialists where required. Medication was seen to be stored safely within a locked cabinet. The records were completed accurately. Staff have completed training with The Regard Partnership in medication but this is an awareness course only and is not accredited. All staff must complete an accredited course in medication. The Manager said the company had already addressed this. In addition the Manager was advised that he should assess the competence of staff before they are able to give medication. This should be renewed every year. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know how to make a complaint and know they will be taken seriously. Service users are protected from abuse. EVIDENCE: There is a pictorial complaints procedure available for people living at the home to use. It is clear and simple to follow. There were 2 complaints logged in the complaints book from people living at the home that were made in March 2006. These were about another person in the home and were responded to appropriately by the Manager. As well as the formal complaints procedure people can discuss concerns in the keyworker meetings, in ‘Our meeting’ or with their care Manager. People spoken with said they knew how to make a complaint if they needed to. Staff have received training in Safeguarding vulnerable adults. The company has a procedure for this that reflects the local authority multi agency policy. There is a whistle blowing policy in place and staff were aware of this. Occasionally physical intervention is needed for one or two service users to ensure their safety and the safety of others in the home. Staff have been trained in this area. Guidelines could be further expanded to detail when and how any techniques should be used and staff need to provide more detail on Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 16 the incident forms so that the Manager can monitor its use. Staff said physical intervention is used as a last resort. The people living at the home did not have any concerns about its use. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 27, 28, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, safe and hygienic home. Service users bedrooms meet their needs and promote their independence. Service users have sufficient bathroom and communal facilities. EVIDENCE: Overall the home is comfortable, warm and hygienic. It has a homely feel. The Manager said that a programme of redecoration was underway throughout the whole home. Two of the vacant bedrooms were being decorated and the entrance hall had been done. There is a lounge that has been recently decorated. This has plenty of seating, a computer, digital TV and a DVD player. The dining room is spacious and Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 18 clean. It is the generally the social hub of the household. It is planned by the Manager that the 2 large tables will be replaced by smaller ones to encourage a more relaxed and social atmosphere at mealtimes. There are six toilets, three baths and one shower across the two floors of the home. These meet the needs of all the people living there. The kitchen is fully accessible for everyone to use. Each persons bedroom reflects their own tastes and staff respect their personal space. Bedrooms are not ensuite but have a wash hand basin. One person has vacated their bedroom and was staying in the spare bedroom upstairs. This was because his behavioural difficulties have resulted in him ruining his flooring. The person has been assessed by a behavioural specialist who has advised that the person appears to cope better with a fairly sparse bedroom, due to his autism. The Manager has arranged for new flooring to be fitted and then the person can move back into their room. There is a large garden to the rear of the house that the people living there can use. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34, 35, 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users would benefit from more staff gaining their NVQ award. Service users are supported by an effective team. Service users are protected by the home’s recruitment procedures. Service users would benefit from staff undertaking accredited training. Service users are supported by supervised staff. EVIDENCE: There are at least 3 staff on duty during the day to ensure that people can go out and do the activities they want to and at times there are more. At the weekends the Manager tries to ensure that there is a minimum of 3 staff on duty. At night there is a waking night staff and a sleep in staff. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 20 Feedback from relatives, other professionals and people living in the home suggested that they would like to see more male staff employed at the home as the occupants of the home are mainly male. The Manager said that new staff were being recruited and that he would try to recruit more male staff if possible. Approximately 24 of the staff team have an NVQ qualification. The Manager said other staff are keen to do an NVQ and are waiting for spaces to become available. There is an acting deputy Manager in post. This person should be a priority for an NVQ level 3. Staff have completed training courses in most areas. However, this training has been provided by The Regard partnership and has not been accredited. For example, a trainer accredited with the CIEH must provide food hygiene training. Moving and handling, 1st Aid and Health and Safety must be provided by qualified trainers. The current training certificates do not state what the training included or the qualifications of the trainer. The Manager cannot be sure therefore that the staff are being adequately trained. The Manager supervises staff, but this has not always been consistent. The Manager should aim to formally supervise staff at least 6 times a year. The recruitment file of one new staff member was checked. This contained the required information. The recruitment files for the company will be checked annually by the CSCI Provider Relationship Manager in the future and all files will be held centrally. The staff spoken with demonstrated a good understanding of the needs of the people they were supporting. The people living at the home spoke highly of the staff. Feedback from relatives, people living at the home and others included comments such as “The staff are kind and understanding”, “I feel that the staff work to a very high standard” and “the staff are very nice, they give me lots of support”. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a competent Manager and a well run home. Service users views are sought as part of the quality assurance process. Service users health and welfare are generally protected. EVIDENCE: The Manager of the home holds the Advanced management of Care Award and is working to complete the NVQ 4 in care. He demonstrates clear leadership of the home and ensures that the home is well run and people’s needs are met. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 22 There was a very open atmosphere in the home and staff and people living at the home were comfortable with the inspection process. The Manager delegates responsibilities to members of the staff team. This ensures that staff are involved in the running of the home. The Manager monitors the quality of the service on a daily basis and carries out checks of medication, money procedures, training and health and safety. We spoke about formalising some of these checks to provide good evidence of quality monitoring. The company has a quality monitoring policy and carries out monthly visits to the home. The people who live in the home were sent surveys in August 2006 to ask their views on the home. This is an annual survey. In addition to this people can air their views at the ‘Our meeting’ or keyworker meetings. There is also a suggestion box in the home, although this was not up on the wall as the hallway had just been painted. Risk assessments have been completed for the environment and generally the home presented a safe place to live. However, it was noted that the laundry room was very hot and cleaning products were being stored in a cupboard within this room, this could be a fire risk. The Manager must make arrangements for the products to be moved until suitable ventilation can be fitted. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 2 X Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Timescale for action The registered person shall make 31/12/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. • • In that training for staff must be accredited. The competence of staff to administer medication must be assessed before they are authorised to do so. Requirement 2 YA35 18(1)(c) (1) The first part of this requirement is carried forward from the inspection on 05/10/05. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform including structured DS0000063306.V306085.R01.S.doc 31/12/06 Orchard View Version 5.2 Page 25 induction training; • In that, Suitable training must be provided for staff in the following areas: Food hygiene First Aid Moving and Handling Fire Health and Safety Food hygiene and first aid must be accredited and all courses must be provided by a qualified trainer. This must be evidenced on the certificate. 31/10/06 • 3 YA42 23(4)(a) Subject to paragraph (4A) the registered person shall after consultation with the fire and rescue authority take adequate precautions against the risk of fire, including the provision of suitable fire equipment; • In that, cleaning products must not be stored within the laundry room until ventilation is installed to reduce the temperature. 4 YA23 13(8) On any occasion on which a service user is subject to physical restraint, the registered person shall record the circumstances, including the nature of the restraint. • In that, incident reports and daily records must include the exact restraint used to allow adequate monitoring. 31/10/06 Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 26 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 2 3 Refer to Standard YA8 YA32 YA36 Good Practice Recommendations It is recommended that where a service user requires an appointee for the Benefits this be a person independent from The Regard Partnership. It is strongly recommended that at least 50 of the staff have an NVQ award to level 2 as a minimum. It is recommended that staff receive formal supervision at least 6 times per year. Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local 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 Orchard View DS0000063306.V306085.R01.S.doc Version 5.2 Page 28 - 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!