Care Home: 129 London Road

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. The home supports the service users to make informed choices and to lead active and fulfilling lives. Their philosophy is to promote independence and to involve the service users in all aspects of life in the home. The service users are treated with a great deal of respect. Their privacy and dignity are preserved and the home actively promotes their health and wellbeing. There are comprehensive care plans that promote individualised health and personal care for the service users. The service users participate in a wide range of activities and make full use of local community facilities. The home has a strong philosophy of equality of opportunity, fairness and consistency of treatment for service users and staff. Staff are carefully vetted and well trained. Relatives and supporters say that they are "absolutely marvellous" and show great patience and care. Staff are commended for the way they support the service users and their commitment to improve the lives of the service users. There is a very pleasant, tidy, clean and welcoming environment. The accommodation is well maintained and homely. What has improved since the last inspection? A new manager has been appointed. She is well qualified and has good experience in working in care settings. The care plan format has been reviewed and improved. This means that they are easier for the service users to understand and for the staff to follow. The use of paper towels has been considered and a decision, made in conjunction with the service users, has been made to continue to use cotton towels in the bathrooms. Risk assessments are now in place for this and the towels are changed at least once every day. What the care home could do better: The home meets the National Minimum Standards well, therefore it was not necessary to make any requirements or recommendations at this visit. CARE HOME ADULTS 18-65 129 London Road Redhill Surrey RH1 2JQ Lead Inspector Wendy Mills Unannounced Inspection 8th January 2008 10:00 129 London Road DS0000013446.V356063.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 129 London Road DS0000013446.V356063.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. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 129 London Road Address Redhill Surrey RH1 2JQ 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) 01737 785400 Prospect Housing and Support Services Post Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 20-65 YEARS 12th June 2006 Date of last inspection Brief Description of the Service: 129 London Road is owned and managed by Prospect Housing and Support Services. The home is an older style property situated on a busy residential road close to Redhill town centre and provides support to five men who have a learning disability. The home benefits from a number of communal areas including a lounge, dining room, kitchen, conservatory and a large garden. One bedroom is situated at ground floor level with the remaining four being on the first floor. All bedrooms are a good size. There is a downstairs shower room and toilet and further bathroom facilities upstairs. There is also a very small office/staff sleeping-in facility at first floor level. The weekly fees at the service range from £846 to £1,509 and are based on the assessed needs of the individual service user. Further information about the service can be obtained from the manager. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced. It formed part of the inspection process of the Commission for Social Care Inspection (CSCI) under the Regulations of the Care Standards Act 2000. This report has been compiled using information gained during this visit and information supplied prior to the visit from a variety of sources including the home’s Annual Quality Assurance Assessment (AQAA) that is required by the CSCI. During the visit in-depth discussion was held with the manager of the home. Time was spent with the service users, interacting with them and making both direct and indirect observations. Staff were spoken to both in private and during a tour of the home. A tour of the home was made and documentation, including staff files and care plans was examined. Both direct and indirect observation was used throughout the visit. The home meets the National Minimum Standards very well. The supporters of the service users say that they believe they are well cared for and that they lead fulfilling and meaningful lives. The requirements from the last inspection have been met. No requirements were placed following this visit. The service users, staff and registered manager are thanked for the welcome they gave and their help throughout this visit. What the service does well: The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. The home supports the service users to make informed choices and to lead active and fulfilling lives. Their philosophy is to promote independence and to involve the service users in all aspects of life in the home. The service users are treated with a great deal of respect. Their privacy and dignity are preserved and the home actively promotes their health and wellbeing. There are comprehensive care plans that promote individualised health and personal care for the service users. The service users participate in a wide range of activities and make full use of local community facilities. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 6 The home has a strong philosophy of equality of opportunity, fairness and consistency of treatment for service users and staff. Staff are carefully vetted and well trained. Relatives and supporters say that they are “absolutely marvellous” and show great patience and care. Staff are commended for the way they support the service users and their commitment to improve the lives of the service users. There is a very pleasant, tidy, clean and welcoming environment. The accommodation is well maintained and homely. What has improved since the last inspection? 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. 129 London Road DS0000013446.V356063.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 129 London Road DS0000013446.V356063.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users, their relatives and supporters, with the information they need in order to make a decision about moving into the home. Appropriate pre-admission assessments are made. This ensures that only those residents who are suited to the home, and whose needs can be met, are admitted to the home. EVIDENCE: The home provides the service users and their families with good information about the home in a variety of formats including the use of symbols. Staff say that they also explain rights and responsibilities to the service users. No new service users have been admitted to the home since the last inspection. All care plans have up-to date-assessments. These are reviewed on a monthly basis and all stakeholders are involved in this process. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home actively encourages the service users to make informed choices and take responsible risks. This helps the service users to maximise their independence. EVIDENCE: The mission statement of Prospects, the not for profit organisation that oversees the home, states that it works, “to enable people to realise their potential and to exercise choice and control over their lives”. Staff confirmed that this is very much the case and gave examples of how they support choice and promote independence. It is clear from these examples that the staff give encouragement and support in a positive, creative and sensitive way. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 10 Risk assessments are in place for all activities and environmental issues. The home encourages and supports the service users to take responsible risks in order to maximise their independence. For example, one service user prefers to use public transport to get to his work placement. There is a risk assessment in place and he is supported to get to his destination independently. On the day of this visit two service users were at home and three were at their work or day placements. The two service users who were at home were clearly able to choose what they wanted to do and what they ate. Staff were noted to support and encourage them in a gentle, kind and positive way. Care plans are well organised and record the likes and dislikes of the service users, religious and cultural needs and show that the home has worked to meet and review these needs. Three service users attend a church group on a regular basis. One service user spoke enthusiastically about this group and how he helps make cakes to take to the group meetings. Records show that care plans and service user wishes are reviewed on a monthly basis. Direct and indirect observation showed that the service users’ wishes are taken into consideration in all aspects of daily life in the home. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home encourages the service users to participate in a wide range of activities and enjoy a healthy lifestyle. This means that they are able to realise their potential and can exercise choice and control over their lives. EVIDENCE: All the service users have day placements and/or work placements. On the day of this visit three were out at their day placements and two were in the home. There is a rota for house chores that the service users have agreed to. Direct and indirect observation showed that the two who were at home were happy to get on with their chores. Both were busy in their rooms, one was tidying his drawers and the other was sorting out his laundry. The care plans note goals and aspirations in respect of activities. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 12 There is a wide range of activities on offer, from horse riding to discos. The service users use local facilities such as the library, cinema and leisure centre. They also go to neighbouring towns for a number of activities such as bowling, the theatre and events that are organised by Mencap. There is a good age range, gender mix and cultural diversity amongst the staff group. This gives the all male service user group a balanced view of those that support them. Staff receive training in equality and diversity issues and this includes helping staff to understand the service user’s perspective. Each service user has his own time to go into town, with the support of a member of staff, to do his personal banking and shopping. There are sound systems for accounting for the person finances of the service users. Records show that good contact is maintained with relatives and friends. Three service users attend the local church group where they meet up with old friends. Four service users have regular contact with family, one telephones his relatives frequently and two go home weekly. The home supports these visits and organised transport of necessary. The home actively promotes communication skills. Staff are booked to go on Makaton training and direct and indirect observation showed that there is good communication in the home. The way the staff involve the service users in the day to day running of the home, for example, in making decisions about what activities they might take part in, is excellent. Staff talked about the way they include the service users in all activities. It is clear that they are sensitive and creative about the way they support choice and independence. Meal times are flexible and the service users choose what they want to eat. On the day of this visit there was plenty of good quality produce in the home. This meant that there was a good range of choice of food for the service users. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home promotes the health and well being of the service users. This means that they can enjoy as healthy a lifestyle as possible. EVIDENCE: The care plans are in very good order. They are reviewed monthly. The plans contain “Health Action Plans”. These plans identify specific health needs of the individual resident and state how these needs should be met. Care plans contain records of current medication and all other relevant information. Case tracking showed that all necessary health care appointments, such as chiropody, speech and language therapy and hospital consultant and GP appointments, are made and kept. Specialist advice is sought appropriately. Records show that the necessary specialist advice has been sought and followed. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 14 The service users are encouraged and supported to lead healthy lifestyles. One likes to walk to his work placement and the others enjoy walks and some go horse riding. All the service users are above forty-nine years of age. Some are now beginning to show signs of aging. The home supports aging and illness well. They have obtained professional assessments and have put revised care plans in place. They have also obtained an additional fifty hours of funded staff time per week to allow for more one to one time for one service user with increasing needs due to the aging process. There are regular reviews and care plans are up-to-date. Medication is stored appropriately. There is a locked cupboard in the staff office. Individual service user’s medicines are stored in separate, labelled containers. All packets were properly refastened. There are no controlled drugs in the home. The Medicine Administration Records (MARs) are in good order and the folder containing them also has information about the various medicines and their side effects. Records show that the service users are assessed to see if they are able to self-medicate and those that are able self-medicate. There are good relationships with local GPs and levels of medication are kept as low as possible. Apart from the odd cold and the effects of aging, all the service users have enjoyed good health since the last inspection. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sound systems for dealing with complaints, concerns and protection. This means that the home listens to, and acts upon, the views of the service users and their supporters. The organisation and the home do all they can to protect the service users from all forms of abuse. EVIDENCE: There is good evidence that all incidents, however, minor, are recorded and reported in accordance with the requirements of the Care Standards Act 2000. The reports sent to the Commission for Social Care Inspection (CSCI) over the last six months were discussed. All incidents have been appropriately managed. There are sound protection, complaints and concerns policies. Communication in the home is good. Staff say that they receive good training. They spoke about the excellent induction that they receive. All staff spoken to were very clear about their responsibility to report any concerns. They understood the Adult Protection procedures and said that they would have no hesitation in using them if necessary. However, they said that they could not ever imagine any abuse occurring in the home. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 16 Direct and indirect observation showed the service users to be relaxed and comfortable in the presence of staff. Staff praised the manager for the way in which she ensures there is regular supervision and reinforces the need for respect and understanding of the views of the service users. There have been no formal complaints since the last inspection. There is a good system for recording the expressed views and wishes of the service users and acting upon them. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is very clean, tidy and safe. This gives the residents a pleasant and homely place in which to live. EVIDENCE: The environment is very pleasant, spacious and clean. It is well maintained and there is an ongoing upgrading plan. One bathroom is scheduled for a complete refurbishment at the end of the month. Every room is well decorated and furnished. One service user was proud to show us his room. It was spacious, very neat and tidy, comfortably furnished and reflected his personality. Outside there is a safe and well laid out garden with a greenhouse. The service users enjoy using this space when the weather permits. Some like to garden whilst others just like to enjoy the fresh air. In the summer they enjoy barbeques on the small patio. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 18 There are sound systems for environmental health and safety. The hot water has temperature controls, there are radiator guards in place and fire regulations are complied with. Environmental risk assessments are in place and no health and safety hazards were noted during a tour of the home. The only recommendation placed at the last inspection was for the home to change from the use of cotton towels to paper towels in the bathrooms. The manager said that this recommendation has been discussed with the service users and staff. The benefits and drawbacks of both paper and cotton towels have been considered and risk assessed. The home has decided that, on balance, cotton hand towels are preferable as they are more homely and do not present the disposal problems that can occur with paper towels. They have decided to continue to use cotton towels but will ensure that they are changed at least once every day. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training, staffing levels and staff morale are all good. This means that a well-qualified and cheerful staff supports the service users. There are sound systems for the recruitment of staff and this means that a carefully vetted staff team supports the service users. EVIDENCE: Some staff were spoken to in private and others were spoken to en passant during this visit. There are usually two staff on duty as nearly all the service users have good levels of independence. Additional staff hours have been arranged for one of the service users who is now showing signs of aging. Staff say that there are always enough staff on duty to meet the needs of the service users. There is one sleeping night member of staff. At present this is sufficient but it is being kept under review given the changing needs of the service users. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 20 The training records show that both statutory and specialist training is taking place. The home is also proactive in the way it organises the training programme. For example, staff are receiving training in dementia so that they can understand the signs and symptoms of this and better support any service user who may suffer from a loss of mental capacity. Staff files are in very good order. All staff have current CRBs and appropriate references are on file. There is good evidence that a lot of staff training is taking place. Staff say that the induction is “brilliant”. One said, “Before we even set inside the home we have training so we know the basics and what to expect.” Staff say that they love working in the home and get a lot of job satisfaction from their work. They said that there is good team working and an atmosphere of equality and mutual respect. Staff praised the manager and the company for the way they support and encourage training. They said that the manager helps them understand the reasons for policies and procedures. They said she is very good at giving “on the job” training and advice. They confirmed that they have regular, monthly, on-to-one supervision with the manager. They said that they value these sessions and learn a lot from them. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the views of the service users and their supporters are listened to and acted upon. This means that the home is run in the best interests of the service users. EVIDENCE: The manager is well qualified. She has a degree in law and eight years experience of working in care. She holds the national Vocational Qualification at level three (NVQ III) in Care. She is currently working towards the NVQ IV in Management and Care. She is an accredited NVQ assessor. Her application for registration with the CSCI is currently being processed. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 22 The manager talked knowledgeably about best care practice. Documentation was all in good order and readily available when requested during the inspection. The staff made very positive comments about the manager and the way she supports them. They said that she explains to all new staff that they are working in what is the home of the service users and teaches them to respect this. Staff, when asked about the organisation, Prospects, said, “It’s a brilliant company to work for”. They said that the area manager visits regularly and that there is very good communication throughout the organisation and the home. They confirmed that there are regular service users and staff meetings and that the staff handovers are, “Really good”. Health and Safety records are well-maintained. Fridge temperatures are recorded and the home complies with fire regulations. There are regular health and safety checks. No health and safety hazards were noted on the day of this visit. 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 X 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 4 33 4 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 4 3 X 4 X X 3 X 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: inspection.southeast@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 129 London Road DS0000013446.V356063.R01.S.doc Version 5.2 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!