Care Home: Kiln Court

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well The home provides spacious accommodation for the residents. The atmosphere in the home is relaxed and homely. The staff and residents are very welcoming. Residents said they are very happy to live at Kiln Court and feel well looked after. A resident said, " They are kind and cheerful." Three residents spokenwith in the intermediate care unit said they are pleased with progress made with their recuperation in preparation for going home. Good rapport was seen observed between staff and residents. The quality of food is good, healthy and varied. What has improved since the last inspection? The manager has returned from a period of sick leave and as a result the management structure has been strengthened. In order to provide senior staff with more time `office time`, the duty rota for senior staff has recently been changed. This is currently in the pilot stage and its effectiveness will be reviewed. A Service User Guide/Welcome pack has been formulated. The admission process has been reviewed to ensure that residents` needs can be met. The care-planning format has been improved resulting in staff having better information and guidance to deliver the care. The home is relying less on the use of agency staff. Improvements have been made to the environment in respect of new carpets and decoration. A wet room has been installed with a shower facility. The quality assurance systems have improved and a 2008/2009 development plan devised. The home recently had an infection control audit to ensure a clean and hygienic environment for residents and staff. CARE HOMES FOR OLDER PEOPLE Kiln Court Lower Road Faversham Kent ME13 7NY Lead Inspector Lisbeth Scoones Unannounced Inspection 16th June 2008 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kiln Court Address Lower Road Faversham Kent ME13 7NY 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) 01795 532183 01795 530942 pam.lloyd@kent.gov.uk Kent County Council Manager post vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (1) of places Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2007 Brief Description of the Service: Kiln Court, first opened in 1988, is situated in the village of Ospringe, Faversham. The home is owned and run by the local authority, Kent County Council and supports older people over 65 years for long term, short term, respite and intermediate care. The home has one storey with level access throughout the building. There are 30 single bedrooms with wash hand basins and a call bell system fitted. Two bedrooms are available with en suite facilities suitable for people who may use a wheelchair. The home has a number of lounges and dining rooms. The home has pleasant grounds and gardens and is within walking distance of local shops and bus stops. There is a day centre as part of the Kiln Court site. The maximum weekly fee is £379.02 with an additional charge for hair dressing. The inspection report is on display in the entrance lobby. Kiln Court DS0000037750.V365416.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. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. This unannounced inspection visit was carried out on Monday 16 June 2008 between 09.45 and 17.25. It comprised discussions with the manager, senior team leader, team leader and other care staff on duty. The three units, Ospringe, Abbey and Davington were visited, many residents met and 8 residents spoken with. The visit was further informed by an AQAA (Annual Quality and Audit) completed by the manager prior to the visit. Five comment cards completed by residents and 4 completed by staff were received. Information thus obtained is incorporated in the report. Documentation was examined in respect of pre-admission assessments, care plans, risk assessments, Statement of Purpose, training records and staff files. Since the previous inspection the CSCI has received two complaints. These were investigated and acted upon. Two referrals to the safeguarding vulnerable adults team were made. At the time of the inspection, the investigations had not been concluded. Appropriate action to rectify the situation has been taken and is on-going. The home has no registered manager. Under the Care Standards Act 2000 it is an offence for a home to be run by any person who is not registered. The title ‘manager’ is used throughout the report as the person appointed by the Provider to be in charge of day to day management of the home. What the service does well: The home provides spacious accommodation for the residents. The atmosphere in the home is relaxed and homely. The staff and residents are very welcoming. Residents said they are very happy to live at Kiln Court and feel well looked after. A resident said, “ They are kind and cheerful.” Three residents spoken Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 6 with in the intermediate care unit said they are pleased with progress made with their recuperation in preparation for going home. Good rapport was seen observed between staff and residents. The quality of food is good, healthy and varied. What has improved since the last inspection? What they could do better: The Provider must appoint a properly trained and experienced person to become the Registered Manager of the home. The home must ensure that medication records are correct. Staff files could be better organised resulting in all required information being readily available. Staff supervision for care staff must be carried out more frequently in order to meet the standard, which states six times a year. Kiln Court DS0000037750.V365416.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. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good Residents and relatives are provided with detailed information on Kiln Court to enable them to make an informed choice about the home. The admission process is being reviewed to ensure that the home can meet assessed needs. Residents in the intermediate care unit are helped to maximise their independence and return home This judgement has been made using available evidence including a visit to this service. EVIDENCE: A Statement of Purpose dated 2008 was seen on display. Since the previous inspection a comprehensive and user friendly Service User Guide/Welcome Pack has been devised providing residents with the information they need to make an informed choice about where to live. The format and quality of Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 10 information given pre-admission to intermediate care residents is currently under discussion. Records seen confirm that assessments are carried out prior to admission. The manager is liaising with the appropriate authorities to ensure that only those residents are admitted to the home whose needs can be fully met. The previous report recorded that at times very high dependency residents had been admitted who were medically beyond recuperative care. The previous inspection report also recorded the difficulties that could arise when residents are admitted on a Friday when the home has had insufficient time to ensure district nurse and GP cover. All these issues are being addressed. Discussions with several residents on the intermediate care unit indicate that they are very happy with the service offered. Supportive occupational therapist and care staff encourage and enable them to regain their independence and return home. A resident said, “I feel able to go home again and look after myself”. Weekly multidisciplinary meetings take place with GP’s, PCT staff, home staff and care managers to ensure the service meets expectations. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good The care-planning format provides staff with the information they need to care for the residents. Residents benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines but a recording issue must be addressed. Residents’ privacy and dignity are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans examined contains information about residents’ social, health and psychological care needs. Care plans are informed and supported by a range of risk assessments and are regularly reviewed. In order to make Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 12 the care plans more person-centred, a new format is soon to be introduced. Care plans are compiled with the involvement of the resident as evidenced by residents’ signatures. A sample of the well-designed new format was seen. It includes residents’ feelings and wishes in respect of death and dying. Daily records are written and reflect that the residents’ care needs have been met. Those residents admitted for intermediate care have additional notes maintained by the intermediate care team. All permanent residents are registered with a local Doctor. The short-term and intermediate care residents, if they were local, keep their own Doctor. If not local they would be temporarily registered with a named local GP. The home confirmed a good working relationship with local GP’s. Visits from GP’s and other health care professionals such as CPN, respiratory nurse and continence advisor are recorded in the care plan. The district nurses team holds two clinics a week and provides residents’ nursing care. District nurses maintain their own notes and liaise with the GP’s regarding progress or change in condition. The issue of diabetes training for care staff is still under discussion and piloted in another KCC run home. Good procedures for the administration of medication are in place. Medication charts are well completed. A spacious clinical room is available for the district nurses team to carry out their nursing duties. The adequacy of this facility is still being reviewed in respect of effectiveness and an infection-controlled environment. A medication room is used to store three medication trolleys at night. At the previous inspection it was recommended that this room is kept clean and a washbasin installed. See also standard 26. There has been no change to this situation and there is no washable floor covering. The manager said that additional storage cupboards are to be provided. An error was identified in the recording of CD medication. This was discussed and rectified. A regular audit of CD entries was recommended. A chart for the administration of creams and ointments was seen in a resident’s room. On some days there was no evidence that these had been applied. Residents spoken with said that they are well looked after and that staff are kind and cheerful. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents are supported to maintain contact with family and friends thus ensuring that they continue to receive stimulation and emotional support. Residents are provided with a choice of varied and appetising meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with confirmed that they are very happy at Kiln Court and that they enjoy the lifestyle offered. A choice of activities is provided by the staff. A resident, with staff assistance, was doing a jigsaw. A resident was reading the paper, another was knitting and another said, ‘I like my own company and enjoy watching television’. Some residents attend the day centre, which also provides activities. Strawberry teas and other seasonal events are organised. Since the loss of the use of a minibus, the manager is looking into voluntary transport to take residents on outings. Bookings have been made for a clothes show and a visit made to the School of Dancing. Two people from a local secondary school visit the home and integrate with the residents. One is doing horticultural studies and is helping to make the garden look better. A computer has been purchased for residents’ use. A monthly Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 14 communion service is provided in the day centre. A resident said she always attends. Earlier in the year residents were asked through a questionnaire whether they were happy with the activities and choice of meals provided. The manager said that the outcome of the survey is not yet available. It was noted that residents are encouraged to participate in making choices in their lives and taking responsibility wherever possible for their personal care. Meals are provided through a central kitchen and taken to the units on a heated food trolley. All residents spoken with said the food is very good and plentiful. The menus are varied and offer a good choice. Bowls of fresh fruit were seen on the units. The menu of the day was displayed on the wall. Residents and staff confirmed that a choice is always given at each mealtime and that they are offered plenty of drinks. Fresh cakes are made. 4 Members of the catering staff have recently undertaken a course in ‘Healthy Living.’ Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good Residents are protected by an effective complaints procedure. Residents and relatives feel that their views are listened to and acted upon. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From conversations with residents and the manager, it is evident that complaints are taken seriously and acted upon. Residents confirmed that they would know how and who to complain to. The CSCI was made aware of two complaints. These were investigated and concluded. A complaints folder is available. Kent County Council has robust procedures in place to ensure that residents are protected from all forms of abuse. Staff spoken with are familiar with the policies. All staff attend training in Adult Protection. See also standard 30. At the time of this inspection, two adult protection alerts were open on the home. The investigations are nearing completion and the manager is taking all the appropriate steps to resolve the issues. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good Residents benefit from living in a spacious, safe and clean environment. Safe access is provided to comfortable indoor and outdoor communal areas. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is generally homely and clean. It is however, showing signs of wear and tear. An upgrading programme has commenced and residents’ bedrooms are being re-carpeted and other areas decorated. No unpleasant smells were noted. Residents enjoy the safe gardens and seating areas. These are enhanced by sensory plants, a green house, bird feeders and a pond. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 17 Those bedrooms visited were well personalised and homely. Residents confirmed they were encouraged to bring in personal items to decorate their own rooms. Since the previous inspection a programme of routine maintenance and renewal of the fabric and decoration has been devised. A ‘wet room’ with shower has been installed for the benefit of the residents. Apart from the two en-suite facilities mentioned, none of the single bedrooms have an en-suite toilet. Since the previous inspection an infection control audit was carried out and the report is awaited. Staff are provided with infection control training. See also standard 30. A discussion took place regarding universal precautions in residents’ bedrooms in respect of liquid soap and paper towel dispensers. The manager said that the programme of fitting safety valves to hot water outlets in bathrooms is now completed. It was recommended that hot water outlets in residents’ bedrooms be risk assessed when necessary. The safety aspect of a radiator was discussed and the manager said she would look into this. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good Residents benefit from being cared for by staff who have a good understanding of their needs. Residents are protected by the home’s employment procedures but staff files need to be better organised. Staff are trained and competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the visit, the home was staffed by a team leader and 4 care workers. Since the previous inspection, some new staff have been recruited and the home relies less on agency staff. A member of staff said,” I love the job and the people I work with are lovely from the manager to the cleaning staff.’ Two members of staff on comment cards said that the home could do with more staff. Following a recent survey involving residents and staff, a new rota system for care staff that best suits the needs of the residents is awaited. In respect of roles and responsibilities, a discussion took place regarding the introduction of the role of senior carer. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 19 The home currently has 12 staff members with a NVQ qualification and 50 are working towards their awards. Two members of staff have an NVQ level 3. Kent County Council has robust recruitment procedures thus ensuring that residents are protected. Three staff files were viewed and evidenced that appropriate recruitment checks are carried out. As recommended at the previous inspection, staff files would benefit from a system that ensures that all pertinent information is readily available. Since the previous inspection, the home has a training matrix. A recently introduced scheme encourages staff to take part in training. Individual training profiles are being introduced thus evidencing training received and planned for. Staff spoken with confirmed that they are well trained. In addition to Skills for Care compliant induction and NVQ, all statutory, safeguarding vulnerable adults, Mental Capacity Act awareness and Equality and Diversity training are provided. 5 Senior staff members have recently completed a distance learning course in infection control. Staff further said they had recent catheter care training. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is good Residents benefit from having a manager who is competent and experienced and has a good leadership style and approach. However, a registered manager must to be appointed. Quality assurance and monitoring systems in the home ensure that the home is run in the best intest oftheresidents. Residents’ financial interests are safeguarded. There is a delay in staff supervision for some staff. Residents’ and staff’s health, safety and well being are promoted and protected. This judgement has been made using available evidence including a visit to this service. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 21 EVIDENCE: Since the previous inspection, the manager has returned from a period of sick leave. Prior to this, the manager had put in an application to become the registered manager. Due to the time lapsed, this application is no longer valid and a new application must now be made. At the time of the inspection no application for registration of a manager had been submitted to the Commission. A requirement has therefore been made that an application for registration be submitted in respect of the current manager Mrs Pam Lloyd within three months. It is the responsibility of the Provider to ensure that services in his ownership comply with all the requirements of the relevant legislation. The manager provides clear leadership throughout the home. She has obtained the Registered Manager’s Award (RMA) and is supported by senior staff and her line manager. The manager praised her staff for their commitment to the residents. “We work as a team”, she said. In order to maximise the effectiveness of senior staff time, a new senior duty rota has recently been introduced and is currently piloted. It would provide senior staff with more time for administration and staff supervision. A supervision matrix was noted for senior staff and evidence seen that these have been carried out. For care staff however, these have been more ad hoc and not formalised. This issue has been reported in previous reports and must be addressed. Since the previous inspection, quality assurance systems have been formalised. Regular residents meetings, staff meetings and senior staff meetings take place. A quality assurance questionnaire was sent to all residents and staff in March 2008. The outcome is awaited. The manager said that team leaders would carry out regular satisfaction surveys in those units they are responsible for. An annual development plan has been devised based on systematic cycle of planning, action and review reflecting the aims and outcomes for residents. The home complies with Regulation 26 and monthly visits are made and records maintained. Policies and procedures are regularly reviewed and updated. The home does not deal with residents’ monies. Information provided prior to the visit evidences that all safety checks and maintenance of equipment are carried out. Staff receive all statutory training. Access to Food Hygiene training is currently being chased. Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 2 x 3 Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 24 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 2 3 Standard OP9 OP36 OP31 Regulation 13 (2) 18 (2) 8 (1) (b) (i) Requirement Timescale for action 16/07/08 That an audit be introduced to ensure correct recording of CD medication That all staff are appropriately 31/07/08 supervised That an application for registered 16/09/08 manager be submitted for Mrs Pam Lloyd within three months 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 Kiln Court DS0000037750.V365416.R01.S.doc Version 5.2 Page 25 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 Kiln Court DS0000037750.V365416.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!