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Inspection on 12/12/07 for Eastleigh (Residential) Care Home

Also see our care home review for Eastleigh (Residential) Care Home for more information

This inspection was carried out on 12th December 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.

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 pleasantly situated and has views of the garden and countryside from all the communal areas of the home. Activities are developing well and providing interest and social opportunities for the people living at Eastleigh residential Care Home. The home has proactive management by the company and there is investment in the premises and the service development. The feedback from people living at Eastleigh, their relatives, visiting professionals, and staff was very positive.

What has improved since the last inspection?

The requirement and recommendations that were inspected at this inspection have all been met. A training co-ordinator has been appointed has organised training and begun work to review supervision and appraisal in the home.

What the care home could do better:

The system of recruitment in the home has some problems. The company uses a centralised method of managing recruitment records. The files inspection did not demonstrate a robust checking mechanism which has impacted upon the rating of this service as it was found that for short periods of time (4 to 14 days) there were staff employed at the home albeit under supervision, but without recruitment checks of CRB and 1 or 2 satisfactory references. One rusting commode was identified for repair or replacement as this poses an infection control hazard. Staff supervision remains in progress. 36.6% of care staff was identified as having an NVQ in care, a minimum of 50% is recommended. Care must be taken to ensure recognition of risk where people with an underlying chronic health condition raise minor health concerns.

