Inspection on 27/03/07 for Healey House

This inspection was carried out on 27th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Healey House 24/02/08

Healey House 14/09/07

Healey House 07/12/05

Healey House 06/07/05

Healey House 01/02/05

Healey House 03/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Healey House 3 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LQ Lead Inspector June Davies Key Unannounced Inspection 27th March 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Healey House DS0000021131.V325793.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. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Healey House Address 3 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LQ 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) 01424 436359 01424 436359 Hastings and Rother Voluntary Association for the Blind Mrs Christine Smith Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twenty-eight (28) Residents on admission will be visually handicapped Service users will be older people aged sixty-five (65) years or over on admission. Date of last inspection Brief Description of the Service: Healey House is owned and managed by the Hastings and Rother Voluntary Association for the Blind, a registered charity. The Home is not purpose built but enjoys the advantages of being a detached property set in its own grounds some distance from the road. The Home provides twenty-six single bedrooms and one double room, currently used as a single. Twenty-four of the rooms have en-suite facilities. The Home has level access throughout the building, with a passenger lift to all floors. There are handrails to accommodate visually impaired residents. Two sitting rooms, a music room and dining room provide communal space. The Home has its own dedicated activity centre adjacent to it and structured weekly activities are organised in-house. Fees are £337.00 per week for all residents. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection carried out on the 29th March 2006 over a period of six and half hours. Information in this report was gained via resident surveys, discussion with three residents and four members of staff, the inspector also looked at all relevant documentation relating to the key standards inspected, and carried out a tour of the premises and observed lunch being served and eaten in the dining room What the service does well: What has improved since the last inspection? What they could do better: While care plans are comprehensive there was not evidence even through conversation with residents that they are aware of their care plans and that they have been involved in drawing them up or in their monthly reviews. The complaints policy and procedure needs to be reviewed to include timescales. Bedroom doors are still being wedged open, and only a few bedroom doors have door guards, which will close the door if the fire system is activated. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 6 The inspector found that the call bell cords and call bell system in toilets were not suitable for use by residents with sight impairment. At the time of this key inspection one of the boilers in the home was not working, and bedrooms and hot water were cold. Infection control systems within the home were not adequate. Liquid soap and paper hand towels need to be provided in all communal bathrooms and toilet facilities. The washing machines needs to have a sluicing and infection control programme in place so that foul laundry can be washed to prevent the risk of cross infection. Staff induction needs to be improved upon and should meet the standards set out by Skills for Care. Both mandatory training and job related training need to be improved upon so the staff have sufficient knowledge to meet the assessed needs of the residents. The registered manager still needs to enrol on a Registered Managers Award course. Effective quality assurance systems should be implemented by the home to ensure that it is providing a good quality service to its residents. Information relating to residents should be kept in each residents individual care plan and not collectively in a book in the office. Health and safety in the home needs to be improved upon to ensure that all windows are fitted with opening restrictors, that all wheelchairs have foot rests in place, and that all hot water is delivered at 43ºC. 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. Healey House DS0000021131.V325793.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 Healey House DS0000021131.V325793.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): Standards 1,2 and 3 Quality in this outcome area is good. The statement of purpose and service user guide give prospective residents good information on which to base a decision for moving into Healey House. Residents move into the home knowing that their goals and aspirations will be supported by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the Statement of Purpose and Service User Guide are in the process of being reviewed. The inspector requested that the visiting policy is included in the Service User guide, and that the complaints policy and procedure, which is included, also needs to be reviewed to show a timescale of when the complaint will be dealt with. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 9 The inspector looked at the pre-admission assessments of one prospective resident and two residents who had recently taken up residence in the home. All pre-admission assessments were comprehensive and covered all aspects of care and social needs of the residents’ including a medical history, and record of medication. The manager now confirms in writing to prospective residents that the home can meet their needs this now meets a requirement made at the last inspection. The home does not offer intermediate care. Healey House DS0000021131.V325793.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): Quality in this outcome area is adequate. Care planning is detailed but there is no evidence that residents are involved in drawing up their care plan or the reviews of care plans. The home has good relationships with health care professionals ensuring that residents’ health care needs are met. The administration of medication needs to improve to ensure that residents are not placed at risk. Staff adhere to the residents’ right to privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector viewed care plans of four residents, all were comprehensive and covered personal, physical and social care needs, but it was noted however that none of the care plans showed evidence that the residents were involved in drawing up their own care plans. One resident spoken to said, ‘ I am aware of my care plan but had not been involved with it, occasionally staff had mentioned monthly review but I have never signed anything to say that I agreed with any of the changes being made.’ Another resident said, ‘ I have Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 11 never seen my care plan but they seem to do things right here.’ Evidence was available within the care plans to show that monthly reviews do take place. Evidence from the care plans and discussion with residents show that the home has good working relationships and regular contact with a variety of medical professionals relating the residents’ health needs. Any health care concerns that staff have are immediately reported to the resident’s doctor. Both from conversation with residents’ and through resident’s surveys it was evident that residents are able to see their own doctor as and when they wish. The inspector did have some concerns regarding the administration of medication and while no requirements have been made in this report, the inspector had requested that the pharmacy inspector visits Healey House, to look at the administration of all medication in the home. From observation, and through discussion with a resident, staff respect the privacy and dignity of the residents. One resident said, ‘ the staff are very good here, they help me to bathe, wash and dress and always make sure the door is shut.’ Healey House DS0000021131.V325793.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): Quality in this outcome area is good. Activities and links with the community are good and offer the residents a variety of interests to enrich their social lives. Visitors are welcomed into the home and are able to visit the residents in the privacy of their bedrooms. Residents are able to make choices in regard to their daily lives The meals in the home are good offering both choice and variety and catering for special diets. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents have a variety of everyday activities to participate in this also includes going out into the community and the attached day centre to access other activities that particular residents have an interest in. Two residents said that they enjoyed particular activities in the home. One said, ‘I enjoy staff reading magazines.’ Another resident said, ‘I attend the John Taplin day centre attached to the home, so it is not far for me to go.’ Staff said that when the weather is nice during the summer they take residents for walks in the local community. Residents are able to have visitors of their choice at anytime, but if visitors wish to visit after 8.00 p.m. it is requested that they Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 13 telephone the home first, and the inspector is making a recommendation that the visiting policy is updated to include this stipulation. Some residents are able to manage their own financial affairs, but where they do not wish to do so, relatives/representatives or solicitors are involved. The inspector evidence that the home does have information leaflets available to inform residents or their relatives/representatives how they can access advocacy services. Residents are able to bring small items of their own furniture, ornaments, pictures and photographs in to the home with them and the inspector evidenced this during a tour of the home. Through discussion with residents and from resident surveys the inspector was told that meals in the home are good. The inspector was shown menus and evidenced that meals are varied and nutritious, and from observation at lunchtime, meals are well presented with a variety of choices being offered to the residents. The home caters for diabetic diets at the present time, and would also cater for other specialised diets should they be requested to do so. Healey House DS0000021131.V325793.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): Quality in this outcome area is adequate. Residents know their complaints will be listened to and acted upon. Staff have limited knowledge of adult protection issues, which could lead to abuse of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy and procedure does not give complainants clear timescales in which their complaints will be dealt with. Since the last inspection the home has had two complaints, both had been recorded in the complaints book, and been properly investigate and outcome feedback had been given to the complainant. The homes has some policies and procedures for the protection of vulnerable adults, but does not have a copy of the East Sussex Social Services Department – Guidelines and Protocols for the Protection of Vulnerable Adults. There have been two adult protection issues since the last inspection and these have been appropriately investigated by the Adult Protection team and closed. Only one member of staff has attended POVA training and this will be referred under staff training in this report. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. While the standard of the environment is fair further improvements could enhance the lives of the partially sighted and blind residents. The standards of infection control are adequate in the home and could place the residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was clean and had a pleasant atmosphere on the day of this key inspection. Generally the home is well decoratively maintained, and there are hand rails fitted to assist the residents. Residents are not able to have free access to the grounds as a patio door leads onto a balcony and steps into the garden area, therefore residents need to accept assistance from care staff to enable them to walk around the garden area. Call bell cords in bedrooms did not have a red triangle fitted to the bottom and some had been extended or repaired with a white piece of string and in one bedroom the call bell cord was on the opposite side of the room from the bed, call bells in toilets were a press Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 16 button sited on the wall, this is not entirely suitable for residents with sight impairment. Bedrooms felt cold and the deputy manager confirmed that the one of the boilers had not been working since the beginning of the month. The inspector also noted that two chiming clocks were not working, and chiming clocks are very useful to residents who have sight impairment. Bedroom doors on the ground floor had been painted in bright colours to give good indication to residents where their bedroom was situated, but this was not true of the first and second floors, where bedroom doors where either white or brown. On the day of the key inspection the home was clean and free from offensive odours. Infection control in the home needs to be improved upon, especially relating to the use of bar soap and cloth towels, all communal toilets and bathrooms should be supplied with liquid soap and paper hand towels. The laundry room is situated in the basement of the home, and while it is supplied with two industrial washing machines neither of these machines has a sluicing facility or disinfection programme. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. Sufficient staff are employed to meet the needs and choices of the residents. Recruitment practices ensure that staff are appropriately vetted ensuring the residents are not placed at risk. Staff qualifications, induction and training are poor, and therefore staff do not have specific knowledge to meet the assessed needs of the residents and due to lack of mandatory training staff could place residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Duty rotas showed that there is sufficient staff on duty to meet the needs of the residents, and discussion with staff confirmed this. Only 35.2 of staff have gained a NVQ level 2 or 3 qualification, with one member of staff waiting to have their NVQ course work assessed and another two staff in the process of completing their NVQ. The inspector was unable to access staff personnel files on the day of the key inspection but was able to talk to the deputy manager, head of care and two members of staff, all stated that they had completed an application form, had supplied two forms of identification, had supplied two references and were not able to start work as a carer until their CRB checks had been returned. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 18 While staff do complete an induction programme this does not meet with the Skills for Care requirements, and the induction programmes seen for two members of staff had all elements signed off on the same day. From the training matrix and records of staff training and discussion with three members of staff it was evident that not all staff have received mandatory training, in First Aid, Food Hygiene, Fire Awareness, Infection Control or the Protection of Vulnerable Adults. None of the staff have received training for working with residents who have a visual impairment. With the exception of one member of staff none of the other care staff had received training in dealing with dementia, although evidence was available to show that at least 10 residents suffer from various degrees of dementia. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. The management of the home is satisfactory, but improvements need to be made to ensure that the residents are not placed at risk. Quality assurance systems need to be developed to ensure that residents receive a high quality of care. Health and safety practices need improvement so that residents and staff working in the home live and work in a safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has a RGN qualification but has not obtained her registered manager award. All staff spoken to stated they have a good working relationship with the registered manager and found her to be approachable and open in the running of the home. It was noted that the Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 20 manager is included in the care staff duty rota, to spend time working on the floor with care staff. At the present time the home does not have an up to date and thorough quality assurance system in place. This quality assurance system should include seeking the views of the residents, relatives/representatives and stakeholders and ensure that monitoring of all systems used in the home are carried out regularly and recorded in writing. At the time of this key inspection ten of the residents had requested that the home looks after their personal allowances. The inspector looked at how these personal allowances were managed and found that all residents have their own separate accounts book contained within individual envelopes that also held their personal allowance monies. All accounts books recorded the receipt of monies and expenditure; there were also signed receipts for expenditures made. During inspection of the care plans the inspector found that not all records were kept on each individual resident’s care plan, and some records were kept in books with collective names on one sheet of paper, this contravenes the Data Protection Act 1998. As mentioned previously not all staff have received mandatory training in Health and Safety issues and this has been referred to earlier in this report. The inspector did view up to date certificates for the maintenance of appliances used in the home. During a tour of the building the inspector noted that while window on the ground floor were fitted with window opening restrictors this was not true of the first and second floors. All the wheelchairs being used in the home did not have footrests in situ. A record of hot water checks showed that all hot water taps were delivering hot water way above the 43ºC required for the safety of the residents. The fire risk assessment and building health and safety risk assessment were not comprehensive and did not cover every room in the home. There was no external health and safety risk assessment. Accidents to residents were well recorded in a health and safety executive accident book. Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X 2 1 Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES 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)(c)(d) Sched. 3 (1)(b) 22 Requirement Timescale for action 02/07/07 2. OP16 3. OP38 23 (4) Residents should be involved in the drawing up of their care plan, and agree to any changes made in monthly reviews. The complaints policy and 31/03/07 procedure needs to indicate the timescale in which complaints will be investigated and replied to. Bedroom doors and other fire 03/08/07 doors must not be held open unless with a door guard that will release if the fire alarm is activated. This requirement was made at the last inspection and timescale of the 31/03/06 has not been met. The registered provider must 03/08/07 provide appropriate call bells; to meet the needs of sight impaired residents. The registered provider must 01/06/07 ensure that the boiler is repaired and that residents have sufficient heating and hot water in their bedrooms and communal facilities. DS0000021131.V325793.R01.S.doc Version 5.2 4. OP19 13 (4)(a)(c) 23 (2)(p) 5. OP19 Healey House Page 23 6. OP26 13 (3)(4)(a) (b)(c) 7. OP26 13 (3) 8. OP30 18 (1)(c)(i) 12 (1)(a)(b) 9. OP30 10. OP31 9 (1)(2)(b) (ii) 24 (1)(a)(b) (2)(3) 17(1) to (3) 13(4)(a) (b)(c) 11. OP33 12. OP37 13. OP38 The registered provider must ensure that there is liquid soap and paper hand towels in all communal bathrooms and toilets to prevent the spread of infection. The registered provider must provide industrial washing machines with a sluicing and disinfecting programme to prevent the spread of cross infection. The registered person must ensure that all staff receive induction training to Skills for Care standards. The registered person must ensure that all staff receive mandatory and job related training to meet the assessed needs of the residents. The registered provider must make provision for the registered manager to enrol on and complete her Registered Manager’s award. The registered provider must ensure that the home develops and effective quality assurance system. Individual records should be kept on each individual resident’s care plan and not collectively in books in the office. The registered manager must ensure that all windows on the first and second floors are fitted with window restrictors, that all wheelchairs have foot rests in situ and that hot water taps deliver hot water at 43ºC. 02/07/07 05/01/08 03/08/07 03/08/07 03/08/07 03/08/07 02/07/07 02/07/07 Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 24 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 OP13 Good Practice Recommendations The visiting policy and procedure to be reviewed to include the request that visitors must telephone the home if they wish to visit after 8.00 p.m in the evening. Chiming clocks in the home should be put back into use, to ensure that residents have a good indication of the time. 2. OP19 Healey House DS0000021131.V325793.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Healey House DS0000021131.V325793.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!