Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/11/05 for Mandalay Residential Home

Also see our care home review for Mandalay Residential Home for more information

This inspection was carried out on 14th November 2005.

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 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

One resident said `the carers are kind and caring`. The cook changes meals to suit me, she discusses my food with me every day` One relative said ` my mother is well looked after by the staff and is always clan and tidy`. Other comments from residents are as follows; `couldn`t be in a better place` `staff look after you very well, they are kind and supportive`, `the food is good, plenty to eat and varied`. All of the residents spoken to gave positive feedback about the staff and home and overall are happy with the service being provided. Staff say they work well as a team and feel supported to do their jobs well.

What has improved since the last inspection?

The home has worked hard to improve the care plans, risk assessments and moving and handling risk assessments however further development is required to provide staff with the information to meet the residents needs. There are areas of the home, which are showing signs of wear and tear; these areas are being addressed and have been improved as the ongoing refurbishment is taking place.

What the care home could do better:

The home needs to provide more specific detail in the care plans and identify a safe practice of work in all risk assessments. A requirement has been made in this report. The recording and ongoing monitoring of health care needs when accidents/incidents occur. A requirement has been made in this report. Further risk assessments are required with regard to the water temperature. A requirement has been made in this report. This will not be a problem once the new boilers and thermostatic valves are fitted during the refurbishment.Risk assessments for the self-administration of medication require further development. Although staff and residents said that a quality assurance survey had been carried out in July the home could not produce the evidence to confirm this. A requirement has been made in this report. The lack of health and safety training for staff puts residents and staff at risk of harm. This was an outstanding requirement from the last inspection and a requirement has been made in this report.