CARE HOMES FOR OLDER PEOPLE Eastleigh (Residential) Care Home Periton Road Minehead Somerset TA24 8DT Lead Inspector Barbara Ludlow Unannounced Inspection 12th December 2007 10:15 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 Eastleigh (Residential) Care Home DS0000044220.V355577.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. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastleigh (Residential) Care Home Address Periton Road Minehead Somerset TA24 8DT 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) 01643 702907 01643 707649 garry@eastleighcarehomes.co.uk www.eastleighcarehomes.co.uk Mr Garry John Wilson Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) 2. The maximum number of service users who can be accommodated is 23. 7th March 2007 2. Date of last inspection Brief Description of the Service: Eastleigh (Residential) Care Home is registered with Commission for Social Care Inspection to provide personal care to twenty-three people whose care needs fall within the conditions of registration listed above. The proprietor is Mr Garry Wilson and the home has very recently appointed a new manager. Mr Wilson took over the home (previously known as Boyd House) on 1 June 2003. The site has been developed and there is now a sister home providing nursing care adjacent to the residential home. Eastleigh is situated on the outskirts of Minehead and enjoys views over the sea. The accommodation is provided over two floors, with a passenger lift to the first floor. There is one room accessible by stairs and this is kept for service user who is independently mobile. Stair lifts have been added to enable access to two bedrooms to the rear of the home. The home has well-maintained gardens to the side affording views over surrounding hills. The current scale of charges is £450 to £575 per week. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. There has been a change of Manager at the home since the last inspection. One inspector home made a visit to the residential on December 12th 2007. The inspector met with the new manager and the visiting company operations manager at the start of the inspection visit. Management time was given to assist with the inspection process. Records required for inspection were provided. The Annual Quality Assurance Assessment was completed by the previous Registered Manager and was submitted to the Commission for Social care Inspection in October 2007. This document outlines the achievements and plans of the service measured against the National Minimum standards. Comment cards had been distributed on behalf of the commission and had been received at CSCI from people who live at the home, their relatives and visiting professionals. The analysis of this feedback and comment is included in the inspection report. There were 4 comment cards from people who live in the home, 5 from relatives, 3 from visiting health care professionals and 3 from staff. All feedback was positive about the care and service offered at Eastleigh Residential Care Home. At this inspection visit a tour of the premises was made and daily life at the home was observed. Time was spent in the communal areas speaking with people living at the home and with staff. No visitors were seen. Records inspected included a sample of care plans, medication administration records (MAR’s), home maintenance records and staff recruitment records. This was a positive inspection and the feedback was given at the conclusion of the visit was well received. What the service does well: The home is pleasantly situated and has views of the garden and countryside from all the communal areas of the home. Activities are developing well and providing interest and social opportunities for the people living at Eastleigh residential Care Home. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 6 The home has proactive management by the company and there is investment in the premises and the service development. The feedback from people living at Eastleigh, their relatives, visiting professionals, and staff was very positive. 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. The summary of this inspection report can be made available in other formats on request. Eastleigh (Residential) Care Home DS0000044220.V355577.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 Eastleigh (Residential) Care Home DS0000044220.V355577.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): 1,2,3, 6 is N/A Quality in this outcome area is good. There is a good level of helpful information about the care home made available to people enquiring about the home. A pre admission assessment is made to ensure care needs can be met. Contract agreements are issued to people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a document for people coming into the home that incorporates the statement of purpose and service user guide. The Eastleigh care Home Guide has a front sheet called What Happens Next? To explain what happens after enquiry and being placed on the waiting list for admission. The information is detailed, informative and carefully presented. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 9 Care plans were sampled these revealed pre admission assessment being carried out to ensure care needs can be met, prior to the person being offered a place at the home. Feedback from people living at the home indicated that they had received information about the home prior to admission. The home offers respite care and one person said this is how they knew the home before their admission on a permanent basis. One person had relatives helping with their choice of home. People asked confirmed having been given a contract. One person said it is ‘excellent thank you’. A sample copy of the contract was provided for inspection purposes. This confirmed that the first four weeks of residency is a trial period. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. People are treated kindly and with respect at Eastleigh. Care plans are in place. Daily reporting could be improved. Staff receive medication administration training. Medication administration was safely managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new manager has focussed on reviewing the care plans since recently taking up the manager post. Two care plans were sampled for people who had been observed throughout the day. There was a good level of personal and social information. The care Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 11 plan detailed personal risk assessments such as for pressure sore risk and weight was regularly recorded. Care plans were reviewed on a monthly basis. A daily record is made for each person in his or her care plan. One such record did not have any entries regarding someone who had complained of a sore toe and had received analgesia. This was discussed at the inspection. Greater care should be paid to people with chronic ill health conditions such as diabetes and records of any problems should be recorded. A recommendation is made at this inspection. There is also a daily handover sheet used by staff with information relevant for that day, such as ‘out for lunch’ or to record if visitors have been received. Staff interactions were all heard to be kindly and appropriate. People living at the home said that they are well cared for. One person seen in private said they were ‘very happy here’. A good rapport between people and staff and also with the manager was heard. People asked said they would speak up if they had any concerns about their care or support at the home. The abilities of people within the residential unit varied and a small number of people were seen to be quite dependent upon staff for their care and well being. Staff confirmed receiving training for the safe administration of medication. Medications were observed being given out at lunchtime, safe practices were used. Staff were spoken with and asked what they felt the home did well, comment included ‘family atmosphere’ ‘relaxed and they can spend time with the people living at the home’. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. There are organised activities including trips out from the home. People can chose how they spend their time. The catering is well managed and nourishing well presented food is served. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Eastleigh are able to spend their time as they wish. Bedrooms can be personalised and the home is well presented and communal rooms are comfortable. There is a homely and welcoming atmosphere. No visitors were seen but written feedback was received from 5 relatives, this confirmed that they are able to visit and are made welcome at the home. The home has a full time activities organiser with a part time assistant. This means more activities and trips can be supported. On the day of the inspection a trip out had been made during the day. People returning from this trip said Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 13 they had enjoyed themselves. The rapport between these people and the staff was heard to be light hearted, friendly banter as they returned into the home. A residents meeting was held in November. This was well attended and contributions were made. More 1:1 activities and car trips to the shops were some of the points raised to improve the social activities. Good records of activities are made and are documented also for the individual participant. Flower arranging is a weekly event. The home has garden and country views from most of the rooms. From the lounge there is a view out across the gardens and hills beyond, this was commented upon and is appreciated by people using this room. Lunch was served in the dining room to 7 people as others ate in their rooms or were out on a day trip. A meal of roast lamb and vegetables followed by fresh fruit salad and cream or custard with drinks, was nicely presented and served. Comments were made about the food saying it is ‘excellent’. Staff also said the food offered to people is very good. The catering is carried out in the adjacent Eastleigh Nursing Home. The food is brought into the residential unit and is served from the hot trolley. No concerns were raised about the management of the catering. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. Recruitment systems in use gave a mixed picture. Summer recruitment had not been robust enough to prevent people commencing work without the full recruitment requirement always being met. People responding to CSCI said they could complain if unhappy with anything. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure. Responses to the questionnaires indicated that people and their relatives would raise concerns or complain if they wanted to. Recruitment procedures were examined in detail, a company policy to manage recruitment centrally has not been as effective as it could be. Five staff files were examined, two were satisfactory and complete. Three had one or both references dated after the persons start date and Criminal Record Bureau (CRB) checks that were dated after the start date. Separate PoVA First checks were not evidenced for these people either. This indicates that although under Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 15 supervision during the periods concerned of 4 –12 days robust recruitment practice to protect vulnerable people from harm was not undertaken in all cases. NB: The recruitment practice for the Nursing Home did demonstrate safe practice. All records seen are now fully complete for staff employed at the home. Three staff responded to the questionnaire to say they had received training relevant to their role and that helps them understand the individual needs of the service users. Staff spoken with confirmed having received induction training, manual handling training, first aid, health and safety and food hygiene training. They had also just completed customer care training. The home’s Whistle Blowing policy has been reviewed to give clear instructions to staff. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 16 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): 19,26 Quality in this outcome area is good. The home is clean, fresh and well and safely maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was made. The home is kept clean and is well presented. The premises have been suitably adapted to provide personal care for older people. There are assisted bathing and toilet facilities. Staff have access to hand washing facilities throughout the home and a supply of protective clothing, such as gloves and aprons as required. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 17 The communal areas have views of pleasant country and the garden. Outdoor seating is provided for use in warmer weather. The gardens have been landscaped since the completion of the adjacent nursing home. Bedrooms / private space can be personalised with photographs and ornaments to make them more homely and individualised. One person who spends a good deal of time in their own room was pleased to have the television and a comfortable chair to sit in. Their room had no real view as it faced onto outer walls of the buildings, the inspector was told that they appreciated the good view of the sky and had no complaints. They were also very pleased with the care and attention they receive at the home. The home has fire detection systems that are regularly maintained and there is a nurse call system throughout the home. One commode that had rusted and cannot be thoroughly cleansed, should be repaired or replaced. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is poor. There was a failure in the recruitment records examined for safe, robust recruitment practice. All safety checks are now in place. Staff receive induction and training. Staff were observed to be very caring in their approaches and dealings with the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a sufficient staff number on duty at the inspection. The manager was supported by senior care and care staff. There are dedicated activities staff and domestic staff. The home has a maintenance person and centralised reception, laundry and catering staff based in the adjacent Eastleigh Nursing Home building. There is company management and administration support. Recruitment procedures were examined in detail, a company policy to manage recruitment centrally has not been as effective as it could be. Five staff files were examined, two were satisfactory and complete. Three had one or both references dated after the persons start date and Criminal Record Bureau (CRB) checks that were dated after the person started working date. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 19 Separate PoVA First checks were not evidenced for these people. This indicated that although under supervision there were periods of 4 –12 days when staff were on duty without full checks for them being in place. Robust recruitment practice is required to protect vulnerable people from harm; this was not evidenced in three of the five cases examined for the residential home at this inspection. NB: The recruitment practice for the Nursing Home did demonstrate safe practice. All records seen were fully complete for staff employed at the home. Three staff responded to the questionnaire to say they had received training relevant to their role and that helps them understand the individual needs of the service users. Staff spoken with confirmed having received induction training, manual handling training, first aid, health and safety and food hygiene training. They had also just completed customer care training. The AQAA stated that 4 of the 14 carers employed held National Vocational Qualifications in care and no one had training in progress. This equals 36 of the care staff; efforts should be made to improve this to the baseline of 50 , which was a target for care homes by 2005. The commission acknowledges that the company now employs a dedicated training officer. The home’s Whistle Blowing policy has been reviewed to give clear instructions to staff. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 20 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): 31,32,36,37.38 Quality in this outcome area is adequate. The home had a new manager in post. There is good level of company support. Financial matters are safeguarded. The home is well and safely maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The company has recruited a new manager for the home. They have been in post for a short time only. The new manager will be applying to CSCI for registration as the manager through the fit person process. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 21 The home is well supported by the company operations manager who visits the home on a regular basis. The head office for the company at South Molton undertakes some of the management processes for running the business. The home has a full time maintenance person. Maintenance and fire records were examined. These included the weekly fire alarm test and checks. Fire extinguishers are checked weekly and are serviced annually. Emergency lighting is checked monthly. Staff receive fire training at induction and are up-dated every six months. Training is delivered in house and there is a trainer at the home. Outside trainers attend on request. At the last event the fire brigade attended. Night staff have fire training every three months this includes discussion about scenarios they may need to deal with. The training officer records all training onto the computer system. Staff spoken with confirmed receiving training. Staff supervision records were not fully inspected, this will be followed up at the next inspection. Accidents are recorded tracked and reviewed to consider preventative intervention and action to reduce risk. Records were safely stored and access was adequately restricted. Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 22 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 3 3 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 1 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 2 3 3 Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N0 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 OP29 Regulation 19 (1)(b)(i) Schedule 2. Requirement Staff must be safely recruited, in line with the regulatory requirement a minimum of PoVA First / CRB check and 2 references must be obtained before a new recruit commences working at the home. Timescale for action 16/02/08 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. 3. 4. Refer to Standard OP8 OP36 OP26 OP28 Good Practice Recommendations Where minor health concerns are raised these should be recorded especially where there is a risk from predisposing ill health conditions. It is recommended that the manager provide staff with formal one-to-one supervision at least six times a year. Commodes that have become rusted should be repaired or replaced. The improvement of the percentage of NVQ qualified care staff / those working towards NVQ, should be promoted in the homes training / plan for improvement. DS0000044220.V355577.R01.S.doc Version 5.2 Page 24 Eastleigh (Residential) Care Home Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Eastleigh (Residential) Care Home DS0000044220.V355577.R01.S.doc Version 5.2 Page 26 - 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!