Inspection on 27/02/07 for Penns Mount

This inspection was carried out on 27th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Penns Mount 05/01/06

Penns Mount 03/08/05

Penns Mount 07/12/04

Penns Mount 18/05/04

Penns Mount 20/01/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Penns Mount Vicarage Hill Kingsteignton Newton Abbot Devon TQ12 3BA Lead Inspector Sharon Goldsworthy Unannounced Inspection 27th February 2007 09:00 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 Penns Mount DS0000003772.V325343.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. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penns Mount Address Vicarage Hill Kingsteignton Newton Abbot Devon TQ12 3BA 01626 360274 01626 364288 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) Penns Mount Limited Mrs Elizabeth Aldridge Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22), of places Physical disability (22), Physical disability over 65 years of age (22) Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD over 50 years of age Date of last inspection 5th January 2006 Brief Description of the Service: Penns Mount is a registered residential care Home for people over the age of 50 with physical disabilities, frail elderly and people with dementia. The Home is a large detached House set back off the road and surrounded by attractive grounds. The accommodation is set over two floors with lift access to all levels. Most of the bedrooms are ensuite and there are several communal bathrooms with assisted bathing facilities. The Home is close to local amenities and is on a bus route to the local town. The fee levels for this home range from £369 to £410 pre week. This CSCI inspection report can be obtained upon request from the Proprietors and are available in the main hallway of the home in the Statement of Purpose. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced and took place over two days – Tuesday 27th February 2007 (09.00–15.00) and Wednesday 28th February 2007 (15.0018.45). Time was spent viewing the premises, with the care manager and registered manager/owner, viewing records and with staff on duty and a number of residents and visiting relatives. A pre-inspection document was completed by the registered manager/owner prior to this inspection – which was used to inform the inspection visit and information used for the purpose of this inspection report. Five members of staff were sampled to complete pre-inspection surveys. Four residents were case tracked during the inspection visit and two sets of visiting relatives were spoken with and views sought. What the service does well: The home is a calm, relaxed and a happy environment in which to live. The home is situated in a good position; surrounded by views of countryside and the Teign Estuary. The home itself is clean, very well maintained and decorated and furnished to a high standard. The owners have recently completed a large refurbishment programme including the decoration and recarpeting of the hallways, landing and dining room. This maintenance programme is continual and is always completed to a high standard. The level of care is good, as is staff training and development. All of the home’s records are up to date and accurate and there is evidence of continual reviewing of all documentation and the service in general. There is a good activity programme offered in the home and regular events, entertainment and outings. The home produces a newsletter informing all residents of forthcoming activities, events and celebrations. Residents comments include: “I’m so happy here. Everyone (meaning staff) is really very good” “Having looked around a number of other homes – this is by far the best”. “I feel very lucky to be here” “This home saved me after a period of ill health” “This is five star- the best home around” Relatives consulted also spoke very highly of the home and were very pleased with the level of care given, the staff and owners. One relative stated “there is always a happy atmosphere” and that their relative was “very well looked Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 6 after”. One relative made an initial search of approximately 100 homes before choosing this home and states “this was by far the best I have come across”. Staff members commented on the good level of support they receive from the care manager and owners, of the training and supervision they receive and their belief that the care records and level of activities offered in this home are good. One member of staff commented “if every home was run like Penns Mount – I look forward to getting old and enjoy my retirement”. The homes quality assurance surveys received from health care professionals were viewed. Comments include; “I have a good relationship with the home and am always impressed by their professionalism”, “I feel this home excels itself over and above the criteria needed”, “I visit over 50 homes in south Devon and this is one of the very best from my point of view”. It must be noted that there were no negative comments received from residents, relatives, staff or health care professionals. The home has an open complaints procedure, which has been used by residents for very minor issues and was seen to be taken seriously and dealt with effectively and swiftly. What has improved since the last inspection? The owners have continued with their refurbishment programme and have recently completed the decoration of all hallways and dining room, with new carpeting throughout. With the exception of one bedroom, all have been redecorated and where required refurnished. On the first floor landing a new door and windows have been fitted which open out onto a large balcony area and which offers wide views of Dartmoor. A new sitting area has been provided around this area. Further parts of the already extensive gardens have been laid to lawn and the owners have purchased more garden furniture. The care manager has continued to review and complete care records to a high standard, review and provide a good activity, entertainment and outings programme and ongoing staff supervision and training. The home has maintained the level of staff and staffing complement, with the exception of four members of staff in the last year. The current care manager had given the owners notice to leave some weeks prior to this inspection visit. The owners had already taken steps to recruit a new manager, have given additional responsibilities to the senior care staff and increased the care staff hours to take them through this period of transition and the new manager’s induction period. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 8 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 Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All prospective residents can be assured that they are given appropriate information and a full needs assessment, before being offered or accepting a place in the home. EVIDENCE: The home has a comprehensive Statement of Purpose and Service User Guide. Both documents can be found on a table in the main hallway of the home. The care manager confirmed that all prospective residents are given a copy of these documents upon referral and that it is believed all local professionals departments have also been given a copy of the Statement of Purpose. A copy of the Service User Guide was found in a residents bedroom (who had recently been admitted to the home). Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 10 At the time a referral is made, the care manager of registered manager/owner visits the prospective resident in their current placement or home. A full needs assessment is made with full consultation with current staff working with or caring for the prospective resident, their relatives and the person themselves. A sample of these records seen, were complete, detailed and accurately reflected the persons needs at the time. A full needs assessment and initial care plan were seen to be in place prior to the resident entering the home. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are fully met at Penns Mount. EVIDENCE: The home has a comprehensive set of care records. All care records are colour coded to reflect the level of care required. Care plans are detailed documents and there is evidence that these documents have been completed with the resident where they are able and their relatives or representative. Staff have been requested to sign the back of each care plan to indicate that they have read and understood it. These records are reviewed and amended monthly. The care plan has also been summarised into an “at a glance care plan” – which is a shortened version for care staff to pick up and provide personal care on each shift – including one for nights. Manual handling assessments were found to be up to date and complete. Additional assessments for pressure care, falls and general risk assessments were also found to be in place and accurately reflect the current level of needs for the four residents case tracked on the day of this inspection visit. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 12 Additional records were seen in relation to health care professional visits and care and demonstrate that residents health care needs are met regularly and additional visits requested as required. Residents are fully supported in accessing services as required and escorted to appointments if required. A keyworker system is in place in this home, whereby two members of staff are responsible for overseeing the care and support for each resident. Senior care staff have responsibilities for ensuring the care of residents on a daily basis and supporting the staff in the record keeping. The medication system was found to be appropriately stored, administered and recorded. The medication records were found to up to date and complete. The medication record folder includes the medication policy, a list of all residents GP’s, a list of all medications and their contra-indications, a check list procedure for the administration of medications and a list of staff signatories. All staff have received basic training in the administration of medications and then re-assessed with the care manager, before they are given the responsibility of administering medications. There is a system in place whereby one senior member of staff orders new medication and another checks the new medication in. This is commended and seen as a safe system. Another member of staff has the responsibility to carry out an audit of the records to ensure that all medications have been signed for. The care manager then audits this report and the medication herself once monthly. An annual audit is carried out by the supplying pharmacist. All medications are reviewed by the GP at least annually. All residents spoken with spoke very highly of the level of care they receive. All residents stated they are treated with respect and dignity and this was observed and reflected in the care given to the residents on the day of this inspection visit. Penns Mount DS0000003772.V325343.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activities are well organised, creative and provide stimulation and interest to residents. Residents are encouraged and supported in maintaining contact with relatives and friends. Residents are encouraged to exercise choice and control over their lives. EVIDENCE: There is a good activity programme offered in the home, which includes discussions, newspaper readings, quizzes, art and crafts, whist, music, relaxation, exercises, movie afternoons and regular entertainment and celebration parties. Residents confirmed that something was offered each day. The home has produces monthly newsletters informing all residents of forthcoming activities, entertainment and celebrations. Photographs of recent events, entertainments and outings are displayed throughout the home and in photograph albums in the main lounge for both residents to look back on and relatives to view. Relatives spoken to confirmed that there is always something going on in the home in terms of activities and entertainment. Relatives are invited to join in all events and outings if they wish. Residents Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 14 were observed enjoying a reminiscence session in the evening of the inspection visit. Both residents and relatives spoken to at this inspection visit confirmed that the home has an open visiting policy and that all relatives are kept fully informed of the residents current care needs and are invited to events, entertainment and outings. Many of the residents spend time with relatives outside of the home and this is very much encouraged and supported. A number of residents have their own private telephone lines in their rooms, which allow them free access to contact with friends and relatives. A discussion was held with the care manager at a previous inspection visit, about encouraging and supporting residents in maintaining skills of independence. Some examples of this would be that residents are offered tea pots, sugar bowls and milk jugs, from which to make their own drinks, serve their own vegetables from dishes on the table, or sauces and gravy’s and cold drinks and waters from jugs. Some discussions have taken place with residents and staff and some introduction of these new ideas have been started. All residents have been consulted about their wishes in relation to the use of serving dishes, tea and coffee etc. The care manager was able to demonstrate that most residents had requested that their meals are still plated up and that do not wish to have serving dishes. However, some are enjoying the ability to serve themselves tea and coffee etc. A full audit of residents preferences in relation to food likes and dislikes have been undertaken and care staff refer to these surveys and lists at each meal time to ensure individuals are given exactly what they have requested. Residents spoken to at a meal time confirmed that this system was successful and was how they wished to continue for now. The provision of foods is said by residents and relatives to be of a high quality. Meals served were seen to be hot, nutritious and individual. All residents are consulted on choice of meals. As mentioned above an audit has been completed in relation to residents general likes and dislikes and this includes the amount a resident would prefer to be put on their plate. Alternatives are offered to every meal and varied. A meal was taken by the inspector on the day of the inspection visit and was found to be nutritious and plentiful. Penns Mount DS0000003772.V325343.