Inspection on 29/05/07 for Shalom

This inspection was carried out on 29th May 2007.

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

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

Other inspections for this house

Shalom 03/10/06

Shalom 16/05/06

Shalom 07/12/05

Shalom 25/07/05

Shalom 31/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Shalom 8 Carew Road Eastbourne East Sussex BN21 2BE Lead Inspector Elizabeth Dudley Key Unannounced Inspection 29th May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shalom DS0000021210.V338784.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. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shalom Address 8 Carew Road Eastbourne East Sussex BN21 2BE 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) 01323 410926 cjmcmeekin@aol.com Mr David McMeekin Mrs Sandra McMeekin Mr David McMeekin Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated is eighteen (18). Residents must be older people aged sixty-five (65) years or over on admission. Date of last inspection Brief Description of the Service: Shalom is a three storey detached property in a quiet residential area of Eastbourne. It is situated close to the town centre and is within walking distance of the shops, train station and local bus routes. There is a garden surrounding the home. The home is registered to provide care and accommodation to eighteen older people and is an established family run business. There are eighteen single bedrooms, all with en-suite facilities. There is a communal lounge and dining area on the ground and first floors, in addition to an adequate number of communal bath and toilet facilities. The home has recently added a stair-lift to allow ease of access for residents to the upper floors of the building. As of 29th May 2007 fees at the home ranged from £335 to £440 per week with additional costs for hairdressing, chiropody, personal toiletries and newspapers and magazines. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 29th May 2007over a period of four and a half hours and was facilitated by Mr D McMeekin, provider and registered manager. During the course of the inspection nine residents and four staff were spoken with and their views of their life in the home obtained. A tour of the home was undertaken and documentation relating to care planning, medication, quality monitoring, personnel files, staff training records and health and safety was looked at. Prior to the inspection, three of the ten questionnaires sent out were returned from residents or their representatives and one from a health care professional. These contained mainly positive comments regarding the care and services provided by the home:- ‘ Friendly, homely place and my relative is well cared for’. ‘Good care and nice staff’. ‘ The care appears good’. Residents spoken with were generally positive about the services offered by the home. ‘ The staff are very friendly and they look after me well’. ‘The food is good and I can do what I please’. ‘ The food is very nice, but we don’t know what we are having until it comes, but they know what I like and will ask me if I want something else if I don’t like what’s on the menu’ The home does not have a shaft lift but provides a stair lift to enable residents to access all parts of the home. There are no waking night staff employed, with the provider’s family having accommodation in the home and providing sleeping cover only, with call bells being directed to their accommodation. What the service does well: The home provides a homely environment and personal care for older people. A programme of activities which includes outings, maximises independence and allows residents to participate in things which they enjoy doing is in place. Care plans which identify what help with personal, health and social care the residents require are of a high standard. They address current and ongoing care needs and show that they have been formed with the resident whilst providing clear instruction for staff on providing care. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Many residents were not aware of the choices available at meal times and there are no printed weekly menus in place which would allow residents to see in advance what meals they will be offered. Meals taken to the rooms are not covered with plate covers and the provision of these would be an improvement and ensure that meals were hot when they reach the resident, also the practice of taking all courses of a meal to rooms at the same time can be confusing for some older people. Minor maintenance issues should be addressed as they occur to ensure residents comfort and the continuing cleanliness of individual bathrooms should be addressed. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 7 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. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 8 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 Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5,6 People who use the service experience good quality outcomes in this area. Prospective residents are provided with sufficient information to enable them to decide whether they wish to live at the home and whether the home can meet their needs and expectations. Staff receive suitable training to enable them to provide residents with care that meets their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home produces a Statement of Purpose and Service Users Guide which have been reviewed to reflect the current status of the home and are provided to each resident. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 10 All residents are visited by the deputy manager and assessed prior to admission to ensure that the home can meet their needs. Seven residents who had been admitted to the home in the past two years said that either they had come to visit the home or the manager had come to see them prior to their admission, and all said that they had received sufficient information to make the decision of living at Shalom. Information relating to the care needs of the prospective resident, which is obtained at the assessment, is used to form the basis of the initial plan of care. A copy of the homes terms and conditions is given to residents on their admission. Staff receive training in the personal and social care needs of the older person and over 50 of the staff have their National Vocational Qualification level 2 or 3 in care. The home does not admit people for intermediate care, but will accept those requiring respite care. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10,11, People who use the service experience good quality outcomes in this area. Robust care plans direct staff to provide care, which addresses the residents’ current, assessed needs and meets their preferences and expectations. Medication is administered from staff that are trained to do so, and in a manner that safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans provided an assessment of all the residents’ personal, health psychological and social needs. There was evidence of care plans having being reviewed on a monthly basis following consultation with the residents and Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 12 residents spoken with were aware of the content of the plan and any reviews that had taken place. All care plans contained sufficient guidance to staff regarding the actions required to meet the resident’s assessed and current care needs. Eight of the residents spoken with had seen their care plans and were aware of their content, and said that this was formed with their key worker and the deputy manager. Risk assessments, regularly reviewed, are in place in the care plans of each resident. District nurses are involved with residents that require nursing intervention and are involved in treating any incidents of pressure damage. The home uses the Waterlow scoring system for identifying those at risk from pressure damage and this has been reviewed on a monthly basis. There was information to show that General Practitioners, Community Psychiatric nurses and other health care professionals are involved with the residents. An optician visits the home at regular intervals. All staff have undertaken medication training and were aware of the home’s medication policies, including the ‘ self medication’. Those residents who are able to do so are supported to control their own medication and lockable facilities and risk assessments are in place. Residents said that personal care was provided in a discreet and unhurried manner in a manner that matched their individual preferences. ‘ The staff come in when I ask them to and do whatever I ask them to’. All medications were stored correctly and procedures regarding the receipt, administration and disposal of medications safeguard the residents in the home. Residents said that staff were quick to contact doctors when they needed to see one and that staff would accompany them to an appointment at the surgery if they could not go by themselves. Residents can stay in the home if very ill and their medical needs do not indicate otherwise, with nursing being provided by either Community or Macmillan nurses. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15, People who use the service experience good quality outcomes in this area. Activities provided meet the expectations and abilities of the residents in the home. A nutritious and balanced menu is provided, but residents are unaware of any alternatives to the main meal that might be available, and therefore their choices are limited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides activities that include outings, board and card games, theatre trips and visiting entertainers. Some residents are able to go out to the pub and shops and one resident goes out fishing. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 14 Staff were knowledgeable about the type of social activity preferred by individual residents and are supportive in enabling residents to follow their chosen activity. Some residents were not aware of what activities were planned for specific times and it is recommended that the activities programme be displayed in a place where all residents could access this. Two residents who stay in their rooms said that activities are not brought to them but one said ‘ I am happy with my books and crosswords so it doesn’t matter to me’. All residents stated that they chose their own times of rising and retiring and that visitors were welcome at any time. Residents said that communion services were held once a month and that various ministers of religion visit the home. The home provides a varied menu; although no choices are evident the manager stated that residents could choose something different if they did not like what was on the menu. Residents said they did not have an initial choice offered and sometimes were not informed of what was on the menu until they received it. The home should try to make the day’s menu available to residents prior to meals being brought to them. It was seen that supplement food was given to some residents whose nutritional care plan indicated that this was required. The majority of items are home made, including cakes and puddings and the cook said that ready prepared food was rarely used. The majority of the time fresh vegetables and fruit are available. The catering allows for the needs of those residents requiring special diets for health or religious reasons, and these were seen to be addressed. Some residents may benefit if both courses of a meal were not served at the same time. One resident said ‘Sometimes I forget and eat my pudding before my dinner’. The home has dining areas on both the ground and first floor, but many residents prefer to take their meals in their own rooms. Snacks and drinks are available at any time, with sandwiches available during the evening if required. Discussions were held with the manager about the provision of condiments in residents’ rooms and also serving the meals with plate covers on to maintain the heat of the meals. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 15 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): 16,17,18 People who use the service experience good quality outcomes in this area. Residents or their representatives feel able to make complaints and are confident that these will be addressed in an open and transparent manner. Staff are aware of their responsibilities towards those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy, which is displayed in the home and in the service user guide, the contact details of the CSCI as the regulating agency require amending to reflect recent changes. The home has had one minor complaint in the last twelve months, which was addressed by the manager; this was an incident between residents. All staff have had regular training in the safeguarding of resident, and no safeguarding referrals have taken place in the home. Residents said that they knew how to make a complaint and that they feel comfortable doing this, and also felt secure that any complaints would be dealt with in a fair and open manner without any fear of reprisal. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 16 All complaints are formally recorded and acknowledged within 24 hours and responded to within 7 days It was recommended to the manager that a complaints file be commenced in which to keep any ongoing letters etc regarding any future complaints. Records of minor complaints are recorded in a book, which is kept in a secure environment. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 17 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): 19,20,21,22,23,24,25,26 People who use the service experience good quality outcomes in this area. The home continues to provide a homely environment for residents, which has been improved by the addition of a stair lift and redecoration taking place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides accommodation in single rooms over two floors, with a recently installed stair lift providing access to the first floor. Some areas of the home have been redecorated in the past twelve months. The provider has a maintenance and redecoration plan for the home and generally all areas were well maintained. One maintenance issue identified at Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 18 inspection, which had been overlooked by the manager, was addressed the day following the inspection, and the manager stated that he is in the process of replacing floor coverings and redecorating some of the residents’ rooms. It is recommended that audits of the maintenance of the home be undertaken along with other quality monitoring audits to ensure that areas requiring minor maintenance do not get overlooked. Residents have access to a well-maintained garden and also to a covered porch, which