Inspection on 31/07/08 for Mount Olive Residential Care Home

This inspection was carried out on 31st July 2008.

CSCI found this care home to be providing an Adequate service.

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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mount Olive Residential Care Home 08/02/08

Mount Olive Residential Care Home 24/09/07

Mount Olive Residential Care Home 26/02/07

Mount Olive Residential Care Home 18/10/05

Mount Olive Residential Care Home 26/08/05

Mount Olive Residential Care Home 10/12/04

Mount Olive Residential Care Home 21/07/04

Mount Olive Residential Care Home 27/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Mount Olive Residential Care Home 99 Shardlow Road Alvaston Derby DE24 0HJ Lead Inspector Janet Morrow Unannounced Inspection 31st July 2008 04:00 Mount Olive Residential Care Home DS0000001995.V369530.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 Olive Residential Care Home DS0000001995.V369530.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 Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Olive Residential Care Home Address 99 Shardlow Road Alvaston Derby DE24 0HJ 01332 571470 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) Mrs Gloria Emphemia Holness Mrs Gloria Emphemia Holness Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2008 Brief Description of the Service: Mount Olive Care Home is part of the ‘home’ of the Registered Provider, who is also the Manager. It provides care for up to three service users and is situated on the South Eastern corner of Derby, in the area known as Alvaston. A lounge and dining area specifically for service users is provided, and each person has their own bedroom. The Home has a large garden available to service users. Information about the service is made available through the Service User Guide. Information provided in August 2008 stated that the weekly fees range from £370.00 to £419.70. The most recent inspection report can be obtained from the manager of the home or by accessing the Commission for Social Care Inspection website at www.csci.org.uk Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection visit took place over one day for a total of 4.75 hours and concentrated on all the key standards and on the progress made towards achieving the requirements and recommendations made at the last inspection. The manager and an administrative worker were spoken with and two people currently accommodated in the home were also spoken with. One visiting professional was spoken with by telephone after the inspection visit. Care records, a sample of policies and procedures and staff information were examined. A partial tour of the building took place. Written information in the form of an annual quality assurance assessment was received prior to the visit and informed the inspection process. What the service does well: What has improved since the last inspection? Care plans had been developed for both people in the home and risk assessments had been undertaken that addressed key areas relating to each individual and the environment. Criminal Record Bureau (CRB) checks had been obtained for voluntary staff who covered for the manager if she was away. Medication was being stored securely in a locked unit and storage for cleaning materials was now secure in a locked cupboard. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 6 The manager had undertaken fire safety training. There had been some improvements to quality assurance processes with monthly meetings being held with people living in the home to obtain their views and opinions. A format for recording complaints had been established. 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 Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 7 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 Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 8 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): 2 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there were assessments in place, greater detail was needed to ensure that there was sufficient information in place to establish that needs could be met. EVIDENCE: The two people living at Mount Olive had done so for many years and were funded through the local authority. The previous inspection visit established that recent information from the assessment and care management process was available, but this could not be located during this visit. The manager stated, and the administrative worker confirmed, that this was because it was being transferred onto a computer system. The manager had basic information available about assessed needs on the home’s own documentation that covered key areas of need, although the level of information was minimal. From discussion with the Manager, and observation of her interaction with the two people living in the home, it was clear that she knew their needs very well and was able to meet these needs. There were no staff employed at Mount Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 9 Olive - the Manager being the sole provider of personal care and support to the service users. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 10 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 adequate. This judgement has been made using available evidence including a visit to this service. The lack of detail on some areas of care plans did not fully ensure that peoples’ needs were met in the way that they chose. EVIDENCE: Both peoples’ care files were examined and showed that a care plan was in place that demonstrated how individual needs would be met. One file and the details provided contained sufficient information to enable care to be delivered in a consistent way but the second had less information and some details related to breathing and pain had not been completed where this was an area of need. Neither care plan had been reviewed to take account of any changing needs. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 11 It was recorded clearly on both files that the person was able to voice their own opinion and make choices. The Manager also gave examples of people making many day-to-day decisions for themselves, with little need for prompting. These decisions included what to wear and what to eat and the two people living at the home confirmed in discussion that they made these decisions themselves. Risk assessments were also available that showed how identified risks were minimised and included an environmental assessment for risks related to gas fires, bathing and stairs as well as ones related to individual problem areas, such as carrying meals. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-managed meals, contacts with the community and activities ensured people had a good quality of life. EVIDENCE: People living at the home were observed to have their own routines as far as possible and both attended a local day centre. They both also attended a church and from discussion showed that they enjoyed the singing and music associated with the services. One person’s personal possessions in their bedroom were a source of interest and pride and showed that they had their own hobbies and activities that they enjoyed. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 13 Both service users benefited from holidays and frequent trips out. Discussion with the Manager indicated that they are treated as part of her family. She and her husband accompany them on many of the trips and activities that they take part in. Serving of the teatime meal took place during the visit and this was nutritious and wholesome. Both people stated that they enjoyed the food at the home. The manager was aware of individual likes and dislikes and tried to accommodate these. Both people were independent in eating and able to assist with laying tables and clearing away if they wished. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Health care needs were generally met but inadequate medication procedures had the potential to compromise safety. EVIDENCE: Both peoples’ care records were examined and showed that there were details about individual preferences available and the type of assistance and guidance needed to meet health care needs. Visits to the local General Practitioner (GP) surgery took place on a regular basis and the manager confirmed that visits to chiropodists and opticians took place. These were recorded on the daily notes maintained by the manager. Comments from a visiting professional were positive about the care and support offered. They stated that they had ‘no concerns’ about the care and feedback from a relative on a ‘thank you’ card said the home provided the ‘highest level of care’. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 15 There were a number of items of equipment in the home that maximised peoples’ independence. These included a stair lift, rising bath seat and wheel chair for outdoor use by one person. It was observed that personal support was offered sensitively and warm relationships existed between the manager and people in the home. One person’s medication administration record (MAR) chart was examined. This was signed accurately for when medication was given. However, there was one medication, Warfarin, that was not written on the chart and the manager stated that this was because it was supplied with an anti-coagulant booklet. However, it was not easy to tell from this booklet whether or not it had actually been administered. The medication was administered from labelled containers and the manager was handwriting the instructions onto the MAR chart. However, she was not consistently writing the dosage as well as the name of the medicine. The benefits of having medicines dispensed into ‘blister packs’ and having pre-printed medication administration record (MAR) charts from the pharmacist was discussed and the manager agreed to look into this possibility. The storage of the medication had improved and was now in a locked cabinet in the manager’s accommodation. She stated that the room was also locked when not in use. The manager had attended a health course run by the local health provider and had obtained a pictorial health file that the home intended to develop for each person. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. Although procedures were in place to ensure people living in the home were listened to and safeguarded, the lack of financial records had the potential to compromise their financial security. EVIDENCE: The complaints procedure was clear but was not in a format suitable to be understood by the two people living in the home – for example, using pictures and/or symbols. However, the manager stated that she intended to use pictures to help with this process. The written information supplied by the home stated that the monthly meetings included time to discuss complaints. The manager had obtained a book to record complaints that had the facility to record what the complaint was and what action was taken to resolve it but there were no entries, as she stated no complaints had been received. The written information supplied by the home also stated that no complaints had been received during the last twelve months and there had been no complaints received at the office of the Commission for Social Care Inspection. A satisfactory range of written policies was in place that addressed the safety of individuals at the Home - including a policy on safeguarding adults. The Manager stated she had attended training on this topic provided by Derby City Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 17 Social Services in 2005 and a certificate was available that verified this. However, she had not attended any recent updates on this. She was aware of her responsibility to report any suspicions of abuse to the Local Authority. There were no completed financial records of individuals’ spending. Although the cash was stored securely in a locked cabinet and a balance sheet had been produced, it had not been put into use. This was raised as an issue at previous inspection visits in September 2007 and February 2008. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises were well maintained, providing homely, safe and comfortable accommodation for people living there. EVIDENCE: Mount Olive provided people living there with a homely and domestic environment. Each person had their own bedroom, with a door that locked if they wished and with lockable wardrobes. The bedrooms were seen on this inspection and were well personalised. However, one bedroom was in need of redecoration, although feedback from a visiting professional verified that the individual’s choice was to have the room undisturbed and in its current state. People living in the home had their own lounge and dining room, although the Manager spoke of spending time with them in their lounge area. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 19 The home was clean and hygienic and there were no unpleasant odours. Laundry facilities were domestic. Discussion with the manager demonstrated that she was familiar with infection control procedures and had supplies of gloves and aprons. Appropriate aids and adaptations, such as a stair lift and bath hoist, were in place. Toilet facilities were available on both the ground floor and first floor. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 20 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 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Outstanding health and safety training has the potential to compromise the welfare and safety of people living in the home. EVIDENCE: There were no staff employed at Mount Olive Care Home and the Manager provided support and all care. She confirmed that members of her family help out with some of the domestic chores, such as ironing. There were two people who were called upon on occasionally to help when the manager was not at home and Criminal Record Bureau (CRB) checks had been obtained for them. Training records confirmed that the manager had attended some recent training on learning disability in May 2008 and on fire safety in July 2008. Other mandatory health and safety training was still outstanding. The manager Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 21 stated that she had applied for food hygiene and moving and handling courses but was awaiting a confirmed date for attendance. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 22 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 adequate. This judgement has been made using available evidence including a visit to this service. Inconsistent management practices have the potential to affect the health and safety of people living in the home. EVIDENCE: The manager is qualified in general nursing and has a nursing qualification in working with people with learning disabilities. She has worked as a professional carer for 38 years and has owned and managed Mount Olive Care Home for 16 years. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 23 Although there was no formal quality assurance plan in place, the manager stated that with the assistance of the administrative worker, she intended to use the annual quality assurance assessment document required by the Commission for Social Care Inspection as a guide to how to improve. Although it contained minimal information, this assessment, received prior to the inspection visit, stated that monthly meetings had been introduced and that ‘we use a facial communication board to confirm the feelings of the service users around issues such as activities, money matters, menus, personal space, and any other activities the service users may want to discuss’. However, there were no records available to support this. Feedback was positive from visiting professionals who stated that they were ‘very happy’ with the service provided. A letter of thanks received from a relative in December 2007 stated their relative was ‘welcomed as part of the family’. Maintenance records examined showed that checks were undertaken regularly; for example, gas safety had been checked in February 2008, emergency lighting in April 2007 and electrical wiring in March 2008. The manager stated, and the administrative worker confirmed, that portable electrical appliance testing was booked for August 2008. As stated earlier in the report, the manager’s health and safety training was not complete and she was waiting for dates to complete food hygiene and moving and handling training. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 24 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 X 2 2 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 25 YES 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 YA2 Regulation 14 (1) Requirement There must be sufficient up to date information available on assessment documentation to ensure peoples’ needs can be met. Care plans must contain sufficient detail for essential needs to be met and must be reviewed regularly to ensure the information is up to date. Handwritten medication administration record (MAR) charts must be completed accurately with dosage and time of administration. This will reduce the possibility of administration errors. A record of all money in safe keeping for people must be kept. This record must state the date on which the money was received, the date on which it was returned or used, and the reason why. This will enable spending to be tracked and monitored. Previous timescales of 31/10/07 and 30/04/08 not DS0000001995.V369530.R01.S.doc Timescale for action 30/09/08 2. YA6 15 (1) 30/09/08 3. YA20 13(2) 30/09/08 4. YA23 17(2) Schedule 4.9 30/09/08 Mount Olive Residential Care Home Version 5.2 Page 26 met. 5. YA35 16(2)(j) The Manager must attend Basic Food Hygiene training to ensure peoples’ health is not put at risk when she handles their food. Previous timescales of 27/01/04, 13/12/05, 30/04/07 31/12/07 and 30/06/08 not met. 30/09/08 6. YA39 24 A quality monitoring tool must 30/09/08 be developed and used. This should include acquiring feedback from service users, relatives and external professionals. This will ensure that people using the service, and their representatives’ feel consulted and their views valued and acted upon. Previous timescale of 30/06/07 and 31/05/08 not met. The Manager must attend Moving & Handling training so she can safely work with the person who has difficulty in moving. Previous timescales of 27/01/04, 13/12/05, 30/04/07, 31/12/07 and 30/06/08 not met. All required records must be in place and kept up to date. This will ensure that all required information is available. Previous timescale of 31/12/07 and 31/05/08 not met. 30/09/08 7. YA35 13(5) 8. YA41 17 30/09/08 Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 27 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. 3. 3. 4. Refer to Standard YA17 YA19 YA23 YA24 YA35 Good Practice Recommendations Written menus should be developed to provide evidence of peoples’ diet. Records of health appointments, and associated notes, should be kept separately. The manager should update her safeguarding adults training. The identified bedroom should be decorated, if possible. The Manager should attend First Aid training to ensure service users receive appropriate treatment in an accident. Mount Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Olive Residential Care Home DS0000001995.V369530.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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