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Inspection on 10/07/06 for Eastside House Rest Home

Also see our care home review for Eastside House Rest Home for more information

This inspection was carried out on 10th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Eastside House provides a well -maintained comfortable environment for service users. The staff team are a mix of cultures and ethnicity not reflective of the service users, but very aware and able to meet their individual needs. The home provides a mixture of activities for service users to engage in including light exercise. Service users are very happy with the support they receive from staff and appreciate that their individuality is respected. One service users stated, "I feel very lucky to be here". A relative told the inspector " we fought for our relative to come here". Staff have access to training to enable them to increase their knowledge and understanding of service users. This enables staff to carry out their duties more effectively. The home consistently recruits staff in the correct way. This gives service users confidence that staff who support them are properly vetted.

What has improved since the last inspection?

Six requirements were made at the previous inspection. Five of these requirements are fully met one is partially met. The home has improved the content and recording in care plans which is more reflective of service users care needs, culture and leisure interests. The home has implemented a procedure for staff when dealing with accidents to service users in the home. This has reduced any confusion for staff about what action to take. Medication is now signed for at the time of administration and records remain up to date. The manager has completed the review of the homes policies and procedures and where relevant amendments have been made. The home now undertakes regular night fire drills. This allows staff to become increasingly confident should they need to act in an emergency. The fire action procedure has improved although some amendments are required.

What the care home could do better:

This inspection has highlighted four area of improvement in the home. The inspector is impressed with the efforts made by the home to implement improvements. The inspector is confident that the home will meet these requirements. The home must continue the work on care plans and ensure these remain working documents that are regularly reviewed. The plans must be organised to allow ease of use when adding or accessing important information. Service users medication in the home that continues to be dispensed should be recorded even when a new prescription is recorded on the Medication Administration Record. This will ensure that the amount of medication in the home is correct and provides a clear audit trail. The home must ensure that the commission is informed without delay of any deaths, illness and other events that affect service users. This will allow the commission to monitor where possible the actions of the home in certain circumstances. The manager must expand upon the fire action procedure to include the homes evacuation plan. This will ensure that staff are extremely clear and can refer to the procedure in the home.

