Inspection on 15/05/08 for Eagle House Care Home

This inspection was carried out on 15th May 2008.

CSCI found this care home to be providing an Good service.

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

Eagle House Care Home 16/05/07

Eagle House Care Home 05/10/06

Eagle House Care Home 06/12/05

Eagle House Care Home 28/07/05

Eagle House Care Home 17/01/05

Eagle House Care Home 22/07/04

Eagle House Care Home 02/02/04

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Abbey The

Snydale Care Home

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/12/2008.

CARE HOMES FOR OLDER PEOPLE Eagle House Care Home Fleetgate Barton On Humber North Lincolnshire DN18 5QD Lead Inspector Rob Padwick Unannounced Inspection 15th May 2008 12:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eagle House Care Home DS0000002782.V364779.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. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eagle House Care Home Address Fleetgate Barton On Humber North Lincolnshire DN18 5QD 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) 01652 635440 F/P 01652 635440 eaglehousech@aol.com Mr Kumar Thakerar Debbie Lisa Stephenson Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (29) of places Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2007 Brief Description of the Service: Eagle House is situated in the town of Barton upon Humber close to all of the local amenities. The home provides care and support for up to forty service users within the categories of older people, and older people with dementia. The home is registered to support forty service users with complex needs associated with dementia. Some service users falling into this category are supported in a separate unit that has been made safe and secure but which is accessible from the main building. The unit is on the ground floor and has eleven single bedrooms. District and Community Psychiatric nurses provide the nursing element of care when required. The accommodation is provided over two floors that are accessed by stairs and a passenger lift. There are thirteen shared rooms and three single rooms on the first floor and a lounge and dining room on the ground floor. The home has a pleasant garden to the rear and side of the building with mature fruit trees and a small pond. There is ample car parking space. The atmosphere and setting of Eagle House is homely and is domestic in character. Fees for the home at the time of the inspection ranged from £354 - £409 per week. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 16th May 2007, including information gathered during a visit to the home. As part of the inspection we send out an Annual Quality Assurance Assessment (AQAA), which is a self-assessment document that the registered person must complete and return to the Commission. It should show how well the home is meeting regulations and national minimum standards, what has been done to improve the service since the last inspection and what still needs to be done. The provider completed this self-assessment well and information from this was used as part of our inspection process. Other information used, included direct feedback from people living in the home, together with responses from relatives and professional staff that knew them well, as well as official notifications received by the Commission for Social Care Inspection. This information affects the judgements we are able to make about the service. The site visit took place on 15th May 2008, and lasted 9 hours. The provider was not told in advance of the date or time we planned to visit. The acting manager was available throughout our site visit and we spoke to her and staff who were on duty, as well some people living in the home and their relatives. We looked round the home, including people’s rooms and the shared areas of the home, and inspected the records of people’s care, some staff files, health and safety documents and other records. What the service does well: What has improved since the last inspection? Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 6 Care plans had been developed to ensure the needs of individual people using the service could be appropriately met and the staff had taken advice from specialist staff in the community about these. Improvements had been made with the medication systems to ensure people living in the home are protected from potential harm and the records of their money were being accurately recorded to ensure their financial interests are protected from abuse. A programme of refurbishment of the building had been started to ensure the environment provides a better environment for people living in the home and improved checks of the building were taking place to ensure their health, safety and welfare was promoted and protected. 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. The summary of this inspection report can be made available in other formats on request. Eagle House Care Home DS0000002782.V364779.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 Eagle House Care Home DS0000002782.V364779.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 People who use the service experience good outcomes in this area. Whilst the needs of people living in the home are suitably assessed to ensure the service can meet them appropriately, further information about how the home will meet the needs of people living with dementia would help those thinking about using it to make a more informed choice about using it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The three case files belonging to people living in the home, which we inspected, contained assessments about them that had been carried out as part of their admission to the service. Whilst their was information to assist people to make a choice about the home, further details on how it will meet the needs of people with dementia would help people to make a more informed choice about it. A recommendation is made about this. Relatives and people living in the home confirmed they had visited the service to check its suitability before deciding to make use of it. One person told us “My grandson checked several homes before choosing this home, I quite agree with him”. Eagle House does not provide intermediate care services within the home. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 9 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 People who use the service experience good outcomes in this area. A generally good standard of information was available to ensure staff respected the health and personal care needs of people using the service, although closer attention to reviewing their care plans would ensure staff can support them better with these. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The three files belonging to people living in the home, which we inspected, contained care plans providing information concerning a range of their physical, social and psychological needs. Whilst case files detailed the personal preferences, dislikes and life histories of people using the service, a recommendation is made that this information is further developed in the care plans to help staff to support the individual strengths and abilities of people living in the home and to maximise their potential for well being. The case files inspected contained details of management strategies concerning risks to people living in the home together with evidence that care plans were being generally well reviewed to ensure they remained up to date. However, their Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 10 was some evidence, this process needed to be more consistently carried out as a nutritional assessment in one of them needed to be completed. Their was evidence in the case files of good communication with health care professionals to ensure the needs of people living in the home were met. Community Primary Health Care Professionals told us staff had “Very good working relationships” with them and that “Any concerns or issues the manager or staff will ask for advice and act on it” whilst a relative stated “My husband needs 24 hour care….if he is not well, the carers soon get a nurse or doctor”. We made previous requirements and recommendations about medicines administered to people using the service and saw evidence of work carried out to implement these. Medication records were accurately recorded and policies and procedures updated to ensure staff knew what to do if there was a drug administration error and care plans contained evidence of assessments relating to the ability of people to self medicate. The atmosphere in the home was observed to be close and informal and we saw staff responding to people in a sensitive and friendly manner. A Community professional told us “Respect for care user preference and choice underpins the core philosophy of Eagle House” and this was confirmed by a relative who stated, “Eagle house and its staff treat the guests with the respect they deserve..we as family are treated with courtesy (and) respect”. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 11 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 People who use the service experience good outcomes in this area. Whilst people using the service are provided with a variety of activities and they are able to maintain contact with their friends and relatives, although further specialist opportunities and more staff training would enable the potential well being of people with dementia to be enhanced. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated they were able to make choices about their lives and take part in a variety of things to do and this was confirmed in comments received from their relatives. We observed some people taking part in a group-singing session and case files documented other events they had joined in. The service operates an open visiting policy and their was strong evidence that relatives were positively welcomed and involved in the life of the home. Those spoken to praised the informal and caring nature of the home and comments received from them confirmed responses to surveys sent out, with one stating “We are made welcome as friends and family and I feel they are my husbands second family, staff are very caring in difficult circumstances”. The home has no transport, so people living in the home have to rely on friends and families to get out, however the manager indicated that due to reasons of frailty she Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 12 was planning to involve the wider community in the home, with more visits from entertainers and a local church group. A number of people using the service have dementia or complex needs and some were observed to have less opportunity to take part in activities. Information given to us by the Manager indicated she was aware of this issue and that plans were in place to develop additional facilities with the provision of sensory room to give relaxation and gentle stimulation for them. Whilst we saw evidence most staff had received dementia training over the past year, a recommendation is made that this is provided to all staff in order to ensure their skills and knowledge are kept up to date and that better individual outcomes for people with dementia can be developed. Comments received from people living in the home and their relatives indicated the food was of good quality and we saw evidence of actions taken to ensure they received a nutritious and wholesome diet. The service had taken advice from a dietician since our last site visit about this, however their was evidence that further improvements could be made with regard to the appearance of soft diets. A recommendation is made these items are served separately and not mixed together, in order to make them look more appetising. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 13 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 People who use the service experience good outcomes in this area. The concerns and complaints of people living in the home were taken seriously by staff that had received training to ensure they were safeguarded from harm This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated they were happy with the service they received and that staff took their views seriously. Relatives comments were generally very positive and confirmed they knew how to use the home’s complaints procedure. One relative told us “Our views of xx treatment led to the second parent going into Eagle House in …both are fee paying (and) if we felt the service was unsatisfactory we would move them” whilst another commented “I have never needed to voice any concerns about care”. No complaints had been received by CSCI about the service since our last site visit and the service’s complaints book contained no entries received by the home. Policies and procedures were in place to protect people living in the home from potential abuse and those staff spoken to indicated appropriate action would be taken if they had any concerns about this aspect of practice. The home’s training records contained evidence of action taken to ensure staff had updated their skills concerning the protection of vulnerable adults as previously required. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 14 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, 25 and 26 People who use the service experience adequate outcomes in this area. Whilst improvements had been made to upgrade the building, more attention was needed to ensure it provides people living in the home with a clean and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The building was warm, generally clean and tidy and we saw domestic staff working to maintain the cleanliness of the buildng. We made requirements following our last site visit about aspects of the environment that needed improvement and we saw evidence of work carried out to implement these. A programme of refurbishment was being carried out to upgrade the bedrooms belonging to people living in the home and we saw evidence of new flooring layed to make it easier to clean. At the start of our visit we noticed an unpleasant smell in a corridor area and one of the bedrooms, but later saw evidence of steps to remedy this. Some people told us the home was “very clean”, however others said this could sometimes be improved. Whilst we saw Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 15 evidence in the self assessment sent to us of plans to improve the cleanliness of the home, a requirement is made about this to ensure people using the service have a pleasant environment in which to live. Plans were in place to ensure staff skills and knowledge are updated regarding potential spread of infection and we saw evidence of action to combat this. A new Shower / wet room was being finished on the day of our site visit and a new washing machine and drier had been obtained. Some wheelchairs were being stored in a bedroom however, which posed a risk of potential harm to people living in the home and requirement is made about this. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good outcomes in this area. The training for staff was generally well developed to ensure they had the skills needed to do their jobs, although further training about dementia would enable them to provide better individual outcomes for people living in the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated their needs were being met and we observed staff interacting with them in a friendly and sensitive manner with call bells being answered promptly. We saw evidence of training to ensure staff can do their jobs together with a satisfactory programme to ensure their skills are updated. The service has developed its own induction process for new staff to follow and information provided in the home’s self-assessment, indicated this met the recommended Skills for Care Standards. Staff files contained evidence of regular supervision and appraisals to enable their career development and their was a formal NVQ training programme in place. Relatives praised the caring nature of staff with one stating “They are very caring people”, “staff are very good” whilst another told us that “All aspects of care are superb… always plenty of carers”. Others told us however staffing levels at weekends could sometimes be improved and a recommendation is made about this. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 17 Recruitment policies and procedures were in place to ensure staff are safe to work with people living in the home. The files of recently employed staff we inspected indicated these were being generally followed satisfactorily. All of them contained evidence of checks of identity and references being sought. However, one contained evidence that a staff member had begun work before a full Criminal Records Bureau check had been obtained, although their was evidence that an initial POVA FIRST check had been received previously for them. The manager was reminded this practice should only be allowed inexceptional circumstances in order to safeguard the people living in the harm. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good outcomes in this area. Whilst the service was being generally well run, improved management and administrative systems would help to support the health, safety and welfare of people living in the home better. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received from people living in the home, their relatives and professional staff in the Community indicated the service was being well run. At the time of our visit an acting manager was running the home, as the usual manager was working elsewhere for the home’s owner. We saw evidence the acting manager was taking an open and positive approach and staff comments about her were positive. One relative said “It is a wonderful care home, exceedingly well run and I only hope if the time ever comes I will be able to go Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 19 there myself”, whilst professional staff told us the acting manager “emphasises the importance of meeting individual core needs and leads by example”. We saw evidence of administrative and management systems to support the running of the service and although the acting manager was becoming acquainted with these, their was some evidence she would benefit from further support with these. An area manger had recently left the home owner’s company and although we were told that he visited regularly, it is a recommended that formal systems are developed to support the acting manager with her role and that she takes a recognised management qualification. We saw evidence of communication systems to ensure people living in the home are consulted about the service. A three monthly newsletter is circulated to people living in the home and feedback from relatives confirmed the service kept in close touch with them. We saw evidence of “Quality Circle” meetings with relatives and people living in the home, together with surveys about the home to ensure it can monitor its aims and objectives, although their was some evidence meetings with people living in the home could be held more often. We saw evidence of continued investment in the service and further plans to develop the home. The records of money belonging to people living in home we inspected were accurately kept and the maintenance records contained evidence of regular checks to ensure the health safety and welfare of people living in the home, although their was some evidence these needed to be monitored more closely. The portable electric equipment used in the home was due for testing at the time of our site visit and some of the fire records were difficult to check. We therefore asked the Fire Department to look at these and both they and the home’s owner have since contacted us to say things are satisfactory. Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 20 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 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 21 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 OP7OP7 Regulation 15 Requirement The registered person must ensure care plans belonging to people living in the home must are kept up to date and provide accurate information about them to ensure their needs are appropriately met. The registered person must ensure that electrical items in the home are tested appropriately to ensure the health safety and welfare of people living in the home. The registered person must ensure wheelchairs are stored appropriately to ensure people living in the home are safeguarded from potential injury or cross infection. The registered person must ensure that the building is kept clean and free from unpleasant smells to ensure people living in the home have an environment that is pleasant to live in. Timescale for action 15/08/08 2. OP38OP38 13 30/05/08 3. OP19OP19 23 15/08/08 4. OP26OP26 16(2)(k) 15/07/08 Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 22 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 OP1OP1 Good Practice Recommendations The registered person should further develop the service users guide in relation to the services provided for people with dementia to enable those thinking about using it to make a more informed choice about it. The registered person should ensure care plans belonging to people living in the home provide more information about their individual strengths and abilities to enable staff to support them with these in order to maximise the potential for their increased wellbeing. The registered person should ensure all staff have received dementia training in order to ensure their skills and knowledge are kept up to date and that individual outcomes for people living in the home are enhanced. The registered person should ensure liquidised food items are not mixed together, in order to make them more appetising to people living in the home. The registered manager should review the staffing levels in the home to ensure these reflect the changing needs of people living in the home. The registered person should ensure that a full CRB check is received for all new staff before they are allowed to start work in order to safeguard people living in the home from potential harm. The registered person should ensure appropriate systems are in place to support the acting manager and that she undertakes a recognised management qualification to assist her with her role. 2. OP7OP7 3. OP12OP12 4. 5. 6. OP15OP15 OP27OP27 OP29OP29 .7. OP31OP31 Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Eagle House Care Home DS0000002782.V364779.R01.S.doc Version 5.2 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!