Inspection on 31/10/05 for Mount Pleasant

This inspection was carried out on 31st October 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Mount Pleasant 23/07/09

Mount Pleasant 16/05/07

Mount Pleasant 28/07/06

Mount Pleasant 14/04/05

Mount Pleasant 10/11/04

Mount Pleasant 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Mount Pleasant Finger Post Lane Norley Via Warrington Cheshire WA6 8LE Lead Inspector Sue Dolley Announced Inspection 31st October 2005 09:05 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 Mount Pleasant DS0000006622.V254202.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. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mount Pleasant Address Finger Post Lane Norley Via Warrington Cheshire WA6 8LE 01928 787189 01928 787189 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) Pribreak Limited Frances Cliffe Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th April 2005 Brief Description of the Service: Mount Pleasant is a converted, extended care home registered to provide caare and accomodation for twenty-five residents. It is in the village of Norley on the road from Frodsham to Cuddington. The home is set in large grounds, has attractive views across farmland, and provides a tranquill setting with adequate car parking facilities. Residents are accomodated on two floors. Access between floors is via a stair lift or stairway. There are 21 single rooms and two shared bathrooms, all of which have wash hand basins. Communal space consists of two lounges, a large room and a small sitting area in the entrance hall. Mount Pleasant provides a well cared for, bright and welcoming environment. Throughout the building there are an adequate number of toilets and a variety of bathrooms available for residents. There are aids around the home to help residents and these include bath hoists, grab rails and an emergency call bell system. There is a large, attractive garden with a number of sitting areas and pathways available for service users. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 31st October 2005 over a period of more than 8 hours to assess if the service was meeting the needs of people who use it and to check the response to the requirements and recommendations made at earlier inspections. A full tour of the premises took place and included all bedrooms, lounges, sitting areas and dining rooms, shared bathrooms and toilets, the kitchen and the laundry. Several members of management and care staff on duty, 7 residents and 3 visitors were spoken to during the inspection. A selection of residents and home records were inspected. Comment cards were provided for the home to circulate to residents, relatives and visitors to gather their views and comments about the standard of care provided. What the service does well: What has improved since the last inspection? The deputy manager has been in post since March 2005 and has quickly developed her knowledge of the home, the staff and residents. She is currently undertaking the registered managers award and hopes to complete the training by the end of 2005. Formal supervision for staff is regularly being provided. All staff members who administer medication have recently undertaken refresher training and four senior staff members are currently completing more in-depth training regarding medication administration. All staff members have received training on the protection of vulnerable adults and six members of staff are currently completing NVQ training. Individual needs assessment and care plan information has been completed in fuller detail since last inspection and accurately reflects the care provided. Residents’ wishes concerning terminal care and arrangements after death have been discussed and recorded for almost all residents. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 6 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. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 and 5 The statement of purpose and service user guide, do not accurately reflect the facilities and service provided and need to be re-written. They do not provide prospective residents with up to date and necessary information to make an informed choice about where to live. The process of moving new residents into the home is well managed to ensure that people moving in, and their relatives, know what to expect and that their needs will be met at the home. At the point of moving into the home each resident is provided with a clearly written contract/statement of terms and conditions stating the rights and obligations of the resident and the registered provider. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 9 EVIDENCE: Each resident has a copy of the statement of purpose in the their care file along with a copy of their terms and conditions of residency and a copy of the residents charter of rights. The statement of purpose and service user guide, were checked. They need to be rewritten to accurately reflect the services and facilities provided. The statement of purpose referred to a previous registered manager. The service user guide did not state room sizes, the relevant qualifications and experience of the registered provider, manager and staff, nor did it provide a copy of the most recent inspection report, a copy of the complaints procedure and residents’ views of the home. See Recommendation 1. Each resident is given a contract or statement of terms and conditions of residency when they move into the home. This states their room number, what services are covered by the fee, and outlines their rights and obligations as well as those of the registered provider. Three recent examples of statements of terms and conditions of residency were seen and two were clear and explicit. Advice was given at