Inspection on 11/01/07 for Bramber Nursing Home

This inspection was carried out on 11th January 2007.

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 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

Bramber Nursing Home 30/01/09

Bramber Nursing Home 06/12/05

Bramber Nursing Home 24/06/05

Bramber Nursing Home 28/01/05

Bramber Nursing Home 23/01/04

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

CARE HOMES FOR OLDER PEOPLE Bramber Nursing Home 1 Bramber Avenue Peacehaven East Sussex BN10 8LR Lead Inspector Melanie Freeman Key Unannounced Inspection 17th January 2007 10:00 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 Bramber Nursing Home DS0000013967.V325777.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. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bramber Nursing Home Address 1 Bramber Avenue Peacehaven East Sussex BN10 8LR 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) 01273-584594 01273 584594 wolfblass17@tiscali.co.uk The Bramber Nursing Home Limited Mr Peter John Stapleton Care Home 21 Category(ies) of Dementia (21) registration, with number of places Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That service users are aged sixty (60) years or over on admission. That service users with a dementia type illness will be accommodated. That the number of service users accommodated must not exceed twenty one (21). 6th December 2005 Date of last inspection Brief Description of the Service: Bramber Nursing Home is privately owned by Mr and Mrs Stapleton. Mr Stapleton is the registered manager and Mrs Stapleton works as a senior carer in the home taking responsibility for the homes administration and catering services. The home can accommodate up to 21 service users with a dementia type illness who need nursing or personal care. The home is registered for service users aged 60 years and over. The home is a converted private home and now provides 21 single rooms on two floors and has a shaft lift available to ensure all service users have access to all areas of the home. The home is located in Peacehaven near the sea front and is a short walk to local amenities. Bramber Nursing Home was first registered on the 1st January 1993. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. The home’s fees as from 01 October 2006 range from £418.00 per person per week to £620.00 depending on the funding arrangements. Additional costs are charged for chiropody (approx £8) hairdressing (£5.50-£18 and £35 for a perm), newspapers and specific toiletries at cost. The homes literature states that the objective of the home is to provide care to all residents to a standard of excellence which embraces fundamental principles of good care practice, and that this may be witnessed and evaluated through the practice, conduct and control of quality care in the home. Bramber Nursing Home DS0000013967.V325777.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 Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Bramber Nursing Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. The unannounced visit was facilitated by the registered manager/homeowner who was working in the home and received the inspection feedback at the end of the visit. The inspection focussed on meeting and talking to residents and visitors to the home and in accessing the homes progress in meeting the requirements made at the last inspection. A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, the provision of terms and conditions of residency, duty rotas, medication records, and recruitment files. In addition the care documentation pertaining to three residents was reviewed in depth. The inspector was able to eat a midday meal with the residents in the communal dining room and spend time with residents and visitors in the communal lounge area. Service users surveys were given to 10 residents or their representatives and 9 of these were returned to the inspector. The contents of these surveys have been incorporated into this report. In addition the registered manager/ homeowner completed a pre-inspection questionnaire to inform the inspection process. What the service does well: Bramber Nursing Home provides individual nursing care within a friendly homely environment. The admission process is comprehensive and completed in a professional manner ensuring suitable and safe admissions to the home. All feedback regarding the home the care it provides and the staff working in the home was very positive and comments included ‘This home is extremely well run. Very accommodating to all residents needs. Residents are treated very respectfully’ ‘I find the nursing care for my husband excellent’ ‘I am very happy my mum is living in this home and all the staff work very hard with always a smile’. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 6 The homes management and staff also provide a support network for the visitors, who are always warmly welcomed to the home and given time to discuss any issues they wish to. Bramber Nursing Home is well managed by the homeowners who have a very ‘hands on approach’ to the management and care provided within the home. What has improved since the last inspection? What they could do better: Although the admission process is good the home needs to confirm in writing to the prospective resident or their representative that with regard to the needs assessment completed the home can meet the needs of the prospective resident. This ensures that decisions around admission to the home are informed. During he inspection it was noted that residents were sat in wheel chairs for long periods of time and that footplates were not being used. Specialist advice and individual risk assessments need to be completed to ensure resident and staff safety. Staff training needs to be established for all staff recorded and evidenced to demonstrate and ensure all staff are appropriately trained to complete their jobs competently. The care documentation could be further improved with life histories and the recording of individual choices which in turn will promote a more person centred care. Bramber Nursing Home DS0000013967.V325777.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. Bramber Nursing Home DS0000013967.V325777.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 Bramber Nursing Home DS0000013967.V325777.