Inspection on 11/07/06 for Oak Mount Rest Home

This inspection was carried out on 11th July 2006.

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

Oak Mount Rest Home 16/08/07

Oak Mount Rest Home 15/09/05

Oak Mount Rest Home 12/04/05

Oak Mount Rest Home 15/12/04

Oak Mount Rest Home 10/08/04

Oak Mount Rest Home 13/02/04

Oak Mount Rest Home 27/03/03

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Oakmount Rest Home 2 Narrow Lane Poulner Ringwood Hampshire BN24 3EN Lead Inspector Val Sevier Unannounced Inspection 11th July 2006 09:30 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 Oakmount Rest Home DS0000011855.V300113.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. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakmount Rest Home Address 2 Narrow Lane Poulner Ringwood Hampshire BN24 3EN 01425 479492 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) Mr M J Foot Mrs H A Foot Linda Bath Care Home 21 Category(ies) of Dementia (21), Dementia - over 65 years of age registration, with number (21), Mental disorder, excluding learning of places disability or dementia (21), Mental Disorder, excluding learning disability or dementia - over 65 years of age (21), Old age, not falling within any other category (21) Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in categories MD and DE must be at least 60 years of age. 15th September 2005 Date of last inspection Brief Description of the Service: Oakmount provides accommodation and care for 21 residents in the categories Old Age, Old Age with dementia and Old Age with mental disorder. Residents in the categories Dementia and Mental Disorder may not be admitted under the age of 60 years. The home is owned and managed by Mr. M. and Mrs. H. Foot. An acting manager is responsible for the day-to-day running of the home. The owners also own a second home in Southampton. The property is a large family home that has been extended to provide accommodation on two floors. All bedrooms are single and 7 have en suite facilities. Shared areas comprise a dining room, large lounge and conservatory. Upstairs rooms are reached by a stair lift. The ground floor does not have level access to all areas as there are a number of single steps to communal areas and some bedrooms. Because of this the home is unable to offer accommodation to residents who need to use a wheelchair. The home is situated at the end of a quiet residential road, close to local shops, amenities and public transport. The town of Ringwood is a couple of miles away. The fees for the home range between £380 and £400 depending on whether the room has ensuite facilities. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection to the home was unannounced and took place over 4.5 hours. The registered manager was away on holiday but the inspector was able to speak with the registered owner and the staff on duty were helpful throughout. The inspector sampled care plans and other documentation related to the care of individuals and spoke with several residents and staff about the service at the home. What the service does well: What has improved since the last inspection? What they could do better: Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 6 The manager also carries out the cooking at lunchtime at the home when she is there. Thought should be given that this role does not conflict with managerial responsibilities and welfare of the residents. There was concern about the manner in which a member of staff was heard to speak to a resident. Whist the intention was clear that it was done to prevent someone burning themselves, the tone and manner in which it was said was not considered to be appropriate. 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. Oakmount Rest Home DS0000011855.V300113.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 Oakmount Rest Home DS0000011855.V300113.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home has an understanding of residents needs using the assessment process. EVIDENCE: The inspector looked at 4 care plans and each individual had had an assessment prior to moving to the home. The assessments contain information about the needs of the individuals. It was observed that the information gained through the assessment had been used to complete the care plans. A relative spoken with on the day, explained what had happened in the decision-making process regarding the home and how he had been involved. The residents spoken with although able to speak for themselves had been unable to visit the home due to physical frailty. The relatives spoken with felt that the admission process had worked, that they had been given adequate Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 9 information to assist with the decision, making process. The relatives felt that the needs could be met. Oakmount Rest Home DS0000011855.V300113.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. There were plans of care in place that ensured that residents received the basic help and support that they needed. The home’s procedures and systems for ensuring that medicines were managed and administered safely were satisfactory. The staff on the whole treated and spoke with residents with respect whilst maintaining their dignity, however this must be the case for all staff at all times. EVIDENCE: The records of 4 residents were examined and these documents included the plans of care that had been developed for the individuals following the pre admission assessment and admission to the home. In all the plans seen there were general risk assessments in place as well as specific assessments related to the care needs of the individual for example being at risk of an infection because of an indwelling catheter. There was evidence of other professional’s involvement and support of the individuals needs such as psychiatric nurse and district nurses. The care plans Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 11 evidenced this support with details of contacts made and when to call for additional support. The care plans seen on this occasion did set out the actions staff had to take for those needs that were identified and what specialist equipment was needed to provide the support and assistance each person required. Observation and discussion with residents confirmed that individuals received the help they required in a timely way and that the equipment was in place as set out in their plans of care. There was documentary evidence that care plans were evaluated and reviewed regularly. Daily records were available for the 4 individuals whose plans were seen. The daily records gave sufficient information for the inspector to see what happened in the daily lives of those at the home. However, there was no documentary evidence that the needs of those who are diabetic are being recorded in relation to food. Risk assessments were commented on in the previous report and it was seen that the home had actioned the points raised previously with regard to individuals wishing to walk alone outside of the home. The medication