feedback to the inspection regarding the third example which did not give the correct contact telephone number for the Commission for Social Care Inspection and did not state the amount to which personal property was insured. Three care files of residents recently admitted were checked. They provided full information and the reason for each admission was clearly stated. Pre – assessment documentation had been compiled with the help of social services representatives, hospital staff, staff at Mount Pleasant, residents and their relatives. This information had been built upon during the first weeks of care to provide comprehensive information to enable care staff to provide individualised care and support and to meet the needs and wishes of residents. Initial assessments had been completed in residents’ own homes or in hospital and when possible prospective residents and their supporters had been encouraged to have introductory and trial visits to assess the facilities and suitability of the home. During the course of the inspection staff members were observed to have the skills and experience to deliver the services and care which the home offers to provide. Staff members were seen to anticipate needs and to provide, prompt courteous care and attention. Mount Pleasant DS0000006622.V254202.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): 7,9, and 11 The care plans checked showed that residents have access to a wide range of professional help to meet their health care needs. Residents are looked after well in respect of their health and personal care needs and care records accurately reflect the care and attention provided. Recording of administration of medication needs to be improved so that it can be established that; each resident is in receipt of their medication as prescribed. Residents’ wishes concerning terminal care and arrangements after death have been discussed and recorded for almost all residents so that they can feel confident that their wishes will be met and their death will be handled with dignity and propriety. EVIDENCE: The care file documentation showed that there are positive working relationships between staff at Mount Pleasant and care professionals including general practitioners and community nursing staff. The daily care notes accurately recorded the care provided and identified changing needs. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 11 One care file in particular provided evidence of very careful monitoring of health and fluctuating levels of confusion, which helped to accurately identify a severe adverse reaction to medication and resulted in alerting the General Practitioner to the problem. Residents had been referred to specialist health care services as necessary and detailed records were kept of the outcome of health care visits to ensure staff members were aware of changing needs and could provide appropriate care and support. Residents’ plans of care provided well- written medical and social history details. They accurately described all personal care needs and provided evidence of monitoring. The daily records documented any changes and significant events and provided evidence of continuity of care throughout the various staff shifts. All the recent medication administration records were checked. The home uses a monitored dosage system for medication administration and all staff members involved in the administration of medication had received recent refresher training to update their skills and knowledge. Four senior staff members were also completing more advanced and comprehensive medication training. Despite this good practice there were several unexplained gaps on the medication administration records. Staff members were recording the medication to be given as required in various ways and not in accordance with the home policy. One medication administration record did not contain a photograph of the resident to aid identification and correction fluid had inappropriately been used to correct an error in recording. See Recommendation 2. There is a procedures manual in the home, which provides clear and concise guidance about the care of the dying and about bereavement. In all but two cases, residents’ wishes concerning terminal care and arrangements after death have been discussed with service users and their families and have been recorded in care files. The home intends to gain this sensitive information for the last two individuals shortly, so that all residents can be confident that their wishes will be carried out and their death will be handled with dignity and propriety. Mount Pleasant DS0000006622.V254202.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 and 15 Residents are able to make choices about their daily lives including taking part in a wide range of activities, so they can keep active and retain their interests. The quality of the food is very good. Alternative meals and special diets are available so that all service users have a varied and nutritious diet of food that they enjoy. EVIDENCE: Residents confirmed that they could choose to take part in activities as they wished. Details of the activities available are displayed on notice boards in the home. The range of options posted for November included participating in a games afternoon, listening to a musical entertainer, attending a clothes party and birthday party celebrations and watching popular films. Residents and staff confirmed that they were looking forward to a Christmas meal on 2nd December at a pub in the neighbouring village of Kingsley. Many of the residents spoken with were complimentary about the standard and choice of food provided and visitors to the home confirmed that their relatives’ appetites had improved since entering the home and that their relatives had benefited greatly from the nutritious range of wholesome food provided. The cook discusses meal choices every day with each resident. Residents’ individual food preferences and dislikes are well known and alternatives are always offered and provided. Relatives are able to dine with residents by request. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 13 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): 17 and 18 Arrangements for protecting residents’ legal rights are in place and residents and their family members can be advised of helpful advocacy services when necessary. Staff members are aware regarding the protection of vulnerable adults and know how to safeguard residents. EVIDENCE: A residents’ charter of rights is included at the front of each care file. This details eighteen different rights with regard to choice, responsibility for taking risks, the right to personal privacy, independence and dignity. Residents are encouraged to take part in decision- making and to manage their own medication and finances as far as possible. Staff members ensure residents are involved in their formal reviews and have access to the formal complaints procedure. Residents are registered with a local G.P of their own choice and are enabled to vote in elections by being escorted to polling stations of by use of postal voting. Management staff at Mount Pleasant can direct residents and their family members to local advocacy services who can provide information, and assistance. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 14 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): 20,21,22,23,24,25 and 26 Mount Pleasant is very well maintained, clean and hygienic. It is decorated and furnished to a good standard and provides a well- equipped, bright, comfortable and welcoming environment for residents. EVIDENCE: The communal areas, lounges and dining room, bedrooms, bathrooms, toilets, kitchen and laundry were checked and were all well presented, fresh and clean. There is a routine programme of maintenance; redecoration and renewal to ensure all areas in the home are kept clean, cared for and comfortable. Advice was given regarding a small amount of redecoration work necessary, where wheelchair movement had badly scuffed paintwork near doorways dividing two lounge areas. Since the last inspection all bathrooms, toilets and the lounge, the kitchen and a hallway have been redecorated. One bedroom has also been redecorated and carpeted very recently. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 15 To reduce the risk of cross infection the introduction of a hand-wash-basin to a downstairs toilet near to bedroom 3 was discussed. Although this area is small and space is limited, this could be achieved by removing the existing radiator. The risk of cross infection could also be minimised by removing linen towels from shared bathrooms and toilets and using paper towels instead with suitable waste bins provided. See Recommendation 3. The grounds are extremely well maintained, attractive and accessible to residents and provide a peaceful setting. All bedrooms were checked and were of various shapes and sizes. All bedrooms were furnished to a good standard and were clean and personalised. Residents are encouraged to bring along small personal items to make their own rooms, homely and comfortable. The bedroom furniture had been arranged to suit individual needs and to enable personal care and assistance. Advice was given at feedback to the inspection regarding minor redecoration work necessary in several rooms. A suitable door lock should be fitted to bedroom number 5. See Recommendation 4. There are sufficient bathrooms and toilets throughout the home and these are provided with equipment to aid mobility. Residents are individually assessed for specialist equipment to aid mobility whenever necessary. There is a call alarm system available throughout the home and a stair lift enables less mobile residents to have access to the first floor of the premises. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 16 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): None Standards 27 to 30 inclusive were assessed at the previous inspection on 14th April 2005. EVIDENCE: Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 17 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): 31,32,33,34,35,36,37 and 38 Mount Pleasant is well run and in the best interests of residents. The proprietors and managers are approachable and residents and their relatives know that they will be listened to and appropriate care and support will be provided. Staff are closely monitored and supervised and health and safety matters are carefully considered and acted upon to promote the health, safety and welfare of residents and staff. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 18 EVIDENCE: The acting manager has 21 years experience in providing care and the deputy manager is currently working towards attaining the Registered Managers award and hopes to complete the training by the end of 2005. The acting manager hopes to commence training towards the Registered Managers Award in 2006. The registered managers position is currently vacant. A proposal/s and application/s for a registered manager/s are awaited by, the Commission for Social Care Inspection. See Requirement 1. Both managers have a good knowledge of residents and staff. Residents’ benefit from their skills and experience in delivering individualised care. Their management approach is clear. The managers’ lead by example and work alongside care staff at various times during the week to ensure they are familiar with the changing needs of residents and with staff members approach to care provision. The proprietors and managers are approachable