CARE HOMES FOR OLDER PEOPLE
Pinewood Manor Residential Retreat Old Lane St Johns Crowborough East Sussex TN6 1QR Lead Inspector
Elaine Green Announced Inspection 4th January 2006 10:00 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 Pinewood Manor Residential Retreat DS0000060719.V272507.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. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Pinewood Manor Residential Retreat Address Old Lane St Johns Crowborough East Sussex TN6 1QR 01892 653005 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) Ampersand Care Ltd Ratna Malar Hancock Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The maximum number of service users to be accommodated at any one time is twenty eight (28). The care home provides personal care to older people aged sixty-five (65) or over on admission. 25th July 2005 Date of last inspection Brief Description of the Service: Pinewood Manor Residential Retreat is a large, privately owned care home registered to provide care and accommodation for 28 older people. The current owners registered the home in June 2004. The detached property is set in its own mature gardens that overlook Ashdown Forest. It is about one mile from the amenities of Crowborough town centre. Service users accommodation is situated on two floors with a shaft lift and two staircases providing access to the first floor. The home was extended in 1997 to provide additional ground floor accommodation and lounge. There is level access to the grounds. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This Announced Inspection took place on the 4th January 2006 between 10am and 4.30pm. Prior to the Inspection the Registered manager completed a Pre Inspection Questionnaire, which provides statistical information in relation to the management and administration of the home. Comment cards were also sent to the home for service users and their relatives or other visitors to complete. Unfortunately the Inspector didn’t receive any completed cards so no feedback was obtained through this method. Discussions took place on the day with the Registered Manager and three members of staff regarding the day-to-day running of the home and with service users regarding their experiences of living in the home. What the service does well: What has improved since the last inspection?
The statement of purpose and service user guide have been updated and now include some of the information required at the last Inspection. All new admissions are provided with written terms and conditions of residency. However, further amendments are required. Staff are given clear guidance on how to meet the specific healthcare needs of residents. The home now provides group activities and entertainment for service users. The policy and procedure for making an Adult Protection Alert has been amended to include contacting the local Social Services department and informing the Commission for Social Care Inspection (CSCI). Curtains have been hung in some of the communal areas. Some of the hallways in the older part of the building have been redecorated. The dining room tables and chairs have been replaced.
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 6 What they could do better:
The statement of purpose, service user guide and statement of terms and conditions must be further updated to include all the information required. This was a requirement made at previous Inspections that has not been fully met. Service users must be able to have breakfast at a time that suits them. An immediate requirement was made to this affect. A choice of food must be offered to service users as specified on the menu. Curtains or other window dressings must be provided for all windows in communal areas including hallways. Parts of the building remain to be redecorated. A programme for redecoration of the home must be introduced. These were requirements made at the last Inspection that have not been met. The staffing rota must be reviewed and revised to ensure adequate numbers of staff are on duty at all times. This was a requirement at the last Inspection. All the required documentation including proof of identity and the appropriate security checks must be obtained before a new member of staff is employed to work in the home. This was a requirement made at the last Inspection and an immediate requirement was made to this affect. An immediate requirement is made for a risk assessment to be undertaken in respect of service users use of a door at the top of a flight of stairs. Risk assessments must be undertaken to assess service users’ use of all areas of the house and grounds. This was a requirement made at the last Inspection. The home must introduce a system for obtaining and recording service users views on the running of the home. The registered provider must undertake an unannounced monthly visit to the home. A report of the visit must be sent to CSCI and be available to the acting manager. This requirement was made at the last Inspection. The Registered manager must receive formal, documented supervision. This was a requirement at the last Inspection. A job description that accurately reflects the responsibilities and tasks undertaken by the Registered Manager is required and the Manager must not be restricted from discharging the responsibilities as described. That a minimum of 50 of the care staff employed obtains NVQ Level 2 in Care. Staff on induction programmes must receive the required training within the first 6 months of employment as specified by the National Training Organisation (NTO) workforce training targets and requirements are made for this training to be provided. