Inspection on 22/04/08 for Mount Pleasant Care Home, Newton Abbot

This inspection was carried out on 22nd April 2008.

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

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

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

CARE HOMES FOR OLDER PEOPLE Mount Pleasant Care Home, Newton Abbot 26 Mount Pleasant Road Newton Abbot Devon TQ12 1AS Lead Inspector Judy Hill Unannounced Inspection 10:25 22nd April 2008 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 Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Pleasant Care Home, Newton Abbot Address 26 Mount Pleasant Road Newton Abbot Devon TQ12 1AS 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) 01626 353351 01626 353351 davackltd@aol.co.uk Davack Ltd Mrs Sian Selena Littlechild Care Home 14 Category(ies) of Dementia (14), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (14) Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only; Care home only - Code PC Two service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia (Code DE) Mental disorder, excluding dementia or learning disability aged 65 years and over (Code MD(E)) The maximum number of service users who can be accommodated is 14. Not applicable 2. Date of last inspection Brief Description of the Service: Mount Pleasant Care Home is registered to provide accommodation and care for a maximum of fourteen people who are over sixty-five years of age and who have dementia or a mental illness. The home is approximately half a mile from Newton Abbot town centre, which is a large town with a good range of shops and other local facilities, including a mainline railway station. Written information about the home and the service provided is still in the process of being drafted but information about the service is available from the Responsible Individual, Tracy McLellan and the Registered Manager, Sian Littlechild. Copies of previous inspection reports are not available as this is the first inspection carried out under the new ownership. The fees are £420 a week and additional charges are made for professional hairdressing, chiropody and massages. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.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. The information contained in this report was gained from a site visit to the home, a Annual Quality Assurance Assessment that had been completed by the Registered Manager, conversations with the responsible individual, registered manager, staff, residents and visiting relatives. Additional information was gained through an inspection of records, including resident’s needs assessments and care plans and staff recruitment records. What the service does well: What has improved since the last inspection? Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 6 As this is the first inspection that has been carried out since the change of ownership in November 2007, this section is not applicable. 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 Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is adequate. As the Statement of Purpose and Service Users’ Guides are still being drafted, prospective and current residents and their representatives do not have access to sufficient information about the service. The needs of prospective residents are assessed so people who use the service can be confident that their needs will be understood. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the service providers Statement of Purpose was requested during the site visit but was not available as the current service providers, who were registered in November 2007, are still in the process of developing it. The Service Users Guides were also in the process of being drafted. A draft copy of this document was made available to the Commission and the Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 9 registered manager is aware of the additional work that is needed to ensure that this document meet the National Minimum Standards and Care Homes Regulations and provides each of the residents with the information they need about the service provided. The needs assessments for two of the people who use the service were inspected. The information needed to enable the service to draw up detailed care plans was available but the registered manager was in the process of improving the system of recording information to make it clearer and more easily accessible. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. The personal care provided and the staffs understanding of the needs of people with dementia is good. Poor record keeping with regard to the administration of medicines could be placing the residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for two of the people who use the service were inspected. The information contained in the care plans was found to be satisfactory. However the registered manager was in the process of updating the care planning records to make them clearer and more accessible to the staff. The home specialises in providing care for people with dementia and maintains good contact with the relatives of the people who use the service. Two Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 11 relatives were spoken with during the site visit and both said that they were very happy with the service provided. One relative said that he felt that the management and staff have a good understanding of the specialist needs of people with dementia. The Annual Quality Assurance Assessment (AQAA) that had been completed by the registered manager before the inspection identified that several of the people who use the service are singly or doubly incontinent. The absence of any obvious signs of incontinence indicates that the staff have a good understanding of continence control. All of the people who use the service were seen to be clean and well groomed. This indicates that the quality of care in terms of helping the residents to maintain their personal hygiene is good. The medication is currently being stored in a locked trolley in the hallway. The registered manager is aware that this is not appropriate and is planning to provide storage in a locked facility in the office, which is currently being refurbished. The home is not currently using a pharmacy controlled system to order, administer and dispose of medicines but the registered manager said that she was considering changing to such a system. The medication is administered by experienced staff, who have achieved a National Vocational Qualification at Level 3 or above. An inspection was made of the medication administration record sheets and gaps were seen in the recording. No coding system had been used to indicate why the medication had not been signed for as having been given. A considerable number of unused dressings were seen in one of the bathroom, which the manager said were being returned to the Pharmacist. Additional dressings and a jar of un-prescribed cream were seen in a medicine cabinet in the hallway. To reduce the risk of contamination all creams should be prescribed and used only for the person they are prescribed for. The District Nursing Service should be consulted about what dressings should be kept at the home and the circumstances in which they should be used and, as an added precaution against the possible improper use of dressings, it is recommended that the manager and staff receive training on tissue viability and the prevention of pressure sores. Although the management and staff were seen to treat the residents with dignity and respect, it was observed that the bathrooms and toilets have not been fitted with locks and that privacy and dignity when using these facilities cannot be assured. Locks, which can be overridden by the staff in an emergency, should be fitted on all bedroom, bathroom and toilet doors. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. There are few organised activities and the management is aware that this is an area that could be improved. Visitors are made welcome and the meals are good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA states that the service encourages social interaction and discourages the residents from spending isolated time in their rooms. This may make the home unsuitable for people prefer to spend time alone in their rooms, but the current residents appeared to be content with this arrangement. Very few organised social activities are currently being arranged by the home but the AQAA states that the management is aware of the need to provide more in house entertainment and indoor and outdoor activities. The staff were seen to be very attentive and spent time talking and socialising with the Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 13 residents. The AQAA states that a vicar visits the home once a month to provide a religious service. The residents may invite their visitors at any time but are asked to avoid meal times. The relatives of two of the residents were seen and spoken with in private during the inspection and both made very positive comments about the care provided. One said that she visited her husband every day and was always made welcome by the staff. The other visitor said that he felt that the staff and manager had a very good understanding of the needs of people with dementia and that they were always charming and caring. The registered manager said that residents meetings are held and that a recent meeting had lead to some changes in the menu plans being made as the residents had discussed their likes and dislikes. A menu board is used to provide information about the set meals provided. Although a choice of meals is not written on the board the cook said that alternatives would be offered if any resident did not want the set meal. The home employs a cook who understands and can cater for people who are diabetic or who have other special dietary needs. A well-balanced dinner was seen being prepared, served and eaten by the residents. Day care provided for one person and there was no evidence to suggest that this disrupts or is in any way detrimental to the people who live at the home. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. Complaints are not being recorded but are being dealt with appropriately. Policies and procedures are in place to safeguard the residents from abuse but the staff training on Safeguarding/adult protection is not up to date. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA identifies that the home has a Concerns and Complaints procedure and procedures for Safeguarding residents and the prevention of abuse and that these were updated in February 2008. The index to the Service Users Guide indicates that a summary of the complaints procedure will be included when this document is completed. A record of complaints was requested during the site visit but no complaints had been recorded. One of the visiting relatives spoken with said that he had made a complaint about his mother being overcharged for massage treatments and that his complaint was dealt with quickly and efficiently by the registered manager. Conversations with the registered manager indicated that complaints are being dealt with appropriately, but that records are not being kept. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 15 An inspection of records and conversations with some of the staff identified that not all of them had received up to date training on Safeguarding/Adult Protection. As the local authorities Safeguarding procedures have changed, the registered manager and staff should update their training. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. A good start has been made on the redecoration and refurbishment of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current service providers brought the business as a going concern six months ago and were aware that most of the rooms needed to be redecorated and refurnished. This is now a work in progress. The communal lounge is spacious and adequately decorated and furnished, although the registered providers are planning changes to this room to give it a more homely look. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 17 The dining room is very attractive, having recently been redecorated and provided with new furniture. There is an access to a level and enclosed area of garden from the dining room. There is a small office on the ground floor and this is being fitted with cupboards to provide better storage facilities for records, policies and procedures and the medication. The home has two bathrooms, with baths that are designed for use by people with physical disabilities, and a wet room. There are plans to refurbish all of these rooms. There are two shared bedrooms, both of which have screens to provide privacy for the people who use them. The remaining ten bedrooms are single rooms and four have en-suite toilet facilities. All of the resident’s accommodation is on the ground and first floor and the second floor provides living accommodation for the registered manager and her family. A stair lift aids the resident’s mobility between floors. There are plans to move the laundry facilities to the basement. New equipment, which is designed to disinfect laundry at low temperatures have been purchased. The kitchen is due to be completely refurbished within the next few weeks. A dedicated housekeeper is employed and the standard of cleanliness maintained is good. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. The management are committed to ensuring that the staff are qualified and the staff are motivated and work well as a team. Safe staff recruitment practices have not been followed and this could place the residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Copies of recent staff rotas were given to the Commission and these showed that there are usually three care assistants on duty in the mornings and two in the afternoons and evenings. One member of staff is employed on waking night duty from 10pm to 8am and the registered manager, who lives in a flat above the home is on call throughout the night. At the time of the inspection the home was a little short staffed and the registered manager was covering some of the care shifts to ensure that adequate cover was provided for the people who live at the home. The manager said that she was in the process of appointing a new member of staff so that she can focus all of her attention on the management of the service. Records of the homes staff recruitment were inspected and improvements in the recruitment practises need to be made to ensure that unsuitable staff are not employed to work with the residents. References and CRB checks had not Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 19 been carried out before one new staff member started working at the home, although the registered manager did say that she was working closely with and being supervised by experienced staff during her probationary period. The home has been awarded the ‘Investors in People Award’ for its commitment to training and developing staff. All of the staff are encouraged to achieve National Vocational Qualifications in Care at Level 2 and to progress to Level 3 and Level 4 (which is management level) if they wish to do so. Induction and ongoing training is also provided although improvements do need to be made in the provision of induction training to meet the Skills for Care guidance and there are some gaps in the provision of relevant training, which have been mentioned elsewhere in this report. The registered manager is aware of this and intends to ensure that suitable training is provided. Three members of staff were spoken with in private and all three said that they enjoyed working at the home, that they found the manager to be very supportive and that the staff worked well as a team. Most of the staff have worked together for a number of years and all of the staff spoken with were very committed to providing a good standard of care. A visiting relative said that he had always found the manager and staff to be ‘charming and caring’. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. The manager is well qualified and committed to bringing about the changes that will improve the star rating of this service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sian Littlechild is the registered manager and co-owner of Davack Ltd, which is the registered service provider. Although Mrs Littlechild has only been the registered manager since Davack Ltd purchased the home as a going concern in November 2007, she had previously worked at the home. Mrs Littlechild has completed her National Vocational Qualification at Level 4 in Care and her Registered Managers Award. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 21 In conversation with Mrs Littlechild she demonstrated that she has good understanding of the strengths of the service, which include good staff relationships and a commitment to staff development, and of the areas that require improvement, such as the record keeping and the presentation of the home. The registered manager is in the process of developing a quality assurance system based on feedback from the residents, relatives, professionals and staff. Residents meetings are held and conversations with visiting relatives provided evidence that their views are sought and respected by the home. It is a policy of the home not to handle resident’s money. The residents have families or legal representatives to handle their financial affairs and they will be billed for any out of pocket expenses. The AQAA identified that most of the required and recommended policies and procedures are kept at the home and have been updated since the current owners took over the business. There are a few policies and procedures that still need to be developed. These include policies on Referrals and Admission, Discharge, and Recruitment and Employment. Safe working practices are understood by the staff and followed. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 22 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 1 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 4, 5 & Schedule 1 Requirement The registered persons must produce the following documents: A Statement of Purpose, which contains all of the required information (see regulation 4 and Schedule 1). Service Users’ Guides containing the required information (see regulation 5). Service Users’ Guides must be given to each of the residents and copies of both documents must be sent to the Commission. 2. OP9 13 The registered service providers must ensure that the medication administration recording sheets are signed every time an item of medication is administered and that if medication is not administered as prescribed a system is used to identify why. The registered persons must ensure that every resident is given a copy of the complaints DS0000070799.V361953.R01.S.doc Timescale for action 22/07/08 22/05/08 3. OP16 17, 22 & Schedule 4 22/05/08 Mount Pleasant Care Home, Newton Abbot Version 5.2 Page 24 procedure and that all complaints are recorded, along with any action taken to resolve the complaint. 4. OP29 19 & Schedule 2 The registered persons must ensure that safe recruitment practices are used and that new staff are not appointed until appropriate checks and references have been received. 22/05/08 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 OP8 Good Practice Recommendations To ensure that the residents are given the best possible protection against the risk of developing pressure sores it is recommended that the manager and staff receive training on tissue viability and the prevention of pressure sores and that the registered manager contacts the District Nursing Service for up to date advice about when dressings can be applied by the care staff (and the type of dressings that should be used) and when the professional nursing services should be brought in. To ensure that the privacy and dignity of the people who use the service is maintained, locks, which can be overridden by the staff in an emergency, should be fitted to all bedroom, bathroom and toilet doors. As the local authorities Safeguarding procedures have changed, the registered manager and staff should update their training. Staff should receive induction training to Skills for Care specifications within the first six weeks of their employment. The following policies, procedures and codes of practice DS0000070799.V361953.R01.S.doc Version 5.2 Page 25 2. OP10 3. OP18 4. OP30 5. OP38 Mount Pleasant Care Home, Newton Abbot should be drawn up and made accessible to staff: Annual development plan for quality assurance; Discharge of residents, including planned discharge, and termination or self-discharge at short notice; EC Regulations 852/2004 and the Food Hygiene (England) Regulations 2006; Recruitment and employment including redundancy; Referrals and admission; Sexuality and relationships. Mount Pleasant Care Home, Newton Abbot DS0000070799.V361953.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Pleasant Care Home, Newton Abbot DS0000070799.V361953.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. 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!