Inspection on 21/12/05 for The Laurels

This inspection was carried out on 21st December 2005.

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

The Laurels 15/12/08

The Laurels 19/02/07

The Laurels 02/08/05

The Laurels 21/03/05

The Laurels 14/07/04

The Laurels 17/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Laurels 56 Lydia Road Walmer Deal Kent CT14 9JY Lead Inspector Chris Randall Announced Inspection 21st December 2005 09:30 The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 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 Laurels DS0000023126.V256932.R01.S.doc Version 5.0 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. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Laurels Address 56 Lydia Road Walmer Deal Kent CT14 9JY 01304 368414 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 Michael Beales Mr Michael Beales Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: The Laurels is a small, family type home, set in a quiet residential area of Walmer near Deal. It provides care and support for 3 clients with learning disabilities, and currently all of the clients and staff, with the exception of the manager, are female. The accommodation in the home is set over 2 floors and consists of two client bedrooms, a bathroom and an office/sleep in bedroom on the first floor with one bedroom, a lounge/dining room, a kitchen, and a shower room with toilet on the ground floor. Outside there is a small lawned area to the front and a larger lawned garden area with to the rear with space for the clients and staff to sit outside, and a garden shed at the end of the garden. There are some small shops and local amenities within easy reach of the home, with the resort and town of Deal being about 20 minutes walk or a short drive or bus ride from the home. Walmer Castle is also just a short drive away. The towns of Dover and Sandwich are also within easy driving distance. Clients are supported in the enjoyment of a wide range of activities and outings of their choice, some within the home and others in the local community. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that was held over one day and took 7 hours (5 hours in the home plus preparation time). This inspection consisted of talking to the clients, staff, craft organiser, and manager; checking the requirement and recommendation made at the last inspection; covering the standards not already inspected this year; sharing lunch with the clients and staff; observing an activities session; and inspection of various records. The home was clean, well maintained, pleasant smelling, and there was a welcoming atmosphere. The clients were happy and occupied and there was a good interaction between the staff and clients. Staff commented, “I think its brilliant, well run and with all the right intentions”, and “It’s a well run home for the clients, they get basically what they want” What the service does well: What has improved since the last inspection? Recruitment practices and staff files have been updated to fully comply with the requirements made at the last inspection. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 A statement of terms and conditions with home is provided for all clients. EVIDENCE: Standards 1 – 4 were fully covered at the last inspection As all of the clients are funded under the care management scheme each of them has a contract with the purchasing authority. The home also provides and a statement of terms and conditions to each client and a copy of this is kept on their personal file. The terms and conditions are fully explained to clients by the manager prior to admission on a permanent basis. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, & 10 Clients’ can be assured that they will be consulted and enabled to make decisions regarding their lives; that any potential risks from their choices will be minimised; and their confidentiality will be respected. EVIDENCE: The home produces an individual comprehensive care plan for each client, based on pre-admission assessments and updated as necessary. The care plans include records of regular reviews, a photo, information sheet, daily activities sheet, comprehensive risk assessments, needs assessments, homely remedies form signed by the G.P., quality assurance form, terms and conditions, profile of any particular illness and protocols relating to these illnesses, doctors, opticians, dentist, and chiropodist sheets, weight chart, review of day care, review from placement social services, and certificates of achievement. Clients are involved in making decisions about all aspects of their lives; they are involved in care planning and risk assessment; and they are assisted to choose where and on what they spend their money. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 10 Clients participate in the day to day running of the home, they have days when their activity is to stay home and do housework, they choose what they will eat, and where they will go on a daily basis and for their holidays; they also choose what time they get up and go to bed and what they wear. The home operates a quality assurance system and all clients are involved in completing regular user satisfaction questionnaires with the assistance of staff or family members. A client commented, “I like to wear trousers”, and staff commented, “we ask them what they want, we don’t automatically assume”, and “we ask the clients and talk to them and get them out in the community”. Staff enable service users to take responsible risks and risk assessments are in place for most eventualities. Specific risk assessments are completed for holidays, and to help alleviate risk as far as possible of them getting lost in a foreign country the clients all have badges provided with their name, where they are staying, and any other relevant information clearly indicated. The home operates a clear missing persons policy. The home has a clear confidentiality policy and a copy of this is on the notice board in the kitchen as a constant reminder to staff. Records are appropriately stored in the office/sleep in room and any particularly sensitive information is stored in a locked filing cabinet. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, & 17 Clients lead full and interesting lives that meet their needs and wishes, they maintain contact with their families and friends, and are provided with a healthy diet. EVIDENCE: The clients at The Laurels are encouraged to participate in various activities in the local community. They attend colleges, day centres, church, and go out shopping, to local parks, to McDonalds, or to local cafes etc. Staff members commented “I took xxxx to a posh restaurant, she loved it, all the posh serviettes and everything”, and “they like home cooking but they like to go to McDonalds as well”. In house activities include watching videos and DVS’s, helping with the housework, jigsaws, and a weekly craft session. A client commented, “We watch DVD’s”. On the day of the inspection the craft organiser was in the home for the afternoon and said, “I come every week, they want to do sewing today. I love coming here, they really look after me”. All of the clients were eager to join the class, sorting and choosing which wool to use and then starting on their sewing. There are several pictures made by the clients’ that have been framed and are displayed on the walls in the The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 12 lounge. Other items that will not fit in frames are also displayed around the home. Clients commented, “I did that painting”, and “I made this”. The clients go regularly to educational classes and social clubs and these include arts and crafts, music, disco’s etc. Recently the education authority has withdrawn funding for some of these courses, as they are not certificated. Social services have taken over this funding until April of next year and if they do not continue after this time the manager and other providers have agreed to pay to ensure that these valuable classes continue. The home has the use of a car for transporting clients to their chosen destinations. Taxis are used when the car is not available or if there is a member of staff on duty who does not drive. Very occasionally busses are used but this is more as a special outing. The clients are well known in the local area. All of the clients chose to go to Tenerife on holiday this autumn. The manager and one care assistant supported the three clients and a group from another home joined them. The clients meet the cost of their own holidays and the home pays for the staff support. It is made clear in the contract and terms and conditions that holidays are not included in the contract price. Client comments included, “we went on a plane” “the hotel was nice” “it was lovely”, “I enjoyed it”, “we had nice food”, “we went out for walks”, and “we went to the pub”. Staff comments included, “it was hot, the ladies enjoyed themselves, we went to the beach, to the pool, and for walks, there was lots of laughter; and xxx made lots of new friends”. Clients are supported in maintaining family links and friendships. There are pictures of their families in their bedrooms, and one client commented, “that is my brother in the photograph”. On the day of the inspection clients were preparing for Christmas and one service user said, “I’ve got a present for my mum”. Two of the service users were going home to their families for Christmas and commented, “Michael is taking me home for Christmas on Friday, I am going to stay with my mum”, and “I am going home for Christmas, I go on Saturday”. Clients can develop and maintain intimate personal relationships with people of their choice, a client commented, “that was my boyfriend in the picture, but I lost him”. Staff respect clients’ rights, they knock on doors before entering and call the client by their preferred name. There is a very good, relaxed and friendly atmosphere in the home and good interaction between staff and clients. A staff member commented, “I’m happy working here, it’s like a second home”. Clients all help with the housekeeping and general activities of home life such as washing up, they also have days when their activity of the day is housekeeping and they are fully supported by the staff in undertaking these tasks. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 13 Mealtimes are pleasant occasions. The staff and clients all eat the same food and the service users choose the meals with support and suggestions from the staff. On the day of the inspection the lunch consisted of a lamb stew, creamed potatoes, swede, carrots, and sprouts followed by fresh fruit or yoghourt. The meal was nicely cooked, well presented, tasty, and provided a balanced and nutritious meal for the clients. Currently there are no clients on special diets or with specific cultural food needs. Three meals a day are provided plus snacks when required and fruit and drinks are always available. Clients weights are checked and monitored regularly. Clients commented, “xxx is a good cook”, “Michael is the best potato masher”, and “I love my dinner”. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, & 21 Clients can be confident that their personal and healthcare needs will be fully supported by the staff at the home. EVIDENCE: All of the staff are aware of the clients personal needs and provide support that maximises service users privacy, dignity, independence and control over their lives. Service users have choices in all aspects of their daily lives, time of getting up and going to bed, what to wear, where to go, what to eat, what to do, and where to go on holiday. The staff support clients with any additional health care needs and one member of staff explained how she pushed to get a pair of special boots for one of the clients. The client commented, “I have got new boots”. The healthcare needs of the service users are assessed and recorded in their care plans. Additional support is given for such problems as epilepsy with strict monitoring undertaken and reviews of medication sought when necessary. The home are supported in their aims by G.P’s, dentist, nurses, opticians etc, and the clients have check ups annually, or more often if needed. A staff member commented, “we definitely meet their health care needs”. The home has a clear medication policy. There is a homely remedy protocol in each clients care plan, signed by their G.P. Receipt, administration, recording, The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 15 storage, and disposal of medication is in accordance with good practice. All staff have had training in the administration of medication. Staff have also been trained in the administration of rectal diazepam for seizures. Any problems are referred to the G.P. or pharmacist. The home has recently changed it medication supplier and at the same time changed from using the Monitored Dosage system to the Nomad system. Policies are in place to ensure sensitive handling of death and illness. If the home were able to meet the needs of a client who was dying with the support of the doctor and district nurses they would do so. They would however only keep the client in the home for as long as they were confident that they could meet their needs. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Clients can be confident that their complaints will be listened to and actioned and that they will be protected from abuse. EVIDENCE: The home has a clear complaints procedure and a copy is displayed on the notice board in the kitchen. Clients are all aware of how to complain and who to complain to. All complaints are recorded and the outcomes are also recorded. There have been no complaints made since the last inspection. There are clear policies for abuse and whistle blowing. All staff are aware of the protocols for dealing with abuse. 3 of the staff have recently attended Adult Protection training. The staff recruitment procedures have been tightened up to ensure that a satisfactory POVA first check is received for all new staff prior to employment. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, & 30 Clients live in a well-maintained, homely, clean, environment with communal space and bedrooms that meet their needs. EVIDENCE: The clients live in a comfortable, homely, well maintained, safe and accessible home. There are 3 bedrooms for the clients and a sleep-in room/office for staff. There is also a lounge/dining room, a kitchen, a bathroom with toilet, and a shower room, also with toilet. There is easy access to the rear garden and this is laid to lawn with tables and chairs for clients and staff to sit out in the better weather. All furnishings and fittings are domestic in type and are appropriate for the client group. The home has a planned maintenance and renewal programme. New windows and doors were fitted earlier in the year and it is planned to upgrade the bathroom next year. The clients each have a single bedroom and these bedrooms are decorated to their taste with various bits and pieces of their own on display in the rooms. Clients commented, “I’ve got a nice room”, and these are my soft animals on my bed” The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 18 All of the current clients are mobile and with the exception of handrails either side of the stairs and an anti-slip bath mat, no other adaptations are necessary at this time. All of the clients can get into the bath, there is a shower over the bath and a separate shower room available downstairs. The home has clear policies on infection control and the home is kept clean and odour free throughout. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, & 36 A dedicated team of properly recruited and well-trained staff supports the clients. EVIDENCE: All staff have clear job descriptions and a clear understanding of their roles. There is a good rapport between clients and staff and the staff are good listeners and communicators. Where speech is a difficulty the staff and clients develop their own ways of expression and understanding. All staff work to the GSCC code of conduct. Staff commented, “I am extremely happy here”, and “all the staff get on”. Currently 80 of the staff team are qualified to NVQ level 2 or above. 1 has NVQ2, 2 have NVQ 3 and are going on to do NVQ 4 next year. Recent training undertaken includes fire, adult protection, challenging behaviour, first aid, and health and safety. Staff commented, “I did adult protection training recently, although I did not learn much that I did not already know, the trainer was brilliant”, and “NVQ helped me to give rights and listen to opinions”. There are sufficient staff on duty at all times to meet the needs of the clients, and to have time for 1:1 interactions with them. The home has a low turnover of staff, and the continuity this provides benefits the clients. Currently all of The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 20 the clients are female and the staff team, with the exception of the manager is also female. There are no ethnic needs amongst the current client group. The home has improved its recruitment procedures to ensure that no member of staff is employed until a satisfactory POVA first check has been received. The staff files have also been updated to comply with the revised Schedule 2. There are regular staff meetings, and informal staff supervision and support on a very regular basis. The manager is in the process of ensuring that in future staff supervisions are recorded formally. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, & 43 Clients benefit from efficient management, an open and transparent ethos, and a well run home. EVIDENCE: The registered manager already holds an HNC in Managing Health Care Services, an NVQ 3 in Care Management and is an NVQ assessor, and has now registered to do his NVQ 4 in care followed by his RMA. He has been running this home for the past 10 years. In addition he attends all of the same training as the rest of the staff. The ethos of the home is open and transparent and the management approach to the home is positive with the manager communicating a clear sense of direction and leadership to the staff and clients. A client said, “Michael is nice”, and staff commented “I can’t add anything but more praise”, “Michael will never be a millionaire”, and “the first thing Michael thinks about is his ladies” The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 22 The home currently circulates quality assurance questionnaires to the clients and is introducing questionnaires for families and friends and professionals. There is a continual cycle of self-monitoring within the home, and they have undertaken an infection control audit recently. All of the policies and procedures are stored in the staff room with the most used also displayed in the kitchen as a constant reminder. The most recent policies to be updated were the medication policy, and the bathing policy. Record keeping in the home is appropriate. All records are current and legible. Clients have access to their records on request in accordance with the Data Protection Act. The health, safety and welfare of the clients is protected. Safe working practices are followed and the home complies with the relevant Health and Safety legislation. A sample of certificates was viewed and these included the servicing of boilers and central heating systems, the maintenance of electrical systems, PAT testing, and the servicing of fire extinguishers. The home has a written health and safety policy. Appropriate risk assessments are in place, and the recording of accidents is in accordance with good practice. The home is financially viable. There is an unofficial business plan. Insurance cover is up to date and at a realistic level, and includes cover for business interruption costs. The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Laurels Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000023126.V256932.R01.S.doc Version 5.0 Page 24 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. 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 The Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 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 Laurels DS0000023126.V256932.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!