Care Home: 52 Abshot Road

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What the care home does well Peoples` personal and everyday care support needs are clearly identified and written up into care plans that provide instructions regarding the level and type of support needed with various care needs. This is especially important, as people living at the home are often unable to verbally communicate their needs. This also helps to make sure that people can maintain their independence. People living at the home are supported to make choices about their life style, to take part in various activities and to keep in contact with friends and family. People have access to a full range of healthcare support as necessary and receive personal support in the way they prefer and according to their needs. Staff are thoroughly checked before they work at the home and receive good training. This helps to protect people and ensure staff have the skills to meet their needs. The home is clean and tidy and good standards of hygiene are maintained throughout the home. What has improved since the last inspection? The manager has taken action to address all three requirements made at the previous inspection. The quality and accuracy of information recorded in care plans has improved. Work has been undertaken and is ongoing in making more documents available in formats appropriate to peoples` needs with more attention to ensuring that a person centred approach is promoted. Medication is being managed more safely and the home now has a registered manager. What the care home could do better: This report does not highlight any major issues for improvement. Plans are in place to redecorate communal areas of the home and this will improve the environment and make the home a more homely place to live. The manager needs to ensure that notifications detailing any incidents that effect the well being of people living at the home are sent promptly to the Commission for Social Care Inspection. CARE HOME ADULTS 18-65 52 Abshot Road Titchfield Common Fareham Hampshire PO14 4NB Lead Inspector Chris Johnson Unannounced Inspection 13 August 2008 10:55 th 52 Abshot Road DS0000012369.V368926.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 52 Abshot Road DS0000012369.V368926.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. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 52 Abshot Road Address Titchfield Common Fareham Hampshire PO14 4NB 01489 582150 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) abshotroad@c-i-c.co.uk www.c-i-c.co.uk Community Integrated Care Mr B Nixon Care Home 3 Category(ies) of Learning disability (0) registration, with number of places 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection 16th August 2007 Brief Description of the Service: 52 Abshot Road is registered to provide accommodation and care for up to three adults who have a learning disability. The home is managed by Community Integrated Care and is owned by Knightstone Housing Association. Community Integrated Care is a national organisation with a number of homes in the area. 52 Abshot Road is a detached house within the residential area of Titchfield Common. There is a shopping centre with a library, post office and a pub within one mile of the property. All of the bedrooms are single and the home has been developed on a domestic scale. In August 2007 it was reported that the weekly fee for a place in the home was £1500. We do not have the cost of the current fees. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards, compliance with regulations, previous requirements and to assess what the outcomes are for people who live at his home. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out over one day on 13th August 2008 whereby we looked at all key standards. All regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Commission for Social Care. The manager completed an Annual Quality Assurance Assessment (AQAA) prior to the visit. Surveys were sent to one person living at the home, six members of staff, four health professionals and one care manager. At the time of writing this report we had received completed surveys from one person living at the home and three members of staff. During this visit we looked at the physical environment including, people’s bedrooms and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day-to-day interactions with those living at the home. We examined records, policies and procedures. Due to communication difficulties and the complex needs of the people living at the home the inspector was not able to hold discussions with them. However the inspector was able to talk to people briefly, and spend time observing the care being given to them. The manager was present throughout the visit to answer questions and discuss issues. Verbal feedback was provided at the end of the inspection. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: This report does not highlight any major issues for improvement. Plans are in place to redecorate communal areas of the home and this will improve the environment and make the home a more homely place to live. The manager needs to ensure that notifications detailing any incidents that effect the well being of people living at the home are sent promptly to the Commission for Social Care Inspection. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 7 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. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a thorough assessment process so that people moving into the home know that their needs will be met. EVIDENCE: Both of the people living in the home moved in approximately ten years ago, following a full assessment of their needs that has been assessed at previous inspections. At the last inspection of the home on 16th August 2007 we found that, ‘There are good systems to assess the needs of people before they move into the home, which helps to assure people their needs can be met’. There had not been any new admissions to the home since the previous inspection. Although the home is registered to provide accommodation for up to three people they have not sought to admit anyone else due to the needs of the two current people living at the home. The AQAA stated that, There is a admissions policy in place for new or potential tenants which gives a clear outline of the steps to take before a service user moves in, this highlights that we need to do an assessment before 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 10 the service user moves in to ensure that the placement meets their needs, they get to see their room, know the support on offer and allows them to have a say and choice as to whether they will move in. From discussion with the person managing the service we were told that the assessment process was unchanged since the last inspection. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs are kept under regular review and recorded in detailed and personalised plans of care that promote independence. EVIDENCE: A requirement was made following our last inspection of the home regarding making sure that information in care plans helped to protect the health and safety of people who live in the home and did not contradict the information in risk assessments. The care plans of both people living at the home were looked at during this visit to the home. We saw that improvements had been made to the content and accuracy of information recorded in care plans. Care plans were comprehensive and covered areas of need such as; communication, personal hygiene, personal care needs, safety awareness, activities, likes and dislikes, sexuality, help with literacy and numeracy and 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 12 general day to day living needs. Daily records are completed throughout the day and examination of these demonstrated that care was being provided as per the care plan. Following the last inspection risk assessments and care plans had been revised. Risks assessments were specific and detailed. There were risk management plans in place and these agreed with peoples’ needs as identified and recorded in their care plans. We saw evidence that staff had all read the care plans and risk assessments and they had all signed to confirm this and staff spoken with confirmed that they had access to care plans. The results of staff surveys were that all staff members responded that they were given up to date information about the needs of the people that they supported. We saw that care plans and risk assessments had been reviewed on a regular basis and that each person meets with their key worker on a monthly basis to discuss their care and support needs. We saw that people are able to take risks as part of their everyday lives and that plans were in place to manage these appropriately. Care plans and all peoples’ personal information were stored safely and confidentially. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to make choices about their life style, and are supported to develop life skills. People are supported to engage in activities and to keep in contact with friends and family. EVIDENCE: Examination of care plans showed that people are able to express their personal goals and aspirations and are supported to make achievable and realistic progress towards meeting these goals. For instance one person had recently been to a holiday camp as this was something that they had identified during a meeting with their key worker that they wanted to achieve. Information in the AQAA told us that the home supported people to go on holidays, get out and about in the community and to chose whether or not to engage in activities and how to spend their time. Observation, examination of 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 14 records and discussions with staff during the visit to the home substantiated this. On arrival at the home both people were out, one being at day services and the other was out for coffee with staff. People are supported to maintain contact with their family, with regular phone calls, letters and visits. Staff demonstrated an awareness of people’s rights and responsibilities and the support people required to exercise them. The home has a planned menu that provides a varied and balanced diet. Staff described how people make choices about food and explained that different meals are provided where they are requested. Menus had been produced in pictorial format and were on display so that people could see what the choices were for that day. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are fully supported with their healthcare needs and have access to a range of specialist healthcare support. People receive personal support in the way they prefer and according to their needs. EVIDENCE: The healthcare records for both people were examined during our visit to the home. Records demonstrated that the home liaises with outside professionals and other agencies as appropriate and that people had access to a range of healthcare services such as GP’s, opticians, dentists and specialist healthcare teams. We saw evidence that peoples’ healthcare support needs are monitored and that people are supported to attend appointments as necessary. The medication administration records were checked for both people during the visit. At the last inspection of the home it was found that ‘Errors in the medication records and storage of staff medicines did not demonstrate safe practice’. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 16 At this visit we saw that improvements had been made. All medicines were stored safely and securely and in line with the homes’ policies and procedures. The medication administration records were checked for both people. These had been completed appropriately and in line with procedures apart from one occasion whereby medication had been signed as given even though the medicine had not been administered. We saw that this had been dealt with by the manager and that the staff member who made the error had received supervision as a result of this and that management procedures had been implemented that included the staff member being supervised while administering medicines and their competency was being reassessed. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory systems are in place for people to address any concerns or complaints that they may have and to protect them from abuse. EVIDENCE: The last inspection of the home did not raise any concerns in this outcome area. No complaints regarding the home have been reported to the Commission for Social Care Inspection since the last inspection. Data supplied to us in the AQAA prior to the visit told us that no complaints had been made to the home. Examination of the homes’ complaints log confirmed this. The homes’ complaints procedure is available in both pictorial and audio format and the manager reported that both people had been provided with a copy in a format appropriate to their needs. The home has safeguarding procedures in place. Discussions with staff and feedback from staff surveys showed that they were aware of these procedures and that they had knowledge of the issues concerning providing safeguards to people living at the home. No allegations have been referred to adult social services for investigation under the safeguarding adults procedure since the last inspection of the home. 52 Abshot Road DS0000012369.V368926.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, 25 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a safe clean environment to live in. The service recognises that improvements are needed to the décor of the home and has made plans to address these. EVIDENCE: During the visit to the home we saw all communal areas and both peoples’ bedrooms. Peoples’ bedrooms reflected their individual tastes and needs People had been able to personalise their rooms with pictures and belongings, People were observed to access and spend time in their rooms as they chose and to have access to all communal areas. On the day of the visit the home was found to be clean and tidy and homely. From observation people were relaxed and at home in the environment. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 19 Following a fire earlier in the year the kitchen had been recently replaced. The AQAA identified that the home could improve, ‘the decoration in the communal areas’. Our visit confirmed this. Communal areas of the home were in need of repair and redecoration. There was cracking to the plaster around doors in the hallway and this area required repainting. The décor in the lounge would benefit from being updated, as would the dining area and downstairs bathroom. Redecoration of these areas is the responsibility of the housing association and the manager provided us with evidence that agreement had been made with the housing association to redecorate the dining area, the lounge, hall and corridor, the utility room and both bathrooms. We were told that work would commence in the near future. The manager said people living at the home would be involved as much as possible in choosing colours schemes. It was noted that the sofas in the lounge were in a poor state. The manager said that he had requested funds from the organisation to replace these. It was agreed during the inspection that the sofas would be replaced within two months from the date of our visit. 52 Abshot Road DS0000012369.V368926.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, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and are provided with appropriate support and supervision. Recruitment procedures are robust and this helps to protect those living at the home. EVIDENCE: The last inspection of the home did not raise any concerns with this outcome area. It was found that, ‘The home has good staffing arrangements, which helps to ensure people are protected and their needs are met’. During the visit to the home staff rotas were examined. These confirmed the rota to be a true reflection of actual staffing levels. Rotas are planned in advance and it was seen that they had been planned for the following weeks. There had not been any changes to staffing levels since our last visit. Examination of the rota showed that there are always a minimum of two members of staff on duty and more often than not there was a third staff member on shift. 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 21 On arrival at the home both people were out, one being at day services and the other was out for coffee with a senior support worker. One support worker was at the home. Staff reported that they were generally satisfied with staffing levels however some did remark that if there was not a third staff member on duty at weekends then this affected the opportunity for people to go out. We were unable to explore this any further however this is something that the manager should consider when compiling the rota. Due to the communication needs of those living at the home there were photos on display to inform people which members of staff were on duty throughout the day. To help people to identify which shift staff were on, the home has developed pictorial symbols to indicate morning afternoon and night shifts. From examination of staff files, discussion with staff, information recorded in the AQAA and feedback from surveys it was evident that the home provides training and development opportunities for staff that is relevant to their work. We looked at the recruitment records for two members of staff who had been employed since our last visit to the home. The recruitment records were available to demonstrate that staff are recruited appropriately and that references and checks are undertaken before offering them a post. This is consistent with findings at previous inspections. Newly recruited staff follow an induction programme. We saw evidence of this and this was supported by responses to staff surveys and through discussion with individual staff members. 52 Abshot Road DS0000012369.V368926.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, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has overseen improvements in the home. The home is well maintained and equipment is serviced to keep everyone safe. EVIDENCE: At the last inspection of the home it was identified that the home needed to improve the information recorded in care plans, the storage and recording of medication and that there was a need to submit an application for a registered manager. As has been discussed elsewhere in this report we found that action had been taken to address care plans and medication. At the time of this visit an application had been submitted to the Commission for Social Care Inspection to register a manager. Since that time and the 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 23 writing of this report Mr Barry Nixon has successfully completed the registration process and is now the registered manager of the home. Mr Nixon has worked at the home for several years and has been managing the service since November 2006. The manager has overseen the improvements since our last inspection as discussed throughout this report. Data recorded in the AQAA told us that policies and procedures are kept under regular review and examination of a sample of these confirmed this. The home has systems in place to monitor the quality of service that it provides. A representative of the organisation regularly undertakes visits to the home and reports of these visits were available for examination. From these we saw that during these visits the views of those living at the home are listened to, records are checked and the safety and upkeep of the environment monitored. The AQAA gave details and evidence that maintenance checks, tests and servicing of equipment are carried out on a regular basis. Evidence seen during the visit substantiated this. Examination of the fire logbook demonstrated that regular and thorough testing and servicing of the home’s fire detection and fire-fighting equipment was being carried out and other appliances as appropriate. Fire evacuation and regular fire drills are carried out with staff and people living at the home. Health and safety inspections of the home are carried out by the organisation. The medication error discussed in the personal and healthcare section of this report had not been reported to the Commission for Social Care Inspection. This was discussed with the manager and a notification has since been sent to us. Whilst it is necessary that all future events are reported promptly we were satisfied from discussion with the manager and from written records that appropriate action had been taken to address the error and safeguard against future errors. There were not any concerns with regard to safety within the home environment. 52 Abshot Road DS0000012369.V368926.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 X 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 3 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 X 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 X 12 3 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 3 3 X 52 Abshot Road DS0000012369.V368926.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 YA42 Regulation 37 (1) (e) Requirement The registered manager must ensure that any incidents that effect the well being of service users must be reported to the Commission for Social Care Inspection. Timescale for action 13/10/08 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 52 Abshot Road DS0000012369.V368926.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 52 Abshot Road DS0000012369.V368926.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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