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Inspection on 10/06/08 for The Hockeredge & Jasmine Centre

Also see our care home review for The Hockeredge & Jasmine Centre for more information

This inspection was carried out on 10th June 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The attitude of staff was positive, friendly and helpful and practices seen at the key inspection visit indicated a supportive and caring service was provided to meet the needs of Service Users. There is a range of activities available for groups to participate in; and one to one input from the activities co-ordinator where appropriate. Residents confirmed that they liked the staff and that staff were always willing to assist them. The recruitment procedures seen at the key inspection visit are thorough which protects residents. Staff training is ongoing at the home. Re-decoration and maintenance work is ongoing at the home.

What has improved since the last inspection?

An experienced manager/nurse has started working at the home. A comprehensive Statement of Purpose and Service User Guide has been collated that includes the additional registration category for the provision of nursing care. Staff training is ongoing, including NVQ and mandatory training together with including caring for persons with dementia. Pre-admission assessments are well completed, gaining information about all aspects of the person`s needs prior to agreeing the placement. Residents care plans have been reviewed, and a well-structured format is now in place. Regular supervision of staff on a one-to-one is ongoing. A thorough quality assurance system is being implemented Many areas of the building have been improved for example re-decoration of corridors (new carpet on order) and 10 sets of new bedroom furniture have been purchased. A sensory room is being prepared and will provide an added facility for the residents to use.

