Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 07/06/06 for Cherington Nursing Home

Also see our care home review for Cherington Nursing Home for more information

This inspection was carried out on 7th June 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is exceptionally clean and well maintained, providing a comfortable homely atmosphere for residents to enjoy. The care staff take the time to ensure that residents are treated as individuals, respecting their right to make choices and maintain individual levels of independence. Staff speak to residents in a respectful manner, taking time to explain things when they are confused. Visitors are welcomed into the home and are encouraged to continue to be involved in the care of their relative or friend living at the home. Staff spoken with all had confidence in the managers approach to running the home. The organisation offers good training opportunities to ensure that staff have the combined skills to meet the needs of the residents. The organisation has a good support system for its managers and consults with residents, relatives and staff to look at ways of maintaining and improving its service and facilities.

What has improved since the last inspection?

The extensive building programme at the home has been finished which has extended the home and provided residents with excellent facilities. An area has been set aside for staff to use on their breaks. This is not ideal but given the layout of the building this is an improvement. Staff have a small cloakroom to leave their belongings whilst on duty. There has been an improvement to staff recruitment practice. It was observed that the records of staff recently employed by the home had references and for one person one reference had been returned and there was evidence that the other one had been applied for.

What the care home could do better:

Meals are varied, offer choice and are served in pleasant surroundings but the presentation of food could be improved to make the meals look more appealing to residents and opportunities for making choices about food when it is being served should be explored. When staff move from a position requiring a Standard CRB disclosure to a Care Assistant post then the registered persons should ensure that an Enhanced disclosure is attained. Staff should be reminded that sluice rooms should be kept locked when not in use and that cleaning materials should not be left unattended.