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 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Bramber Nursing Home has the required documentation to provide appropriate information about the home and the services it offers. The home has a clear admission procedure that ensures residents are fully assessed by appropriately qualified people and that they can be cared for appropriately and safely in the home and that they are involved in the decision process. Intermediate care is not provided. EVIDENCE: The statement of purpose and service users guide is a combined document and was available in the office area. Although this had been updated since the last inspection it did not contain precautions in respect of fire, the terms and Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 10 conditions of residency or a copy of the complaints procedure. A copy of the last inspection was available in the office area. It was agreed that the registered provider/manager would ensure that a master copy of the service users guide and statement of purpose and all the necessary documents are retained in a folder in the office and therefore readily available to all interested parties. There has been a recent admission to the home and a further admission is to the home was being progressed on the day of this inspection visit. Records examined indicated that pre-admission assessments are completed by the registered manager/owner usually with his wife who works in the home as a senior carer, administrator and cook. Contact with social care professionals confirmed that the admission procedure followed was thorough and completed in an efficient manner. Although a letter is sent to the prospective resident or their representative following this assessment to confirm if they want to be involved in the planning of care no letter is sent to confirm that the home is able to meet the assessed needs of the prospective residents. This was raised with the home manager, who confirmed that a further letter would be used to confirm the findings of the assessment. A review of the homes documentation confirmed that intermediate care is not offered or provided at Bramber Nursing Home. Bramber Nursing Home DS0000013967.V325777.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 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was found to be meeting resident’s health and general needs with assessed additional community support when needed. The home has established procedures for the safe administration of medicines within the home. The inspector judged that resident’s privacy and dignity rights were upheld and respected. EVIDENCE: Three individual plans of care were inspected and were found to contain the necessary information to guide staff when caring for residents. An assessment of needs is completed following admission along with risk assessments on moving and handling, pressure areas and nutritional status. Core care plans are used for personal hygiene and plans of care are provided in respect to the Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 12 resident’s changing behaviour. Life histories are not used and this was discussed with the registered manager along with further expansion of service users social needs assessment and care planning to ensure a person centred approach to care. Care documentation was found to be up to date and reflect regular contact with visiting health care professionals. All feedback received was very complimentary about the care, staff and management of the home. It was again evident to the inspector from talking to visitors residents and staff that the home is run to promote the well being of both residents and their relatives with support and help provided whenever necessary. Comments received included ‘the home is very accommodating to all residents needs. Residents are treated very respectfully’ ‘ I believe Bramber to be an excellent home as I am content that my wife could not receive better care’. When observing practice in the home it was noted that all footplates had been removed from the wheelchairs in the home, and that when staff moved residents in these chairs they were tipping them back. When raised with the manager he confirmed this was to protect resident’s legs from injury. This practice posses a possible risk to both residents and staff and must be fully risk assessed on an individual basis. It was also noted that some residents spent long periods of time sitting in wheelchairs and specialist seating advice should be sort on these matters to promote resident safety. The medicine procedures and records were found to be clear and accurate. The medicine administration observed was found to be completed in a safe and appropriate manner. All medicines are administered and monitored by the registered nurses working in the home and the storage area was found to provide good facilities for all medicines. During the inspection it was noted that residents were addressed by their preferred term and have all personal care needs carried out in the privacy of their own rooms or bathrooms. One relative recorded ‘Residents are treated very respectfully’. Bramber Nursing Home DS0000013967.V325777.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): 12, 13, 14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s opportunities for stimulation through leisure and recreational activities are good. The provision of meals is well managed and this ensures that the quality of food is good, and that variation is available. Resident’s choices and wishes are respected within safety parameters. EVIDENCE: The provision of activities and entertainment is central to the care provided at Bramber and a leisure activities co-ordinator works 1 hour every weekday to promote this. Activities include bingo, skittles, musical sessions, exercises, walks, shopping trips, indoor games, artwork, reminiscence, one-to-one chats, craftwork and visits to the pub. Occasions like birthdays and seasonal events are always celebrated and visitors are always included. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 14 Residents and visitors said how good Christmas was in the home and how they enjoyed the celebrations and events held in the home. Discussions in the home confirmed that the registered manager/owner and his wife along with the other staff in the home try and take residents out on shopping trips individually or on group outings. It was clear from conversations with visitors that they were made to feel very welcome at Bramber and that their input is much valued. Many of the relatives visit daily spending a great deal of time in the home, they know and support each other and are also supported by the staff in the home who understand and care about them. Residents are supported in exercising control over their lives whenever possible and include choices around going to bed and getting up in the mornings at times that they want to and spending time where they want to and when individuals are unable to make choices family and representatives are involved in the process. The meal eaten with residents was attractive and appetising it was healthy and enjoyed by residents. One resident enjoyed a glass of wine with her meal and residents were assisted with eating. Many residents did need assistance and some family members were in the home and assisted with feeding when appropriate. Two staff members have recently completed training on nutrition in care homes provided by a Dietician Two staff members have recently completed training on nutrition in care homes. During the meal time it was noted that many of the residents were wearing bibs to protect their clothing, the meal was also eaten on a tray this can give an institutional feel to the home and the choices expressed around these areas should be documented within the care documentation. It was also noted that residents were given their afternoon biscuits by hand without plates being provided. This was raised with the home manager who was concerned that this had happened and said that he would address this matter. Bramber Nursing Home DS0000013967.V325777.