Inspection on 16/03/06 for Ocean Hill Lodge

This inspection was carried out on 16th March 2006.

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 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

Ocean Hill Lodge 10/06/08

Ocean Hill Lodge 29/01/08

Ocean Hill Lodge 12/06/07

Ocean Hill Lodge 13/09/06

Ocean Hill Lodge 22/09/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ocean Hill Lodge 4/6 Trelawney Road Newquay Cornwall TR7 2DW Lead Inspector Melanie Hutton Unannounced Inspection 16th March 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 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ocean Hill Lodge Address 4/6 Trelawney Road Newquay Cornwall TR7 2DW 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) 01637 874595 Mrs Sandra Dunn John Howard Dunn Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (18), Old age, not falling within any other category (18) Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Ocean Hill Lodge is a care home registered to offer personal care to eighteen over the age of sixty-five who may have dementia (DE)(E). The home is situated in the seaside town of Newquay, within walking distance of the shopping centre of Newquay and Trenance gardens although this is not a level walk and not suitable for incapacitated residents. For service users who are unable to get to town, services such as hairdressing and chiropody are arranged. On the ground floor there is a smoking lounge, lounge/dining room and patio garden area. There is a chair lift to the first floor. All rooms are singles, with the exception of two rooms, which have been combined for a couple. There is limited parking to the rear of the home and on street parking to the front of the premises. The Service Users are encouraged to take their meals in the dining room, although this is flexible depending on their wishes. Family and friends are welcomed to the home. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection undertaken on Thursday 16 March 2006, between the hours of 09:15 a.m. and 16:45 p.m. During the inspection records, care plans and policies and procedures were looked at. The inspector had discussions with service users and in some cases their representatives, the registered provider and staff at the home. What the service does well: What has improved since the last inspection? The last inspection identified six requirements, of which five have been met. The outstanding requirement relates to storage within the home. A discussion was held with the registered provider as to the action that is planned to meet this requirement. Three recommendations were made at the last inspection, of which one has been met. The outstanding recommendations regarding the feasibility of the registered provider / managers role and the completion of the registered managers award are ongoing. It was evident from a tour of the premises that refurbishment has taken place with carpets replaced in most areas of the home. Furnishings appeared new, which the registered provider later confirmed to be the case. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,6 Full information pertaining to the care home is contained within the statement of purpose and service users guide. Each service users has a contract, issued on moving into the care home. EVIDENCE: The service users guide and statement of purpose has been updated since the last inspection. The registered provider should develop the service users guide to inform service users and / or their representatives of all training that care staff undertake as oppose to only referencing NVQ training e.g. moving and handling, medication and food hygiene. Service users did not always appear to be aware of the service users guide. A service users guide is available on the notice board of the home for those who may have mislaid their copy. Service users are issued with a contract on entering the home, a copy of which is mainted in their personal file. The registered provider plans to update all contracts in the forthcoming financial year in conjunction with the Social Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 9 Services review and intends to specify who is responsible for the payment of the service users contribution. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 and 11 The service users health and personal care needs are met. EVIDENCE: Each service user has an individual plan of care that is reviewed on a monthly basis. Signatures demonstrate the service users involvement in the review process when appropriate. It is required that the individual care plan is updated following the review and include all aspects of the service users care needs e.g. continence issues. The current practice is to record the review and any changes in care needs on a separate sheet. This leads to disjointed care planning and the potential risk of care staff being unaware of updated care needs. Multi disciplinary specialist input is sought on an individual basis. The home enjoys a good working relationship with the local Primary Health Care team members with records available that detail such input from this team. The services that are provided include chiropody, mental health services, general practitioner, dentist and hairdresser. Service users spoke highly of the care that they receive and the staff without exception. Staff were observed to treat service users with respect and the service users confirmed this. Respect for the service users was evident throughout and in all aspects of the inspection. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 11 The home has a policy and procedure relating to the administration of medicines that staff are required to read and sign to demonstrate they have done so. Records are maintained of the local pharmacists involvement in the homes medication practices. The system for administering medication was observed on the day of inspection and demonstrated the actions that staff take to protect service users from risks associated with medication. Medication is stored in a secure manner in the home and controlled drugs inspected were found to be stored and recorded appropriately. It is recommended that any medication returned to the pharmacy is consistently recorded in the returns book and that medication received into the home is signed for. The senior carer stated that two care staff check all medication into the home, the inspector noted that the provision on the individual mar sheet to record this procedure was not completed. The registered provider was able to discuss with the inspector the support received from external professionals e.g. district nurses, general practitioner and Macmillan nurses when caring for a terminally ill service user. The registered provider is seeking formal training for the care staff to support them in this role. There is evidence that care and comfort is given to service users and their families when they are dying. Service users wishes concerning death and dying are discussed and recorded, when appropriate. In some instances this included the changing needs of the service user with deteriorating conditions or dementia. The home has a policy and procedure for staff guidance regarding dying and death. The policy addresses the principles of the care of the dying service user but should be developed to reflect the associated procedures relating to terminal care, including ageing. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 Service users are supported to participate in activities that are varied and personalised. Service Users receive a varied, nutritious, balanced diet in comfortable surroundings. EVIDENCE: On the day of inspection two service users were taken out for part of the afternoon, in order to attend a medical appointment and then enjoy a visit to a café and local amenity. The registered provider stated that service users are often enabled to enjoy visits to the local area and a specialist vehicle has been purchased to promote the accessibility for all service users. A full record of all activities is maintained that also records the service users involvement and enjoyment of the activity. An activities co-ordinator is appointed and attended the home on the day of inspection, service users were observed to join in with board games individually and in small groups. Family and friends are welcomed to the home and the visitor’s book identified that the home receives frequent visitors. Visitors who spoke with the inspector on the day of inspection commented that they were always made to feel welcome in the home. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 13 The main meal of the day during the inspection was at 12.30p.m. and consisted of a roast dinner with a homemade pudding. All service users spoken with commented to the inspector that they enjoyed the food at the home and that should they not like the choices on the menu, an alternative is always found for them. A record is maintained of the food provided to individual service users. Service users are included in the planning of the menus with their choices and preferences sought. The menu is due to be changed, with the cook informing the inspector that liver and bacon and a mixed grill will be included within the new menu at the request of service users. A mixture of fresh and frozen vegetables is use within the meals, with the emphasis on fresh vegetables. Fresh fruit is available at all times within baskets in the dining and lounge area of the home. Extra snacks are available at all times should the service users request them, including cakes, biscuits, sandwiches and crackers. Where service users have specialised dietary needs or preferences e.g. specific cutlery or crockery this should be recorded within their individual care plan. It is advised that service users preferences be considered in the presentation of the food e.g. where service users required their food cutting up that it can still be served attractively to identify the separate components of the meal. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Service users and their representatives are enabled to make a complaint should they need to. The policies, procedures and training within the home must be updated to fully protect service users from abuse. EVIDENCE: Service users and their representatives informed the Inspector that they were certain that the registered provider would deal with any concerns that they may have promptly. The complaints procedure has been updated since the last inspection and includes the address and telephone number of CSCI and the timescales for complaint investigation. The home maintains a complaints log that includes the action taken to resolve the complaint. A further record is held on the individual file of the service user. Service users have been assisted to seek legal advice and advocacy services as required. During the day of the inspection a representative was visiting service users from age concern. The registered manager and some care staff have attended POVA training run by the County Council, with further training booked. Information has been cascaded to other staff within the home. The registered manager is investigating training provided by Truro College and plans to use the No Secrets video as a tool for updating the staff training – evidence of this must be available for future inspections. There are several policies and procedures relating to Whistle blowing, POVA and No Secrets. The policies and procedures have been updated since the last inspection. It is recommended that the procedure be amended to clearly Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 15 define the role of Social Services as the lead investigative agencies when there is any suspected abuse. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Service users reside in a homely, well maintained, safe and secure environment. EVIDENCE: The home employs a maintenance person to ensure that the home is safe for the service users residing within it. There is evidence of ongoing restoration and maintenance, with new furnishings, carpets and decorating examples. Rooms are painted when empty, seeking the views of service user and / or family if appropriate, of the colour scheme to be introduced. A maintenance log is in use, which demonstrates the day-to-day maintenance that is occurring. It is recommended that the registered provider develop a programme of routine mainetence. Both the fire officer and environmental health have inspected the home since the last inspection with satisfactory outcomes. The home was clean and odour free on the day of inspection, with domestic staff on duty. A discussion was held with the registered provider as some Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 17 areas of the home demonstrated that storage needs to be addressed. The registered provider discussed her plans to improve this. There is no sluice in the home, a conversation was held regarding the procedures in the home for the cleaning of commode pans. Service users spoken with during the inspection were very positive about the environment, both the communal and individual areas, commenting in one case “It feels like home to me”. The laundry is very small, with one industrial washing machine and a domestic tumble dryer. It was noted that the floors and walls are permeable, therefore not readily cleanable. The laundry does not provide staff with hand washing facilities. The registered provider is aware of the problems surrounding the laundry area, both with the location and facilities offered, and discussed future plans with the inspector. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The staffing numbers and skill mix meet the Service Users needs. EVIDENCE: On the day of the inspection, three carers (one a senior carer), the cook, domestic and maintenance person were on duty. The duty roster and staff confirmed that this is the usual level of staff. Two carers were on duty throughout the afternoon and evening. The duty roster demonstrates that each night there is one waking and one sleeping night care assistant. The registered provider stated that she is in the home each day and manages the day to day running of the home; the care staff confirmed this. On the morning of the inspection, she was undertaking the shopping for the home. It is recommended that the registered provider demonstrate her duties by including herself on the duty roster. Strategies have been introduced, since the last inspection, to make the registered providers position feasible, with senior care staff undertaking additional responsibilities e.g. duty roster, medication responsibilities, care plan updating. A discussion was held with the registered provider regarding the administration and management of the home. The registered provider is seeking to appoint some administrative assistance, but claims that the additional support from the senior care staff is beneficial. Care staff are encouraged to undertake NVQ training. 