Inspection on 13/08/07 for Sussexdown

This inspection was carried out on 13th August 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

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Sussexdown Washington Road Storrington Pulborough West Sussex RH20 4DA Lead Inspector Mr E McLeod Unannounced Inspection 13th August 2007 08:45 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 Sussexdown DS0000068390.V343195.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. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sussexdown Address Washington Road Storrington Pulborough West Sussex RH20 4DA 01903 744221 01903 741555 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) www.care-south.co.uk Care South Post vacant Care Home 77 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 77 service users may be admitted/accommodated. Date of last inspection New service Brief Description of the Service: Sussexdown was registered with the Commission as a care home with nursing on the 28th February 2007, having previously been operated by another provider. The service is registered to accommodate people in the category of old age, not falling within any other category, and physical disability. The service is also registered to accommodate up to 20 people suffering from dementia, for which a unit separate from the main building is provided. At the time of the inspection visit the dementia unit had not yet been opened to accommodate service users, although the manager advised us that it was planned that once a suitable staff team had been recruited with the relevant experience and training that the unit would begin admitting people in the category of dementia. The home is situated in extensive grounds near to the village of Storrington, which offers various community facilities and local transport links. The provider for the service is Care South, for whom the responsible individual is Mr Roger Charles Fulcher. There was not a manager registered for the service at the time of the inspection visit. The fees are from £525 to £750 per week. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to assess the quality of the service being provided. The visit was attended by one inspector on the 13th August 2007, and lasted for eight hours. Our planning for the visit took into account an update on the service provided by the manager in the home’s annual CSCI quality self-assessment audit (AQAA), the views of people living in the home who responded to our written survey, and other information received on the service. Our evidence during the visit was gathered from speaking to ten people living in the home and two volunteers, and from discussions with the manager, the deputy manager, and three care and nursing staff. Our outcomes are also based on having sampled three sets of pre-admission assessments and care records, three sets of staff recruitment, training and supervision records, and other records relating to care provision and health and safety in the home. We visited people in communal areas and in their bedrooms, and observed a lunch sitting. What the service does well: What has improved since the last inspection? Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 6 Recent improvements to medication procedures include the provision of blister packs for safer administration, and a monthly audit of medicine records. Improvements to the premises have included new decoration and carpets in some bedrooms, and the painting of exterior windows. Improvements also include the provision of a fence on one boundary to increase safety, and better garden maintenance. Management arrangements are ensuring that the quality of care provided continues to improve. The manager’s office has been moved to nearer the entrance to ensure she is more accessible to staff, visitors, and people living in the home. A new system has been introduced to ensure that arrangements for the handling of peoples’ money is better recorded and better protects them. 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. Sussexdown DS0000068390.V343195.R01.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 Sussexdown DS0000068390.V343195.R01.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person is provided with a statement of terms and conditions at the point of moving into the home, or contract if purchasing their care privately. People are admitted only on the basis of a full assessment undertaken by people trained to do so. Intermediate care is not being provided. EVIDENCE: The manager has told us in the home’s annual quality assessment audit (AQAA) that the assessment of the person’s needs is carried out prior to admission to ensure that the home can meet the needs of the person, and that Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 9 a welcome letter, confirming their stay at the home and that the home is able to meet their needs following the assessment, is sent. During the visit three sets of pre-admission assessments were seen, and these indicated that peoples’ needs are being properly assessed before admission is arranged. Assessments seen had been carried out by staff experienced and trained to do so. The manager has told us that a written contract is signed by all parties prior to admission. Survey responses received by CSCI from people living in the home indicated that they had received a copy of the written contract for their stay. The manager advised us that short stay placements can be provided in the home, but that there is no provision for intermediate care. Sussexdown DS0000068390.V343195.R01.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are set out in an individual plan of care, which helps provide guidance for staff on how the person’s care needs are to be met. Staff are promoting and maintaining the health of people accommodated in the home, and people are supported to access the health care services they are in need of. People are being protected by the home’s policies and procedures for administering medicines, and are being supported to be responsible for their own medication where appropriate. People feel they are treated with respect and their right to privacy is upheld. Care and comfort is being given to people who are dying, and their death is handled with dignity and propriety. