Inspection on 26/09/07 for The Oaks

This inspection was carried out on 26th September 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Oaks 09/10/06

The Oaks 15/08/05

The Oaks 14/10/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Oaks Firs Road Kenley Surrey CR8 5LH Lead Inspector James O’Hara Key Unannounced Inspection 25th September 2007 08:55 The Oaks DS0000025852.V351096.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 The Oaks DS0000025852.V351096.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. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Address Firs Road Kenley Surrey CR8 5LH 020 8763 1719 F/P 020 8763 1719 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) Surrey and Borders Partnership NHS Trust Mrs Adelade Chibaiso Mallikaaratchi Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow five specified service users aged 65 or over to be accommodated until such times that the home is no longer able to provide the care they require 9th October 2006 Date of last inspection Brief Description of the Service: The Oaks is owned by Surrey and Borders NHS Trust and is registered with the Commission for Social Care Inspection to provide residential care for up to 12 adults with learning disabilities. The home offers accommodation to people who have a moderate to severe learning disability. The home is beautifully situated in a wooded area of Kenley. The home is not easily accessible by public transport being a 20 minute walk up a very steep hill from both bus and rail routes. The home has 2 vehicles one of which is adapted for wheelchair users. The property is a large, converted building with accommodation sited across 3 floors with access being provided by a lift. All bedrooms were noted to be of good size, communal accommodation is a large lounge and a smaller quiet lounge, a large dining room, 3 bathrooms and 5 toilets. The home has a large garden, which is frequented by squirrels and other wildlife. The home has a heated, in-door swimming pool. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was carried out between 8.55am and 11.25am on a Tuesday morning. Methods of inspection included a tour of the premises, observation of contact between staff and people who use the service and discussion with a member of staff and the registered manager. Records examined included the homes Annual Quality Assurance Assessment (AQAA), statement of purpose, service users guide, care plans and person centred plans, risk assessments, complaints, staffing training records, medication, and health and safety records. Requirements and recommendations from the previous inspection were discussed with the registered manager. What the service does well: What has improved since the last inspection? The statement of purpose has been reviewed and updated and includes the homes fire precautions as required at the last inspection. The registered manager has developed a cleaning programme that covers the early, late and night shifts. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 6 All staff has been inducted into the homes administration systems and structures. All staff receives regular recorded supervisions. All staff attended adult protection training. The home has worked hard to make sure that people are encouraged to become more involved in the running of their own home. It is evident that the registered manager is developing a person centred approach that promotes an open and inclusive atmosphere. What they could do better: There were three requirements and six recommendations set at the last inspection. All of these have been met. As a result of this inspection one new requirement and three new recommendations have been set. The overall impression when visiting the home is well run and well managed however; • • • The home could ensure that the whole staff team attend training on epilepsy. Copies of peoples care plans/placements reviews could be kept on their personal file. Some communal areas would benefit from redecoration. The inspector would like to thank people who use the service, members of staff on shift and the registered manager for their support during the course of the inspection. 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 Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home provides people who plan to use the service and their representatives with all the information they need to make an informed decision about whether or not to use the service. EVIDENCE: The statement of purpose has been reviewed and updated and includes the homes fire precautions as required at the last inspection. As recommended at the last key inspection all staff has been inducted into the homes administration systems and structures. One person recently moved onto a new placement because the service was no longer suitable for meeting his assessed needs. No new people have moved into the home since the last inspection. The Surrey and Borders NHS Trust has an Admission Procedure, that states that people are only admitted to the home once a full assessment has been completed by an appropriate person (usually a care manager) and sent to the home, along with any other information about the persons needs. The person’s family is also involved, if it is appropriate. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 9 A variation had been granted to allow five specified people aged 65 or over to be accommodated until such times that the home is no longer able to provide the care they require. The Commission has revised its procedures for setting categories as conditions in keeping with the principles of Inspecting for Better Lives. It is no longer required that providers should seek a variation to support adults over the age of 65. The primary care need of all of the people who use the service is learning disabilities. The registered manager was advised that the homes Statement of Purpose should reflect that the home supports some people physical disabilities and some people with elderly needs. People have contracts drawn up by the Surrey and Borders NHS Trust using Standard 5 of the National Minimum Standards as guidance. These contracts are located in their personal files. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. People’s care plans are kept under regular review and people have person centred plans with detailed information on their needs and personal goals. People have individual risk assessments and risk management strategies in place so that they can participate in activities in the home and in the community in a safe manner. EVIDENCE: People have a person centred plan. The person centred plan includes people involved, a life picture, things I enjoy, my gifts and qualities, things I do not like, unresolved problems, my dreams and aspirations, things to do to keep me healthy and safe and things that matter to me most, the person centred plans have recently been reviewed. People have had their care plans/placements reviewed by care managers from their placing authorities however the registered manager stated that some of The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 11 the reports from these reviews have not been sent to the home. It is recommended that the registered manager contacts peoples care managers and requests copies of their care plans/placements reviews so that these can be kept on file. The registered manager produced evidence that people who use the service have risk assessments that are reviewed at person centred plan/care plan reviews and on a more frequent basis if appropriate. The registered manager provided evedence that people hold regular monthly meetings. Copies of the most recent meeting minutes indicated that people were able to express their wishes about holidays, outings, aramatherpy and Us and a Bus. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 12 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, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using all the available evidence including a site visit to this service. Social and leisure opportunities for people to engage in both inside the home and in the wider community are well managed and age appropriate. People have regular contact with friends and relatives. Dietary needs are well catered for and well-balanced, nutritional meals, based on personal preferences are being prepared and eaten by people who use the service. EVIDENCE: People attend classes either in the morning or afternoon at the Driscoll Centre at least four days per week. The home has two vehicles one of which is adapted for wheelchair users. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 13 The registered manager stated that the Day Centre timetable is kept under review so that people have opportunities to learn and develop new skills. One person tried all of the activities at the day centre but eventually decided that she would attend the pop in sessions for the whole week The home is not easily accessible by public transport being a 20 minute walk up a very steep hill from both bus and rail routes. Because of this there is little opportunity for people to become part of the local community however people generally go into Purley, Caterham or Coulsden to go to hairdressers, cafes, restraunts, supermarkets and shop for their personal items. The registered manager stated that two people like to attend the local Church each Sunday and one person attends the Synagogue. Some people use the homes heated indoor swimming pool. The registered manager stated that the home is seeking to improve communication systems to assist people in making their own decisions and develop their independence. The registered manager has sought the services of Us and a Bus training company that offers an intensive interaction workshop that aims to build relationships with people with profound learning disabilities and complex needs. The staff team will attend this workshop on the 26th of october 2007. The registered manager stated that people are now getting out more; this is because the person centred approach has identified people’s individual needs and what they like to do. Some people went on a pampering weekend at a hotel and people can choose to go on more than one holiday each year if they wish to. Some people now attend a Monday Club. The registered manager produced a rolling four weekly menu system. The menus are seasonal and reflect the dietary needs of people that live at the home. The home has no visiting restrictions although it does ask that visitors telephone before a visit in case people are out. The home has a second, quiet lounge, which can be used, as a private visitor’s space. Throughout the inspection it was observed that staff treated people with respect. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The arrangements for meeting the health care needs of people who use the service are good and people receive personal support in the way they prefer. The homes policies and procedures for handling medicines in the home ensure the people are so far as reasonably practicable protected from harm and/or abuse. EVIDENCE: People who use the service are registered with a local General Practitioners Surgery. People have access to health care professionals such as speech and language therapists, physiotherapists, dieticians, opticians, chiropody and dentists through the Surrey and Borders NHS Trust. People have annual health checks and flu vaccinations. People have a health action plan. One person has been diagnosed with epilepsy. The registered manager produced an epilepsy care plan. The care plan included a description of typical seizures, guidance for staff to follow i.e. when to call an ambulance, a rectal diazepam treatment plan and a seizure chart. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 15 Three members of staff had attended training on epilepsy and one member of staff is booked to attend training. The registered manager stated that she is seeking to place the remaining staff on this training. So that the whole staff team can support the person with epilepsy in a consistent manner the whole staff team must attend training on this condition. One person who has dementia has had her bedroom decorated to meet her needs. The registered manager stated in the AQAA that the team would work towards making the home more dementia friendly. Medication is stored in a locked cabinet in the dining room. Medication administration records were checked on the day of the inspection and were up to date and accurate. The home has the support of a local pharmacist for advice on medication. The pharmacist visited the home on the 02/12/06 and is due to visit again on the 01/10/07. A requirement was set at the last key inspection that the registered manager ensures that all staff attends an eating and drinking basic awareness course. This was because the Speech and Language Therapist had recommended that staff attend an eating and drinking basic awareness course to support a particular person. This person has moved from the home since then however the registered manager stated that she still plans to access this training for staff as she felt that the training would help staff to support some other people who use the service. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home has appropriate complaints procedure in place. The home has suitable vulnerable adult protection and abuse prevention measures in place to ensure that people who use the service are so far as reasonable practicable protected from abuse, neglect and/or harm. EVIDENCE: The home has appropriate complaints procedure in place. The registered manager stated that there had been no complaints made to the home since the last key inspection. The registered manager produced evidence that all staff attended adult protection training since the last key inspection. She stated that there are plans for the team to attend Croydon Councils Safeguarding Adults training. At the last key inspection it was observed in the homes questionnaire that a relative raised concerns about communication with some staff in the home. The staff team discussed how staff communicate with and are perceived by visitors to the home. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 17 The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The overall impression when visiting this home is that it is homely, comfortable clean and hygienic however some areas of the home would benefit from redecoration. EVIDENCE: The home is beautifully situated in a wooded area of Kenley. The home is not easily accessible by public transport being a 20 minute walk up a very steep hill from both bus and rail routes. The home has two vehicles one of which is adapted for wheelchair users. The property is a large, converted building with accommodation sited across three floors with access being provided by a lift. All bedrooms were good in size, very comfortable, nicely decorated and personalised to people’s individual tastes. One person showed us his drawings The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 19 on his bedroom wall, his television, music system and his personal items such as CDs and DVDs. The registered manager stated that some people have recently purchased new bedding and furniture for their rooms. Communal accommodation consists of a large lounge and a smaller quiet lounge, a large dining room, three bathrooms and five toilets. The home has a large garden, which is frequented by squirrels and other wildlife. The home has a heated, in-door swimming pool. It was recommended at the last key inspection that a cleaning programme be drawn up for the home in order to eliminate the smell of urine. The registered manager has developed a cleaning programme that covers the early, late and night shifts. The home was clean and hygienic and free of offensive odours on the day of the inspection. The hallway stairs and landing appeared gloomy with no natural light, it was suggested to the registered manager that 100-watt light bulbs might improve visibility. Maintenance for the home is provided on an as required basis by The Surrey and Borders NHS Trust works dept. It is recommended that the registered manager contact the Surrey and Borders works department to consider redecoration of the hallway stairs and landing. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 20 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, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. There is a competent and well-trained staff team who understand the needs of people who use the service. EVIDENCE: It was recommended at the last key inspection that all staff attend health and safety training and that the registered manager develop a training record in the form of a matrix so that she can easier assess staff training completed and required. The registered manager produced a matrix indicating training attended by staff. Three members of staff had attended health and safety training and one is due to attend in February 2008. The registered provider stated that all staff is on a waiting list to attend health and safety training. Eight members of staff holds and NVQ level 2 qualifications. All staff receives regular recorded supervisions and all members of staff are undergoing the Surrey and Borders NHS Trusts appraisal system “Knowledge and Skills Framework”. The “Knowledge and Skills Framework” includes a performance development plan. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 21 No new members of staff have started work at the home since the last inspection. Criminal Records Bureau Checks have been inspected for all current members of staff. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 22 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, 39 and 42. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home appears to be well run and well managed. It is evident that the registered manager is endeavouring to develop a person centred approach in the home that promotes an open and inclusive atmosphere. EVIDENCE: The registered manager has managed the home since September 2005. She is a RNMH and is currently completing the Registered Managers Award and NVQ Level 4 in Care with the Surrey and Borders NHS Trust. It is no longer a requirement under the Care Homes Regulations that regulation 26 reports are sent to the Commission unless it is requested, however copies of the reports must be available in the home for inspection. Regulation 26 visit reports were available in the home for inspection. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 23 The registered manager produced copies of people who use the service and relatives surveys completed in September 2006. In general feedback from people and their relatives was positive. It was observed however that two relatives were not aware of the CSCI reports. The home also has a quality assurance/home development plan, the registered manager stated that feedback from people and their relatives would be used to make improvements/developments to the service. The registered manager stated that new surveys were due to be sent to people who use the service and their relatives. The registered manager provided evedence that people hold regular monthly meetings. The registered manager produced evidence that portable appliance testing had been carried out on 01/05/07, legionellas testing had been carried out on 26/06/07 and landlords gas safety certificate was produced dated 17/08/06. The homes fire alarm system is checked on a regular weekly basis and full fire evacuations had been carried out in February, May and August 2007. The Surrey and Borders NHS Trust fire safety advisor reviewed the homes fire risk assessment on the 28/06/07 and all staff has been trained on fire safety. Weekly checks are carried out on the homes two vehicles, the first aid box and the water temperatures. The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 18 (1) c (i) Requirement So that the whole staff team can support the person with epilepsy in a consistent manner the whole staff team must attend training on this condition. Timescale for action 31/12/07 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 YA6 Good Practice Recommendations It is recommended that the registered manager contacts peoples care managers and requests copies of their care plans/placements reviews so that these can be kept on file. It is recommended that the registered manager contact the Surrey and Borders works department to consider redecoration of the hallway stairs and landing. 2. YA24 The Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Oaks DS0000025852.V351096.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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