CARE HOMES FOR OLDER PEOPLE
Eversley Nursing Home 95/96 North Denes Road Gt Yarmouth Norfolk NR30 4LW Lead Inspector
Hilary Shephard Unannounced Inspection 23rd August 2006 09:45 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 Eversley Nursing Home DS0000015636.V309820.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. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Eversley Nursing Home Address 95/96 North Denes Road Gt Yarmouth Norfolk NR30 4LW 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) 01493 854086 01493 857007 Country Retirement and Nursing Homes Limited Position Vacant Care Home 18 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (18), of places Physical disability (1) Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. To accommodate one (1) service user with Physical Disabilities under 65 years of age, who is named with the Commission, for regular respite care. To accommodate up to eighteen (18) Older People. The total number of service users not to exceed eighteen (18). Three service users with dementia, named on the Commission’s records, may be accommodated. 31st August 2005 Date of last inspection Brief Description of the Service: Eversley Nursing Home is situated in the town of Great Yarmouth within reach of local shops. It is a three-storey building with access to the 16 single and 1 shared room by a shaft lift. The communal areas consist of two lounges and one connecting small dining room with a separate small quiet room. The home has a patio area with shrubs and flower beds and a small space for parking. Eversley is a registered care home that provides nursing care for 18 older people and is owned by Country Retirement and Nursing Homes Limited. The home informed CSCI of its charges in April 2006 and charges the following for care provision: from £331 to £431.50 per week. Residents are expected to pay extra for chiropody. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgments for each outcome group. A total of 5 requirements and 1 recommendation were made as a result of this inspection. Following information from the provider, some amendments have been made to this report regarding adult protection, pressure area care and the environment. What the service does well:
Staff are hardworking and interact well with residents and care for residents in a kind and gentle way. Plenty of training is provided to staff. The providers regularly monitor the quality of the service provided. Staff are provided in such numbers to meet the residents needs and this has improved significantly over the past year. Residents are involved in how the home is run and enjoy a wide range of activities provided according to their wishes. The food is of good quality and residents enjoy their meals. Food is available to residents at any time of the day or night. Families and visitors are welcomed and residents are encouraged and supported to maintain contact. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 6 Residents benefit from having their needs assessed before admission and from the information gathered being included in their care plans. Medication is generally managed and administered safely, but the home does not always book medicines in correctly. What has improved since the last inspection? What they could do better:
Care plans at this visit contained brief information about residents care needs, not enough information was being recorded to enable staff to properly meet the residents needs and staff could not recall any detail recorded in the care plans. Care plans need to highlight the needs of the residents as without them, staff would not have enough information to enable them to meet the residents needs. The home has various items of pressure relieving equipment, which is allocated to residents on an as needs basis, based on pressure area assessment scores, however the nurse spoken with was unable to demonstrate an understanding of the assessment used in the home. Generally, staff were respectful of residents’ dignity except when hoisting a resident in the lounge with other residents present. Medicines requiring refrigeration are not always stored safely. Residents spoke of going to bed and getting up early and it was unclear how staff give residents choices regarding this. Staff said they all like to go to bed early, but one resident was not satisfied with that arrangement. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 7 The home was reasonably clean, but a faint unpleasant odour was noted by the front entrance, and some parts of the kitchen floor had not been cleaned very well. Residents would benefit if the corridors throughout the home were more brightly lit and the signage was improved on bathroom, toilet and bedroom doors. The bathroom and toilet doors were not fitted with locks. Cleaning products had been left in the corridor at the time of the visit. Although the home has a nice garden and patio area, access for residents is difficult because of its location. The garden is not secure and the operations manager advised it was because it was a designated fire exit. Recruitment practices were good at previous visits, however this visit found this to have deteriorated. Two staff had been employed without proper references. Problems have been experienced recently with the manager and the home is currently being managed by two senior staff from the organisation. A new manager has been appointed and starts 1st September 2006. 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. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected 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. Residents benefit from having their needs assessed before admission and from the information gathered being included in their care plans. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Previous visits undertaken 13/4/05 and 31/8/05 identified no concerns with these standard outcomes. The visit of 23 August 2006 found no change to the way residents are assessed before admission. One resident was spoken with about her experience of moving into the home. She said that she stayed in the home for a weekend which she found really useful in helping her make the decision about moving there. The resident also spoke of information provided before admission and advised her daughter had mainly dealt with this, but she was aware of a brochure about the home. Eversley Nursing Home DS0000015636.V309820.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. The outcome of this group of standards could be good if the care plans contained better and clearer guidelines regarding the whole range of residents needs, if the appropriate pressure relieving equipment was used as assessments dictate, if medication was properly booked in and stored safely and if residents dignity was maintained during hoisting. Residents’ care is compromised because care plans do not contain enough information about their needs, pressure relieving equipment is not used according to their assessed needs and because their dignity is not always maintained. This judgement has been made using available evidence including a visit to the service. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 11 EVIDENCE: The visit carried out in April 2005 identified that care plans included reference to the residents whole range of care needs, were being reviewed with resident involvement. A random visit carried out 31/8/05 found little change to care planning and found medicines were safely managed. The manager was updating staffs knowledge on wound care and pressure relieving equipment. The August 2006 visit found the care plans were being reviewed by the director of nursing. She was in the process of completing these in full and had arranged staff to have more training, therefore, no requirements have been made. Care plans at this visit only contained brief information about residents’ care needs and not enough information was being recorded to enable staff to meet these needs. When spoken with, staff were not able to recall any detail recorded in the care plans, most care staff do not have much input with the care plans and confirmed that it was mostly the nurses that did this. A complaint was made in 2005 regarding a resident with a deteriorating pressure sore and a visit by CSCI in July 2005 found that nurses lacked wound management experience. The operations director addressed the requirements made following that visit to ensure nurses developed their knowledge in pressure area care. The August 06 visit found there were no residents in the home with pressure sores and one with leg ulcers. One of the nurses spoke of the treatment this resident was receiving and that the ulcers were healing well, however, the care plan did not provide enough information about the type of dressing to be used or when the dressings were to be done. The home has different types of pressure relieving equipment and the operations director advised that pressure reliving equipment is allocated as per residents assessed needs. Information gathered from relatives following a CSCI survey in April 2006 indicates 100 (7 of 7) satisfied with overall care, one commented it was good. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 12 The previous visit in April 05 identified no concerns regarding medication, however, the August 2006 visit found that some medication was not being properly booked in on the medication administration record (MAR) sheets which made it difficult to complete an audit trail for some medicines. Two bottles of recently dispensed antibiotic syrup were found in the kitchen fridge. The director of nursing advised there was lockable storage available for such medicines as the home did not have a dedicated medicines fridge, however it was evident this facility was not being used. Observations made during the August 2006 visit showed that staff were respectful of residents’ dignity except when hoisting a resident in the lounge when other residents were present. This was seen by the staff as usual practice. Requirements have been made regarding medication and dignity. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected 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. Residents benefit from plenty of interaction, stimulation and good food, however residents must be encouraged to express their wishes regarding meals, and preferred time of getting up and going to bed. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Previous visits to the home in April and August 2005 found good activity provision being arranged by one member of staff. The August 2006 visit found staff actively engaging with residents in various activities during the afternoon. Staff interacted well with residents throughout the day. One resident spoken with advised that she was able to pursue her hobbies. One resident spoke of how she goes to bed at 6pm and gets up at 6am, she said that all of them do this and she has got used to it. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 14 It is unclear how residents are given choices regarding bedtimes and getting up but it is clear that the person spoken with was not really happy but had accepted the situation. Care plans did not reflect the residents’ social needs in enough detail to enable staff to use them for guidance. One omitted information about a residents particular hobby, however staff were aware of this persons hobby and encouraged this with him. Residents friends and families continue to be made welcome in the home and the home encourages residents to spend time away from the home with them. Previous visits to the home in April and August 2005 identified the food to be good but the dining room small and crowded. This has not changed the food remains good and the dining room only comfortably seats 7 people. Residents are able to have their meals in the lounges, their rooms or outside if they choose. A complaint was received in February 2006 regarding the food and this was investigated by the operations director and was not upheld. A recommendation has been made regarding residents being enabled to have choice and control over their lives. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be 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 adequate. The outcome of this group of standards could be good if staff followed proper reporting procedures regarding adult protection issues and if residents knew who they could take their concerns to. Residents care and safety has been compromised because staff and residents were unable to report issues of concern. This judgement has been made using available evidence including a visit to the service. EVIDENCE: In 2006 so far, 3 concerns and 4 alerts of serious adult protection issues have been received. The director of nursing raised one of the adult protection issues which is currently being investigated by the police. The home has investigated the other issues raised and has taken appropriate action. Improvements have been made to the complaints procedure so residents are now able to contact one of the organisations directors. Previous visits to the home in April and August 2005 found there was a clear complaints procedure in place displayed within the service user guide in all bedrooms. Information from relatives following CSCI survey in April 2006 indicates 71 relatives aware of complaints procedure and 14 have had to make a complaint. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 16 Staff were spoken with during the August 2006 visit and they said concerns would be reported to the nurse in charge or the operations manager or nurse manager. However staff failed to report any issues regarding the manager for a significant period of time. One resident said she spoke with 3 staff about serious issues of concern. The owners have improved the homes whistle blowing procedure and have provided refresher training for staff regarding adult protection. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 26 Quality in this outcome area is adequate. The outcome of this group of standards could be good if the home improved security, signage, cleanliness, safety, odour and garden access. Residents benefit from a pleasantly decorated home and a nice garden area. Residents safety, health and well being is compromised because the home is not always secure, the signage is poor, the corridors are dark, garden access is difficult and residents could have access to cleaning products and areas such as the laundry. This judgement has been made using available evidence including a visit to the service. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 18 EVIDENCE: Previous visits to the home in April, August and November 2005 identified an environment that has not been well maintained. Issues regarding a poor environment have been raised with the home following inspections carried out since June 2004 and requirements have been made following those visits. The August 2006 visit found the home had made a significant effort to improve the decoration throughout and during a tour of the premises, the following observations were made: • • • • • • • There was a faint unpleasant smell by the front entrance, but the home was reasonably clean the corridors throughout the home need brighter lighting the signage on bathroom, toilet and some bedroom doors is poor no locks fitted on any bathroom or toilet doors. Parts of the kitchen floor had not been cleaned and some food particles were evident. Cleaning products had been left in the corridor and the laundry was unlocked and unoccupied. The fire exit door on the first floor leads directly outside and fire regulations prevent the fitting of a lock. The home has a nice small patio and garden area to the back of the home enclosed by trellis and wooden fences, some shrubs and flowers have been planted and residents are able to sit out here. Access for residents from the home to the back garden is restricted and the garden is not secure. The operations director advised that plans are in place to improve the current facilities. Requirements have been made regarding the environment and the garden. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. The outcome of this group of standards could be good if the home followed safe recruitment procedures. Residents benefit from staffing levels that meet their needs and from being cared for by competent staff, however their safety is compromised because the home is failing to obtain proper written references for staff. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Previous visits to the home in April and August 2005 found that staffing levels were adequate. April visit found 1 nurse and 3 care staff on duty looking after 18 residents, which was reduced when there were fewer residents. The August 2006 visit found there were 11 residents being cared for by 2 care staff and 1 nurse throughout the day and observation showed residents needs being met. Information gathered from relatives in a CSCI survey in April 2006 indicates 80 (4 of 5) are satisfied with staffing levels. Evidence recorded following the August 2005 visit showed there was an adequate induction programme in place. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 20 Information received from the home in April 2006 indicates there are 5 nurses and 10 care staff employed, 9 care staff have NVQ and 7 have a current first aid certificate. Staff spoken with during the August 2006 visit said they had attended plenty of training over the past 6 months and a session on customer care for staff was being held for staff during the visit. Observation of staff and resident interaction showed staff were assisting residents in a kind and gentle way and knew how they all liked to be cared for. Residents said staff were good. Previous visits identified good recruitment procedures in place, however staff files were checked at the August 06 visit and showed the home had failed to follow proper vetting procedures for newly appointed staff. A requirement has been made regarding recruitment. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. The outcome of this group of standards should improve once a competent and experienced manager is in post. Residents health and welfare has been placed at serious risk recently because of a poor manager. However, the home is currently being competently managed. This judgement has been made using available evidence including a visit to the service. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 22 EVIDENCE: The visit carried out in August 2005 showed issues regarding unsatisfactory management of the home because of staff shortages which was resolved by the operations director. The manager was due to leave the home in August 2006, however an allegation of abuse was made against her and is currently being investigated by police. She was dismissed in July 2006. A new manager has been appointed and is due to commence in September 2006. Home is currently being managed by the operations director, Mandy Masters and director of nursing, Debbie McGovern. The quality audit report for October 2005 was supplied to the Commission in April 2006. The audit asks relevant questions about the service and indicates that improvements have been made following comments where people expressed their dissatisfaction. The home does not manage any of the residents monies and has a system in place where the home pays for certain items for residents and invoices their families. Requirements have not been made because the new manager is about to commence and measures are in place already to make improvements. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 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 2 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 X 2 X X 2 Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? None 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 OP9 Regulation 13 (2) Requirement The registered person must make arrangements for the recording, handling and safekeeping of medicines received into the home. The registered person must ensure that the care home is conducted in a manner which respects the dignity of residents. The registered person must ensure that the home (inside and out) is safe and secure and the physical design and layout is suitable to meet the needs of the residents. The registered person must ensure that the home is kept free from offensive odours. The registered person shall maintain in the care home, the records specified in Schedule 4 (6). The registered person must not employ anyone unless he has obtained the information and documents specified in paragraphs 1-7 of Schedule 2 Timescale for action 31/12/06 2. OP10 12 (4a) 31/12/06 3. OP19 13 (4a) 23 (2a,o) 31/12/06 4. 5. OP26 OP29 16 (k) 17 (2) 19 Schedule 4 (6) Schedule 2 31/12/06 31/08/06 Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 25 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 OP14 Good Practice Recommendations The registered person should enable residents to make choices about meals and their preferred time of getting up an going to bed. Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Eversley Nursing Home DS0000015636.V309820.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
