Inspection on 03/01/07 for Mount Carmel

This inspection was carried out on 3rd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mount Carmel 02/01/09

Mount Carmel 30/11/05

Mount Carmel 10/05/05

Mount Carmel 21/02/05

Mount Carmel 28/04/04

Similar services:

Rugby House Project

City Roads Crisis Intervention

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Hartley House

Brook Drive, 124

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

CARE HOME ADULTS 18-65 Mount Carmel 12 Aldrington Road London SW16 1TH Lead Inspector Louise Phillips Announced Inspection 3 January 2007 9:15am rd Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 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 Mount Carmel DS0000010212.V319109.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 Adults 18-65. 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. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Carmel Address 12 Aldrington Road London SW16 1TH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8769 7674 020 86960412 mountcarmeluk@yahoo.co.uk Mount Carmel Hostel for Recovering Alcoholics Limited Ms Ruth Elizabeth Allonby Care Home 18 Category(ies) of Past or present alcohol dependence (18), Past or registration, with number present alcohol dependence over 65 years of of places age (3), Past or present drug dependence (18), Past or present drug dependence over 65 years of age (3) Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home may from time to time, admit up to 3 named persons over the age of 65 for short term rehabilitation. 30th November 2005 Date of last inspection Brief Description of the Service: Mount Carmel is a care home for clients who are recovering from alcohol addiction. The home provides treatment and therapy to clients who have followed a period of total abstinence. The stay at Mount Carmel is for approximately six months. During this time they are supported to begin a Twelve Step programme of recovery from their addiction. The service focuses on the first five steps of the programme with support through group therapy and one-to-one counselling. There is a large parking area to the front of the property and a well-maintained garden to the rear of the home. The home is situated close to local shops and public transport links. At the time of inspection the fees for the service were £400 per week. The manager stated that the fee is currently under review. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. A tour of the premises was carried out and care records were inspected along with other relevant paperwork. Time was spent talking to the manager, deputy manager and four staff. Eleven residential clients and three ex-residential clients were also spoken to during the inspection. Information has also been gained from the inspection record for the home. Questionnaires were sent to eighteen health and social care professionals associated with the service. Ten of these were received back and are referred to in the report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good. The clients are appropriately assessed to ensure the service can meet their needs. Clients are provided with good information to decide whether they would like to move to Mount Carmel. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Clients said that they had good information prior to moving to Mount Carmel. One client talked about how they had researched the service via the internet, whereas another said that they had received information from their social worker. In choosing the placement one client commented that they had heard positive things about Mount Carmel from people who had previously been there and that they were impressed with aftercare package of continuing support. This was summed up by one ex-residential client who said that: “…time at Mount Carmel doesn’t really end…people still have one-to-one sessions after three years…”. Generally the clients had a good understanding of what was involved in the treatment offered, and were pleased that during the assessment process they had the opportunity to talk to the staff and clients before deciding whether to accept the placement. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 8 Professionals involved with the service commented that they feel Mount Carmel meets their clients’ needs well, and that there is a “…flexible approach to client placements…”. The assessment process involves looking at the client’s drinking, any drug history, any physical problems, information about their family and the reasons why they would like to be at Mount Carmel. Each client has a contract detailing the services to be provided, facilities at the home and fee payment details. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Client’s needs are met by the service through good care planning and risk management. Clients are fully involved in planning their care and support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mount Carmel has very clear service provision, and the ‘Residents Information Booklet’ details the specific expectations of clients who move to the home. One member of staff described the programme as “…very structured and intense…”. One ex-resident commented about the “…quality of the programme…” and how the treatment is “…intensive…”. One staff member said that the best thing about the approach of the home is that: “…it is a really welcoming warm environment, really friendly…and they/ we manage to juggle this with the intensive, rigid programme…”. The aims of the home are to encourage clients to look at their self, their behaviours and reasons for their drinking. Clients are encouraged to do this Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 10 through the treatment programme, eg. group settings and one-to-one sessions with their counsellor. Clients appreciate the structure of the treatment programme, with one saying that “…it is very good and graphic in its approach…”. Another said that they found it hard at the start, but understand why this is necessary for their recovery. Each client has a keyworker, though they can see other counsellors if their keyworker if not available. All clients said that they liked being able to choose their keyworker and that they are able to meet with them at least once a week to discuss their care plan. There is a care plan for each client based around individual goals, personal history and mental state. The care plans explore the impact of the clients drinking and addiction on their life and how they will be supported through the programme to address these issues. There are good records maintained of regular care plan reviews, of keywork sessions and of what has occurred with the client throughout the day. There are risk assessments in place for such things as the storage of medication by the clients, their use of potential hazardous substances and any dangerous behaviour. The plans to manage areas of risk are incorporated into their care plan. All residents who were spoken to said that they feel safe at the home and that there is a “…very trusting environment…” at Mount Carmel. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. Clients are supported with personal development to enable them to lead a more fulfilling life. Clients are fully involved in all aspects of their lifestyle choices and in planning meals, purchasing and cooking the food provided by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service provided by Mount Carmel is specifically designed to support clients to develop, take on personal responsibility and lead an alcohol-free life. Support for this is provided through group sessions and one-to-one counselling therapy. The programme is structured all day from Monday-Friday with additional counselling support provided at weekends. One client stated that the “…programme is excellent…”. Another client said that Mount Carmel is a “…college of knowledge…”, where they discussed how much they have learnt about their self whilst being at the home. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 12 Group sessions include discussion about feelings, peer assessments, nutrition and drama. Throughout the inspection a number of groups were observed to be in progress and supported by staff. For the first four weeks of their stay new clients are escorted by another client any time they leave the premises. During this period contact with family and friends is limited to telephone conversations only. This is to enable the client to focus on their recovery at the initial stages of their programme. Intimate relationships between clients are discouraged to ensure that clients remain focussed on the programme and their recovery. Professionals involved with the service feedback that they feel that Mount Carmel operates in the best interest of person and that specific cultural, ethnic and disability issues of the client are addressed by the home. The service benefits from the input of a nutritionist who holds group sessions and carries out individual work with clients who need support to lead a more healthy life. The meals at the home are planned and prepared by current and ex-clients on a rota basis with the support of staff. Clients were also seen preparing snacks at various times throughout the day. The clients plan the menu and are given money to purchase the food for the home. All the clients said that they liked the food provided and that different diets and preferences are well catered for. One client said that the “…food is excellent…”. There was observed to be a wide selection of foods available in the fridge, freezer and cupboards in the kitchen area. There were also a variety of teas, eg. herbal/ fruit and coffees for clients to choose from. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and social care needs of the clients are well met and relevant support is provided to each client. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Clients living at Mount Carmel attend to their own personal care needs. Since the last inspection the service has implemented an agreement contract with the local general practitioner (GP) and individual clients at the service, which is a signed agreement to ensure relevant information about clients is shared with all parties when necessary. The service benefits from the professional knowledge of two staff who are Registered Mental Health Nurses and who can monitor the mental health needs of the clients. The home does not usually accommodate clients with an existing mental health problem and will seek help from external professionals where necessary. Professionals who have placed clients at Mount Carmel commented positively about the service provided, with all saying that the health and social care needs of the clients are well met by the service. They also said that the Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 14 service works in partnership with them and is flexible in the review of clients at short notice. Health and social care professionals said that: “…the staff are always approachable and helpful…” also that: “…I am very happy with the Mount Carmel staff…” Lines of communication between Mount Carmel and professionals are felt to be “…very good…”, where one healthcare professional stated that: “…there is a good level of verbal and written communication at all times…” Medication at Mount Carmel is managed appropriately and with the full involvement of each client, with support given to ensure they can administer their own medication before their treatment is finished. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Clients are confident to raise issues of concern with the relevant people. Risks to clients are minimised due to staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mount Carmel has a clear complaints procedure that details how to make a complaint and how this will be managed. The Residents Information Booklet provides the contact details of the CSCI. The manager described that all clients are given a verbal explanation of the complaints procedure as part of their admission to the home. Throughout the year there is a quarterly management committee meeting. Prior to this meeting taking place members of the committee hold a ‘surgery’ to enable clients to raise any issues or areas of concern that can be taken to the meeting to be discussed and addressed. Clients also spoke about the Community Meeting as a ‘safe’ environment for them to challenge other clients and raise issues with staff about anything they are unhappy with. They also said that they would raise any concerns with their keyworker, manager or social worker if they were unhappy. The previous inspection required that the staff receive training in the Protection of Vulnerable Adults (POVA). The manager stated that four staff had completed this, and staff spoken to had a good understanding of POVA issues and what action to take in the event of an allegation being made at the Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 16 home. The requirement had been restated due to not all staff having completed this training. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 and 30 Quality in this outcome area is good. The environment is pleasant for the clients but needs refurbishing and maintaining in areas. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Professionals who visit the service commented that: “…the home provides a warm caring environment…” and “…a homely and supportive ambience prevails…”. New staff working at the service also commented about the “…relaxed atmosphere…”. As stated earlier in the report, clients also say they find Mount Carmel to be a very trusting environment. Throughout the inspection a good, friendly, respectful rapport was observed between clients and staff. The clients are responsible for maintaining the cleanliness of the environment, and this is carried out on a rota basis, with clients taking in turns to clean different area of the home, empty bins, etc. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 18 Good progress has been made to re-decorating the home over the past year, making it a much brighter and homelier environment for the clients. The clients said they were happy with their bedroom and that they have enough furniture and bedding. The previous inspection, and inspections prior to that have required that the bathroom on the top floor and the female bathroom on the first floor are refurbished and re-decorated. These were observed to still need to be addressed by the service, and the manager stated that these are due to be carried out by the end of March 2007. In the short time the home has made these areas more pleasant, with the replacement of sealant around the bath and general improved cleanliness. The requirement has been restated on this occasion. If the service does not complete the redecoration and refurbishment of the bathrooms within the timescale then enforcement action will be considered by the CSCI. A requirement has also been made to ensure the fan hood above the cooker is deep-cleaned as it was observed to be clogged up with grease. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. The staff are appropriately trained for the work at the home and clients are confident of their abilities. Some improvements need to be made to the recruitment practices to ensure the safety of the clients. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there have been some changes to the staff team, with a number of new staff having started. Two new staff were spoken to during the inspection. Both commented positively about the work and service delivered by Mount Carmel. One spoke about how “…all the staff are great…” and that its “…like a family…”. They discussed this in relation to all the team and the positive involvement of the management committee. The new staff said that they had an been interviewed by the manager and deputy and since starting had been through an induction period and were currently in their six month probationary period. Both staff said that they feel well supported by all the staff. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 20 All staff receive monthly supervision from the manager or deputy manager, and there are daily team meetings to discuss the work with clients and any issues. The staff are involved in different training courses to develop their professionalism, with one doing a Masters in Addiction counselling, another doing a psychoanalysis course, 12 step course and anther doing a course in meditation. Staff also undertake training in first aid, hazardous substances and fire safety, etc. Clients are confident of the knowledge and professionalism of the staff, with such comments being: “…staff good, have good understanding of issues…” “…they say it like it is…” “…always available…if not immediately then within 24hours…” “…you know where you stand…” Recruitment at the home is carried out with most relevant checks sought for new employees. However, the home must ensure that a POVA First check is completed for new staff prior to their working at the home. For one staff member working at the service only one reference had been obtained and it is required that two references be received prior to employment. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Mount Carmel is a well managed home. Systems are in place to minimise health and safety risks to clients. This judgement has been made using available evidence including a visit to this service. EVIDENCE: “…I have always said that should a rehab within the UK be able to sustain itself…only on word of mouth – Mount Carmel would be that place…” “…Mount Carmel is professional and accountable…They are dedicated and professional at all times…” “…an excellent service is provided in all areas…” These were comments received from health and social care professionals involved with the service. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 22 The manager conveys a very competent and professional approach to her work, which is evident by the structure of the service and commitment of the staff team. She spoke at length about various management issues that have occurred since the last inspection. These have been managed appropriately, sensitively and in the best interests of the clients. The manager also talked about plans for the future and developments to the service, with the setting up of a new programme in addition to that already in place. The management of the home has ensured that the home continues to maintain a high standard of service for the residents. It is recommended that the manager undertake the NVQ level 4 in Management to enhance her skills further. The CSCI receives monthly reports from Mount Carmel from a member of the trustees. These provide appropriate information about the home and any developments to the service. There are good systems for checking the fire equipment, alarms, and call bells, etc. The home has also worked well to ensure that gas safety, electrical equipment are carried out as required, and that risk assessments are carried out to minimise hazards to clients. Mount Carmel DS0000010212.V319109.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 Adults 18-65 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 4 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 24 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 YA23 YA35 Regulation 13(6) Requirement The Registered Persons must ensure that all staff at the home receive POVA training. (Previous timescale of not met). The Registered Persons must ensure that the bathroom on the top floor and the female bathroom on the first floor are refurbished and re-decorated (Previous timescales not met). Timescale for action 31/03/07 2. YA27 YA30 13(3) & 23(2)(d) 31/03/07 3. YA30 16(2)(h)(j) The Registered Persons must ensure that the fan hood above the cooker in the kitchen is deep-cleaned on a regular basis. 19(4) & The Registered Person must Schedule 2 ensure that a POVA First check is received prior to new employees starting work at the service. 19(4) & The Registered Person must Schedule 2 ensure that two satisfactory references are received for new staff prior to their starting work. 31/03/07 4. YA34 31/03/07 5. YA34 31/03/07 Mount Carmel DS0000010212.V319109.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 YA37 Good Practice Recommendations The Registered Manager should obtain the NVQ Level 4 qualification in management. Mount Carmel DS0000010212.V319109.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Mount Carmel DS0000010212.V319109.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. 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