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 7 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. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 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 Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5. Information provided to service users regarding the services offered by the home and the terms and conditions of residency are conflicting and inaccurate. Prospective service users have the opportunity to visit and assess the suitability of the home. EVIDENCE: Albeit the statement of purpose and service user guide have been amended, they are still conflicting in parts, do not include all the information required or accurately reflect the services offered by the home. The contract/statement of terms and conditions must clearly state those services which are included in the fees and those which are not. It is required that all these documents are reviewed and amended accordingly. Prospective service users have the opportunity to visit the home prior to being admitted on a trial basis. It was concerning to note that the needs of a service user who had been admitted to the home on a trial basis were not being met in respect of them requiring constant supervision. The importance of only admitting service users whose needs can be met by the home and the seriousness of failing to do this were discussed with the Registered Manager. A
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 10 requirement is made to this affect. Any service user resident in the home on a trial basis or otherwise, whose needs cannot be met, must be reassessed and the appropriate documented action taken without delay. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8,9. Service users’ health care needs are met and the home’s policies and procedures for the administration of medication are adequate. The storage of medication is inadequate and inappropriate. EVIDENCE: Service users’ care plans were examined and specify the guidance required for staff to support service users to meet their health care needs. There is evidence of multidisciplinary working and referrals are made when required to health care professionals such as Community Psychiatric Nurse, District Nurse, G.P etc and their advice followed. Service users are assessed as to their ability to safely self-administer medication. These risk assessments, the homes’ medication policies and procedures were all examined and found to be adequate. All staff receive training in the administration of medication and records of medication administered by them are examined on a regular basis by a senior member of staff. These records were examined and found to be in order. The environment in which the medication is stored is poor due to the lack of space and appropriate storage. Currently due to the lack of space staff are
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 12 unable to check in medication in the space provided and it is impossible to open the doors on the medication trolley to stock it without taking it out of the room. The cabinet, which is being used to store additional medication and controlled drugs, is neither suitable nor secure. It is required that the current arrangements for the storage of the medication trolley and cabinets containing drugs are reviewed and an alternative found. In addition appropriate medication cabinets and a suitable refrigerated storage facility should be provided. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 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): 12,15. Albeit, appropriate group activities are provided by the home, there is no provision to support leisure and social activity on an individual basis. The food provided is of good quality, varied and wholesome. EVIDENCE: Improvements have been made in the quality and frequency of group activities offered to service users. Daily records were examined and showed that the home is offering service users the opportunity to participate in two sessions a week of exercise classes run by the staff team. The staff also facilitated activities over the Christmas period including an Open Day, Christmas party and Carol Service. The Manager explained that the home purchases a range of magazines for service users to read and that they have tried different group activities such as bingo, sing-along sessions etc. On the day of the Inspection a singer had been employed for the afternoon entertainment, the service users present joined in and appeared to be enjoying themselves. It is required that further consultation takes place with service users as to their personal preferences for entertainment, activities and the way in which they prefer to spend their time. Scheduled one to one time for those service users who prefer not to engage in group activities and have specific requirements for support on an individual basis should be facilitated. All information and support needs must be recorded on the care plan.
