Inspection on 29/08/06 for Beachlands Care Ltd

This inspection was carried out on 29th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beachlands Care Ltd 27/11/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Beachlands Care Ltd Marine Parade Seaford East Sussex BN25 2PY Lead Inspector Lucy Green Key Unannounced Inspection 29th August 2006 11:00 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 Beachlands Care Ltd DS0000067789.V301962.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. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beachlands Care Ltd Address Marine Parade Seaford East Sussex BN25 2PY 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) 01323 891004 01323 434906 Beachlands Care Ltd Vacant Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty-nine (29). Service users must be older people aged sixty-five (65) years or over on admission. 27th February 2006 Date of last inspection Brief Description of the Service: Beachlands is registered to provide residential care to twenty-nine older people. The home is family owned and the proprietors are committed to maintaining a homely environment. Beachlands is a two-storey detached property situated on the seafront in Seaford. The home is located in close proximity to local amenities, bus and rail links. Resident accommodation consists of twenty-seven single rooms and one shared room. Many of the bedrooms have ensuite facilities. The home has a range of communal areas which exceed the amount of space as outlined in the National Minimum Standards. These include a number of lounges and a large conservatory/dining area. The external grounds offer an attractive garden and patio area which overlook the sea. Car parking is available via the side of the property. The home has a passenger lift and a series of ramps which enable residents to access all areas of the home. Information provided by the Provider details that the current range of fees at Beachlands is between £400 & £495 per week. Additional charges are payable for hairdressing, chiropody and newspapers. More detailed information about the services provided at Beachlands can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained directly from the Provider. Latest CSCI inspection reports are on available in the reception area of the home. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Beachlands are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from representatives and an unannounced site visit which lasted eight hours on Tuesday 29 August 2006 between the hours of 11am and 7pm. The site visit included a partial tour of the premises and an examination of medication, care and staffing records. The Inspector observed the lunchtime and evening meals being served. Throughout the inspection process, the Inspector spoke with twelve of the residents individually and observed the way other residents spent time in communal areas. In addition feedback questionnaires were received from two residents. Comment cards were given to the home to pass onto relatives and visitors, but none had been returned at the time of writing this report. The Inspector spoke with one of the Registered Providers and five staff members, including two Senior Carers, one Carer, a Domestic and the Cook throughout the inspection process. What the service does well: Beachlands is an established home which has been recognised as providing a good quality of service for a number of years. The home is family owned and employs a stable and committed team of staff. The home is situated in an attractive location and offers a homely environment for residents to live in. The Registered Providers have a rolling programme of maintenance and strive to give residents a choice of comfortable communal and private spaces to spend their time. Beachlands is a relaxed and friendly home where residents benefit from the provision of care in a respectful and dignified manner. Positive comments from residents were expressed throughout the inspection, including “you couldn’t fault the home at all” and “the need to worry is removed as the home takes care of everything”. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 6 Beachlands has been awarded the Clean Catering Award for another year and residents benefit from a choice of freshly prepared meals each day. On the day of the inspection the lunch and supper meals were noted to well presented and residents spoken with were complimentary about the food they had received. 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. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 7 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 Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from an admission process that is tailored to meet their needs, but greater protection would be afforded to all parties if there was documentary evidence to reflect how judgements had been made. EVIDENCE: The Inspector tracked the admission process for four residents. It was evident from discussion with residents and staff that assessments had been carried out and that admissions were tailored to suit the needs of the individuals. Two residents reported that they had had a trial period at Beachlands before deciding to stay on a permanent basis and stated “we have settled in very well”. Whilst there were no concerns raised about the home’s ability to meet the needs of the residents recently admitted, indeed the care plans contained detailed information about their care, the information recorded at the assessment stage was however minimal. It was discussed with one of the Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 9 Registered Providers and the Senior staff on duty, that assessments should in future be comprehensively completed and ensure that the information recorded covers the items listed in Standard 3 in a meaningful and useful way. There is no provision for intermediate care at Beachlands and therefore Standard 6 is not applicable. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are fully met in a respectful and private way. Residents are further protected by the way medication is managed. EVIDENCE: Staff practices observed throughout the inspection again demonstrated a good understanding of the residents and their needs. Discussion with Senior staff produced evidence that they have an excellent knowledge about the people they support. It was clear from observation, talking to residents and staff and from the written material in place, that care and support is provided in a sensitive, dignified and respectful way. All residents spoken with said that staff support them with their personal routines in an appropriate way. It was entirely obvious that staff provide support in the way preferred by each individual. