Inspection on 07/09/05 for Rottingdean Nursing And Care Home

This inspection was carried out on 7th September 2005.

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

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

Other inspections for this house

Rottingdean Nursing And Care Home 14/09/07

Rottingdean Nursing And Care Home 20/06/06

Rottingdean Nursing And Care Home 28/02/06

Rottingdean Nursing And Care Home 01/03/05

Rottingdean Nursing And Care Home 26/08/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rottingdean Nursing and Care Home 30 - 32 Newlands Road Rottingdean Brighton East Sussex BN25 2HH Lead Inspector Jennie Williams Announced 7 September 2005 09:45 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 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. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rottingdean Nursing and Care Home Address 30 - 32 Newlands Road Rottingdean Brighton East Sussex BN2 7GD 01273 308073 01273 300377 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Jon Breeds and Mrs Carol Breeds VACANT Care Home 34 Category(ies) of Care Home with Nursing (N) (34) registration, with number Old age, not falling within any other category of places (OP) (34) Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That service users accommodated must be aged sixty-five (65) years or over on admission. 2. That a maximum of twelve (12) places can accommodate service users in receipt of personal care only at any given time. 3. That the maximum number of service users to be accommodated is thrityfour (34). Date of last inspection 1st March 2005 Brief Description of the Service: Rottingdean Nursing and Care Home is a care home registered for thrity-four (34) places. Residents accommodated must be aged sixty-five (65) years or over on admission. Nursing care is provided at this home. The home can accommodate up to twelve (12) residents in receipt of personal care at any given time. Rottingdean Nursing and Care Home is located in a quiet residential area in Rottingdean. There is limited car parking availabe at the home, but free parking is available on the adjacent street. Local amenities are available at the town centre a short walk down a hill. Rooms are located over three floors. There is currently building works being done to make provisions for all residents to be able to access all areas of the home. There are twenty-eight (28) rooms for single occupancy and three (3) double rooms. There is a passenger shaft lift available at the home to assist residents to access all floors. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Rottingdean Nursing and Care Home will be referred to as ‘residents’. This report is based on the findings of the specified inspection date. This announced inspection took place over seven and a half hours on the 7 September 2005. Staff files, some policies and procedures, records, care plans and medication procedures were inspected. Residents, visitors and staff were spoken with throughout the inspection process. The environment and some individual rooms were spot-checked. The pre inspection questionnaire was sampled and the Inspector received four comment cards from GPs and three comment cards from relatives/visitors. There were thirty-three (33) residents residing at the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to ensure robust recruitment procedures are followed to safeguard residents. A developed and implemented quality assurance and quality monitoring programme would enable management to assess the suitability of services provided at the home and identify areas that can be improved. Suitably qualified people must provide fire training for staff. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 6 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. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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 standard(s) 3, 4, 5 & 6 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. Standard 6 is not applicable, as the home does not have dedicated accommodation to provide intermediate care. EVIDENCE: The Statement of Purpose and Service User Guide have been amended to reflect the recent changes in management. Copies of these documents have been placed in every bedroom for the residents. These documents were not inspected on this occasion. The acting manager undertakes an assessment on all prospective residents, with the involvement of a relative/representative, wherever applicable. Prospective admissions are discussed with the staff at the home. Current care plans are looked at, if applicable. Information is obtained from other health professionals. It is recommended that copies of current care plans be taken wherever applicable. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 9 Pre assessments forms inspected demonstrated that not all areas were completed nor signed. All pre assessment forms must be fully completed and signed by the person undertaking the assessment. Prospective residents/representatives are provided with an opportunity to visit the home prior to moving in if they wish. Overnight trial visits are available if required. The home does not take emergency admissions. A visitor spoken with confirmed that they visited the home prior to their relative moving in. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 & 10 There are some minor shortfalls in the documentation of care plans. Needs are being met at the home, but documentation needs to reflect actual current practice. EVIDENCE: Care plans were only spot checked as it was confirmed that the home is in the process of amending the format. The home is changing core care plans to be more personalised to the individual resident, with input from the Older People Nurse Specialist. The care plans spot-checked demonstrated that there are still shortfalls in the required information. Care plans should cover all areas as stated in NMS 3.3. This remains an outstanding requirement. There were various assessment forms being used throughout the documentation for individuals, which were not dated or signed by the person undertaking the assessment. Residents spoken with were complimentary about the care and services provided at the home. It was confirmed that staff discuss their care needs with them. Four out of four comment cards received from GPs’ demonstrated that they were satisfied with the overall care provided to residents within the home. All comment cards demonstrated that any specialist advice given is incorporated into the residents’ care plan. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 11 There is pressure-relieving equipment at the home to promote tissue viability. Specialist advice is available when needed. There were no pressure sores at the home on the day of the inspection. No resident has chosen to be responsible for his or her own medication. MAR charts inspected demonstrated that medications are being signed for at the time of administration. It is recommended, as good practice, that handwritten amendments on MAR charts be signed by the person making the changes. Gaps noted in the MAR charts were due to some medications being prescribed as PRN. This was not clear on the orders. Medication used for PRN should be clearly identified. There was prescribed cream for an individual found in a communal bathroom. This was addressed at the time of the inspection. Most residents spoken with confirmed that they felt their privacy and dignity are respected. Any concerns identified to the Inspector were discussed with the acting manager on the day. The Inspector noted an agency worker entering residents’ rooms without knocking. This was addressed with the worker at the time. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 Residents have opportunities to participate in activities that are of interest and within their capabilities. Visitors are welcomed at the home. EVIDENCE: A survey for residents regarding the provision of activities was completed in July 2005. The results proved to be negative and a new programme needed to be implemented. The home has recently employed a new activities person to work 10am to 3pm Monday to Friday. This person is currently developing profiles on all residents to ascertain their capabilities and likes/dislikes. Residents spoken with confirmed that the routines of daily living are flexible and their own choice. They were complimentary about the staff and care provided at the home. Visitors are welcomed at the home. Three out of three comment cards received from relatives/visitors confirmed that they are welcomed in the home at any time and can visit in private. Visitors spoken with confirmed that they are always welcomed at the home and are happy with the care and services provided at the home. Residents spoken with were complimentary about the food provided at the home. It was confirmed that residents are weighed monthly or earlier if there are concerns. The menu provided to the Inspector demonstrated that there Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 13 are a variety of meals available. Specialist dietary advice is accessed when the needs arise. There is a meal trolley used to transport meals around the home for those choosing to remain in their rooms. A comment card received identified that when the meal trolley is taken around, meals delivered towards the end have become cold. This was discussed with the manager at the inspection who will monitor this. Some residents spoken with confirmed that their meals were hot at the time of eating. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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 standard(s) 16 & 18 Residents/representatives are provided with information on how to make a complaint. Staff are provided with sufficient information to inform them of the correct procedures if an allegation of abuse is made. EVIDENCE: There is a complaints procedure available at the home. This provides clear information on the steps to take should anyone wish to make a complaint. Records are kept of complaints. There have been no complaints made to the home since the last inspection. There are suitable policies and procedures in place that provide staff with clear guidance on action to take if there is an allegation of abuse. Adult Protection issues are covered in the induction process. The acting manager will be undertaking Protection of Vulnerable Training provided by the local authority. The home has a whistle blowing policy in place. It is recommended that the whistle blowing policy contain the contact details of the local CSCI office to provide staff with an opportunity to whistle blow anonymously if they wish. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 21 & 26 The location of the home provides opportunities for residents and visitors to access local amenities and transport. Residents live in a safe environment that suits their needs. EVIDENCE: Rottingdean Nursing and Care Home is located in a quiet residential area of Rottingdean. There are local amenities within a short walking distance. There is limited car parking available at the home, but free street parking is available on adjacent streets. Rooms are located over three floors. There is a passenger shaft lift available to assist residents to access all floors. There are currently some rooms that residents must be able to independently mobilise steps to access. There is currently building works being done to provide access to all areas of the home. A corridor is being built to provide level access around the steps. There are suitable toilet and assisted bathing facilities located throughout the home. Bathing facilities have recently been improved to ensure they meet the needs of the increasing numbers of residents in receipt of nursing care. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 16 Hoists, grab rails and other aids were seen to be located throughout the home to assist maintaining independence. Rooms were seen to be individualised to reflect the residents choice and taste. The home was found to be clean and free from offensive odours. There are procedures in place to ensure infection control is maintained and promoted. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Resident’s needs are being met by the number and skill mix of staff on duty at all times. Robust recruitment procedures need to be implemented to safeguard residents. EVIDENCE: Staff and most residents spoken with throughout the inspection process confirmed that they felt there were always enough staff on duty. The three comment cards from relatives/visitors also demonstrated that there were always sufficient numbers of staff on duty. There is always a Registered Nurse on duty. Residents spoken with were complimentary about the staff and care provided at the home. There are currently three carers with NVQ level 3 qualifications and two with NVQ level 2 qualifications. There are an additional three carers commencing NVQ level 2 training and one currently registered to undertake the training. It remains a requirement that 50 of care staff are NVQ level 2 qualified by 31.12.05, however there is evidence that the home is working towards meeting this target. Staff files inspected demonstrated that there are some shortfalls in the required information to be kept on all staff. These were discussed with the acting manager at the inspection. There were two new staff members seen to be working at the home with just a POVA check. The home is currently awaiting a full CRB check to be returned. The acting manager and one of the Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 18 staff members were informed on the day that they may only work under supervision until the full CRB check is returned. Ensuring application forms are fully completed will assist in the home tightening up on recruitment shortfalls. All staff files must comply with Schedule 2. The acting manager confirmed that the induction programme complies with the required TOPPS and NTO specifications. Staff confirmed that they are provided with opportunities to undertake training. The acting manager has already identified training certificates outdated and is arranging for staff to receive update training. There is a copy of the GSCC code of conduct available at the home. It is recommended that all staff receive their own copy of this document. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 36 & 38 Residents and staff benefit from clear leadership within the home. A developed and implemented quality assurance and quality monitoring programme would enable management to assess the suitability of services provided at the home and identify areas that can be improved. EVIDENCE: The acting manager has been at Rottingdean Nursing and Care Home since June 2005. She has current registration with the NMC and has the necessary skills and experience to manage the home. She is currently going through the registration process with CSCI. The acting manager has nearly completed her RMA studies. Staff were complimentary about the new acting manager and find her supportive and approachable. It was confirmed that there is currently no structured quality assurance and quality monitoring system in place. The acting manager has already identified Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 20 this as a shortfall. The acting manager has an open door policy and encourages feedback from all people involved with the home. There is a suggestion box located at the home that allows suggestions/comments to be made anonymously. There has been a relatives meeting recently held that was received positively and regular resident meetings will be commenced. The acting manager is currently working through and reviewing all policies and procedures. Residents’ monies were not checked on this occasion as personal allowances had been checked at a previous visit to the home. There are suitable procedures in place to safeguard the finances of residents. Staff receive supervision every two to three months. Registered Nurses supervise care staff. It was confirmed that all staff that provide supervision to others have been trained in the supervisory role. Staff confirmed that they receive relevant training for them to safely undertake their duties. All accidents/incidents are recorded. Suitable health and safety checks are undertaken to safeguard staff and residents within the home. It was confirmed that the fire risk assessment for the home is currently being updated. Staff recently received a fire lecture from the acting manager, based on the information she has obtained and learnt through her various roles. Suitably qualified staff must provide training. Documentation inspected demonstrated that staff had not undertaken a fire drill since 09/01/04. It was confirmed that fire drills had been undertaken since this date. The home must ensure that clear documentation of all fire training and fire drills is maintained. There is not currently a qualified first aider on every shift, however there is always a Registered Nurse on duty. First Aid training has already been arranged for staff that will address this shortfall. As action is being taken, this has not been reflected as a requirement. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 2 x x 3 x 2 Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 22 YES 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. 2. Standard OP3 OP7 Regulation 14 15 Timescale for action That all pre assessment forms be 15.10.05 fully completed and signed. That care plans cover all areas of 31.10.05 health, personal and social care needs as stated in NMS 3.3. (Timescale 30.04.05 not met, see content of report) That all assessments forms used 31.10.05 are dated and signed at the time of assessment. That 50 of staff are NVQ level 31.12.05 2 trained. That staff files comply with 31.10.05 Schedule 2. That newly appointed staff are 08.09.05 supervised until a full CRB check has been returned. That a quality assurance and 30.11.05 quality monitoring system is developed and implemented. That staff receive suitable fire 15.10.05 training and fire drill practices. That clear records of all fire 15.10.05 training and fire drills be maintained. That the strip lighting is changed 31.12.05 to lighting that is domestic in character. (Outstanding from last two inspections) Requirement 3. 4. 5. 6. 7. 8. 9. 10. OP7 OP28 OP29 OP29 OP33 OP38 OP38 OP25 15 18.1 Schedule 2 Schedule 2 24 23.4 23.4 Schedule 4.14 23.1(a) & 23.2(p) Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP3 OP9 OP18 OP29 Good Practice Recommendations That copies of current care plans be taken wherever applicable. That handwritten amendments on MAR charts are signed. PRN medication must be clearly identified. That the whistle blowing policy contains the contact details of the local CSCI office. That all staff are provided with their copy of the GSCC code of conduct and practice. Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex 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 Rottingdean Nursing and Care Home H59-H10 S14036 Rottingdean Nursing and Care Home V237026 070905 stage 4.doc Version 1.40 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. 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