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 14 The Inspector had lunch with the service users. The food was hot, homemade from fresh ingredients and well presented. It was disappointing to note that though the menu on display specified a choice, this was not offered to the service users. The cook explained that a choice had been offered to the service users that morning but it had not been recorded. Records were examined which illustrated that a varied and wholesome diet is provided. Through discussions with service users it appears that they are not able to have breakfast until 8.30am. Staff confirmed this to be the case. As some service users are up early arrangements must be made for them to be able to have breakfast at a time that suits them. An immediate requirement was made to this affect. In addition to this a choice of food must be offered to service users as specified on the menu and records kept. Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 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. The complaints policies and procedures are inadequate and need amending. Policies and procedures in relation to adult protection issues are adequate. EVIDENCE: The home’s complaints policies and procedures were examined and several different versions were found, all of which were slightly different. It is important that the Manager consolidates these policies and procedures and ensures that the information contained is accurate in relation to contact details for the CSCI. The manager has obtained a copy of the local guidance in respect of the policies and procedures contained in the Brighton and Hove East Sussex, Policies, Procedures and Guidance for the Protection of Vulnerable Adults. The policy and procedure for making an Adult Protection Alert has been amended to include contacting the local Social Services department and informing CSCI. Pinewood Manor Residential Retreat DS0000060719.V272507.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): 19,20,22,26. The home does not have a programme of redecoration. The home and grounds have not been assessed as to service users safe access. Service users have access to equipment that promotes their independence. The home is clean and hygienic. EVIDENCE: Curtains or other window dressings must be provided for all windows in communal areas including hallways. Parts of the building remain to be redecorated. A programme for redecoration of the home must be introduced. These were requirements made at the last Inspection that have not been met. These improvements could create a more homely feel and service users should be consulted as to their preferences. There is a range of adaptations and equipment available to service users throughout the home that promote independence. An immediate requirement is made for a risk assessment to be undertaken in respect of service users use of a door at the top of a flight of stairs. Risk assessments must be undertaken by a suitably qualified person in relation to
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 17 assess service users use of all areas of the house and grounds. These must be documented and kept under review. This was a requirement made at the last Inspection. The home employs domestic staff who undertake the majority of cleaning tasks. The home was found to be clean, tidy and hygienic on the day of the Inspection. Pinewood Manor Residential Retreat DS0000060719.V272507.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): 27,28,29,30. The lack of adequate staffing levels at all times and the failure to carry out the required security checks prior to deploying staff to work in the home has the potential to compromise service users safety. Staff induction training programmes are inadequate. EVIDENCE: Staffing duty rotas were examined which identifies that on some days there are shortfalls in levels of care staff employed between 3pm and 4 pm in the afternoon. This was particularly concerning due to the fact that this issue had been discussed earlier in the year with the Manager. Alongside this there is no allowance for a period of time for one shift to adequately handover information to the next. The staffing rota must be reviewed and revised to ensure adequate numbers of staff are on duty at all times. In particular to ensure that staff are present in sufficient numbers for a full and documented handover to take place at the beginning and end of each shift and for service users to be supervised while this takes place. The rota must clearly identify when the Manager is working on the floor as a carer. Requirements were made in respect of staffing levels at the last Inspection. It is of further concern to note that despite requirements being made at the last Inspection in respect of recruitment procedures, of three recruitment files examined all were unsatisfactory. None of the files examined contained the required information or proof that all the required security checks had been undertaken prior to them being deployed to work in the home. It is required that documentation including proof of identity and the appropriate security
