Inspection on 21/11/07 for Sea Breezes Residential Care Home

This inspection was carried out on 21st November 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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St Marys Nursing Home

Bramble Lodge

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Hunter`s Lodge

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Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sea Breezes Residential Care Home 41 Scarborough Avenue Skegness Lincolnshire PE25 2TD Lead Inspector Wendy Taylor Unannounced Inspection 21st November 2007 09:10 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 Sea Breezes Residential Care Home DS0000069996.V348920.R02.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. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sea Breezes Residential Care Home Address 41 Scarborough Avenue Skegness Lincolnshire PE25 2TD 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) 01754 760596 Sea Breezes Residential Homes Limited Mrs Kerry Ellen Beeston Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories:Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is 21. 2. Date of last inspection New service Brief Description of the Service: Sea Breezes is situated in the seaside resort of Skegness, and is close to the seafront and the local amenities. It is a detached, three storey building with car parking to the rear and a patio area to the front of the building. The home is registered to provide personal care and support for up to twentyone residents. The town centre is within approximately 200 metres from the home. Transport is provided by the home for residents to access local facilities and to attend hospital appointments. Public transport is readily available and the town is well served by rail and road links. The current provider is Mrs Ambika Devi Bumma, who has recently purchased the home, and she visit regularly to support the registered manager. The registered manager is Mrs Kerry Beeston, who has worked at the home for several years, latterly as the deputy manager. The current fees charged for placement at the home range from £358:00 to £441:00 per week, depending on the assessed needs of the resident. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key unannounced inspection since the home was registered in June 2007. The visit took place during November 2007 and lasted for approximately 7 hours. The care and support received by four residents was followed in detail, using a method called case tracking. This method involves talking to the residents and observing the care and support they receive. It also involves looking at their care plans, medical records and daily notes. Some of the general house records and staff records were also looked. Staff and the registered manager were spoken to during the visit, and information already held by the commission, such as a self-assessment and notifications, was also used as part of the inspection process. During the visit some of the residents were visiting the hairdresser or going out to a club, and some made comments such as ‘I’m very happy here’ and ‘the foods very good’. Staff said they enjoy working at the home. Other comments from residents and staff are contained in the body of the report. What the service does well: What has improved since the last inspection? This is the first inspection process since the service was registered; therefore it is not possible to say what has improved. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is enough information and support to help prospective residents make an informed choice of where to live. There are assessment processes in place, which ensure that individual needs can be met within the home. EVIDENCE: There is an up to date statement of purpose and service user guide in place, and both documents are available in the reception area of the home. Enquiries about placements, made during the visit, highlighted that there was no copies available for people to take away with them. The registered manager said that she would make sure copies of both documents are kept in reception. The registered manager also said that a brochure is currently being developed which will contain a brief introduction to the home and photographs for people to refer to. The enquirer was offered the opportunity to see an empty bedroom and to return with other members of their family for a full tour of the home. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 9 They were also given information about fees. Pre inspection information shows that there are policies available for referral and admission to the home. Pre inspection information also shows that the registered manager or her deputy visit people who have been referred to the home, to make an assessment of their needs. Four residents files were looked at and each contained an assessment of needs, which include personal hygiene, advocacy, risk taking, social activity, religious and cultural needs and mental health. The assessments do not refer to end of life wishes or arrangement, and the registered manager said that she would be updating one resident’s assessment onto a new format. A resident said that the manager had visited to discuss what they wanted before they moved in, and the staff were all very helpful when they did move in. Signatures on the assessment documents indicate the involvement of the resident in the process. Personal files also contain letters to potential residents, confirming whether or not their needs can be met at the home. The home does not provide an intermediate care service. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being involved in planning and reviewing their care, however care plans could contain more detail about some areas of need. They are able to access appropriate health care services when they need to, but the lack of clear identification in some records puts them at risk. EVIDENCE: Care plans are in place and cross-reference with assessed needs. They set out the care required for needs such as mobility, relationships and personal hygiene. Records show that the plans are reviewed monthly. Residents said that staff talk to them regularly about their care plans and they sign them. Although the plans set out the tasks required, they do not always refer to maintaining privacy and dignity for the person. However residents said that they have keys to their rooms for privacy, and staff talk to them with respect. Staff on duty were observed, for example, talking to residents in private about Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 11 their needs, making sure they knocked on residents doors before entering, and using the resident’s preferred form of address. Maintaining privacy and dignity is also referred to in the statement of values for the home. Risk assessments are in place for things such as the use of bed rails, self-medication and trips and falls. However the risk assessments for trips and falls are not individualised or kept in personal files. The registered manager said that she is reviewing the format of individual files, and will introduce separate recording sheets for health appointments. Residents said that staff know how to help them and will remind them when it is time for appointments such as chiropody, dentist or opticians. They also said that staff help them to see their doctors, and the District Nurses visit them when they’re needed. Residents keep their own District Nurse treatment notes in their bedrooms. Equipment is made available where required, such as specialist mattresses. During the visit staff were observed to manage an emergency admission to hospital in a calm and efficient manner; making sure that relevant people were informed and the correct information was supplied to the hospital. The medication records for four residents were looked at and all were completed in full. Administration procedures were carried out satisfactorily. Residents and the registered manager said that there is lockable storage in bedrooms for self-administered medication. Records show that staff who administer medication have undertaken training in relation to this, and staff confirmed this. None of the medication records, and none of the care plans for those residents case tracked contained photographs of them. Other care plans that were looked at did contain photographs. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being able to make choices and decisions about their daily lives. They enjoy a range of in-house and community based activities, and a varied and balanced diet. EVIDENCE: An events file is kept at the home, which shows that activities such as bingo, coffee mornings and outside entertainers are provided once a week for residents. Records are also kept as to who joins in the activities and whether they like them or not. Residents said that activities are provided and they have been asked what sort of things they would like to do. Minutes of meetings show that they have asked for things like outings from the home, and for a garden to be made at the front of the home. The registered manager said that there are plans to extend the range and frequency of the activity programme after listening to resident’s views. She also said that residents have asked that the bar area be changed into a small shop where they can buy goods such as toiletries and sweets, and there are plans to do this. Residents said that they are helped to attend churches, hairdressers and outside social groups. One Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 13 resident said that they get lots of visits from family members and staff make them welcome when they come. Menus are available and follow a varied and balanced four-week plan. Residents said that the food is very good and they get lots of choice. During a mealtime various dishes were being served based on the wishes of the individual resident. Residents were quickly accommodated when they changed their minds. Store cupboards contained a range of foods, and one resident described the many choices of breakfast food available. Residents said that staff tell them what is on the menu and ask what they would like to eat, but as this is done on the previous day they sometimes cannot remember what they have chosen. One resident also said this about activities. The registered manager said that she would make menus and activity plans more accessible to residents. Residents said that they are able to make their own minds up about everything they do, and they are able to have their own furniture brought in to the home. Staff were seen to provide information and support to help residents make their choices and decisions. Choice, fulfilment and independence are referred to in the home’s statement of values, and the registered manager said that literature is available to staff about recent legislation regarding decisionmaking (Mental Capacity Act, 2007). She also said that she plans to discuss the legislation with staff at the next team meeting. A recommendation was made that care plans also contain information about the subject. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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. 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. Residents are protected by clear policies and procedures; and staff who are trained and knowledgeable. EVIDENCE: No complaints or safeguarding adult referrals have been made or received about the service since it was first registered. The complaints policy and the local authority safeguarding adult guidelines are available to staff, and residents have a copy of the complaints policy within their service user guide. Another copy of the complaints procedure is on the notice board in the main corridor of the home. Pre inspection information shows that there are also policies available for subjects such as whistle blowing and accidents. Residents said that they feel safe living at the home and the staff look after them very well. They said that if they had a complaint they would speak to the registered manager or any of the staff because they ‘trust them to sort it out’. Records show that staff have received training in safeguarding adult procedures, and update training has been booked for January 2008. Staff demonstrated their knowledge and understanding of the subject during discussions. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents enjoy a personalised environment, which enables them to maintain their independence. However some areas of maintenance and storage within the home puts them at risk and impacts on their general comfort. EVIDENCE: Pre inspection information shows that the environment was purpose built for residents with physical disabilities, for example it has wide corridors and doors, and spacious bedrooms. There are two large communal lounges, and a spacious dinning room. There were photographs and other personal items in lounges. Residents said that they can choose where they wish to spend their time, they were happy with their bedrooms and they found the home a comfortable place to live. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 16 Most bedrooms and communal areas were found to be clean, tidy and homely in atmosphere. A strong odour was noticed in one bedroom and the registered manager took steps to resolve the problem immediately. The registered manager said that they would look at long-term solutions to the problem, and also described plans to generally upgrade decoration around the home, and improve things such as showering and en-suite facilities. During a tour of the building it was found that wheelchairs were being stored in corridors, having the potential to be a tripping hazard. There were also some cleaning products left in unsecured areas of the home. Again the registered manager took immediate steps to resolve these issues. Information about things such as good hand washing procedures is on display around the home, and staff were seen to follow these procedures and make use of aprons and gloves where necessary. Records show that staff training for infection control has been booked for the near future. There are risk assessments available for most substances that are hazardous to health, but none for hand sanitizer products that are stored in corridors for general use. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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 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. There are sufficient numbers of staff, who are trained to ensure that the current needs of residents’ are met. Current recruitment arrangements protect residents. EVIDENCE: Duty rotas show that there are three staff on each day shift with two waking night staff each night, there are also domestic and kitchen staff to support carers. The registered manager works in the home on Monday to Friday each week, and the provider’s Director of Finance also works in the home on four days per week. The registered manager and senior care staff provide out of hours support through an on call system, which is recorded on the duty rota. At present the duty rota only shows the first names of staff, and the registered manager said that she would include surnames so that staff can be identified more clearly. Staff said that there are currently enough staff to meet the needs of residents and they are also aware that new staff have been recruited and are awaiting start dates. Residents made comments such as ‘staff seem well educated and know what they’re doing’, and ‘they know how best to help me and will do whatever I ask’. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 18 Staff records contain recruitment information such application forms and criminal record bureau checks; and there is also further evidence of induction and training. Some records do not contain proof of identity, including a photograph of the person, and the four files looked at in detail only contain one written reference. It is acknowledged that these staff were employed before the current provider purchased the business, and the registered manager has set out an action plan to address the issues. The registered manager confirmed that new staff have recently been appointed, and are waiting for a start date. She demonstrated through records that they have been safely recruited. Records show that some staff are studying for, or have achieved nationally recognised care qualifications at various levels, and this was confirmed during discussions with staff. Records and pre inspection information also shows that update training for subjects such as moving and handling, food hygiene, first aid and infection control are booked to take place in the near future. Induction records show that staff are made aware of equality and diversity issues and staff demonstrated their understanding of these issues throughout the visit. Staff said that training about dementia is due to start the day after the inspection visit. There are also records of staff meetings, which show that they have opportunity to discuss things like training needs and rotas. Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the residents, and there are quality assurance systems enabling residents to contribute to the development of the service. EVIDENCE: The registered manager has worked at the home for a number of years in various roles such as care worker and deputy manager. She has recently applied to undertake the Registered Managers Award, and already holds nationally recognised care qualifications at various levels. Staff said that she is approachable and they feel confident to go to her with any issues or Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 20 concerns that they may have. Residents said that she is always around for them to speak to and always helps them when they need anything. Pre inspection information shows that regular residents meetings are held and quality assurance surveys are carried out. Minutes of meetings were seen and demonstrated that residents are able to express their views about things like activities and entertainment, staff recruitment and improving the building and general environment. Surveys showed that they are generally happy with the services they receive but they would like more activities (also see Standards 12-15). Pre inspection information shows that staff support four residents with their daily finances. The records and money held for one resident were looked at and found to be satisfactory. The registered manager said that she is currently carrying out staff appraisals and staff confirmed this. She also said that she has reviewed the supervision process and showed new formats for recording the sessions. She said that regular supervision sessions would commence following appraisals. Staff said that the registered manager supports them in their work and helps them to develop their skills. There is a fire risk assessment in place, and the registered manager said that she would be undertaking the annual review of the document in the near future. Records show regular testing of the fire alarm system and that regular evacuation drills are carried out. Pre inspection information shows that electrical equipment has recently been tested, and the heating and hot water system has been serviced. The information also shows that there are risk assessments in place for substances that are hazardous to health; and that there are policies for issues such as quality assurance, emergencies and crises, fire safety, health and safety, resident’s finances and record keeping (also see Standards 19-26 regarding safe working practices). Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X X 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 Standard No Score 16 3 17 X 18 3 1 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/a 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 OP7 Regulation 17 (1) (a) Requirement Personal records must contain photographs of the resident so that they can be clearly identified when receiving their care or medication. Arrangements must be in place to ensure that strong odours are not apparent around the building, so that the dignity and comfort of the residents is maintained. Wheelchairs and cleaning products must be stored safely and appropriately so that they do not present a risk to residents. Risk assessments must be completed, and appropriate action taken to reduce any risks that easily accessible hand sanitizer products may present to residents. Timescale for action 21/12/07 2 OP26 23 (2) (d) 21/12/07 3 OP19 13 (4) (a) (c) 21/12/07 4 OP19 13 (4) (a) (c) 01/12/07 Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 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 Refer to Standard OP3 Good Practice Recommendations It is recommended that assessments contain information about end of life arrangements so that residents know their wishes will be met. It is recommended that individual care plans contain more detail about maintaining privacy and dignity for the resident so that these needs are fully met. It is recommended that risk assessments for trips and falls are more individualised and are kept in resident’s personal files. It is recommended that care plans contain information about meeting the requirements of the Mental Capacity Act, 2007. It is recommended that the staff duty rota include surnames so that staff can be identified more clearly. 2 OP7 3 OP7 4 OP7 5 OP27 Sea Breezes Residential Care Home DS0000069996.V348920.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House The Point Weaver Road Off Whisby Road Lincoln, LN6 3QN 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 Sea Breezes Residential Care Home DS0000069996.V348920.R02.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. 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