CARE HOMES FOR OLDER PEOPLE Mandalay Residential Home 10 Julian Road Folkestone Kent CT19 5HB Lead Inspector Mrs Penny McMullan Announced Inspection 14th November 2005 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 Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mandalay Residential Home Address 10 Julian Road Folkestone Kent CT19 5HB 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) 01303 258095 01303 258095 Stargate Partnership Ltd Care Home 24 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (23) Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. MD is restricted to two residents whose dates of birth are 22/06/1944 And 13/07/1949 16th May 2005 Date of last inspection Brief Description of the Service: Mandalay is registered to provide residential care to 24 older people. At the time of the inspection there were 16 service users in residence. Mandalay is a detached property with single accommodation on two floors with a shaft lift. There are 21 bedrooms with en suite facilities. There is a dinning room, lounge, smoking lounge and large conservatory. There is a garden at the rear of the premises and off road parking at the front. The Registered Providers have applied to the Commission for a variation of the registration to increase the number of residents in the home. There is a planned extension and the whole of the premises is to be refurbished and redecorated. The installation of two new lifts, new boilers, separate laundry facilties and a new kitchen will also be provided. The home is located with easy access to local shops and the main bus route into Folkestone. The home is not currently admitting new residents due to the onoing programme of works. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs K.N. Shandrakumar is the Owner/Registered Provider of Mandalay and is proposing to develop the home to become a 34-bedded care home providing residential care for older people. The building work and refurbishment/redecoration has commenced and the home is hoping to complete the work in February or March 2006. Since the last announced inspection on 16 May 2005, an extension at the back of the premises is underway and one new lift has been installed, the kitchen will be renewed in the next stage before the installation of the second lift, new boiler and complete redecoration and refurbishment of the home will then take place. The residents are aware of the changes and seem to accept that the building work is ongoing. There are parts of the home that require work to be carried out and have been subject to requirements and recommendations being made in the last report. These outstanding requirements and recommendations will remain outstanding until they are reassessed on completion of the programme of works. Further information on this work is included in this report. On 6th June 2005 the home appointed a new manager however on 19 August 2005 he left employment. The home has now recruited a new manager Mrs Suzanne Shrubsole. Mrs Shrubsole commenced work at Mandalay on 1 November 2005. It is the homes intention to apply to the Commission for Mrs Shrubsole to become the Registered Manager. At the time of the inspection Mrs Shrubsole has been in her post for two weeks and was assisted by Mrs Barbara Russell (known in the home as The Matron) and Mrs Sue May, Senior Carer. The Inspector spent time with the new Manager, The Matron, and Senior Carer checking records, discussing resident’s care plans, speaking to residents and staff. The inspection was carried out over two days. Overall feedback from relatives and residents was positive and some of the comments have been included in this report. There was a concern from a health professional re the management of cleanliness and odour in the home. This was discussed with the Manager and all new carpets are being provided in refurbishment and two domestics are employed to clean the home. The domestic staff do not work at weekends and the home is going to review this situation. The refurbishment includes a separate laundry facility and infection controls are in place. There were no offensive odours at the time of the inspection. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The home needs to provide more specific detail in the care plans and identify a safe practice of work in all risk assessments. A requirement has been made in this report. The recording and ongoing monitoring of health care needs when accidents/incidents occur. A requirement has been made in this report. Further risk assessments are required with regard to the water temperature. A requirement has been made in this report. This will not be a problem once the new boilers and thermostatic valves are fitted during the refurbishment. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 7 Risk assessments for the self-administration of medication require further development. Although staff and residents said that a quality assurance survey had been carried out in July the home could not produce the evidence to confirm this. A requirement has been made in this report. The lack of health and safety training for staff puts residents and staff at risk of harm. This was an outstanding requirement from the last inspection and a requirement has been made in this report. 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. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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): 1,3,6 The Statement of Purpose and Service User Guide provide residents and prospective residents with the information they need to make a decision about moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide have been amended to include the details of the new manager and on going building work. Standard 3 cannot be assessed at the time of this inspection, as the home is not admitting residents due to the refurbishment. There was a requirement made in the last inspection report and this will be carried forward and reassessed on the completion of the work schedule. Standard 6 is not applicable to this home. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 The lack of detail in care plans and risk assessments do not provide staff with the information they need to satisfactorily meet service users needs. Arrangements are in place to meet health care needs but the lack of monitoring and clear recording of accidents/incidents puts residents health care needs at risk of not being met. The system for medication administration is satisfactory however risk assessments for residents who are able to self medicate require development to safely monitor their health care needs. Personal support in this home is not offered in such a way as to promote and protect residents’ privacy, dignity and independence. EVIDENCE: The home has worked hard to improve the care plans however the plans require development to reflect the residents assessed needs. Staff were able to demonstrate their understanding of meeting residents needs however the Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 11 information was not reflected in the care plan. Risk assessments have been implemented but require further development to ensure staff are able to provide a safe practice of work. A requirement has been made in this report. Health care needs are monitored through the care plan and the Continence Nurse, District Nurse and Community Nurse when required supports the home. The recording of accidents/incidents is not consistent to ensure the health care needs are monitored and actioned. The home has implemented all of the requirements from the last inspection with regard to the administration of medication. Storage and records were in good order however the home must ensure that risk assessments for residents who self medicate are clear and detailed. A requirement has been made in this report. The Matron or senior member of staff observes newly trained staff on three occasions to assess their competency when administering the medication. Staff was observed knocking on residents doors before entering and residents were appropriately dressed. Residents say that the staff are very supportive and respect their privacy. One resident said how he was always offered a shave in his room before he went to bed. One resident also said that the staff are always patient when helping her to wash and promote her independence. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The home provides stimulating activities to meet the needs of the residents. Visitors are able to visit the home at any time and see their relative in private. The meals in this home are good offering both choice and variety and catering for special diets. The home supports residents with financial or advocacy information to promote resident’s autonomy and choice. EVIDENCE: Residents play games or cards in the afternoon and there are regular bingo sessions. Residents say that they enjoy the activities and are able to choose to take part. One resident was going to a club and another was going out for a short walk. One resident attends church on a regular basis and church services in the home. The music man visits monthly. There are also exercise sessions and talks and discussion afternoons. Outings are held in the summer. Residents confirmed that visitors are welcome in the home and relative feedback indicates that they are always welcome and can see their family in private or in the lounge. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 13 There are arrangements in place for the home to support residents with their finances and advocacy services are displayed on the notice board. Resident’s rooms contain personal possessions. All of the residents spoken to say their choice is promoted in their daily living needs. Records were also discussed and although they are aware of their records no one expressed a wish to view them. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home has a satisfactory complaints system with evidence that residents’ views are listened to. The home has satisfactory arrangements in place for the protection of residents. EVIDENCE: The complaints procedure was on display in the entrance hall. Service user spoken to said that they did not have any complaints but would speak to the staff if they had any concerns. There have been no complaints with regard to the noise or the building work. There is an Adult Protection Policy and whistle blowing policy in place and all staff apart from one member has received POVA training. The home has a list of residents’ personal possessions. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 All of the areas in the home, which are in need of attention, will be addressed throughout the refurbishment. The lack of risk assessment re the hot water potentially puts residents at risk of harm. The lack of radiator covers potentially puts service users health and safety at risk. EVIDENCE: The décor in the home is need of attention and this is being addressed through the refurbishment plan. The refurbishment is progressing and the home is hoping to complete the work in February/March of next year. Once finished the home will have an extension, increase in numbers of residents and will be refurbished and redecorated. The home is required to provide the Commission with a schedule of works and a requirement has been made in this report. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 16 The home has a problem with the boiler and hot water temperature, which will be addressed when the boiler is replaced in the refurbishment. The home is required to implement risk assessments. A requirement has been issued in this report. The home took immediate action to turn the boiler down and is going to monitor the temperature and heating to ensure the home is warm. The radiators have not been all been guarded and this is being carried out with the refurbishment. The home must risk assess all radiators in communal rooms and bedrooms until they are guarded or replaced through the refurbishment programme. This recommendation will appear in this report until the work has been completed. The home will have new laundry and sluicing facilities once the refurbishment is completed. This recommendation will appear in this report until the work has been completed. Laundry facilities are currently in a temporary room and the home must ensure that risk assessments are in place to minimise the risk of infection. There is currently two domestic staff cleaning the home working Monday to Friday. The home has been requested to review the schedule to include weekend cover. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 The home is adequately staffed to meet the needs of the residents. Arrangements are in place to ensure that residents are supported and protected by the homes recruitment policies and procedures. The lack of health and safety training puts residents and staff at risk of harm. EVIDENCE: There are only 16 residents living at the home at the moment and the home ensures there is a minimum of three care staff on duty in the morning and afternoon and two waking night staff. In addition to the day staff there is a cook and two domestics. The Manager, Matron and senior member of staff are also additional to the three carers. The home has been requested to review the domestic hours, as there is no cover at weekends. All relevant checks and documentation including CRB and POVA first is in place with regard to the recruitment of staff. Terms and conditions of employment together with proof of identity are also on file. The home has ensured that all staff has received induction training and the last recruit confirmed induction training has taken place. Mandatory training needs to be ongoing for all staff and all staff requires health and safety training. The home has made enquires to provide this training and a requirement has been made in this report. There is a training matrix in place. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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): 31,33,35,36.38 The Manager is new in post but demonstrated her understanding of what needs to be achieved to improve the management of the home. The systems for resident consultation are in place, however there is lack of evidence to confirm the results of the survey. The home has a satisfactory financial system to support residents with their finances but the lack of safeguards potentially puts residents and staff at risk. Staff supervision is in place ensuring that staff are valued and supported. The lack of health and safety training for staff and detailed risk assessments puts residents and staff at risk. EVIDENCE: Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 19 The home has appointed a qualified experienced Manager. Mrs Suzanne Shrubsole has been in post for two weeks and the home is applying to the Commission to be Registered Manager of the home. The Manager confirmed that she has received a job description and demonstrated her awareness of accountability. This standard will not be met until the new Manager’s application to become Registered Manager has been processed by the Commission. A quality assurance survey was carried out on 28 June 05 by the previous Manager. At the time of the inspection the home was unable to evidence this survey, however one service user and one relative confirmed that this survey had taken place. The home must ensure that this information is available and ensure that the outcomes are published and acted upon where required. A requirement has been made in this report. Although the home has complied with the requirement of an action plan to address previous requirements the lack of a Manager in post has not enabled the home to meet the requirements fully. The home supports residents to handle their own financial affairs and there are written records and receipts of all transactions made. The home must review the withdrawal of cash for one resident and implement safeguards to protect the interest of the resident. The home has secure facilities for the safe keeping of money. Supervision and appraisals are in place and staff confirmed that the senior carer is carrying out this role. The new Manager has received supervision training and will be taking over this role. The home must provide all staff with health and safety training. A requirement has been made in this report. Other mandatory training is being provided and is ongoing. All checks with regard to the servicing of equipment have been carried out. The recording of accidents/incidents is in place but care must be taken to ensure ongoing monitoring to meet the health care needs of the residents. The home must carry out risk assessments on the hot water supply to hand wash basins residents bedrooms. The fire book was in good order and up to date. Environmental risk assessments are in place and the home is working closely with the Foreman of the building works to ensure the health and safety procedures are in place. Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 X X X X X 2 2 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 3 X 2 Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? 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 OP3 Regulation 14 Sch 3(1)a Requirement To ensure the home carries out detailed assessments for prospective service users and identifies how to meet the needs of the residents. This requirement is brought forward from the last inspection, timescale 31/12/05. This is unable to be assessed at this inspection due to the homes refurbishment as no new residents have been admitted to the home. The care plans are required to reflect the residents identified needs and further development of risk assessments to provide a safe practice of work. The home must ensure that all accidents/incidents are clearly recorded in daily logs and monitored to ensure the health care needs of the residents are met. Risk assessments re self medication to be developed to include specific details of how to minimise the risk To provide the Commission with DS0000056632.V251834.R01.S.doc Timescale for action 31/03/06 2 OP7 15, Sch 3 31/12/05 3 OP7OP8OP 38 15,14,13 31/12/05 4 OP9 13 30/11/05 5 OP19 23 30/11/05 Page 22 Mandalay Residential Home Version 5.0 6 7 8 OP33 OP35 OP30OP38 24 20 13 9 OP38 13 an updated Schedule of Works To provide evidence of the quality assurance survey of 28/6/05 To review the financial support system with regard to the withdrawal of cash for residents The home must provide health and safety training for all staff. This is outstanding requirement from the last two inspections and the home must provide the Commission with the dates of the booked training by 30/11/05. All training of the staff to be completed by 31/1/06. To re assess the hot water supply and implement revised risk assessments 31/12/05 31/12/05 30/11/05 19/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP25 OP26 Good Practice Recommendations To review sluicing facilities. This recommendation is brought forward and will be addressed during the ongoing refurbishment To continue to ensure that pipework and radiators are guarded or have guaranteed low surface temperature. This recommendation is being addressed during the ongoing refurbishment Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Mandalay Residential Home DS0000056632.V251834.R01.S.doc Version 5.0 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!