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are listened to and complaints are dealt with satisfactory. The homes policies and procedures and level of staff training protects the residents from the possible risk of harm or abuse. EVIDENCE: The home has a complaints procedure that is displayed in the main entrance area to the home and is in the Statement of Purpose and Service User Guide. Complaint records have been introduced, and demonstrate that the home takes complaints seriously and evidences investigations and outcomes to complaints. Residents spoken with confirmed that they were aware of the complaints procedure and of how they would go about making a complaint should they need to. They confirmed that on occasions when they have raised concerns, action has been taken immediately. The home has policies in place in relation to the Protection of Vulnerable Adults from Abuse, Whistle blowing, Dealing with Aggression, Physical Interventions and Bullying in the Workplace. All staff have now completed either NVQ training or in house training in relation to the protection of vulnerable adults from abuse. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The overall quality of décor and furnishings is of a high quality and the home is clean and hygienic. EVIDENCE: The home is situated in a good position; surrounded by views of countryside and the Teign Estuary. The home itself is clean, very well maintained and decorated and furnished to a high standard. The owners have recently completed a large refurbishment programme including the decoration and recarpeting of the hallways, landing and dining room. With the exception of one bedroom, all have been redecorated and where required refurnished. On the first floor landing a new door and windows have been fitted which open out onto a large balcony area and which offers wide views of Dartmoor. A new sitting area has been provided around this area. This maintenance programme is continual and is always completed to a high standard. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 17 All bedrooms are for single occupancy, with most having ensuite facilities. Bedrooms are decorated and furnished to a high standard and are individualised. The garden is large and landscaped and provides plenty of different of places in which to sit. The home is clean and hygienic. The laundry and kitchen areas were found to be clean, tidy and well organised. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met with adequate numbers of staff who are competent and trained. Staff recruitment practices and policies protect the residents from being placed at harm or abuse. EVIDENCE: The home is currently fully staffed. A number of the staff team have worked in the home for some years now – and the staff team as a whole is dedicated and committed to providing a good service to the residents. The numbers of staff on duty are adequate to meet the needs of the current resident group. The staff were seen to be attentive to residents, having time to spend with residents not only for personal care tasks, but to sit and talk with them or to run an activity. Residents confirmed that staff are always around to assist or to talk to them and that staff respond to calls for assistance promptly. The staff’s induction package is comprehensive and was found to be completed for a sample of the staff team chosen on this inspection day. The home has an ongoing training programme. Records indicate that staff have attended the following training; Falls prevention and care, Norwark virus, Health and Safety, Care of Ageing Skin, Food Hygiene, First Aid, Manual Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 19 Handling, Diabetes Care, Fire Safety, Team building, POVA, Medication administration, and in service training and information on manual handling equipment. Training is booked to be completed in the next three months for Manual Handling, Infection Control, First Aid, COSHH, Continence Care (bladder scanning) and Alzheimers Disease update. It would now be good to see some further external and certificated training in relation to dementia care for all staff in the future. This would give the staff team the expert knowledge and confidence in presenting themselves to health care professionals and other stakeholders in relation to dealing with residents with this level of need. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, by competent , motivated and innovative managers. Residents are fully consulted and informed about the running of this home. Their financial interests are safeguarded. Residents and staff’s health and safety are protected. EVIDENCE: The home has a good quality assurance system in place. Questionnaires have been given to all residents and their relatives. The questionnaires have been analysed and a plan has been drawn up to address the areas where residents are not fully satisfied with the service. There are regular aidits of the facilities and property as a whole, which includes all health and safety aspects. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 21 Routines have been developed for staff to follow. There is evidence that this routine is regularly reviewed with the staff team. There are regular staff and resident meetings and there is a newsletter in place, which is distributed to all residents and relatives monthly. Additional quality assurance checks include meals and meal times; care plans, medication, falls and pressure area care which are completed by both the Proprietor and Manager. The home has recently sent out and received surveys from visitors to the home such as district nurses, GP’s, hairdresser, opticians, dentists etc. These are in the process of being collated and analysed and will be included in the summary of findings. There is a policy in place in relation to dealing with and managing residents monies. All residents upon admission are asked how they would like to continue to manage their monies – giving them the options of managing it themselves, for the home holding monies for them, or that the home purchases items when required and invoice them monthly. The Proprietors keep extremely detailed and comprehensive health and safety records. There is a comprehensive policy and procedure manual covering all aspects of health and safety. A sample of records were seen and found to be very well organised and up to date. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 3 4 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP30 Good Practice Recommendations Obtain external and certificated training for all staff in specialist dementia care practice. Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Penns Mount DS0000003772.V325343.R01.S.doc Version 5.2 Page 25 - 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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