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 11 During the inspection, staff were observed to be knocking on bedroom doors and talking appropriately to residents. A sample of five care plans were viewed and it was pleasing to note that significant improvements have been made in this area. There was evidence that each resident has a plan of care that provides detailed information about their health and welfare needs. Care plans are now well maintained and easy to use. All parts of the care plans are reviewed by a Senior Carer on a monthly basis and any changes made are recorded. It was evident from the review notes that any events or incidents during the month are reflected in the appropriate section of the care plan. Care plans contain risk assessments for each of the areas identified in the plans of care and it is now possible to track the level of risk and the controls in place to minimise any risk. Residents are fully supported with their health care needs and care plans contain a record of any visits or contact with professionals external to the home. There was evidence of current involvement from General Practitioners, District Nurses, Dentists and Chiropodist. Records demonstrated that residents are regularly weighed and specialist dietary monitoring is put in place where necessary. One resident currently has complicated healthcare needs and the care plan reflected the necessary steps being taken in respect of maintaining a balanced and nutritional diet. In line with a requirement from the previous inspection, the home has improved its system in place for managing the large amount of medication that has to be administered each day. Records were found to be clear and it was possible to track any changes in medication. The Registered Provider reported that all staff who handle medication have recently undertaken relevant refresher training. A Senior Carer confirmed that only staff who have been appropriately trained and supervised handle medication. It was identified that where residents administer some of their own medication, appropriate risk assessments are in place in care plans and are reviewed each month. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to lead their lives how they choose. Residents benefit from an inclusive environment where there are opportunities to participate in fulfilling activities. The majority of residents spoken with were complimentary about the range of varied and balanced meals they receive. EVIDENCE: The daily running of the home was observed to allow residents the freedom of choice about when they get up and go to bed. During the inspection it was noticed that residents choose where and how to spend their time. Conversations with residents highlighted that they have each developed their own individual routines and wherever possible, staff facilitate this. Breakfast is served in bedrooms at a time agreed with the residents. Whilst lunch and dinner times are set, those spoken with all stated they liked to know what time to expect their meals. The serving of the lunchtime and evening meals were observed. The lunchtime meal was pork escalopes with tomatoes, sweetcorn and sauté potatoes. The meal looked appetising and well presented. An alternative meal was available for residents on specialist diets or who didn’t like what was on the menu. A list of residents’ likes and dislikes Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 13 was recorded in the kitchen. Discussion with staff and viewing of the menu, confirmed that residents also receive a choice of meals at teatime. On the day of inspection, the teatime meal was soup with a choice of either jacket potato or Cornish pasty followed by a dessert. The majority of residents spoken with were complimentary of the meals at Beachlands. One resident said: “the food is very good on the whole and our diets are looked after extremely well”. Another resident commented; “the food is excellent and I have just told them so”. The home arranges a number of in-house activities, including; a monthly church service, music groups, craft classes and aromatherapy hand massages. Several residents follow their own interests and hobbies within the local community and are able to go out independently. The home has also started linking up with local funeral directors who provide transport for trips out. A recent such trip to Beachy Head was reported to be success. Comments from residents indicated that they enjoy the trips out and would like even more of them. Due to the location of the home on the seafront, some of the residents enjoy sitting on the patio area and watching the sea. One resident told the Inspector “I like to sit outside each day and watch the world go by”. Residents are encouraged and supported to maintain contact with their family and friends. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the lounges. Visitors were observed being welcomed into the home during the inspection. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from an open culture where they are able to express their views and feel valued and protected from harm. EVIDENCE: Beachlands has a complaints policy which is accessible to both residents and visitors to the home. Neither the home nor the CSCI have received any formal complaints about the provision of service at Beachlands in the last twelve months. The residents spoken with all confirmed that they knew how to complain and stated that if they had any concerns they would speak to a Senior carer or one of the owners. The staff spoken with were knowledgeable about the vulnerability of residents and the systems in place to protect them. All staff have received training in the protection of vulnerable adults and prevention of abuse. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from the clean, accessible and homely environment provided at Beachlands. EVIDENCE: Beachlands is an attractive, detached property overlooking the seafront in Seaford. The home provides level access throughout, by way of a passenger lift and series of ramps and grab rails. Residents are accommodated in single rooms, unless two people express a positive wish to share. Many of the bedrooms have en-suite facilities. Communal space exceeds the National Minimum Standards and offers residents a range of places where they can meet with other residents or their visitors. The patio area overlooking the seafront is also a popular place to spend time. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 16 The ongoing process of refurbishment and re-decoration was again in evidence. Since the last inspection, the dining area has been upgraded with new furnishings. Ground floor carpets identified as worn at the last inspection have been replaced. Three bedrooms have recently been redecorated and new carpets in these rooms were being fitted on the day of inspection. One of the Registered Providers also informed the Inspector that all windows above ground floor level are now restricted. The home employs domestic staff to ensure the home is kept clean and tidy. The home was found to be clean, hygienic and free from any offensive odour. It was also pleasing to note that greater attention has now been placed on the cleaning of the bathrooms and specialist equipment. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from being supported by an experienced and committed team of staff, although the home must ensure that robust recruitment procedures are followed at all times. EVIDENCE: On the day of inspection, there were sufficient staff to support the needs of residents as detailed in the care plans. Rotas indicated that staffing levels provide a minimum of three care staff between 8am and 2pm and two care staff between 2pm and 8pm. At night, the home is staffed by one waking and one sleep-in carer. In addition to care staff the home employs adequate numbers of cooking and domestic staff. Staff spoken with confirmed that these staffing levels were adequate at this time. Both staff and residents highlighted that some staffing shortages had been experienced over recent months, although the team had pulled together to covered shifts wherever possible. The residents who spoke with the Inspector again commented how nice staff were. One resident expressed: “the staff are lovely, no complaints at all” and another told the Inspector: “staff are very kind to me”. The interaction between residents and staff was again observed to be positive. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 18 Staff training is ongoing, one staff member has now completed and three staff are working towards National Vocational Qualifications (NVQ). The home has a system for updating training in place and planned updates include manual handling, first aid, medication, food and hygiene and fire training. It was identified that not all new staff had commenced an induction in line with Skills for Care, however one of the Providers reported that this matter was in hand. This is not reflected as a requirement, but is expected to have been addressed as discussed. The recruitment files for three care staff were inspected. The information contained in respect of two of these three files was satisfactory. In respect of the third file, the individual was working in the home on the day of inspection as a trial day prior to commencing employment. Whilst this person was fully supervised by an experienced carer throughout the day, it was identified that the home had failed to obtain the required information. Consequently it was discussed with one of the Providers that the home must not allow individuals to have access to vulnerable adults without the required checks being obtained. An Immediate Requirement form was left in respect of this matter. The Provider responded promptly to this requirement and the necessary action has been taken. This requirement does not therefore feature in this report. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite the current lack of Registered Manager, residents benefit from living in a homely environment that is run for their best interests. The home will need to develop their formal systems for monitoring quality assurance in order to continuously improve service delivery. EVIDENCE: There has been no Registered Manager at Beachlands since May 2006, however the Registered Providers have put a number of systems in place to ensure that the home is being managed until a new Manager is appointed. As such, one of the Providers has been overseeing the daily running of the home, with the two Senior carers undertaking a number of management tasks. Whilst the home will benefit from the full-time appointment of a Manager, the current arrangements have been effective. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 20 Since the last inspection, the Registered Providers have commenced monthly visits to the home in accordance with Regulation 26. The reports from these visits have been regularly sent to the CSCI. Beachlands is an open and inclusive environment where people are valued and listened to. One of the Providers stated that he had recently held a residents’ meeting, although minutes had not been recorded. Similarly, there is an ‘open-door’ policy with staff and communication has greatly improved between staff, yet there is no documentary evidence to reflect the discussions taking place. It was discussed with the Provider that the home needs to develop more formal systems of self-audit and gaining feedback, in order that the home can demonstrate how it is continuously improving. As part of this process, regular recorded supervision sessions should be happening on a one-to-one basis for staff. Residents’ finances are safeguarded by a system that ensures all transactions are logged and receipts maintained. The financial records for three residents were checked and found to be in accordance with the money held on their behalf. The home undertakes a series of health and safety audits, which include regular fire drills for staff. The home has also just been awarded the Clean Catering Award 2006. A review of risk assessments did however identify that the environmental assessments have not been updated since the last inspection. It is required that these are therefore reviewed. Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 21 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 22 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 OP3 Regulation 14(1) Requirement The registered person must ensure that all new service users are appropriately assessed prior to admission and that assessment information is available for inspection at all times. The registered person must ensure that a formal system of monitoring quality assurance is put in place. This should include regular recorded staff supervision and staff meetings. The registered person must ensure that environmental risk assessments are kept under regular review. Timescale for action 29/08/06 2. OP33 24 01/11/06 3. OP38 13(4) 01/11/06 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 Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 23 Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 24 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 Beachlands Care Ltd DS0000067789.V301962.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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