CARE HOMES FOR OLDER PEOPLE Cherington Nursing Home 15 Stocker Road Bognor Regis West Sussex PO21 2QL Lead Inspector Mrs D Peel Unannounced Inspection 7th June 2006 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 Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cherington Nursing Home Address 15 Stocker Road Bognor Regis West Sussex PO21 2QL 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) 01243 865936 www.homebeechltd.co.uk Homebeech Limited Mrs Sarah Booke-Cook Care Home 42 Category(ies) of Dementia - over 65 years of age (42) registration, with number of places Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Cherington is care home able to offer personal and nursing care and accommodation to, up to 42 residents with dementia over 65 years of age. The home is situated in a residential area of Bognor Regis, close to the seafront and other local facilities. The town centre is a short walk away and public transport runs close to the home. Homebeech Ltd owns the service and the Responsible Individual on behalf of the company is Mrs Sandra Ellis. The Registered Manager of the home is Mrs Boote Cook who is supported by a deputy manager and a team of registered nurses, care assistants and ancillary staff. The premises consist of terraced houses that have been extended and adapted for use as a care home. Extensive has been undertaken at the home to improve the premises and Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 7th June 2006. The intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided by the manager in a pre inspection questionnaire completed at the request of the inspector some weeks prior to the visit and other information received from the provider since the last visit to the home on the 1st September 2005. A case tracking exercise for four residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. Where possible residents were spoken with to gain some information about what it is like to live at the home, those residents able to express an opinion made positive comments. A visitor to the home was spoken with during the visit who commented that they were very satisfied with the home and the standard of care being provided to their relative. The inspector visited all communal areas during the visit and visited 18 residents’ bedrooms, six bedrooms on each floor of the building. Staff were observed assisting and interacting with residents in the lounge and the dining room. The atmosphere was friendly, residents were spoken with meaningfully and staff demonstrated respect and recognition of individual residents needs. The records of three staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home and what training had been provided. Samples of other records required to be kept by the home were viewed during the visit to ensure that the provider is meeting their obligations with regard to the administration of the home. The current scale of fees being charged at the home is from £550 to £750 per week. What the service does well: The home is exceptionally clean and well maintained, providing a comfortable homely atmosphere for residents to enjoy. The care staff take the time to ensure that residents are treated as individuals, respecting their right to make choices and maintain individual levels of independence. Staff speak to residents in a respectful manner, taking time to explain things when they are confused. Visitors are welcomed into the home and are encouraged to continue to be involved in the care of their relative or friend living at the home. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 6 Staff spoken with all had confidence in the managers approach to running the home. The organisation offers good training opportunities to ensure that staff have the combined skills to meet the needs of the residents. The organisation has a good support system for its managers and consults with residents, relatives and staff to look at ways of maintaining and improving its service and facilities. 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. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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 Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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): 1,2,3,4,5,6 Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at the home. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. Outcomes for residents are good. EVIDENCE: Cherington Care Home has a Statement of Purpose and Service Users Guide, which are regularly updated. The most recent version was provided to the inspector some weeks prior to the visit to the home and was observed to provide informative information, which would assist prospective residents and relatives to make a choice about the suitability of the home. The most recent Inspection Report was observed to be available to read in the entrance hall, providing information about the Commission For Social Care Inspections (CSCI) views of the home. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 9 One visitor to the home spoken with during this visit confirmed that they had visited a number of homes including Cherington before deciding that Cherington Care Home would be the most suitable for their relative. Care records observed at this visit showed that resident’s needs are assessed prior to them moving into the home and when the inspector arrived at the home at 10am on the morning of the visit the manager and deputy manager were out assessing a prospective resident. Intermediate care is not provided at Cherington Care Home. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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 Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents and record intervention from medical professionals. The homes medication procedures ensure that medication is managed well. Staff respect the privacy and dignity of residents so that residents are treated as individuals Outcomes for residents are good. EVIDENCE: Four care plans were examined at this visit to the home and a case tracking exercise was undertaken to find out if the assessed needs of residents had been developed into a care plan, which staff were following to meet individual residents needs. Care plans were observed to be developed from a comprehensive assessment of need. They showed that problems had been identified and explained what staff should do to care for that individual residents without taking away any independence which that resident has The plans observed had been updated monthly and recorded any changing needs of residents. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 11 Care records viewed showed that the physical heath of residents is regularly monitored. Visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. Accidents records seen at this visit were detailed and showed what action had been taken. Risk assessments were in place to ensure that’s staff are able to work safely with residents. The home has a medication policy, which was provided prior to the visit to the home. The inspector observed the secure storage of medication during the visit to the home and a registered nurse explained the process of administration of medication to residents, which enabled the inspector to judge that the homes policy was being followed. Medication records viewed at this visit were up to date with no gaps observed. During the visit the inspector observed staff interacting with residents in the lounge and the dining room. They were observed to treat residents as individuals and speak to residents in a meaningful, caring manner. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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 The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Home cooked food is provided with choices of alternatives available, but some attention needs to be given to the presentation of meals to encourage residents to be interested and eat the food provided. Outcomes for residents are good. EVIDENCE: The home offers plenty of activities which residents can choose to take part in. Photographs on display around the home show events, which have been held for residents and their relatives and visitors. Activities advertised in the main lounge include: Collage club, indoor gardening club, reminiscence, music and movement, painting and art workshop, ladies salon and men’s club. A sensory room has now been provided which two residents were observed to be using on the afternoon of the visit. One visitor who’s relative was using the room commented on how much their relative like to relax in the sensory room. A fish tank has been installed in a smaller sitting area for residents to enjoy. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 13 The visitor’s book records that there are regular visitors to the home and feedback from a visitor reported that they were always made to feel welcome when visiting the home. Relatives Committee meetings are held on a three monthly basis. Minuets of the last meeting were provided to the inspector. The meeting had been well attended and showed that relatives are encouraged to be involved with the care of their relative living at the home and events taking place. A carers support group has been suggested which one relative has agreed to coordinate. The inspector joined residents for the main meal of the day. Menus had been provided in advance of the visit but the meal provided was not the one planned on the menu. The manager explained that the freezer had been accidentally switched off the previous evening and so as not to waste the food, defrosted food was being used up. This meant that two fish meals were being served, Fish Pie or Scampi. Both were served with chips and peas/ carrots. It was noted that those residents sitting with the inspector were over faced with the amount of food on their plates. There was lack of attention to presentation, which resulted in a lot of wastage. This matter was discussed with the manager who had already observed the amount of wastage and the poor presentation. She explained that she felt that this was not normal and that the usual Chef who was not working that day makes a lot of effort with presentation of meals. Since the last visit to the home the manager and the head chef have attended a training course related to meeting the nutritional needs of people with dementia and menus have been revised to meet these needs. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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): The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. Outcomes for residents are good. EVIDENCE: The complaints procedure is included in the Service User Guide. It is clear and gives an assurance that “all complaints will be dealt with within 28 days”. The complaints records were examined at this visit and it was noted that there Had been no complaints made directly to the home since the last visit by CSCI. One resident spoken with was able to tell the inspector that “ If they didn’t like what was happening they would tell the nurse” Cherington Care Home has now completed a programme of adult protect training for staff. The manager confirmed that all staff including ancillary staff had attended and that the course was based on the West Sussex Multi Disciplinary Adult Protection procedures, which include a training pack. Certificates of attendance were seen to be in place in some staff records. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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): 19,20,21,22,23,24,25,26 The home is exceptionally clean and residents have a comfortable, homely environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. The home is well maintained and provides a reasonably safe environment for residents to freely move around in. Outcomes for residents are excellent. EVIDENCE: Since the last visit to the home in September 2005 a major building project has been completed. This has extended the home and provided excellent facilities for residents to enjoy. At the rear of the home is a pleasant, secure garden, which has a water feature. Residents were observed to use the area during the visit with visitors and staff. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 16 The communal areas of the home are homely and were refurbished and modernised during the building programme. It was noted that a relative had commented about there only being one lounge at the most recent relatives committee meeting. In response to this it was decided to make the activity end of the dining room into another seating area. This area was observed to be in use on the day of the visit in addition to a small television room and the sensory room. Toilets and bathrooms visited on this visit to the home were observed to be exceptionally clean and well equipped with aids and adaptations. All rooms have an emergency call bell system and the home has a number of rooms with overhead hoists in addition to mobile hoists. After the recent extension there are thirty-nine single bedrooms and one double bedroom at the home. Eighteen bedrooms were seen at this visit. All were well equipped, clean and had been made to feel homely by resident’s own possessions and small pieces of furniture being on display. During the visit the inspector noted that one window on an upper floor corridor did not have a safe restricted opening. The deputy manager told the inspector that the supplier had already been contacted about the matter and they were expected at any time. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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): The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures have improved with references being sought. Cherington Care Home provides well-qualified staff so that residents are able to feel safe and well looked after. Outcomes for residents are good. EVIDENCE: Duty rotas were provided to the inspector some weeks prior to the visit and showed that there are qualified nurses on duty all day and night supported by care assistants and ancillary staff during the day and care staff at night. During the visit the visit it was observed that staff were readily available to attend to residents needs when needed. At lunchtime there were sufficient staff to assist residents who need support to eat their meal and to serve the meal efficiently. Staff deployment is well thought out with a care assistant allocated to the main lounge to make sure that residents are supervised at all times. The recruitment records of four staff were seen at this visit. Those records seen were as required with references and CRB and POVA checks being undertaken for new staff. However the registered person is reminded that should an employee move from a position, which has required a standard CRB clearance to a carer then an enhanced CRB, must be sought. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 18 The training programme at the home provides staff with the skills needed to carry out their role efficiently. Staff records and information provided before the visit to the home showed that there is an ongoing training programme which the provider has for all the homes within the company. NVQ percentage targets have not yet been met by the home. Information provided prior to the visit reported that three care staff have an N.V.Q. The manager confirmed that four more care staff are just about to start and N.V.Q level 2 and three others are to start an N.V.Q level 3. The manager confirmed that staff from oversees are offered tuition in English to improve their English language skills. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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): 31,32,33,35,36,37, 38 The home is well managed providing leadership and guidance for staff. The views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. Procedures are in place to ensure that the home is a reasonably safe environment to live in. Outcomes for residents are good. EVIDENCE: The manager has over two years experience as a manager and is a registered nurse. Mrs Boote-Cook and her deputy manager have registered on the N.V.Q Level 4 Registered Managers Award. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 20 Residents, relatives and staff have the confidence that the manager of the home acts in the best interests of the residents living at the home. The responsible individual on behalf of Cherington Care Home has confirmed that forty-two Quality Assurance Questionnaires were sent out to family/friends and residents recently. Thirteen have been returned with complimentary remarks. Relatives Committee meetings are held regularly to gain feedback from representatives of those residents who use the service. Staff meeting are being held to that staff can share their views and experiences of working at the home. The agenda for the next meeting was being drawn up on the day of the inspectors visit to the home. Monthly regulation 26 reports are received by CSCI, which shows that the responsible individual on behalf of the company is monitoring the homes care service. The manager confirmed that no monies are held at the home for distribution to residents. The company has a designated person who is responsible for invoicing relatives or residents representatives. An external accountant is monitoring the system being used to deal with service users monies. This system works for the home. Records viewed at this visit had been regularly updated and clearly recorded. The sluice room was found to be left unlocked with cleaning materials left unattended inside. One unrestricted window on an upper floor was noted by the inspector but the deputy manager told the inspector that this was already being attended to. Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 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 3 X 3 3 3 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 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 3 4 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 2 Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP28 OP29 Good Practice Recommendations A minimum ratio of 50 trained members of care staff should be achieved. If an employee moves from a position, which has required a Standard CRB clearance to a carer then an enhanced CRB, should be sought. Staff should be reminded that the sluice room should be locked when not in use and that COSHH materials should not be left unattended 3 OP38 Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Cherington Nursing Home DS0000060641.V293252.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!