45 of the care staff currently have achieved NVQ level 2 or the equivalent, with 3 currently undertaking level 2, 1 undertaking level 4 and 1 due to commence level 2. The registered provider has resourced additional training e.g. medication, POVA, health and safety, dementia and plans to commence a programme of Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 19 training for all staff. Records of training are held on individual staff files. A formal training plan is required and this must be in place for the next inspection. Staff files are held for each individual member of staff. Inspection of staff files found that not all staff have had two written references obtained prior to appointment. One member of staff had a transferred CRB from previous employment on file. It is required that a new CRB and POVAfirst check is undertaken prior to appointment. Service users spoke very highly about the staff and the attentive care that they receive, without exception. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 The registered provider manages the home on a day-to-day basis in the best interests of those service users residing there. The registered provider would benefit from further administrative support to fulfil her office based role, which would ensure the smooth running of the home. EVIDENCE: The registered provider, who manages the home on a day-to-day basis, is qualified to NVQ Level 3 in care. She is near completion of the National Vocational Qualification Manager’s Award. It was anticipated that this would have been completed by December 2005, but there remain two modules to complete. There is clear evidence of leadership. The home does not hold money for any service users at the current time. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 21 A quality assurance process has been commenced, with surveys / questionnaires issued to service users and / or their representatives. Responses to date have been positive. The registered provider stated that once completed the outcome of the surveys would be issued to interested parties to include CSCI. Employers Liability insurance is in place and displayed within the office. A data protection compliant accident book is in place for staff and service users. A programme of regular and recorded supervision and appraisal must be commenced for all staff. Minimal records were available to demonstrate that supervision takes place. The fire safety records were inspected and these demonstrate that the fire alarm is tested weekly (it was noted one week had not been dated), the emergency lighting tested monthly and that staff receive appropriate fire training and drills. The training is provided both internally and by external companies. Recent external training has been provided to all staff regarding the use of fire extinguishers. Risk assessments relating to the risk from fire; have been undertaken by the registered provider. The Inspector was advised that all water has been regulated with the exception of the kitchen area, it was noted through out the home that the hot water outlets felt a reasonable temperature to the touch. It was observed that all radiators were covered and no uncovered hot water pipes were noted. The registered provider stated that all windows are restricted and checks are made regarding the operation of the restrictors. No risk assessments were identified during the course of the inspection, apart from fire risk assessments, for safe working practice topics The registered provider has developed a health and safety handbook for staff, this has yet to be finalised and issued to staff. The inspector did not see this document at the inspection. The registered provider is in the process of resourcing health and safety training for all staff. Servicing and maintenance records were available for inspection including the electrical hard wiring, portable appliance testing, gas boiler, bath hoists, stair lift and hoists. The registered provider is awaiting the results of a recent legionnaires test. Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 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 2 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X 1 2 2 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 23 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 OP8OP7 Regulation 15 13(4) Requirement It is required that the individual care plan is updated following the review and include all aspects of the service users care needs e.g. continence issues. It is required that risks to the health and safety of service users are identified and so far as possible eliminated The Registered Providers are required to provide adequate storage for the purposes of a care home. It is required that staff are not appointed prior to obtaining two written references and a new CRB and POVAfirst check having been undertaken. It is required that the registered person ensure that all staff are appropriately supervised. Timescale for action 02/05/06 2. OP19 23(2)(l) 03/07/06 3. OP29 19 Schedule 2 18(2) 02/05/06 4. OP36 02/05/06 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The registered provider should develop the service users guide to inform service users and / or their representatives of all training that care staff undertake as oppose to only referencing NVQ training e.g. moving and handling, medication and food hygiene. It is recommended that any medication returned to the pharmacy is consistently recorded in the returns book and that medication received into the home is signed for. It is recommended that staff who are awaiting training regarding POVA are provided with update training internally. It is recommended that the policy and procedure regarding POVA be amended to clearly define the role of Social Services as the lead investigative agencies when there is any suspected abuse. It is recommended that further consideration take place of the roles and responsibilities of all staff to enable the Provider/Manager role to be a feasible one. It is recommended that a formal training plan is developed, to be in place for the next inspection, that evidences the training undertaken, planned and / or booked for each member of staff. To complete the Registered Manager Award or equivalent within a short time scale. This should have been completed by Dec 2005. It is recommended that staff are provided with guidance and training regarding health and safety practices within the home. 2. 3. OP9 OP18 4. 5. OP27 OP30 6. 7. OP31 OP38 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Ocean Hill Lodge DS0000063399.V277238.R01.S.doc Version 5.1 Page 26 - 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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