Inspection on 02/08/07 for Sea Point

This inspection was carried out on 2nd August 2007.

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

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

Other inspections for this house

Sea Point 25/06/09

Sea Point 24/07/08

Sea Point 25/07/06

Sea Point 22/11/05

Sea Point 07/06/05

Sea Point 19/11/04

Sea Point 20/07/04

Sea Point 06/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Sea Point 14 Adelphi Road Paignton Devon TQ4 6AW Lead Inspector Judy Hill Unannounced Inspection 2nd August 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sea Point Address 14 Adelphi Road Paignton Devon TQ4 6AW 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) 01803 556899 Paignton Guild of Social Services Housing Associations Limited Mrs Glenis Mary Rees Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12), Physical disability over 65 years of age of places (12) Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2006 Brief Description of the Service: Sea Point is registered to provide accommodation and care for a maximum of twelve service users who are over sixty-five years of age and who may also have physical disabilities. The home is situated in a quiet area of Paignton and is within a short and level walking distance of the sea front, town centre, bus and railway stations. Information about the service is available from the home in a Statement of Purpose and in a brochure. Copies of inspection reports will be made available on request or can be obtained from the CSCI website. The current fees range from £299 to £361 a week. Additional charges are made for optional extras including professional hairdressing and chiropody, personal toiletries, newspapers and magazines. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out on 2nd August 2007 by one inspector. The information contained in this report was gained in conversation with the people who use the service, three visitors to the home, the registered manager and two members of staff. Additional information was gained from a self assessment form that had been completed by the registered manager, the homes Statement of Purpose and Service Users’ Guide, previous inspection reports, service user records, including needs assessments, care plans and reviews and staff records, including rotas and recruitment. A physical inspection of the premises was also carried out. What the service does well: The registered manager carries out needs assessments with prospective service users and their representatives to ensure that the home can meet their individual needs. The people who use the service are satisfied that the service provided meets their needs. Safe practices are used to ensure that the resident’s medication is stored and administered safely by trained staff. The residents are treated with dignity and respect by the staff. The provision of social, occupational and recreational activities meets the wishes and needs of the residents. The residents are offered a choice of meals and the quality of the meals provided is good. Complaints are listened to and taken seriously and policies are in place to protect the service users from abuse. Sea Point is ideally located for access to the beach and to the town centre. The service users accommodation is clean and has a very comfortable and homely appearance. The people who use the service find the staff willing and helpful and feel that they are treated with dignity and respect. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 6 Over half the care staff hold National Vocational Qualifications in Care. The provision of health and safety related training is good. The registered manager is very experienced and has a good understanding of the needs of the residents. What has improved since the last inspection? 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 Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is adequate. The information provided for people who use or who are considering using this service could be improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a Statement of Purpose and a Service Users’ Guide but both of these documents need to be redrafted because they do not contain all of the required and recommended information and some of the information that is provided is out of date. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 10 The registered manager said that the home has a Resident’s Agreement and these were seen in the resident’s files. These documents had not been signed by all of the residents and/or their representatives and did not contain all of the information required and/or recommended in a Statement of Terms and Conditions between the service provider and service users. Several residents were asked if they had a copy of the Service Users’ Guide or Resident’s Agreement but none of them had. The records of two of the service users were inspected as part of a case tracking exercise and both had written assessments of their needs. The registered manager said that in addition to the care management assessment, she usually visits prospective service users in hospital or in their own homes to carry out her own needs assessment prior to admission. Standard 6 was not inspected because the home does not offer intermediate care. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. The residents are well cared for and are very happy with the service provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people who use the service, a visiting relative and two other visitors to the home were spoken with during this inspection and very positive comments were received about the quality of service provided. Examples of feedback include the following statements from residents; “I am looked after very well and am happy with the service provided”, “I could not wish for better” and “The home is lovely and the staff are very willing to help”. Although the service users felt that their needs were understood and being met by the registered manager and staff, the quality of the written records Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 12 that were seen, which included service user plans, reviews, daily records, risk assessments and risk management plans was poor. The registered manager said that the home has a key worker system and the role of the key worker was discussed with a member of staff. She said that the key workers work closely with named service users and that this enables them to build up a relationship and get to know each other well. A call system that is provided to enable the residents to gain staff assistance was tested. On the first testing the alarm did not sound and on the second test the staff did not respond because they could not hear the alarm. Cot sides were seen on three of the service users beds. No written evidence was seen that the homes restraint procedures, which should include multidisciplinary consultation, had been followed. All of the resident’s medication is stored and administered by the home and the registered manager said that risk assessments had not been carried out to check if the service users need help or to assess the level of support needed. The arrangements for the storage of medicines are satisfactory and appropriate training has been provided for the staff who administer the medication. The medication administration records were seen to be signed and up to date, although the staff were not always recording the administration of creams. The privacy and dignity of the service users is respected. Assistance with personal care is provided in the privacy of the resident’s bedroom and en-suite facilities or in the communal bathrooms and toilets, all of which are lockable. All of the residents looked very well cared for with regard to their personal hygiene. All of the residents spend most of their time in their bedrooms but conversations with them clearly identified that this was by choice and their wishes were being respected. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. The level of social, occupational and recreational activities provided meets the wishes and needs of the residents. The residents are offered a choice of meals and the quality of the food provided is generally good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the residents were spoken with during the inspection and most of them said that they chose not to take part in any social activities in the home but preferred to remain in their rooms. The home has books from a local Library and most of the residents have televisions, radios and music centres in their rooms. The registered manager said that Bingo sessions are provided but that attendance is not high. One resident likes playing Scrabble and dominos and was seen in the lounge playing with the staff and visitors to the home. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 14 Some of the residents said they were able to go out alone and others are occasionally taken out for a walk to town or to the beach by the staff. Group outings are not provided. One resident said that she was a member of the Salvation Army and that they do occasionally visit the home to provide a service in the lounge for anyone who wants to attend. She said that they also visit her in her room. The Statement of Purpose states that the residents are welcome to receive visitors at any time and some of the residents and a visiting relative said that visitors were always made welcome. One of the residents said that a telephone was brought to her room if she needed to make a call. The staff were seen asking residents what they would like to eat for lunch. The choices on the day of the inspection were sausages in onion gravy or chicken in a white sauce with fresh vegetables. A starter of vegetable soup was offered and a choice of apple pie or strawberries with cream or ice cream was offered for pudding. The statement of purpose said that choices are usually made available to the residents and feed back from the residents about the quality of the meals provided was good. Although the home has a dining room, some of the residents said that they prefer to take their meals in their bedrooms and their wishes are respected. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Complaints are taken seriously and listened to. Policies are in place to protect the service users from the threat of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Details of how to make a complaint are referred to in the Statement of Purpose and displayed on a notice board in the lounge. Some of the residents who were spoken with said that they would make a complaint to the registered manager if they were not happy with the service provided. Complaints are recorded in a ‘Complaints Book’ and these records were seen. Very few complaints were recorded and no evidence was seen to indicate that the procedures that should be used to deal with complaints had been followed. The self-assessment questionnaire (AQAA) that had been completed by the registered manager identified that policies and procedures are in place for the protection of service users from abuse. Most of the staff have attended training courses on the Protection of Vulnerable Adults and the manager and staff said that arrangements are being made for those who have not done so to attend appropriate courses. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 & 26 Quality in this outcome area is good. Sea Point is clean, comfortably furnished and homely. Access to parts of the home may be difficult for people who use wheelchairs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sea Point is situated in a quiet road that is a short and level walk from the seafront and the town centre. Limited off road parking is available and visitors may need to use the public car park, which is a five minute walk from the home. There is an attractive and accessible garden to the back of the house. Five steps have to be negotiated to reach the front door of the home. Better access is provided to the side of the home for people who use wheelchairs, but Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 17 this is not ideal as the residents would have to negotiate a slope and a small step to gain access into their home. A small lift, which is not large enough to accommodate a person in a wheelchair, provides access between floors. A full physical inspection of the premises was carried out and the home was found to be clean and well furnished and decorated. The resident’s lounge is on the ground floor. This room has a comfortable and homely appearance and contains a television, music system and a large selection of books and games. The dining room is next to the lounge. This room has a small room leading off it that has a sink, kettle and toaster in it so it could be used by the residents to make themselves a hot or cold drink and snacks. There is a food warming unit in the dining room which should be covered because a touch test that was carried out found to be very hot. The kitchen, which is adequate for the needs of the home, is on the lower ground floor. Although the home has a double bedroom, this is currently being used as a single room and so each of the residents had their own bedroom. Most of the bedrooms have en-suite facilities. All of the residents had personalised their bedrooms to meet their needs and preferences. There are two bathrooms, the bathroom on the second floor has a ‘Bathmaster’ hoist and shower cubical. All of the bathrooms and communal toilets have been fitted with locks for privacy. It was observed that some domestic chemicals were being kept in the communal bathrooms and toilets and these should be removed. It is suggested that, for reasons of hygiene, the cloth towels in communal hand washing basins are replaced with paper towels or a hot air drier. The laundry room is on the lower ground floor and needs attention as there are signs of damp, which are causing the paint to come away from the walls and which prevents the room from being thoroughly cleaned. It was observed that a cupboard containing domestic chemicals was not locked. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. Most of the staff have the qualifications, training and aptitude to provide a good quality service, but additional specialised training and increased staffing levels would benefit the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the staff rota was inspected. The registered manager regularly covers care worker shifts as if she did not do so there would be only one care worker on duty, which would not be sufficient to meet the needs of the residents. The pre-admission questionnaire completed by the registered manager shows that six of the twelve care staff have achieved a National Vocational Qualification in Care at Level 2 and a further two are working towards gaining this qualification. Two of the care staff were interviewed during this inspection and both said that they hoped to do an NVQ at Level 3 in Care. An inspection of the recruitment records of the two most recently appointed members of staff was carried out and these showed that safe recruitment practices, including taking up references and carrying out CRB and POVA list Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 19 checks, are being used to ensure that unsuitable staff are not employed to work with the residents. New staff receive induction training. Two members of staff were interviewed and both said that they had attended training courses on First Aid, Food and Nutrition, the Protection of Vulnerable Adults, Moving and Handling, Medication and Fire Safety. Both could identify further training meets, most notably in some of the conditions related to aging such as dementia care. The following are some of the comments received about the staff; “The staff are very willing”, “Mum gets on very well with the staff”, “The staff look after me very well”. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is adequate The manager is very capable but needs to devote more hours to her management role to ensure that she can develop comprehensive records and provide formal supervision for the staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes Statement of Purpose identifies that the registered manager has twenty years experience in care work. She has been the manager of Sea Point for five years and said that she had nearly completed her Registered Managers Award. The registered manager is also doing care and ancillary work and this is taking time away from her duties as the registered manager of the home. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 21 The Registered Provider is The Paignton Guild of Social Service Housing Association Limited and members of the Committee carry out regular monthly visits to keep the Committee informed of the conduct of the home and to over see the management of the service. There is currently no Quality Assurance and Quality Monitoring system in place to enable the home to produce annual development plans, based on a systematic cycle of planning – action – review, reflecting the aims and outcomes for service users. The registered manager said that she currently handles small amounts of personal spending money for one service user but that all of the service users either handle their own financial affairs or have someone unconnected to the home to help them. The staff said that they do not receive formal one to one supervision, which should be given to all care staff by their manager at least six times a year, to enable care practice issues to be discussed and on-going training needs to be identified. Informal supervision is provided on a daily basis. Overall the home is well maintained. Staff training provision in health and safety related areas is good and policies and procedures are in place to promote safe working practices. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 17 X 18 3 3 3 3 X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 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 Regulation 4&5 Requirement Amendments need to be made under the following headings in the Statement of Purpose: Staff Qualifications – These need to be updated to reflect the increase in the number of staff who have gained and are working towards gaining an NVQ. Operation of the Home – This needs to be rewritten to state the arrangements that are in place for consultation with the service users about the operation of the care home. Resident’s Plan – This section needs to be rewritten as it currently links to standard 15, instead of regulation 15. The Service Users’ Guide needs to be rewritten using regulation 5 and standard 1 as guidance on the information that should be included, including a statement of terms and conditions. Following these amendments Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 24 Timescale for action 02/11/07 copies of the Statement of Purpose and Service Users’ Guides must be sent to the Commission and each of the residents must be given a copy of the Service Users’ Guide. 2. OP7 12, 13 & 14 The quality of individual care 02/11/07 planning, including daily records, reviews, risk assessments and risk management plans must be improved to ensure the service user plans clearly identify the assistance that is required by the each of the residents and provide guidance for the staff on how to meet each service users individual needs. The home must not use cot sides or any other form of restraint unless it can be clearly demonstrated that this is the only practical means of securing the welfare of the service user. It is recommended that care managers are involved in any decision regarding the use of such restraint and that there involvement, along with the reason for the use of restraint is recorded. A complaints procedure, which meets the requirements must be made readily accessible to all of the service users and followed. Enough care and ancillary staff must be employed to meet the needs of the home and the service users. A quality assurance/quality monitoring system should be introduced, based on a systematic cycle of planning – action – review, reflecting the DS0000018423.V343263.R01.S.doc 3. OP8 14 02/10/07 4. OP16 22 02/10/07 5. OP27 18 02/11/07 6. OP33 24 02/11/07 Sea Point Version 5.2 Page 25 7. OP36 18 aims and outcomes for service users. The registered manager must ensure that care staff are properly supervised to ensure they undertake their job in a professional manner. Previous timescale for compliance 25/11/06 – not met. 02/10/07 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. 5. 6. 7 Refer to Standard OP8 OP9 OP20 OP21 OP26 OP30 OP31 Good Practice Recommendations A new call bell system, preferably one that can only be cancelled at source, is installed as the current system is unreliable and cannot always be heard by the staff. The staff should initial the medication administration record sheets when they administer creams. The surface temperature of the food warmer gets very hot and should be covered to remove the risk of residents scalding themselves on it. Cloth towels in the communal bathrooms and toilets should be replaced with disposable towels or hot air driers to reduce the risk of cross infection. All domestic chemicals should be stored in a locked cupboard and the laundry should be redecorated to ensure that the surfaces can be kept thoroughly clean. The staff should attend training courses which relate specifically to the conditions associated with aging, such as dementia care. The service provider should ensure that the registered manager has sufficient time to devote to the management of the service. Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sea Point DS0000018423.V343263.R01.S.doc Version 5.2 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!