CARE HOMES FOR OLDER PEOPLE The Hockeredge & Jasmine Centre 2-4 Canterbury Road Westgate-on-sea Kent CT8 8JJ Lead Inspector Sandra Crosby Unannounced Inspection 10th June 2008 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 The Hockeredge & Jasmine Centre DS0000023573.V365598.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. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hockeredge & Jasmine Centre Address 2-4 Canterbury Road Westgate-on-sea Kent CT8 8JJ 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) 01843 831585 Bedstone Limited Vacant Care Home 50 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0) of places The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) Care home with nursing - N (maximum number of places 41) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia - (DE) 2. Mental disorder, excluding learning disability or dementia - MD The maximum number of service users who can be accommodated is 50. 28th November 2006 Date of last inspection Brief Description of the Service: The Hockeredge and Jasmine Centre, provides two distinct services. The two Jasmine units provide residential care for adults with dementia and the main Hockeredge house provides residential care for adults who may be over the age of 65 and have past or present mental health care needs. The home is situated on the main road in a residential area between the seaside towns of Westgate and Margate. Local facilities are within walking distance of the home. There is a secure well-maintained garden area to the rear, and on road parking is available to the front of the premises. A private company owns the home, and the day-to-day running of the Home is the responsibility of the Manager. Service Users health care needs, are met by the local primary health care team and includes the services of the community psychiatric nurse. The manager stated that currently the fees range was between £380 and £800 per week. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good, quality outcomes. This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 28 November 2006, including a visit to the home. Last year the home was additional registered to provide nursing care, and a new manager to the home took up post in January 2008. The new manager has previously worked as manager for another home owned by the company and is a qualified nurse. The manager who is therefore in day-to-day management of the home is not as yet registered with the Commission but for the purposes of this report is identified as the manager. An unannounced visit took place on the 10 June 2008 between 09:30 hours and 14.30 hours. The visit included talking to the group manager, the manager, staff on duty, and residents. An accompanied tour of some areas of the home was made, and various records were seen. In preparation for the inspection it was found that the Annual Quality Assurance Assessment (AQAA) documentation had not been sent out to the home to be completed. However an AQAA had been completed last year and information contained therein was used to inform the Annual Service Review (ASR) for the home that was dated 21 December 2007. Two out of ten resident’s surveys have been returned to the Commission, and indicated a positive response. Surveys returned by residents and staff prior to the completion of the ASR Report also provided positive comments for example ‘pleased with the care my husband is receiving’ and ‘the care is very good and training programs are in place to insure staff are up to providing a high level of care and able to deal with situations that may occur’. On the day of the visit, the Inspector found the staff to be helpful and supportive to residents and to each other, and to be knowledgeable about the care needs of individual residents. The findings of this inspection indicate that standards have improved at the home. Good progress was noted for example in relation to the range of activities provided, the refurbishment of the home and the amended Statement of Purpose and Service User Guide documentation. The five requirements made in the last inspection report have all been met. The manager is actively creating an open and positive atmosphere in the home. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 6 ADDENDUM – The home experienced a fire on the 06 July 2008, and the police are investigating. What the service does well: What has improved since the last inspection? An experienced manager/nurse has started working at the home. A comprehensive Statement of Purpose and Service User Guide has been collated that includes the additional registration category for the provision of nursing care. Staff training is ongoing, including NVQ and mandatory training together with including caring for persons with dementia. Pre-admission assessments are well completed, gaining information about all aspects of the person’s needs prior to agreeing the placement. Residents care plans have been reviewed, and a well-structured format is now in place. Regular supervision of staff on a one-to-one is ongoing. A thorough quality assurance system is being implemented Many areas of the building have been improved for example re-decoration of corridors (new carpet on order) and 10 sets of new bedroom furniture have been purchased. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 7 A sensory room is being prepared and will provide an added facility for the residents to use. 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. The Hockeredge & Jasmine Centre DS0000023573.V365598.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 The Hockeredge & Jasmine Centre DS0000023573.V365598.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): Standards 1,3 and 6 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide provide residents and prospective residents with the information they need to make a decision about moving into the home. The assessment process is thorough and makes sure that the needs of the person can be met at the home. Standard 6 was judged as not applicable at this inspection visit. EVIDENCE: The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 10 Since the last inspection the home has been registered to include the provision of nursing care. The newly appointed manager and team have prepared an amended Statement of Purpose and Service User Guide for the home. This documentation was seen to be well presented, comprehensive and included a pictorial format. In addition to this the home has produced a Welcome Pack that summaries the information in the Statement of Purpose and Service User Guide. The manager said that this is usually provided in the first instance to prospective residents/relatives etc., together with a copy of the monthly newsletter that the home is now providing. Pre-assessment documentation was seen for a newly admitted resident and consisted of four completed documents namely a pre-admission form completed by the manager, a KCC Joint Assessment form, a CPA Care Plan and a Hospital Transfer form. These documents were used to inform the care plan. It is not the general policy of the home to admit residents on a short-term basis. The Hockeredge & Jasmine Centre DS0000023573.V365598.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): Standards 7,8,9 and 10 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from care plans that show that person centred care is promoted, and that health needs are being met. Personal care is offered in a way to protect resident’s privacy and dignity. EVIDENCE: The manager stated that since January when she started work at the home, the staff group had worked hard to implement a care planning system suitable to meet the needs for both residential and nursing residents. Four residents plans were seen, and indicated that all components as required by regulation were in place for example, care plan, daily records, risk assessments and reviews. Additional documentation was seen for example infection record, professional visits record and mental capacity act decision form. Other The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 12 documentation seen included tools for example waterlow Scale, dependency tool and a nutritional screening tool. In discussion with the manager, it was agreed that the information seen in relation to the recording of pressure area care could be improved. There was evidence that body mapping was being used, together with information about areas of concern and treatment provided. What was not evidenced was the up to date outcome for example entry dated 01 June 2008 referred to sore and broken area on buttocks together with sore and broken skin on right hip. Action recorded stated dressing applied, removed belt and to keep it off. There was no updated record following this entry. The manager agreed to address the issues discussed. The medication records were seen and these were appropriately signed and up to date. Photos were in place on the file, together with a list of signatures. The record of the controlled drugs medication was seen and indicated that recording was accurate and up to date all entries having the required two signatures. The home maintains a record of medications that are sent for disposal. The storage of medications was not checked at this inspection visit. Residents confirmed at the visit that they are treated with respect and their dignity is upheld. It was observed that staff speak respectfully to service users, and that staff knock on bedroom doors before entering. The Hockeredge & Jasmine Centre DS0000023573.V365598.