Inspection on 15/12/05 for Mountside Residential Home

This inspection was carried out on 15th December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Mountside Residential Home 10/12/08

Mountside Residential Home 15/01/07

Mountside Residential Home 02/08/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Mountside Residential Home 9-11 Laton Road Hastings East Sussex TN34 2ES Lead Inspector Jason Denny Unannounced Inspection 15th December 2005 10:45 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 Mountside Residential Home DS0000064443.V269423.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. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mountside Residential Home Address 9-11 Laton Road Hastings East Sussex TN34 2ES 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) 01323 646548 Downlands Care Limited Mrs Freda Steuart-Pownall Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fortythree (43) Service users must be aged sixty-five (65) and over on admission Date of last inspection 2nd August 2005 Brief Description of the Service: Mountside is registered to accommodate forty-three older people. The property is situated in a residential area on the outskirts of Hastings. There is easy access to the town centre and to public transport services. The property is also close to Alexandra park. The home is well maintained and is decorated to a good standard. Accommodation is provided on two floors. There is ample car parking to the front of the property and extensive award winning gardens to the front and rear of the property. The small number of double shared rooms are currently being used as singles unless married couples require them. The home has passenger, in addition to, stair, lifts. The home has recently installed a brand new stair-lift on the advice of an occupational therapist. An additional stair lift is being planned to support a small number of residents who use rooms on the lower ground floor. Activity provision for service users has repeatedly been found to exceed the normal minimum standard. A number of activity specialists visit the home on a regular basis to deliver a range of activities such as music, singing, art, fitness, and mental stimulation exercises. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [second of two planned before April1st 2006], which took place between 10.45am and 2pm. The Inspection found that of the 18 National Minimum Standards inspected, that 10 of these standards had been fully met, with all others nearly met. This report should be read in conjunction with the last inspection report of August 2, 2005, which covered some standards not looked at on this visit such as Food, assessment of new residents, and complaints. The overall focus of the inspection was on following up on the requirements and recommendations made at the last inspection, and looking at some new areas as well seeing how new residents were settling into the home. The inspector started the inspection by meeting with the manager to review progress since the last inspection. Activities were observed during the visit. A tour of communal areas and some bedrooms was undertaken. Comment cards were sent to the home prior to the inspection for circulation to residents, relatives, and other representatives such as visiting professionals. Comments received back were found to be very positive. What the service does well: What has improved since the last inspection? The new owners of the home send the Commission monthly reports, which reflect the visits, and inspections they undertake. Although progress is very slow and there is a lot of work still to do, some care-plans have slightly Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 6 improved. A number of staff [10] are close to completing the basic qualification in Care [National Vocational Qualification level 2]. The home is in the final stages of implementing all the recommendations of a recent fire service visit including improved emergency lighting and new safety doors which allow good access by being self automatic closing. 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. Mountside Residential Home DS0000064443.V269423.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 Mountside Residential Home DS0000064443.V269423.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. The inspector found that the home provides both prospective and existing residents, with a good level of information although more can be done for the visually impaired. Standard 3 assessed and met at the last inspection. EVIDENCE: A copy of the home’s resident’s [service user] guide including a complaints and suggestions procedure is displayed in the homes reception area with copies given to residents on request. Residents confirmed that they have access to inspection reports, which are discussed at their meetings. The guide also contains a report of resident’s views [last carried out on July 2004]. The home was due to have a survey of views in September 2005 but this has been delayed to 2006 due to the weight of admin demands on the manager. The home was advised to update the guide with updated views and suggestions from residents. Residents and visitors were found to be knowledgeable about their rights. Some of the homes residents have visual impairment or cannot read. The home was again advised to introduce key information on to a talking tape. A number of residents benefit from local and national newspaper being relayed to them by such means. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10. Not all the resident’s needs were set out in the individuals plan of care and in the main the plans lacked detail or evidence of ongoing review. The format of these plans are improved but need to be fully completed in order to measure someone’s full needs, how these will be met, and the success in meeting those needs. The manager is knowledgeable about residents health needs with residents confirming the help they receive. These needs need to be fully set out in the care-plans to show that they are being met. Medication arrangements were found to be sound. Residents are clearly treated with respect and dignity by committed staff. EVIDENCE: The Inspector examined 5 care-plans including some of the newest residents. All of the plans looked at were only half completed with a number of sections not filled in. One resident who had been in the home for over a week had no assessment in her plan or any sections filled in other than her name and G.P details. A number of plans were still awaiting comments on history of falls, observations, personal history, activities, and routines, and personality. Some of the plans examined where now found to have had the monthly review sections filled although these sections of the plans filled in often lacked detail. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 10 Some sections for key workers were either not filled in or only had 1-2 lines. Daily report notes were found to be more detailed than on previous inspections. The original assessments carried out by the manager were more detailed and although they were filed in the care-plan folder their contents had not been fully transferred to the plan of care to show how needs will be Some Residents preferred waking up times were found to be recorded along with hobbies and interests for most Residents. The care plan format was easy to follow and covered a range of areas with the plan logically laid out. The manager was open and clear about what further work on the care-plans was needed and is working with staff to get them more involved in their review. The appointment of a suitable assistant manager who has paperwork and admin skills was described as necessary to support the administration of the care-planning process as present senior staff lacked the skills. The plans did show more detail in relation to health appointments although the plan itself did not always show how health needs will be met in practice such in the case of one resident who is experiencing more giddiness. The manager was found to be very knowledgeable about everyone’s needs and proactive when people’s needs changed although all this information needs to be documented so all staff can make reference to it. Plans showed where residents had been offered a key to their room with the decision noted. The administration of medication including storage and record keeping was found to be in order with the medication taken also listed in care-plans. Staff recently had training form the supplying pharmacist who also recently carried out their own satisfactory audit on the home. It was confirmed in both observing staff and talking to residents the respect and dignity by which residents are treated. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, & 14. Residents are able to make a range of choices about their lives and enjoy an exceptional range of activities provided by the home. Activities are popular with residents especially those organised by specialists who visit the home. The home supports residents to maintain existing relationships with a freedom of movement afforded to them based on needs. Residents are supported to make the widest range of choices EVIDENCE: A range of activities are organised to meet the needs of Residents. These include, musical entertainment, pat dog scheme, videos, visiting magician, bingo, card and board games. In addition there is a library provided by the Hastings service, every three weeks, a Communion service every four-weeks, a manicurist every three weeks and a hairdresser provides a service on a weekly basis. The home is licensed to sell alcohol and there is a happy hour one night a week. Newspapers are delivered to the home upon request. A couple of Residents attend clubs once a week. The Inspector examined the brochure produced for residents to show a full range of Christmas season activities and services available throughout this period. All activities are on a regular timetabled basis. New activities include in-house art classes, and a motivational class including games and quizzes, and music and dance. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 12 This “motivate” session was observed during the last inspection where 25 of the 36 residents were seen to participate. All activities were found to be coordinated by visiting specialists and occur weekly and regularly. It was also evident since the last inspection, that the home has made a greater attempt to record Residents preferences. As previously reported some care-plans could include more information on people’s interests. A number of residents were observed to relaxing in the lounge or attending the morning communion service followed by a “clothes show” after lunch, others were reading newspapers they had ordered. The published Christmas brochure of activities had a range of visiting entertainers and other community people visiting on a daily basis, Records indicate the range of choices open to residents such as the choice of a room key and preferred waking up times. Residents indicated how the home supports visitors as well as their ability to make choices and influence the service they receive with some of this documented. Routines of the home were found to be unhurried. Mountside Residential Home DS0000064443.V269423.