and accessible and are involved in the running of the home on a daily basis to share the responsibilities. Six staff members are currently working towards NVQ level 2 training and dementia care training for staff members is currently planned to take place in early 2006. Feedback questionnaires have been circulated to relatives as part of a quality monitoring exercise and to seek the views of relatives regarding the standard of care provided. Unfortunately there was a poor written response. This was possibly because relatives are already in close contact and liaison with the home, on a regular basis. The management staff intend to re-issue questionnaires and to explain that surveys are part of a plan to continually monitor service provision. It will be made clear that results of the survey are to be included within the service user guide to provide useful information to existing and prospective residents and other stakeholders. See Recommendation 5. The home engages the services of an accountant to ensure that suitable accounting and financial procedures are adopted, to demonstrate current financial viability and to ensure effective and efficient management of the business. Records are kept of all transactions entered into by the registered person and evidence of suitable insurance cover was seen. The latest audited accounts were not available within the home during this inspection. The management undertook to ensure these are made available during the next inspection. Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 19 Residents or their relatives manage residents’ finances. However, the management staff do help to manage some residents’ personal allowances. Three examples of residents’ personal allowance balances and related records were checked. The balances and records kept were accurate with receipts kept for all purchases. Management staff members check all personal allowances and related records at least fortnightly. Staff members are supervised daily as part of the normal managementprocess. A schedule of supervision sessions has been planned in advance and formal supervision sessions are recorded in a set format. The aim is to provide bi monthly supervision sessions. Topic areas included are: • Review of work performance since last meeting. • Future work targets agreed. • Training, support, development and personal needs. • Other matters arising, which have an impact on work performance. Residents’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. All records are securely kept and up to date and care plans are regularly reviewed. The fire precautions record book and accident records were checked and well maintained. There was evidence of comprehensive fire safety training for staff members, and of appropriate servicing and maintenance of equipment. Risk assessments had been undertaken to identify and reduce risks to residents and staff and to maintain a safe environment. Advice was given to fit a diffuser to a new fluorescent light in the kitchen and to fluorescent lighting in the office. Mount Pleasant DS0000006622.V254202.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 2 3 X 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X 4 2 3 3 2 3 2 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 3 3 3 3 3 Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO 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 OP31 Regulation 8 Requirement The registered provider must appoint an individual/s to manage the care home where there is no registered manager in respect of the care home and must give notice to the Commission for social Care Inspection of the name/s of the person/s and the date on which the appointment is to take effect. Timescale for action 31/12/05 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 Refer to Standard OP1 Good Practice Recommendations Ensure • The statement of purpose and service user guide, accurately reflect the services and facilities provided. • The statement of purpose states the current management arrangements. • The service user guide includes room sizes, the relevant qualifications and experience of the DS0000006622.V254202.R01.S.doc Version 5.0 Page 22 Mount Pleasant • • registered provider, manager and staff. The service user guide provides a copy of the most recent inspection report, a copy of the complaints procedure and residents’ views of the home. Residents and their representatives are provided with correct contact details for the Commission for Social Care Inspection. 2 OP9 3 OP26 4 5 OP24 OP33 Staff members should adhere to the homes policy regarding recording medication to be given as and when required. Care staff members should take care to accurately record all medication administered ensuring that they use appropriate omission codes when appropriate. Photographs of residents should be made available to aid identification and correction fluid should not be used to correct mistakes in the recording of medication. Remove linen hand towels from shared bathrooms and toilets and provide paper towels and waste paper bins to these areas. (A similar recommendation was made at the last inspection on 14th April 2005). Fit a suitable door lock to bedroom number 5. Undertake an internal quality assurance audit at least annually and obtain feedback from service users their relatives and other stakeholders. Publish the results in the service user guide to provide useful information to existing service users and their relatives, to prospective service users and to stakeholders. (A similar recommendation was made at the previous inspection on 14th April 2005). Mount Pleasant DS0000006622.V254202.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Mount Pleasant DS0000006622.V254202.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!