CARE HOMES FOR OLDER PEOPLE Eastside House Rest Home 22-24 Eastside Road Golders Green London NW11 0BA Lead Inspector Tola Akinde-Hummel Key Unannounced Inspection 10th July 2006 08:55 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 Eastside House Rest Home DS0000010403.V298210.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. Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastside House Rest Home Address 22-24 Eastside Road Golders Green London NW11 0BA 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) 020 8455 4624 020 8458 0739 Mrs Rosalind Virasinghe Therese Josiane Moutou Care Home 16 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (16) of places Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 16 people of either gender who fall into the category of old age (OP) and who may have dementia (DE)(E). 8th November 2005 Date of last inspection Brief Description of the Service: Eastside House Rest Home is a privately owned care home which is registered to provide personal care and support for up to sixteen people of either gender. The home is located in a residential area close to Temple Fortune, Golders Green and Brent Cross shopping centre. There are very good transport links with shops and amenities close by. The home consists of a two storey detached building with a small car park at the front and a large attractive garden at the rear of the premises. Accommodation is provided in single rooms on the ground and first floor. None of the rooms have en suite facilities but each has a hand washbasin. There is a passenger lift available to the first floor. There are two bathrooms with two toilets on each floor. Two separate toilets are also provided for service users and one for staff. The toilet and bathroom facilities are of a high standard and tiled from floor to ceiling. The stated aims of the home are to provide care for people who are physically disabled or elderly and are unable through physical or mental frailty able to care for themselves. The cost of placements for residential care is £550.00 per week. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took six hours to complete. The manager, Mrs Josie Moutou, assisted the inspector throughout the day. The inspector was able to speak in confidence to one relative and four service users. Four care staff, two catering staff and the homes two domestic staff. Were present in the home during the inspection. The inspector was able to speak to all staff. The home does not have any vacancies and one service user is currently in hospital. The inspector completed a tour of the building, looked at the care plans, and examined the medication administration recording and storage arrangements. The homes policies and procedures were inspected and the requirements made at the previous inspection reviewed. The inspector also examined the complaints records, Health and Safety records, staff recruitment information and staff rotas. The inspector would like to thank the service users, relative, and members of staff who were helpful and available throughout the inspection. What the service does well: What has improved since the last inspection? Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 6 Six requirements were made at the previous inspection. Five of these requirements are fully met one is partially met. The home has improved the content and recording in care plans which is more reflective of service users care needs, culture and leisure interests. The home has implemented a procedure for staff when dealing with accidents to service users in the home. This has reduced any confusion for staff about what action to take. Medication is now signed for at the time of administration and records remain up to date. The manager has completed the review of the homes policies and procedures and where relevant amendments have been made. The home now undertakes regular night fire drills. This allows staff to become increasingly confident should they need to act in an emergency. The fire action procedure has improved although some amendments are required. 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. Eastside House Rest Home DS0000010403.V298210.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 Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made from evidence gathered during a visit to this service. Service users can be confident that their needs are properly assessed prior to admission ensuring that the home is able to meet their needs. EVIDENCE: Four care plans were sampled during this inspection. All plans had preassessment information completed prior to service users entering the home. The relevant placing authority completes these. The home also completes it’s own assessment detailing service users needs. There have been four new admissions to the home in the last 12 months. The inspector was able to speak to one relative who stated that they had visited the home prior to an offer of a placement being made. “ The manager asked so many questions relating to my father, staff are very interested in him”. One service user said, “ I came to visit the home myself and had a tour of the building before I moved in”. Eastside House Rest Home DS0000010403.V298210.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality outcome in this area is good. This judgement has been made from evidence gathered during a visit to this service. Eastside House ensures that the needs of service users are well recorded in their plan of care. Service users have access to GPs and other health professionals as required. The home does not have a satisfactory audit trail for some medication administered in the home. EVIDENCE: Four service users care plans were examined. The home has now revised the care plans and all service users receive a comprehensive care plan. The previous care plans have been removed from all files. Inspection of new care plans found consistent recording of information such as personal hygiene, feeding and nourishment, grooming, smoking, toileting. The problem and needs are identified, goals and necessary steps to take, who is responsible and the timescales for action. The plans also have a promotion of independence record and highlight all activities of daily living and whether full or partial assistance is required. Communication needs and leisure activities that service users are interested in are also addressed. The requirement made at the previous inspection to complete care plans and ensure actions are recorded Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 10 has been assessed