provides seating. Other communal areas are provided by two large lounges and dining rooms. All rooms have ensuite bathrooms consisting of washbasin, bath or shower and toilet. Residents can bring in their personal possessions, including some furniture and are provided with keys to their doors and a lockable drawer or cupboard if required. Automatic door closures, which respond to the fire alarm, are in place on the doors of residents’ rooms Radiator guards and window restrictors are in place and all water outlets to residents’ rooms are regulated to maintain a safe temperature. No water temperature checks had been taking place, but the manager gave information that he had commenced these on the day following the inspection and intends to continue monitoring water temperatures on a regular basis. The provider has a maintenance and redecoration plan for the home and generally all areas were well maintained. One maintenance issue identified at inspection was addressed the following day, and the manager stated that he is in the process of replacing floor coverings and redecorating some of the residents’ rooms. Residents spoken with said ‘ My room is kept very clean and all of the house is clean’. ‘My room is always nice and clean and the laundry is done well’, ‘ the standard of cleanliness is pretty good, sometimes my washbasin is not kept too clean but I wipe it round myself’. Grab rails and bath seats are provided in residents’ bathrooms but the home has not yet been assessed by an occupational therapist or other qualified person. There are ramps leading to the garden areas to facilitate wheelchair access. Most areas of the home were clean, although there was evidence of odour control needed in one area, and cleanliness in residents’ bathrooms requires to be addressed. This was discussed with the manager who stated he would address these issues. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 19 The staff have received training in infection control and the manager audits the home to ensure that Department of Health guidelines regarding infection control in care homes are followed. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30 People who use the service experience good quality outcomes in this area. The home employs sufficient staff with suitable training to meet the residents needs, with residents being safeguarded by the implementation of a robust recruitment system This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rota showed that there were sufficient staff on duty during the daytime periods to meet the assessed needs of the residents. Staff said that there were always enough staff on duty and any shortfalls due to unplanned absences were covered either by other staff coming into cover or by the provider/manager and his family. At present the home does not provide waking night staff although the providers family live on the premises and have a call bell system in their accommodation, providing care as required during the night. The manager said that they recognise that in the future they may have to employ waking night staff, and that in the event of a resident being unwell or requiring attention Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 21 through the night, they currently employ a member of agency staff or deploy a member of the current staff to work a night duty. Residents said that their bells were answered promptly during both the late evening and night and that any care required was given. Over 50 of the staff have now attained their National Vocational Qualification level 2 or 3 in care, more staff have commenced this and the deputy manager is currently undertaking study for the National Vocational Qualification level 4 in care and registered managers award. An recognised induction training, compatible with modules in the National Vocational Qualification in care is currently in place and all new staff undertaken this. Further training relating to the care needs of residents admitted to the home is undertaken, all staff have medication, mandatory training, food hygiene and infection control training, and the cook has recently undertaken a course relating to nutrition in the elderly. Four personnel files were examined and these contained all documentation as required by the National Minimum Standards and the associated regulations. Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 22 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): 31,32,33,34,35,36,37,38 People who use the service experience good quality outcomes in this area. Robust management systems are in place to safeguard residents, staff and visitors to the home. Services provided by the home are audited and monitored to ensure that residents’ expectations are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 23 The home is a family run business; the provider is the registered manager and his daughter the deputy manager. The provider has a management in care qualification to level 4 which has been accepted by CSCI as compatible with National Vocational Qualification level 4 in care and Registered Managers Award, the deputy manager completing the Registered Managers Award and National Vocational Qualification level 4 in care. Over the past year the manager and deputy manager have completely reviewed all documentation, policies and procedures, and care planning within the home. The ethos in the home was friendly and transparent, with most staff and residents having been in the home for a number of years. Nine residents spoken with said that they were able to talk to management or staff about any concerns, that all staff were very caring and friendly. The home does not get involved with the financial arrangements of residents and neither does it hold any monies or valuables for safekeeping. All insurances required by legislation were in place and the home has annual audited accounts. A quality monitoring process is in place, which includes audits of all systems within the home and incorporates feedback from residents and staff. Results of the residents’ comments from questionnaires inform any changes made to routines and services offered by the home. It is recommended that the viewpoints of visitors, both social and professional, to the home are gained and used to inform the quality monitoring audits. Staff supervision takes place on a regular basis as directed by the National Minimum Standards and records of these were seen. Risk assessments for the home, including a current fire risk assessment were in place and records relating to the servicing of utilities and equipment were seen. All residents who wish to have their doors open now have automatic closure devices fitted to them. PAT testing is due to take place and the manager has arranged this. The home complied with a previous requirement ensure the fire safety of those residents who prefer their room doors open by fitting automatic door closures which respond to the fire alarm. All accidents are recorded both in the accident book and the care plans and records of any incidents affecting residents have been received by the CSCI Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 2 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 3 3 3 3 3 3 3 Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 26 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 Shalom DS0000021210.V338784.R01.S.doc Version 5.2 Page 27 - 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!