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): None of these standards were assessed at this Inspection. Standard 16 and 18 were assessed to be met at the last Inspection. EVIDENCE: Mountside Residential Home DS0000064443.V269423.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): 19, 24, & 26. The home was found to be clean, warm, and homely and suited to the needs of residents with a range of adaptations in place such as a stair and passenger lift. Residents enjoy a home, which is spacious, safe, well maintained, and laid out, with more improvements planned. EVIDENCE: The inspector toured communal areas such as the two lounges, some hallways, the dining room and the garden areas. A number of bedrooms were also looked at which were all found to be well equipped, clean, spacious and suited to needs. Residents confirmed in discussions that they liked their rooms. The home continues to benefit from investment as evidenced in recent works. The large lounge [of two], the dining room, accessible and vast rear garden area are both impressive and especially popular with residents. The rear garden is well maintained by a highly competent gardener. The front garden and flowerbed area represent an impressive entrance to the home along with the ample sized car park Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 15 Those areas looked at were clean and well maintained. Some toilets were looked at and found to be clean and tidy. The home was found to have almost completed the recommendations from a Fire service inspection in April 2005 resulting in automatic closing doors, which can be left open to provide good access in the home. Along with fire exit doors which open in the correct direction. The new owners are planning to install a further stair-lift to assist the 3 resident rooms in the lower ground floor. Residents who use these rooms continue to have good mobility with the provision of a stair-lift reducing the possibility of them moving rooms if their mobility needs increase. Mountside Residential Home DS0000064443.V269423.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): 27, & 28. Resident needs and the overall running of the home will benefit with the recruitment of suitable assistant to the manager. There continues to be sufficient numbers of suitable staff on duty to meet needs of resident’s along with the cleaning and cooking tasks. These staff are experienced and have worked in the home for a long time. . Staff training has improved but has further to go to meet the standard but has benefited from better planning and resources. The home is on course to have a sufficiently trained staff team within the next 6-12 months. Standard 29 and 30 were assessed to have been met at the last Inspection. EVIDENCE: The home has increased staffing levels since the last 4 inspections with the addition of one extra person on each day shift. The change means one extra person on both the 2pm-8pm and 9am-2pm shift. On the morning shift [92pm there is 1 deputy plus 4 staff. On the afternoon shift this is I deputy plus 3 staff. At present there are 36 Residents. The home also employs cleaner’s, cooks, and housekeepers, to ensure that care-staff just focus on residents. Due to the level of work required to monitor care plan’s, staff training and supervision in this large home, it is necessary to provide an additional suitably qualified person to support the home to achieve this requirement. This was made a requirement at the last 4 inspections. It is also a concern that from 2pm each day the managers time is split between admin tasks and the Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 17 demands and managing the home of 37 residents and staff making it more difficult to do either job fully. It is noted that the home showed evidence of actively looking to recruit the right person again stating that an appointment should be made shortly. It was also noted that discussions continue about increasing the admin support given to the manager to free her up to manage the staff more closely and supervise admin tasks such as care-plans and quality assurance. The number of staff studying for NVQ level two has increased from 3 to 12 with some due to finish in January 2006. The Inspector was able to see that the home was on course to meet the 50 government target of care staff with this qualification. No staff currently have this qualification Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. The home continues to benefit from a well-established and motivated manager who has a full range of management skills and understanding of older people. To improve the overall running of the home it remains necessary to appoint a suitable assistant to the manager to assist with administration especially in relation to training, care-planning, quality assurance and staff support and supervision. Resident’s financial affairs are well managed. The home is kept safe. EVIDENCE: The home was found to be conducted in an open and friendly manner with staff supported to carry out their roles. The new owners now end the Commission a monthly report on the quality of care being provided which includes named discussions with residents. The last report received by the Commission contained evidence of two of the 37 residents spoken with. It was recommended that higher number is included in future reports. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 19 The manager has worked in a senior management capacity for a number of years and possesses both Graduate and Professional Nursing qualifications, (SRN, B.Ed(Hons), RNT, Dip Nursing (Lond), relevant to her position. She continues to undertake periodic training courses to update her knowledge and keep her nursing pin active. She does have not the National Vocational Qualification Level 4 in Care with the plan to recruit an assistant manager with this qualification. The manager advised that she continues to carry out regular audits of the kitchen, domestic/cleaning services and the medication procedures. It is again evident how well resident’s needs are met by the energy and commitment from the manager although it has long been identified that she needs greater management assistance to assist the overall running of this size of home. Residents complete questionnaires on their views the last survey being July 2004. A Annual general meeting was planned for September 05 with a report and action plan to then be published after this survey. The manager confirmed that this meeting has now been put back until early 2006 due to other competing admin demands. this means that no such a review will have taken place this year. The home was also advised to update the homes guide with updated views of current residents.Residents have their own committee meeting which meet two weeks before the AGM to decide the agenda. Staff, management, Residents and relatives attend the AGM. Previously meetings are comprehensive as seen in records with suggestions acted upon from residents. The records maintained on those few residents where the home manages their personal finances was found to be in order. All items purchased where found to be itemised with receipts in place. All monies coming were accounted for with an accurate up to date running total maintained. The home only handles money where there is no alternative. The manager has made limited progress in ensuring that staff are supervised on a regular basis, and has introduced a suitable format. The manager stated that not all staff have yet received formal written supervision and none are receiving this at least every two months. The inspector sampled records and found a useful format, although it was evident that most staff are still not receiving this supervision. This was not found to be affecting outcomes. Most Staff have now undertaken, food hygiene, and first aid training on courses in August and September 2005 to assist them to meet the safety needs of residents. Moving and handling training from a suitable specialist was still found not to have taken place. All staff are shown videos in emergency first-aid, moving and handling, and fire, during their inductions whilst they wait for formal courses. Record keeping in relation to health and safety documentation was found to be in good order. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 2 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 2 Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15[1] Requirement That the needs of all necessary Service Users [Residents] must be reassessed. From the assessments, detailed advice should be included on the level of care to be provided to each service user. Progress with the plans should be monitored and reviewed in line with National Minimum Standards. That the new Care plans are fully completed and include information on service users interests, hobbies, and all other areas as listed in the plans [Requirement of the last 5 inspections. Requirement first made in 2003]. Further Timescale Extension to 30/04/06 It is required that an additional suitably qualified person must be appointed to assist the manager in addressing the work required to improve the care plans and risk assessments. [Requirement of the last 3 inspections. Requirement first made in 2004]. Further Timescale Extension DS0000064443.V269423.R01.S.doc Timescale for action 30/04/06 2. OP27 18[1] 30/04/06 Mountside Residential Home Version 5.0 Page 22 3. OP36 18[2] 4. OP38 13[5]& 18[1] to 30/04/06 That all care staff must receive formal supervision at least six times a year. That by the timescale indicated all staff have had a supervision and that further supervisions are booked to occur at least six times yearly. [Requirement of the last 5 inspections. Requirement first made in 2003]. Further Timescale Extension to 30/04/06 That all staff must have appropriate Moving and Handling training. [Requirement of the last 5 inspections. Requirement first made in 2003]. Further Timescale Extension to 30/04/06 30/04/06 30/04/06 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. 4. 5 Refer to Standard OP1 OP1 OP28 OP31 OP33 Good Practice Recommendations That the home’s Service user [Residents guide] contains the views of service user’s [Residents]. That a summary of the Inspection report and other information relevant to service users with a visual impairment is compiled onto a talking tape. That the home ensures that it meets the target of at least 50 of its care staff achieving at least NVQ level 2. That the home recruits or puts someone forward to complete the National Vocational Qualification level 4 in Management and Care. That Monthly section 26 reports show that a sufficient proportion of residents have been spoken with. Mountside Residential Home DS0000064443.V269423.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Mountside Residential Home DS0000064443.V269423.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. 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