as nearly met. The home must keep these plans under review and ensure that the plans are orderly for ease of use. Four service users were spoken to during the inspection. All service users advised that they have access to GP’s, Dentists, District nurses, Chiropodists and physiotherapists as necessary. Service users GP’s visit the home regularly. Where necessary service users are supported to attend hospital appointments and other medical specialists. Such appointments are recorded on service users plans. The home has in place vulnerability assessments for all service users. These include the risk of pressure sores, falls, weight, and heatstroke. Following a requirement made at the previous inspection the home now has a procedure in place for dealing with accidents to service users. Staff contact the service users GP without delay and where necessary escort service users to accident and emergency. This requirement is assessed as met. Medication records were examined. All medication administered is signed for at the time of administration. The previous requirement in relation to this is assessed as met. The home has medication delivered and is stored in Nomad boxes. The storage of medication is satisfactory. The inspector looked at medication kept it its original packaging. The home is not recording where the overlap of previous medication is still available and administered although a new prescription has entered the home. This results in instances where there more tablets are available in the home and does not correspond with the medication Administration Records. Any surplus medication still administered from a previous prescription must be recorded on the MAR sheet to avoid any confusion and ensure a clear audit trail. Service users spoken to said that they are supported in a sensitive manner by staff and their privacy is respected. Eastside House Rest Home DS0000010403.V298210.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been from evidence gathered both before and during a visit to this service. Service users interests are properly recorded and activities that suit them are arranged. Exercise is encouraged to ensure service users maintain their mobility where possible. The home provides varied, healthy and attractive food for service users. EVIDENCE: Examination of care plans revealed that service users interests are well recorded. Staff documents the safety of service users in the local area and how to encourage service users to take more exercise. One service user said “I go for daily walks with another person and sometimes staff go with me to the local shops”. For service users who wish to practice their religion, the home has a visiting lay priest and members of a local church visit weekly. The home provides entertainers who encourage topical discussions and light exercise. Service users also make use of the mobile hairdresser. Staff records the cultural requirements of service users and attempt to ensure these are met. All four service users spoken to in detail confirmed that their relative and friends visit them regularly; they have telephones in their rooms and enjoy the mix of privacy and company. One service user stated, “ I like it Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 12 here even though I have been here only a short time. I like the fact that I am allowed to smoke in my room”. All service users are well groomed and make choices about their presentation as well as how they spend their day. One service user said, “ I am very independent, I know how to entertain myself, and staff respect that I am able to do things for myself”. The inspector was able to speak in detail to the cook in the home. The cook has previously worked in the home and was properly inducted. The cook is aware of the needs of service users including their likes and dislikes. The cook discusses service users preferences from the menu on a daily basis to ensure they are provided with exactly what they want to eat. Service users all commented that the food is good quality and they are served what they enjoy. Eastside House Rest Home DS0000010403.V298210.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made from evidence gathered during a visit to this service. Service users are protected by a comprehensive complaints procedure that ensures their concerns are fairly and swiftly addressed. The homes adult protection and whistle blowing procedure is robust and familiar to all staff thereby minimising the risk of abuse. EVIDENCE: An inspection of the complaints log revealed that three minor complaints have been made in the home. These have been upheld. All the complaints have been investigated within timescale and satisfactorily resolved. The home advertises its complaints procedure. Four service users and one relative stated that they are aware of the complaints procedure and are confident that they can use this. The homes complaints procedure has been reviewed and remains satisfactory. The home has also received a number of compliments from relatives of service users impressed with the care and support offered to their loved ones. The home has a robust adult protection procedure, which was reviewed in May 2006. The staff team are aware of their responsibilities to protect service users. The home has not had any incidents of adult protection in the last year. The home also has a whistle blowing policy that staff are familiar with. Six members of staff in the home are due to complete their NVQ level 2 in September 2006 and two have completed this. All staff have covered the above issues as part of their study. Eastside House Rest Home DS0000010403.V298210.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made from evidence gathered during a visit to this service. Eastside House is a well maintained home that is properly equipped. This enables service users to feel relaxed and comfortable in their environment. EVIDENCE: Eastside house is a comfortable, welcoming home, which is well maintained. The home has two cleaning staff that ensures that all cleaning is undertaken on a daily basis and the homes high standard is maintained. There are no unpleasant odours in the home. A tour of the building was undertaken. The communal areas are relaxing, bright and airy. The arrangement of furniture encourages service users to converse with each other during the day. Service users bedrooms are comfortable and furnished according to service users tastes. The home has seven toilets, four bathrooms and two shower rooms. All are well decorated and have the necessary equipment to promote safety and ensure comfort. Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 15 Eastside House Rest Home DS0000010403.V298210.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality outcome in this area is adequate. This judgement has been made from evidence gathered both before and during a visit to this service. Service users can be assured that staff employed at Eastside House are properly recruited. This minimises the risk of inappropriate staff working in the home. Service users are not supported by 50 of staff that have completed their NVQ level 2 training. Staff receive training that assists them to deliver a better quality of care to service users. EVIDENCE: The inspector was able to examine rotas in the home. Staff numbers are sufficient for the needs of the service users. At the time of inspection, four care staff; two domestic staff and two catering staff were in the home excluding the manager and the owner. All staff have been working towards their NVQ Level 2. Six staff are due to complete in September 2006 and two staff have completed. Some members of staff are also undertaking computer training and some others are being supported with improving their command of the English Language. During a group discussion with the staff team it was evident that staff are clear about their respective roles and responsibilities and how these impact on the comfort and safety of service users in the home. One new staff member has been employed since the previous inspection. This staff member was properly recruited with all relevant documentation in place. Discussions with staff revealed that they receive regular training. Staff have received refresher mandatory training, training in communication with people Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 17 with dementia, control of infection, prevention of pressure ulcers and fire prevention, compartmentation and evacuation. Staff stated that they found this training extremely useful. Staff also added that training is discussed during team meetings and if they require training this is always provided. The inspector saw evidence of future training planned by the home. Staff members consistently sited teamwork as the most important factor of working in the home. Minutes of team meetings show that night staff have regular team meetings also. On discussion, the manager Ms Josie Moutou stated that she is happy with the team and the way they are supporting service users in the home at present. Eastside House Rest Home DS0000010403.V298210.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality outcome in this area is adequate. This judgement has been made from evidence gathered both before and during a visit to this service. The home is run by a competent manager that considers the needs of service users in the organisation of the home. The manager must complete the fire procedure by including the homes evacuation policy. EVIDENCE: Ms Josie Moutou continues to manage the home. Staff spoke highly of the manager stating that they are well supported and information relating to good practice is shared. The manager continues to access training and is attending training on nutrition organised by Barnet Primary Care Trust. Service users made comments to the inspector about staff such as “They are really caring”, “Care staff are very nice”, “I am still getting care and support as I wish”. Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 19 The manager has undertaken a quality assurance survey. Service users views about all aspects of care in the home have been obtained. The home has also elicited views of relatives, friends and health care professionals. The inspector examined these surveys. The manager is due to complete the analysis of the information and address some of the issues raised as a result of the survey. Further discussions with the inspector clarified how some of the issues can be addressed and shared with all stakeholders. The manager has staggered the review of all policies and procedures in the home and is aware that some policies will soon be due for renewal. This previous requirement is assessed as met. The home does not manage the finances of any individuals in the home. This is organised by relatives and legally appointed individuals. Following a requirement made at the previous inspection, the home now undertakes fire drills at night. The home has a nominated fire warden who ensures regular fire drills and tests are undertaken. These are recorded and team minutes indicate that fire safety is regularly discussed. This previous requirement is assessed as met. The home has improved its fire action procedure ensuring staff are aware of their responsibilities. However the policy and procedure does not have any fire evacuation guidance. This must be included. Records show that the home routinely carries out health and safety checks. This includes lift servicing, gas installation, emergency lighting, and emergency call systems. A number of service users have died since the previous inspection. The home must ensure that this information is forwarded to the commission without delay. The home must also ensure that any accidents and illness or communicable diseases are reported without delay. Eastside House Rest Home DS0000010403.V298210.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Eastside House Rest Home DS0000010403.V298210.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 OP7 Regulation 15(1)(2) (a-d) Requirement The registered person must ensure that staff continues to complete care plans in detail and ensure the information is filed in an orderly manner to ensure ease of use. The registered person must ensure that all staff that administers medication records the amount of unused medication still given to service users prior to starting any new medication that has been dispensed. The registered person must ensure that all notifications of death illness and other events are sent to the commission without delay. The registered person must amend the fire prevention policy and procedure to include the homes evacuation plan. Timescale for action 10/09/06 2. OP9 13(2) 11/07/06 3. OP38 37 (a-g) 11/07/06 4. OP38 23(4) (a) (c) 10/09/06 Eastside House Rest Home DS0000010403.V298210.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. Refer to Standard Good Practice Recommendations Eastside House Rest Home DS0000010403.V298210.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Eastside House Rest Home DS0000010403.V298210.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!