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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Procedures and practices in the home ensure that when complaints are made they are managed appropriately, with residents and representatives being confident that they are listened to and responded to. Procedures in the home ensure that any allegation or suspicion of abuse made would be managed appropriately. EVIDENCE: The home has a clear complaints procedure in place. It gives guidance with regard to how a complaint can be made and how the complainant can expect it to be dealt with. The complaints procedure is available upon request and is to be incorporated into the service users guide/statement of purpose. Records seen confirmed that a complaint received had been taken seriously and resolved to the complaints satisfaction. All relatives spoken to knew who to speak to if they had a concern and said that they knew that the home manager/owner or his wife would deal with any matter. The Adult Protection procedure was reviewed and confirmed who to contact and that Social Services are the lead authority with the police being contacted if a crime has been committed. Staff spoken to have a good understanding of Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 16 abuse issues and indicated that they would contact the home manager/owner immediately to ensure appropriate procedures are followed. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Bramber Nursing Home provides residents with a comfortable and safe environment that has a home like feel where their needs can be met. EVIDENCE: Bramber is a converted property that has been adapted to its present use and has retained a home-like environment. The home is decorated to a good standard and ongoing redecoration was noted. The home was found to be clean and hygienic throughout and it was noted that any spills in the home are responded to quickly to ensure the home is fresh. Infection control practice was seen to be appropriate and the plastic aprons and gloves were being used. Hand washing facilities were good and the home Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 18 manager now needs to ensure suitable hand drying facilities are always available at these areas. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 19 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, 26, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing arrangements are good and suitable and ensure the needs of the residents living in the home are met. Residents are protected by the home’s recruitment policy and practices. EVIDENCE: At the time of this inspection 20 residents were living at Bramber Nursing Home with an admission taking place. Staffing levels seen confirmed that they are good and appropriate to meet the specialist care and social needs of residents. Records confirmed that these levels are maintained and that staff turnover is low, and that agency staff are never required. The staffing arrangements allow for a registered nurse on duty over the 24 hours and the registered manager/owner and his wife live close by and are available in the every day and can be called in if needed. All feedback received about the staff was very positive and comments made included ‘I am very happy my mum is living in this home and all the staff work Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 20 very hard with always a smile’ ‘I am very happy with the home and the staff who I find most helpful and always welcoming’. The recruitment practice and records were inspected for three staff members and were found to be satisfactory. Staff training is well established although records identified that although some staff attended a great deal of training some staff did not and had very limited training in the year. The use of a training matrix was discussed along with the need to evidence all staff training and to ensure staff have the relevant regular training to ensure high standards of care are maintained in the home. The staff spoken to said that they felt well trained to meet the needs of residents living in the home. Induction records and training is in place and this has been updated recently to meet the new care standards for induction. The home manager/owner confirmed in the pre-inspection questionnaire that 42 of staff have achieved a National Vocational Qualification in care level 2. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 21 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, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management of the home encourages an open, relaxed, homely and caring atmosphere where care staff are suitably supported and guided. Quality assurance measures allow for residents and representatives views to be taken in to account. Systems are in place to ensure resident’s monies and health and safety issues are well managed. EVIDENCE: Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 22 The home continues to be well managed by the homeowners who continue to be heavily involved in all aspects of the home. Observations in the home confirmed that all residents and visitors know them well, and all those spoken to spoke highly of them both clearly holding them in them in high regard. It was clear that they have an excellent relationship with both residents and visitors putting themselves out to improve the quality of life for both. Comments received included ‘the owners are doing a wonderful job in looking after these people who are very vulnerable and I cannot praise them enough’ ‘It is a extremely well run home’. The home has systems in place to monitor the quality of care in the home, which includes resident/visitors questionnaires and contacting visiting professionals for their comments. The feedback provided via these is reported on and made available to interested parties. The home holds a small amount of money for one resident and records seen in respect to this were found to be accurate and include the necessary receipts. Certificates relating to Health and Safety in the home were reviewed and found to be full and extensive along with procedures followed to protect resident and staffs safety. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1) Requirement That registered person confirms in writing that having regard to the assessment made on any prospective service user that the home can meet those needs. That when residents use a wheelchair that risk assessments are completed and that specialist advise is taken from an OT with regard to seating and safety. That staff training is clearly recorded and able to demonstrate that staff receive regular appropriate training to include all mandatory training. Timescale for action 01/02/07 2. OP8 13(4) (5) 01/03/07 3. OP30 18 (1) 01/03/07 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. Refer to Standard OP12 Good Practice Recommendations That further social care assessments are used to ensure a person centred approach to care. DS0000013967.V325777.R01.S.doc Version 5.2 Page 25 Bramber Nursing Home 2. 3. OP28 OP14 That 50 of care staff have an NVQ level 2 in care by 2005. That resident’s choices are recorded in their care documentation. Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bramber Nursing Home DS0000013967.V325777.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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