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): Standards 12,13,14 and 15 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident they will have satisfactory opportunities regarding lifestyle choices. They are supported to maintain contacts with families and friends and enjoy a balanced and healthy diet. EVIDENCE: All residents that the inspector spoke with spoke well of the staff and the home, and about their different lifestyles within the home. Flexibility in routines was seen to suit individual needs. The inspector was shown the activity timetable for the month of June and this included for example Wildwood Trip, sightseeing in Canterbury, Summer Fair, and Doug Wake entertains. Copies of the weekly activities schedule were also seen and included for example giants darts game, hand massage and manicure, one to one reminiscence, music therapy and knitting group. On the The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 14 day of the visit residents enjoyed a game of bingo. Since the appointment of the manager the range of activities available has increased and the home currently employs an activities co-ordinator for 30 hours each week, who works hard to provide a comprehensive programme of activities to meet the needs of the residents. Visitors are always welcome to the home, and residents are encouraged to go out in the community and use the resources available to them. Residents spoken with confirmed they were happy with the lifestyle they had living at the home, were able to maintain contact with family and friends, and are able to exercise choice and control as far as is possible over their lives. A day trip to London was being arranged for one resident, who has lived at the home for many years and has never been to London. All residents spoken with commented that they enjoyed the food at the home. Menus were seen together with the daily record of the food provided. It was evidenced that choices are available at all meals. There is a good emphasis on fresh produce and staff commented that the food was good at the home, offering both choice and variety and catering for special diets. The Inspector evidenced a good rapport between staff and residents. It is indicated that people feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. The Hockeredge & Jasmine Centre DS0000023573.V365598.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): Standards 16 and 18 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and visitors know their complaints will be listened to and acted upon. The home has a suitable complaints procedure, together with suitable procedures, and training in place to ensure that residents are protected from abuse. EVIDENCE: The home has a policy and procedures in place for the handling of complaints. Documentation was previously seen in relation to a recent complaint and indicated that the home had dealt with the issues raised under the complaints policy of the home. The manager stated that no complaints had been received at the home since she took up post in January of this year. It was evidenced from talking with staff that they were aware of the policies and procedures in place in relation to Adult Protection. The staff training matrix indicates that thirty-one members of staff that have undertaken training in relation safeguarding adults. Further training is planned for the remaining nine staff to undertake training. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20,21,22,23,24,25 and 26 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home that has been much improved by a continuing programme of refurbishment and redecoration. EVIDENCE: It was seen during the accompanied tour of the home that residents live in a safe, well-maintained environment including access to indoor and outdoor communal facilities. Many of the bedrooms seen are individual and personalised, containing a wide range of personal possessions. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 17 Maintenance work and re-decoration is ongoing at the home. Currently all corridors and stairways are being upgraded and new carpeting is on order. New furnishings are being provided for some of the bedrooms. A sensory room is being prepared and will provide an added facility for the residents to use. The sluice room an added addition due to the added registration for the provision of nursing care was seen during an accompanied tour of some areas of the home. This area was discussed with the manager as it was seen that the decoration was insufficiently completed to prevent good infection control practice and did not provide a safe working environment for staff. The manager agreed to address this issue. Although the home has three independent units, residents are now able to walk freely around the home and to mix and mingle where they wish for example residents were chatted with whilst drinking their tea sitting in the staff office. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective staff team, in sufficient numbers to meet current needs, are available to support residents. Staff training is ongoing to ensure that staffs develop the skills and knowledge enabling them to meet the needs of the residents. The homes practice regarding the recruitment of staff ensures residents are protected. EVIDENCE: The staff rota for the home was seen, and indicated that sufficient staff were on duty at all times to meet the needs of the current group of residents. The manager confirmed that staffing levels are maintained, and cover obtained for annual leave and sickness. Three staff files were seen, and these contained all documentation that would support that a thorough recruitment system was in place, including application form, references, CRB checks, copy proof of identity etc. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 19 The home does currently meet the requirement of 50 of care staff having completed NVQ 2, and training is ongoing with further members of staff starting NVQ. The arrangements for induction of staff are good with the staff demonstrating a clear understanding of their roles. Initially when a new member of staff commences work at the home a basic induction-training format is completed, and this is followed up with staff completing an induction book. A keyworker system has been implemented with staff working in teams. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,35,36,37 and 38 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced, competent and has relevant qualifications, although as yet not registered with the Commission for this home. She is well supported by the senior staff team in providing clear leadership throughout the home and residents can be confident that their home is well run. The health, safety and welfare of residents and staff are promoted and protected. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has previously been the manager of another home owned by the company. She is experienced, competent and qualified to manage a registered home that provides nursing care. Currently application forms are being completed to become the registered manager of the home. These the manager said will be submitted to the Commission in the near future. Discussions with residents and staff indicated that the manager is creating a positive open and inclusive atmosphere. It was evidenced that the manager was working hard to initiate changes in the home for the benefits of the residents for example increased activities programme and provision of a sensory room. Regulation 26 visits are undertaken monthly with written records kept, together with staff meetings, and residents meetings. There is a system in place at the home for the regular supervision of all staff with written records kept. Staff confirmed that they received regular supervision. The staff training matrix showed that training is ongoing at the home, and includes all mandatory training together with for example dementia awareness and diabetes awareness. The inspector was told at a previous inspection visit, that an appropriate banking system that meets the standards and regulations in relation to the banking of resident’s monies has been implemented at the home. The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1. Refer to Standard OP26 Good Practice Recommendations Complete the re-decoration of the sluice area in order to provide a safe working environment for staff, and to improve good infection control practice The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Hockeredge & Jasmine Centre DS0000023573.V365598.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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