records were seen and as there were 10 gaps since the beginning of June 2006 where there was no indication of medication had been administered or not, the records were therefore not completed as per the homes policy. Medication was seen to be stored appropriately with the trolley secured. There was a list of signatures so that the inspector was able to see who had administered medication. Residents spoken with were happy with the staff and felt that they were well cared for with examples of: ‘The staff are lovely I always have a cup of tea first thing to wake me up’. ‘I don’t have any complaints the girls are lovely’. The inspector was able to observe interaction between staff and residents and saw that in the main, the staff carried out their caring role with respect and dignity for the residents. However there had been concern by the inspector in the morning when overhearing staff giving drinks out a staff member was heard to speak harshly saying ‘for gods sake that’s lethal there, drink your tea’. ‘I am not being funny with you I don’t want you to be scalded’. The same resident asked where her biscuit was, ‘I have taken it away I don’t want you eating your biscuit and drinking your tea’. ‘You can have it when you have finished your tea … I am not treating you like a baby‘. The inspector was unable to hear clearly what the resident was saying. Although it could be heard that the carer was well intentioned in not wanting a resident to scald themselves, the manner in which the staff member spoke to the resident was unacceptable. The inspector was able to discuss this with the registered provider Mr Foot. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 12 This interaction was in stark contrast to the enjoyment and fun heard in the activity session after the morning drinks. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 13 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 & 15 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The home had good procedures in place for ensuring residents could exercise self-determination. The meals in the home were adequate and offered a choice. EVIDENCE: The residents spoken with said that they enjoyed the daily life in the home activities such as quizzes and games happened regularly with an art class weekly, although this was suspended over the summer holidays. Several residents had certificates for their efforts in art class. There was evidence that staff were aware of individuals preferences and these were accounted for such as individuals wishing to remain in their rooms and watch television or listen to the radio, or those who through physical frailty preferred one: one chats with staff in their rooms. What was important for the residents was to know what was happening and having the choice of whether to join in or not. The inspector was able to hear the activity during the morning and there was laughter from both the staff and residents who seemed to enjoy the ball game and quiz. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 14 There was evidence that residents furnished their own bedroom accommodation if they wanted to do so and several residents spoken to said they had items of their own in their rooms and appreciated being able to personalise their bedroom accommodation so that it was “like home”. Items seen included tables, dressers, lights and television and audio equipment. All residents spoken with said that the food provided by the home was good. Residents said they knew what the main meal of the day was because they could see the menu that was prominently displayed, or they could ask the staff. All commented that if they did not like the meal that was on the menu there were other options. • “They will always change it if you are not keen”. They also confirmed that there three meals a day and could have snacks and drinks at other times. • “We always have a drink in the evenings and I have a biscuit with mine” • “I have a sandwich in the evening, cheese or ham”. • “There is always plenty of coffee all day”. • “We have our tea at about 5 to 5:30 and you can have something later if you want”. The registered owner was the cook on the day of the inspection and he explained that the manager usually cooked the breakfast and lunchtime meals, with staff preparing and cooking tea. The inspector asked if there were any records of individual requirements and needs, there are two residents who are diabetic, which is managed through medication and diet. There are no records to support this although the registered owner said that all staff knew what the individuals could have and desserts for example contained no sugar or sweetener so that was suitable for all residents. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 15 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): 16 & 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager has established a sense of openness at the home so that relatives and residents can voice their concerns. EVIDENCE: The registered owner stated that no complaints had been received at the home. The inspector was able to share a complaint received at the CSCI on a comment card, anonymously and a copy of that will be sent to the home for action. Residents spoken with confirmed they felt staff treated them with dignity and respect. They were aware of the complaints procedure and felt comfortable about taking any concerns to the manager or staff. The complaints procedure was seen to be on display on the foyer of the home informing the reader how to make a complaint. Staff spoken with were aware of their responsibility to report any incident of abuse and could name the home’s policy that required them to do so. One of the staff spoken with had received training about adult protection during the completion of her NVQ3. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 16 The home had a copy of Hampshire’s protection of vulnerable adults procedure. The home’s own policy and procedure, including a whistle blowing policy, is related to the Hampshire guidance. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 17 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 & 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home’s bedroom accommodation was furnished and equipped satisfactorily for residents needs. The systems and procedures in place to ensure the accommodation was both safe and comfortable for residents use were good. EVIDENCE: All residents spoken with were satisfied with the standard of their bedroom accommodation and the furnishings in the rooms. The furnishings of the rooms and décor were mostly in good repair. All bedrooms were fitted with carpets or other suitable flooring and they were naturally ventilated and heated by radiators. A tour of the home was undertaken and the inspector was able to see that that the rooms were furnished in a variety of ways offering a choice of Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 18 accommodation, the registered owner explained that the home encouraged new residents to bring their own furniture with them to make it more ‘homely’. There is a sun lounge, which on the day was open with a fan and with appropriate shade. Some residents had chosen to have their lunch in this area. The grounds outside were well kept offering several areas to sit. The laundry was seen and either care staff or the domestics carry out this function. Hand washing facilities for staff are situated in the staff toilet next door to the laundry. Machines were available and they had settings to manage soiled articles. There is a sluice in the home for staff to use to clean commodes. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 19 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, 29 & 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The home provides enough staffing to meet current needs and assists staff with good training in order to meet resident’s needs. However, the home’s recruitment procedures for new staff were variable in their protection of vulnerable adults living in the home and must be improved. EVIDENCE: A requirement had been made previously to separate the care hours from the cook hours on the rota, it was seen that although the domestic hours were separate it was not possible to identify cooking hours. On this occasion the former requirement of cooking hours being identified on the rota, will not be repeated, as there is no evidence to suggest this has been of detriment to the running of the home. However, this will need ongoing review by the registered providers. From the rota it could be seen that there are three or four care staff in the morning with three staff on in the afternoon and two staff awake at night. There are two domestics employed at the home who work Monday to Friday. Staff spoken with felt they were encouraged to attend training opportunities with three more staff having completed the NVQ 3 in care and a medication administration course. One member of staff spoken with explained that she Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 20 was on a course about dementia, that although it was hard work she was finding it very useful and had learnt new things which would enable her to improve the care she offered to those residents with dementia. Staff files were seen where there were new staff since the last inspection in September 2005. Of the two files sampled the home had carried a thorough recruitment in line with its procedure. However there was a reference missing for the second person and the one at the home said that it would not reemploy in a specific role, Oakmont had employed the individual in that same role. There were risk assessments in place for staff where risks had been identified with carrying out that role such as using chemicals, and the inspector was able to see that staff had signed to say they had had risks explained to them and how to manage them. The requirement made at the last inspection visit for staff to be updated in their manual handling training was seen to have been completed by 12 of the 13 care staff. The registered owner was aware of the individual who had not completed this training and arrangements have been made for this training. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 21 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 & 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home’s manager has the experience and skills necessary to run the home effectively. There are good systems in place for safeguarding residents’ financial interests. There are no systems in place for obtaining the views of interested parties about the quality of the service provided by the home. Health and safety procedures for fire and other systems are good and promote the safety of residents and staff living and working in the home. EVIDENCE: Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 22 The registered manager was on annual leave on the day of the inspection; however there has been no change to the comments made following the previous inspection to the home in September 2005. In the main views from both residents and staff concerning the management of the home were positive for example: • “She is very supportive… (staff member). • “Matron is lovely” (resident). • “She is very nice” (resident) Comments from residents were also made about the staff generally, having no concerns and relatives knew that if the matron/manager were away then the staff would help them. There had been two requirements made following the last inspection with one having been met and the second one having been withdrawn. The seeking and auditing of views from residents, relatives and other professionals was discussed with the registered owner who stated that this does not currently take place, but that when the registered manager returned from leave they would look at this together. The home looks after money on behalf of some residents for security purposes Records were kept of any expenditure or deposits of additional monies (i.e. incomings and outgoings). There was evidence from both discussions and records that most staff working in the home had received some training in health and safety subjects that were relevant to their role in the home. These included fire safety, food hygiene and moving and handling. Fire records were seen and it was noted that equipment is checked regularly and staff are trained in fire safety. The homes equipment had been serviced by an external agency in April 2006. The Environmental Health Officer (EHO) visited the home in April 2006 and 7 requests for action had been made. Of these the registered owner said that all the work had been carried out with the exception of one regarding screening of windows and doors, he was still pursuing this one. The EHO does not plan to revisit until next year. The home has a stair lift and this was serviced in February 2006 and a service occurs every six months previous certificates were seen. There were also service certificates for the bath and house boiler. Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 23 Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X X 3 X X N/A 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 4 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 3 Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The registered provider must ensure that medication administration records are maintained in accordance with the homes policy. The registered provider must ensure that records are held of food supplied to residents and in particular where there is an assessed dietary need. The registered provider must undertake full and satisfactory checks in recruiting staff and a clear risk assessment if a decision to employ is made despite references that are negative. The registered provider must conduct a review of the home through consultation and produce a report. Timescale for action 20/09/06 2 OP15 12 (1) 17 20/09/06 3 OP29 19 Sch 2 (7) 20/08/06 4 OP33 24 (1)(2) (3) 20/09/06 Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Oakmount Rest Home DS0000011855.V300113.R01.S.doc Version 5.2 Page 28 - 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!