Inspection on 07/08/07 for Shenley Lodge

This inspection was carried out on 7th August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shenley Lodge 10/04/06

Shenley Lodge 11/10/05

Shenley Lodge 17/05/05

Shenley Lodge 12/08/04

Shenley Lodge 27/04/04

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

CARE HOME ADULTS 18-65 Shenley Lodge 34 Abbey Road Enfield Middlesex EN1 2QN Lead Inspector Tom McKervey Unannounced Inspection 7th August 2007 11:30 Shenley Lodge DS0000010680.V333313.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 Shenley Lodge DS0000010680.V333313.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. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shenley Lodge Address 34 Abbey Road Enfield Middlesex EN1 2QN 020 8363 1173 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) Mr V Kowlessur Mr Vijayekoomar Kowlessur Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two specified service users who are over 65 years of age may remain accommodated in the home The home must advise the regulating authority at such times as either of the specified service users vacates the home. 10th April 2006 Date of last inspection Brief Description of the Service: Shenley Lodge is a privately run care home, which opened in 1993. The home is located in a pleasant residential are in Enfield and is registered to provide care and support for seven adults with a learning disability. The provider, who also owns another home in the locality, was also the registered manager at the time of the inspection. However, he recently promoted the deputy manager and this person is referred to in this report as “the acting manager” until he is registered with the Commission for Social Care Inspection. The accommodation consists of five single bedrooms and a communal bath on the first floor. One bedroom has en-suite facilities, and there is a double room on the ground floor with an en-suite shower and toilet. There is a lounge and separate dining room and kitchen on the ground floor. There is a small garden and driveway at the front of the premises, and a large garden at the rear, which is accessible by the residents. The home is close to shops and amenities and there are good public transport links. A minibus is available for taking residents to day centres and other activities in the community. The fees for the home range from £550 to £570 per week. Following Inspecting for Better Lives, the provider must make information available about the service, including inspection reports. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, which took place over a period of four and a halfhours, was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. There were seven residents living in the home at the time of the inspection, and there were no vacancies. At the beginning of the inspection, two residents were in the home. The remaining five residents returned in the afternoon from their day centres; therefore, I was able to observe and speak to all the people who live in the home. The case files of three residents were sampled. I spoke to the acting manager and a member of staff who were both present during the inspection, and briefly to the proprietor who visited the home. The inspection also included touring the premises, examining residents’ and staffs’ records, and other documents relating to the running of the home. There were no outside visitors to the home during the inspection. What the service does well: There is a homely, relaxed and comfortable atmosphere in the home. No-one is admitted to the home until a full needs assessment has been undertaken. This includes a thorough risk assessment. New residents are provided with a Statement of Terms and Conditions; this sets out in detail what is included in the fee. Individuals are encouraged to make their own decisions and choices about their daily lives. Good access is provided to local community facilities, which enables service users to maximise their potential. There are good care plans in place for the residents, who have a close and friendly relationship with the staff. People who use the service have the opportunity to develop and maintain important personal and family relationships. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 6 The meals are balanced and nutritious and cater for the varying dietary needs of the individuals using the service. The residents are supported to access all the healthcare professionals, and their medication is safely administered. Staff respect the privacy and dignity of the people who live in the home. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. There are sufficient numbers of staff on duty to meet residents’ needs, and appropriate checks are made on new staff for the protection of the people who live in the home. The staff receive regular formal supervision to support them in their work. The acting manager has the appropriate skills and experience to run the home efficiently and there are good systems for monitoring health and safety. What has improved since the last inspection? What they could do better: Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 7 I have made five requirements in this report: The décor in the first floor bathroom is poor and this room must be redecorated to improve the experience of the residents. The floor covering by the laundry door is torn and this must be replaced to prevent accidents occurring. Disposable hand towels must be provided in all communal toilets and bathrooms to improve hygiene in the home and prevent the spread of infection. An annual development plan must be provided to include major items, for example; renewal of furniture and equipment and major maintenance items. I have also made two recommendations to improve the appearance of the garden and to consider replacing the kitchen units. 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. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 8 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 Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 9 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): 2&5 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken to ensure that the person’s needs can be met. New residents are provided with a Statement of Terms and Conditions; this sets out in detail what to expect from the service and what is included in the fees. EVIDENCE: No new service users have been admitted in the past eighteen months and there were no vacancies. A local authority contract was seen for the last person to be admitted to the home. This document included the cost of the service and was signed by the next of kin. The individual’s likes and dislikes and preferred method of address were also covered in the assessment. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 10 There was a reference to the cost of holidays, which is not covered by the contract. A comprehensive needs assessment had been carried out by the placing officer and the manager of the home before this person was admitted. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 11 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): 6, 7, 8 & 9 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The care plan is a working document reviewed regularly involving the person and their representatives Individuals are encouraged to make their own decisions and choices. Management of risk is positive addressing safety issues whilst aiming for better quality of life. EVIDENCE: Three residents’ care plans were examined at random. They contained assessments of needs, and goals were set appropriately. The care plans also Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 12 provide information about the person’s cultural needs and ethnicity and whether the person observes religious practices. A parent of a resident signed the care plan as evidence of their involvement and their approval of the plan. The care plans are reviewed monthly by the person’s key worker. Appropriate risk assessments were in place regarding residents’ activities within the home and out in the community. Since the last inspection, a care review had been carried out by a resident’s social worker and his parent. It was agreed that due to the resident’s current ability and behaviour, his en-suite toilet would be locked when not in use, so that staff could always support him when he used this facility. This was documented in the care review record, and written authorisation was obtained from his parent. The manager said that the situation was continuously under review and it was envisaged that this restriction would be removed in the near future in view of the resident’s progress. I noted in the records of residents, the majority of whom had limited verbal communication, that their preferences were recorded about a range of options/choices, particularly about activities of daily living. Their daily records reflected that these choices were respected. Regular meetings are held with the residents about day-to-day issues in the home. These meetings are minuted and show that they were able to put forward their views. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15 & 17 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. People who use services are involved in meaningful daytime activities of their own choice and according to their individual interests and capability. People who use the service have the opportunity to develop and maintain important personal and family relationships. Help with communication skills is given by the staff team, both within the service, and when accessing the community to enable residents to fully participate in daily living activities. The meals are balanced and nutritious and cater for the varying dietary needs of the individuals using the service. EVIDENCE: Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 14 When I arrived at the home, there were two residents present; the other five residents were at various day centres. However, I was able to meet them when they returned in the afternoon. There was evidence in the residents’ daily records that they go out for meals with staff to pubs and restaurants and three residents attend church services every Sunday. Other activities included going to the local park to play football and going shopping. All residents had been on a holiday in July this year. I had a discussion with one resident who is registered blind. He said how much he liked living in Shenley Lodge. He liked television and listening to “talking books”, which he obtained from the library. He also stated that the staff were very caring and attentive. This person shares a room with another resident, and he said they both got on very well together. The visitor’s book showed that an advocate regularly visits him because he has no relatives living nearby. Another resident has regular visits from his mother and often goes home with her at weekends. An inspection of the kitchen showed that there was plenty of food available, including fresh fruit. The menus, which were varied and wholesome, were represented in pictures so that residents who are non-verbal can point to their choice. I observed two residents eating lunch; a pasta dish, which was well cooked and attractively presented. This was followed with a fruit dessert. Food was safely stored and the temperatures of the fridge and freezer were being regularly monitored. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 15 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): 18, 19 & 20 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each resident’s plan. Staff respect the privacy and dignity of people who live in the home and are sensitive to their changing needs. Medication records are fully completed, contain required entries, and are signed by appropriate staff. EVIDENCE: There are male and female staff available on each shift to provide personal support to residents of both genders. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 16 All the people who live in the home are registered with the local G.P. An examination of the case files showed records of appointments with the G.P., including annual general check-ups. Residents also receive input from the health professionals in the Community Learning Disability team. This includes appointments with the psychiatrist and psychologist. A form, providing important information about each resident is available for occasions when they have to attend hospital, particularly in emergencies. At the time of the inspection, all the residents were reported as in good health. One person had been giving cause for concern about weight loss. This resident had been seen by a specialist consultant and a dietician and was prescribed dietary supplements. All residents are weighed monthly. Charts are used to monitor seizures for those residents who have a history of epilepsy. A resident told me that the staff were very attentive and respectful and they supported him with personal care in a dignified and discreet manner. There was a screen in the double bedroom to protect both residents’ privacy. The records of the administration of medicines were satisfactory, and staffs’ signatures were in evidence on the front of the MAR sheets. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 17 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): 22 & 23 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Residents say that they are happy with the service provision, feel safe and well supported. EVIDENCE: The home has an appropriately written complaints procedure. The last recorded complaint was in 2001 and the acting manager stated that there were no outstanding concerns at the time of the inspection. There is a copy of the local authority’s adult protection procedure in the home, as well as the “Whistle-blowing” procedure. There were records showing that the staff had attended training about adult protection and abuse awareness. From my discussion with a member of staff , Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 18 I was satisfied that they were knowledgeable about the procedures regarding reporting concerns about abuse. All the staff working in the home have been screened by the Criminal Records Bureau. The residents who were present during the inspection appeared happy and said that they were well cared for. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 19 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): 24, 25, 27, 28 & 30 People who use this service experience adequate outcomes. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the people who live there. Residents’ bedrooms are comfortable and reflect their individual styles and preferences. The standard of cleanliness is generally good, but hygiene could be improved for the residents by providing disposable hand towels in communal bathrooms and toilets. EVIDENCE: I carried out a tour of the interior and exterior of the home. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 20 Requirements from the last inspection regarding maintenance and repair issues had been addressed satisfactorily. At the time of the inspection, the home was clean and tidy and there were no offensive odours. The lounge and dining room were comfortably furnished and appeared homely. I visited residents’ bedrooms, all of which were spacious and appropriately furnished, with evidence of personal possessions. The garden was not very attractive and would benefit from planting shrubs and flowers. I have made a recommendation to address this issue. The kitchen units, although serviceable, are very old and unattractive and I have recommended that these are replaced. (See also under Standard 43). There was a tear in the floor covering by the laundry area, and the kitchen units were old and worn. A shower screen had been installed in the communal bathroom since the last inspection, but the standard of décor in the bathroom was poor and there were no disposable hand towels. Virtually all the doors in the home creaked and were in need of oiling. Requirements are made to address these issues. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 21 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): 32, 33, 35 & 36 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The home is staffed efficiently, with particular attention given to busy times of the day and the changing needs of the people who use the service. Staff receive relevant training that is focussed on delivering improved outcomes for people using the service. Staff meetings take place regularly. Supervision sessions are regular and staff find them helpful. EVIDENCE: The rota showed that there are normally two staff in the morning to support the residents when getting up, and three in the evening when the residents return from day centres. One person is on waking night duty. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 22 A member of staff told me that they were satisfied with the level of staff available to meet the residents’ needs. Although four staff have undertaken National Vocational Qualification level 2 training, only two staff have been issued with certificates. The acting manager told me that there has been problems with the course provider who appears to have lost the candidates course work, and he was trying hard to obtain the remaining certificates. There was evidence of other courses attended, including health and safety subjects, adult protection, medication and epilepsy. No new staff had been recruited since the last inspection. Therefore Standard 34 was not assessed. A requirement at the last inspection about obtaining references for two staff, had been complied with. There were minutes available of regular staff meetings, and I saw records of regular one-to-one staff supervision. A member of staff told me that they valued their supervision and the staff meetings, as a means of discussing work issues and obtaining feedback about performance. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 23 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): 37, 42 & 43 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The acting manager has the required qualification/s and experience and is competent to run the home. The home works to a clear health and safety policy, all staff are fully aware of the policy and are trained to put theory into practice. There is no business/development plan for the home, to show how the service is to be developed for the benefit of the people who live in the home. EVIDENCE: Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 24 Since the last inspection, the proprietor has appointed his deputy as the manager of the home. The acting manager has completed the Registered Manager Award and has applied for registration with the Commission for Social Care Inspection. The acting manager has many years of experience of working in the home and with this client group. There was no annual business plan available for the overall improvement of the service to address major renewal and replacement issues, for example replacement of the kitchen units. A requirement and a recommendation is made about this matter. There were certificates of safety for the gas and electrical systems and portable electrical appliances had been tested. A fire risk assessment of the home has been done and regular health and safety audits are carried out. Fire alarms are tested weekly and drills are carried out at appropriate intervals. Staff have been trained in fire prevention. There is a current employer’s certificate of liability on display. No hazards to health and safety were identified during the inspection. The acting manager informed me that the proprietor was considering building an extension to the rear of the property to create more communal space for the lounge and dining areas. However, there were no annual development plans for the service available, which should include these items. A requirement is made about this issue. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 25 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 3 1 Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 26 No 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 YA24 Regulation 23(2)(j) Timescale for action The first floor bathroom must be 30/10/07 redecorated to improve the comfort of the residents. The floor covering by the 30/10/07 laundry door must be replaced to prevent accidents occurring. All door hinges must be oiled to 30/09/07 prevent creaking. Disposable hand towels must be 30/09/07 provided in all communal toilets and bathrooms to improve hygiene in the home and prevent the spread of infection. Requirement 2. YA24 23(2)(b) 3. 4. YA24 YA30 23(2)(b) 16(2)(j) 5. YA43 24(1)(a)(b) An annual development plan 30/10/07 must be provided to include renewal of furniture and equipment and major maintenance items. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 27 No. 1 2. Refer to Standard YA24 YA24 Good Practice Recommendations The garden should be made more attractive by providing shrubs and other plants. Consideration should be given to replacing the kitchen units. Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Shenley Lodge DS0000010680.V333313.R01.S.doc Version 5.2 Page 29 - 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!