Inspection on 07/12/05 for 7 Princes Crescent

This inspection was carried out on 7th December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Princes Crescent 16/10/08

7 Princes Crescent 19/12/06

7 Princes Crescent 20/06/05

7 Princes Crescent 17/11/04

7 Princes Crescent 21/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 7 Princes Crescent 7 Princes Crescent Hove East Sussex BN3 4GS Lead Inspector Jenny Blackwell Announced Inspection 7th December 2005 10:00 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 7 Princes Crescent Address 7 Princes Crescent Hove East Sussex BN3 4GS 01273 733441 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) princres@onetel.com Southdown Housing Association Limited Mr Jon David Dimmer Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodated must not exceed 4 Date of last inspection 20th June 2005 Brief Description of the Service: 7 Princes Crescent is part of the Southdown Housing Association and is registered to provide residence and care to four younger adults with a learning disability. The home is a detached three-storey older style building, situated in Hove. The location of the home offers access to local amenities, including a food shops, pubs and restaurant. Each person has their own individually decorated bedroom. Communal areas comprise of a large lounge and kitchen/dining room. The people do not use the third storey of the property. They attend a local day service, college courses and one person has one to one-day services. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this summary and report the people who live at the home will be referred to as people/person (except in the requirements section), and the people who work at the home as staff or by their job title. The people who live at the home, some of the staff team and the manager were present during the inspection. The manager was spoken to individually as was some of the staff .Time was spent with the four people who live at the home. The requirements made from the inspection in June 2005 were check to see if the they had been met. The manager produced evidence to show that most of the requirements and recommendation had been met. One requirement remained outstanding. The people who live at the home and the staff were helpful throughout the inspection and contributed to the report where possible. What the service does well: The service continues to focus on the needs of the individuals and spends a lot of time helping the each person to have active social and leisure experiences. The manager described that he and the staff had been working closely with a person’s family and their funding authority to ensure the individual has plenty of access to activities each week. This was a good piece of work and demonstrated the managers and staffs commitment to supporting the individual’s social lives. The care plans were well written and kept up to date by the keyworker staff. The continuity of care was important for the group of people living at the home and guidelines on how to support people consistently were clear. The atmosphere in the house was observed to be relaxed and well organised. Each staff member had a good understanding of their roles for the shift and were seen to plan between themselves how the shift would pan out. The people were involved in these discussions either directly or by being in the presence of staff when the discussion occurred. Southdown Housing Association had a comprehensive induction and training programme for new and existing staff. Three staff are completing their N.V.Q level three. When they have completed their qualifications the staff team would all be qualified with N.V.Q’s. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 6 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. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 5 The manager and staff had access to policies and documents that help them to support new people move to the home. Not all of the people had their placements and aspirations assessed. Each person has a Licence Agreement with the organisation. EVIDENCE: The homes statement of purpose accurately reflected the function of the home and the services that were provided. The current group of people have lived at the home for a few years .The manager stated there were no plans for any of the people to move out or to have any new person move to the home. The organisation Not all of the people’s placements had been reviewed annually. The manager and organisation ensure that it reviews each person support needs and goals regularly including the person in the process. This happens according to the organisations policy and the staff demonstrated a commitment this process. However Brighton and Hove City Council had not conducted the annual review of some of the people’s community care assessments. A discussion took place between the manager and inspector about the expectation in the National Minimum Standards for the manager to ensure these assessments reviews take place. Although the manager could not guarantee the social workers from the placing authorities would conduct the 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 9 reviews, he must provide evidence that he has requested the reviews take place annually. Each person has a licence agreement with Southdown Housing. The agreement details the terms and conditions of residency and efforts have been made to simplify the document and put it into pictorial format. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8, and 10. The staff had involved the people to assess their changing needs, helped them to set goals, and reviewed their goals regularly. Each person was given the opportunity to participate in the life at the home and was generally consulted about decisions taken. The information about people was stored appropriately in accordance with the organisations policies. EVIDENCE: The care plans were viewed and contained information that enabled the staff to deliver consistent support for the individuals. Information about the peoples preferred routines their interest and activities ensured the staff supported people with their social interests. During the visit the people were involved in decision making and made choices about their daily lives. One person answered the homes telephone in the kitchen and another person helped prepare some food. The manager spoke about helping the individuals to be involved in the daily organising of the home. Some of the people where more interested and able to 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 11 be involved than others but the staff were seen to change their approach to each person to ensure they had opportunities to participate. Each person’s files were stored securely in the homes office and daily records were in a cupboard in the kitchen. The people were seen to look through the diary and at the menu with the staff. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Each person was actively engaged in appropriate leisure activities both at home in and in their local community. Each person was supported were possible to have a family life and appropriate personal relationships. The individuals rights where respected by the manager and staff and work was on going to ensure that each persons rights was not encroached on. EVIDENCE: The people attend a variety of day services, college courses and leisure activities. One the day of the inspection three people attended organised day services. The other person had his day opportunities organised by the home. His weekly timetable was seen and it combined a variety of activities with named staff to go to particular outings. On the day he went to a local animal park were the staff have helped him to be a member, the staff member who was taking him said he likes to go regularly to the animal park and is known by the staff their. The manager described that he and the staff had been working closely with a person’s family and their funding authority to ensure the individual has plenty of access to activities each week. The manager showed a monitoring tool he 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 13 was using to gage how often the person got to achieve his planned outings. This was a good piece of work and demonstrated the managers and staffs commitment to supporting the individuals social lives. The manager and staff arrange for people to participate in activities in their local community. The home is set in a residential area and their neighbours know the people who live at the home. The support plans describe the significant others for each person. Family involvement is encouraged and supported by the staff. One person had been to visit his sister the previous evening. The staff have thought about getting a web camera for the homes computer to help one person make visual contact with his family who are living abroad. This had been well thought out as an idea to help the person actively communicate with his family. The manager and staff team continued to respect the individual’s rights. The manager had worked with the Commission to find appropriate ways of reducing access to the kitchen during the nighttime for one person. The methods being tried currently restricted access to the kitchen for him and the other people. The manager was keen to balance the health and safety of the people living and working at the home and the rights of the people. The situation was continuing to be monitored by the manager who showed written evidence of the monitoring. It was required that the manager produces an assessment of the outcomes of the intervention to demonstrate the effects on the people who live at the home. The menus were seen and meal preparation observed. The staff prepare the meals and do all the cooking. People are in and out of the kitchen when meals are being prepared and staff engage with them and encourage them to participate. The staff spoken to demonstrated knowledge of the individual’s preferences when having their meals and had an understanding of the people’s sensitivities at meal times. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-21 Personal care was delivered sensitively and in a way that was preferred by the individuals. The people’s physical needs were met and the individuals emotional needs were understood by the staff and addressed were possible. EVIDENCE: Staff were sensitive when supporting people with personal care. They were seen to knock on doors and gain permission before entering peoples bedroom and bathrooms. Information on how to support people whist receiving personal care was logged in their support plans. Each person had access to community health care and had regular check ups with doctors and dentists. The staff will also work with other professionals when particular issues arise for the people such as speech and language therapist and dieticians. The emotional well being of the individuals was recognised by the staff and references to the people’s sensitivities were noted in their care plans. Staff spoken to were knowledgeable about what circumstances could upset each person and their likely reactions. Guidance was in place for each person to ensure staff had a consistent approach. The medication system was checked with the manager and was appropriately stored, administered and recorded. It was noted that in one persons section detailed information about his drugs and how to give him his medicines were in 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 15 place. Although information was in the other people sections they were not as detailed. It was recommended that the information about the medications people were taking were detailed for all the people. It was also recommended the manager have lunch time medications when people are at the day services made up by the pharmacist in the blister packs dispense system. The current group of people living at the home were young and reasonable well. The organisation had a policy on handling death and dying of the people and the home had noted in the peoples care plans some of the people’s families preference in the event of their death. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 The homes complaints procedures enabled the people’s representatives to raise complaints and concerns. The organisation operates within procedures to protect people from abuse. The manager and staff worked in line with the procedures and demonstrated knowledge on their roles and responsibilities in protecting people and reporting suspected abuse. EVIDENCE: The complaints procedure was seen during the inspection within the Service User Guide. The organisation has attempted to make the information accessible to those people who don’t read by producing the information in a pictorial format. No complaints had been recorded since the last inspection and the Commission had not received any complaints about he home. The manager had recently cascaded some training about protecting vulnerable adults and reporting of abuse to the staff team. The organisation had provided the staff with a flow chart of what to do and how to report suspected abuse. The chart was seen on the wall in the office, it was easy to understand and met the multi agency guidance on protecting vulnerable adults. The home had worked for some time with some people who on occasions injure them selves. Clear guidance was in place in people care plans for staff to help the people reduce this behaviour. Triggers had been identified and those staff spoken to had an awareness of the triggers and what could be done to minimise the effect. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 17 The people’s monies held by the home was checked. Appropriate procedures were in place and all staff used the same recording system for each person. Checks are carried out on each person’s money by staff at the change over of each shift. The money balances were correct and the manager demonstrated a good understanding of the homes and organisations procedures. He understood the benefit entitlements for each person and was able to evidence a clear audit trail. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The people befitted from living in a homely and safe environment. Bedrooms, bathrooms and the shared spaces met their current needs and adapted equipment was available to the individuals if they needed it. All parts of the home were clean and well presented. EVIDENCE: Since the previous inspection the manager and staff have repaired some broken window restrictors and replaced some broken garden furniture. The home has been better presented in the last two inspections with the staff taking care in the overall homely feel to the home. The shared spaces meets the current needs of the people and their bedroom are arranged to support their independence as much as possible. Progress had been made in personalising one person’s bedroom and the staff had come up with some simple changes in his room. For example using open shelving instead of chest of draws which did not meet his needs. The first floor bathroom floor needed replacing. It was required that the manager provided evidence of when the flooring will be replaced. The bathroom was in need of updating. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 19 The home was clean and well kept. The laundry facilities were adequate for the needs of the people currently living at the home. It was noted that the washing machine was beginning to show signs of ware and would need replacing sometime in the near future. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-36 The staff had clear understanding of their roles and responsibilities. The staff team was competent, trained and qualified. Southdown Housing’s recruitment procedures reasonable protect the people living at the home. The staff team had daily support from the management, organisation and their peers and formal support through staff meetings and supervision. EVIDENCE: The deputy manager had left the home and a new deputy was due to start in February 2006. The staff spoken to understood their roles and responsibilities. One staff was able to describe the line management structure of the organisation and felt confident in contacting the area manager if needed in the absence of the manager. Most of the staff team have completed their N.V.Q level 3 training. Three staff are undertaking the training and when they complete the current team will all be qualified. Southdown Housing ensure that all staff received induction within the first six weeks and foundation training within six months of them working in the home. 8 days of training are set-aside for each staff member per year. The manager and deputy monitor the staffs training through supervision. Supervision records were seen for two staff. They had received supervision 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 21 regularly and both parties sign the noted of the meetings. It was noted that good monitoring of sickness and performance was conducted via supervisions. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43 The home was well run and the people benefited from a clear ethos and leadership approach. The manager and staff manager and staff and needed to be compiled procedures protect the sought the people’s views on a daily basis. The senior managers conducted a yearly service review that into a quality assurance tool. The home’s policies and people’s rights and ensured their interest are priority. The manager demonstrated knowledge of monitoring health and safety issues. The home was generally a safe environment for the people who live and work in the home. EVIDENCE: The home was well run. It was observed through out the day that the staff understood their roles and had good planning skills. The tasks of the day were organised at handover and the individual staff appeared confident in carrying them out. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 23 The manager ensure that staff are properly supervised and monitored and that the company polices are feedback to the staff team. Through out the inspection he demonstrated concern about the people’s welfare and talked about several ideas to improve the quality of the people’s life at the home. These ideas are formulated collectively with the people and their keyworkers and are discussed at supervisions, team meetings and review meetings. One staff spoken to felt confident in the managers capabilities and said he was a proactive manager. She went on to say that the home was a busy household that suited her and that things were going well in the home. A formal process of obtaining people’s views was sought from family members or representatives that goes to inform the home’s annual service review. Feedback from people and their representatives are included in the review. Goals are set for the year and are regularly reviewed. It was recommended that the manager draw together the different aspects of the quality assurance to produce a report. The organisation has the policies and procedures in place to met the standard. The manager produced a review schedule of all of the Southdown Housing polices and procedures. This is generated by the head office and informs the manager when polices are due for review. The home has a comprehensive Health and Safety file and a Health and Safety delegate in the service. Other relevant Health and Safety legislation is detailed in the manual. Staff were aware of the manual and Health and Safety issues. Records were seen where the home checks the fire systems and water temperatures. The home had a health and safety risk assessment checklist and an organisation health and safety audit was kept in a file that was accessible to staff. The manager manages the home’s budget and the organisation manages the financial viability of the home and has appropriate insurance cover for public liability. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 7 Princes Crescent Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000014159.V249716.R01.S.doc Version 5.0 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA2 Regulation 14(1) (a,c) Requirement Timescale for action 31/01/06 2. 3. YA16 YA24 12(2)(3) 23(2)(a) 23(2) (b) It is required that the manager ensures the needs of the service user have been assessed by a suitable qualified person. (From the inspection 20/6/05) It is required that the manager 01/06/06 produces an assessment of the restriction to the kitchen. It was required that the manager 31/01/06 provided evidence of when the flooring will be replaced in the bathroom. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA20 YA20 Good Practice Recommendations It was recommended that the information about the medications people were taking were detailed for all the people. It was also recommended the manager have lunch time medications when people are at the day services made up by the pharmacist in the blister packs dispense system. 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 7 Princes Crescent DS0000014159.V249716.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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