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 19 checks must be obtained before a new member of staff is deployed to work in the home. This was a requirement made at the last Inspection and an immediate requirement was made to this affect. Just under 50 of the care staff employed have obtained a National vocational Qualification in Care at level 2 or above. A requirement for this to be obtained is made. An examination of records and showed that staff on induction programmes are not receiving the required training within the first 6 months of employment as specified by the National Training Organisation workforce training targets and requirements are made for this training to be provided. Pinewood Manor Residential Retreat DS0000060719.V272507.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): 31,33,35,36,38. The Registered providers are failing to ensure that the home is run in the best interest of the service users or to provide the Registered manager with any documented supervision, support or feedback. Service users financial interests are safeguarded and their health safety and welfare largely protected and promoted. EVIDENCE: Though the Registered manager is appropriately qualified and experienced, through discussions with her it is evident that the lines of accountability are not clear and she is restricted from discharging her responsibilities fully. The Registered Providers undertake the task of purchasing without taking service users preferences into consideration despite consultations having taken place. The Registered manager is not aware of budgets despite having responsibilities for staffing, training, advertising for staff etc. There appears to be a lack of support from the Registered Providers in regard to planning with the Registered Manager for the future or giving feedback on her performance. The
Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 21 Registered manager must receive formal, documented supervision. This was a requirement at the last Inspection. A job description that accurately reflects the responsibilities and tasks undertaken by the Registered Manager is required and the Manager must not be restricted from discharging her responsibilities as specified. The home must introduce a meaningful system for obtaining and recording service users views on the running of the home and this must be available for Inspection. The Registered Provider must undertake an unannounced monthly visit to the home. A report of the visit must be sent to CSCI and be available to the Registered Manager. This requirement was made at the last Inspection. All service users currently accommodated at the home have a family member or representative who handles their financial affairs. The home does not handle any service users money. Requirements made by the Fire Safety Officer at a recent Inspection of the home have been met. The health and safety records examined were in order. Pinewood Manor Residential Retreat DS0000060719.V272507.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 2 X 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 2 x 3 X X X 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 2 X 3 Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 OP2 Regulation 4(1a,b,c) 5(1,b) Timescale for action That the statement of purpose, 30/03/06 service user guide and terms and conditions are further updated to include all the information required. This was a requirement made at the last 2 inspections. The home must only admit 30/01/06 service users whose needs can be met. Any service user resident in the home on a trial basis or otherwise, whose needs cannot be met, must be reassessed and the appropriate documented action taken without delay. It is required that appropriate 30/03/06 medication cabinets and suitable refrigerated storage facility should be provided and the location of the storage of medication within the house is reviewed and an alternative found. The home must provide activities 30/03/06 and entertainment to meet the individual needs of the service users. Curtains/window dressings must 30/03/06 be provided for all communal
DS0000060719.V272507.R01.S.doc Version 5.1 Page 24 Requirement 2. OP4 12(1) 14(1d) 18(1a) 3. OP9 13(2) 4. OP12 16(2m,n) 14(1a) 23(1a) 23(2b,d) 5. OP19 Pinewood Manor Residential Retreat 6. OP22 7. OP27 8. 9. OP28 OP29 10 OP30 11. OP31 12. OP33 areas. A programme for redecoration of the home must be introduced and include the hallways in the older part of the building being redecorated. Timescales for completion must be specified. 13(3,4,6) That all areas of the home are risk assessed for use by the service users and any identified restrictions to access be recorded in the care plans of those individuals affected. An occupational Therapist should be contact and her advice sought re adaptations. This is outstanding from previous Inspections. 18(1a) The staffing rota must be reviewed and revised to ensure adequate numbers of staff are on duty at all times. This was required at the last Inspection. 18(1ac) That a minimum of 50 of the care staff employed obtain NVQ Level 2 in Care. 19(1a,b) All the required documentation including proof of identity, security checks, work permits and references must be obtained before a new member of staff is employed in the home. This was required at the last Inspection. 12(1ab) Training must be provided that 18(1ac) meets the NTO workforce training targets within the required timescales. 12(1ab) A job description that accurately reflects the responsibilities and tasks undertaken by the Registered Manager is required and the Manager must not be restricted from discharging her responsibilities. 26(1)(3,4, The registered provider must 5) undertake an unannounced monthly visit to the home. A report of the visit must be sent to CSCI and be available to the
DS0000060719.V272507.R01.S.doc 30/01/06 30/01/06 30/06/06 11/01/06 30/06/06 30/01/06 30/01/06 Pinewood Manor Residential Retreat Version 5.1 Page 25 13. OP33 24(1a,b) 14. OP36 18 1abc 18 2 19 1abc 13(4ac) 15. OP19 Registered Manager. This was a requirement at previous Inspections The home must introduce a 30/03/06 system for obtaining and recording service users views on the running of the home. Arrangements must be made for 30/01/06 the Registered Manager to receive regular formal documented supervision. An immediate requirement is 11/01/06 made for a risk assessment to be undertaken in respect of service users and staff use of a door at the top of a flight of stairs. 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 Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pinewood Manor Residential Retreat DS0000060719.V272507.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