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager has told us that improved care plans which identify clear goals which will help meet the identified needs of the person are being introduced, and that staff training in the completion of care plans is being undertaken. Three sets of care plans were sampled and these indicated that each person is provided with a plan of their care which is being regularly reviewed, and that relevant risk assessments are in place. Care plans seen also indicated that people were accessing the health care they were in need of, including specialist support where appropriate. Written survey responses received from people living in the home indicated that they felt staff listened to them and acted on the wishes. Respondents also said that they were receiving the care and support and access to medical care they were in need of. Nursing staff told us that six people living in the home administer their own medicines, and records seen indicated that appropriate recording and risk assessments are in place for this. Recent improvements to medication procedures include the provision of blister packs for safer administration. Nursing staff told us that during the past month an audit of the medicines cupboard had been undertaken by the deputy manager. The manager told us that managers have been doing occasional medicine rounds and will be undertaking medication audits to ensure that medicines are being administered safely. Independence is encouraged by the provision of small kitchens for the use of people living at Sussexdown. The manager told us that one of the priorities for the new company was that residents should have more say in the running of the home. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 12 People living in the home believe they are treated with respect, and it was our observation that staff are ensuring the dignity of people when personal care such as assistance with eating is being provided. Arrangements for the terminal care of one person were discussed with staff, and care records seen for this indicated that good arrangements were in place. A carer was noted to be respectful and caring when attending a person receiving terminal care. Sussexdown DS0000068390.V343195.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel they have a good lifestyle in the home which matches their expectations and preferences. Provision is being made to meet the social, cultural, religious and recreational interests and needs of people living there. People are supported to maintain contact with their families, friends, representatives, and the local community as they wish. The people in the home are helped to exercise choice and control over their lives. The quality of meals provided is not meeting the needs of people accommodated. EVIDENCE: Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 14 The home displays a detailed activities calendar for each month, which includes outings, bingo, beetle drives, musical entertainment, and games. There is an activities organiser and a team of volunteers. There is a sitting room which operates as a drop-in centre with games and art equipment provided, where people said they could relax or just drop in for a coffee and a chat. There is also a bar on the first floor which has an important social function in the home. People living in the home who we talked to felt that both during the week and at weekends there was always something to do – for example going out to a 1940’s style of dance on the Sunday previous to the inspection visit. We interviewed the activities organiser, who told us about the social support that individual people were receiving, and this indicated that people who found group activities difficult were having more individual activities and outings provided for them. People living at Sussexdown have the opportunity to go out on shopping trips and to events in the local community, and vehicles are available for this. The home employs a full time driver/escort. Volunteers who talked to us said that outings to the local airport and air show were important events for the people living there who have a Royal Air Force background. There is a chapel on the premises where Communion services are held once a week. Information is held in the home for contacts for different religions, so that people living there can be assisted to maintain their faith. People spoken to said their relatives always felt welcomed when they visited. The home has several small kitchens where people can make drinks and snacks where a risk assessment indicates it is safe for them to do so. People interviewed had a number of concerns about the meals provided, and the written surveys received also indicated some dissatisfaction. Comments made included the food being lukewarm when it arrived at the table, too much fried food, a lack of seasoning and flavour, and not sufficient choice of sweet. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 15 One person also said they would prefer supper to be at a later time. The manager told us that it was one of her objectives to improve the dining arrangements and the quality of the meals, and that catering staff were receiving additional support and training. On the day of the visit we observed a lunch sitting. The atmosphere was relaxed and sociable, and people who needed assistance with their meals were receiving this. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that their complaints will be listened to, taken seriously, and acted upon. People living in the home are being protected from abuse. EVIDENCE: The manager has told us that a complaints policy and procedure is given to people living at Sussexdown and their families, and that records are made of each complaint, how it was dealt with and the outcome. People living at Sussexdown who responded to our survey said that they were aware of the complaints procedure and knew who they would talk to if they had concerns. There have been no complaints recorded since the ownership of the home changed in March 2007. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 17 There has been one safeguarding adults referral and investigation in the last 12 months, in which the home has been acting with the local social services to protect a person in their care. The manager told us how the home is continuing to help ensure the person is safe from home. Staff in the home are receiving introductory training in safeguarding adults issues. We suggested to the manager that senior staff in the home should also familiarise themselves with recent changes to local adult protection arrangements to ensure they are aware of their role in safeguarding adults in the home. We advised that the local authority are sometimes providing briefings on updates to local safeguarding adults procedures. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well maintained environment. People have access to safe and comfortable indoor and outdoor communal facilities. People live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 19 Improvements to the premises since February 2007 have included some bedrooms being newly decorated and carpeted, and the painting of exterior windows. Improvements also include the provision of a fence on one boundary to increase safety, and better garden maintenance. Maintenance records were seen, and it was our observation that the premises are being maintained to a good standard. The grounds and garden are kept tidy, and are accessible to people living in the home. People with disabilities who talked with us during the visit said they were easily able to access the gardens when they wished to. There is good communal provision in the home, including a chapel, an activities room, sitting rooms, a room with a bar and a large dining room. We visited several bedrooms, and noted that people have been encouraged to personalise their bedrooms and arrange them to meet their needs. Most areas of the home have good natural light, and arrangements are in place to ensure a safe supply of hot water and safe heating. All parts of the home visited were clean, pleasant and hygienic. Most people living in the home who responded to our survey said the home was always fresh and clean. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A more consistent service could be achieved for people living in the home if there was less reliance on temporary staff and if temporary staff were better qualified for the work they are undertaking. Staff are achieving or undertaking qualification training which will help ensure the standard of care provided continues to improve. People are being protected by the home’s recruitment policy and practises. Staff are receiving training which will help ensure the standard of care provided continues to improve. EVIDENCE: Staffing rotas for the week prior to the inspection visit were sampled, and these indicated that staffing levels are consistent during the week. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 21 Two people living in the home who talked to us on the day of the visit thought that there were too many agency staff covering shifts in the home, and that sometimes the agency staff weren’t aware of what they should be doing. Over a four day period in the week previous to the visit, it was noted that out of forty-seven nursing and care staff shifts, seventeen were worked by agency staff. When we looked at the training records for twelve of the agency staff being employed in the home, we noted that only two of the staff had achieved the standard qualification in care work. This indicates that some care staff may not be providing the quality of care expected in the home. The manager said that it was her intention to decrease the number of agency staff used by increasing the numbers of employed staff working shifts. There were comments from written surveys and from people on the day that staff appeared over-stretched at times. On the day of our visit we found that staff were being kept busy, but that the care needs of people living in the home were being met. The manager told us that all prospective staff are checked through the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (PoVA) register, and satisfactory references are obtained prior to staff being employed. Three sets of recruitment records for staff were sampled, and these indicated that necessary checks are being undertaken. Agency staff records provided by the placing agency and held by the home were sampled, and these indicated that agency staff have undertaken core training and received a CRB check. Many staff have either achieved the national vocational qualification (NVQ) in care at level 2 or have been nominated to undertake it. 15 staff have NVQ level 2 or above, and 10 staff are said to be working towards NVQ level 2 or above. Managers monitor staff training to ensure that all staff are up to date with required trainings. The manager has told us that a structured training programme for all staff has been put in place. Since March 2007 all staff have been required to undertake induction training. The manager has also told us that all staff will be attending dementia awareness training within the next year. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 22 Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements are ensuring that the quality of care provided continues to improve. The management approach to the home is creating an open, positive and inclusive atmosphere. Monitoring systems based on seeking the views of people living in the home are in place, and are ensuring improvements to the services provided. The registered manager is ensuring that people control their own money where possible, and that safeguards are in place to protect people’s financial interests where money is being held for them. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 24 For the protection of people living in the home, staff records need to provide evidence that staff are being appropriately supervised. The health, safety and welfare of people living in the home and staff are being promoted and protected. EVIDENCE: An experienced and qualified manager for the home commenced in June 2007, and an experienced and qualified deputy manager commenced in July 2007. The manager advised us that an application for her registration has been filled out and is being forwarded to CSCI. The manager’s office has been moved to nearer the entrance to increase the accessibility of the manager to visitors, staff, and people living in the home. Staffing rotas seen indicate that managers are covering some weekend shifts, to ensure some management continuity during these periods. Although staff were very busy on the day of the visit, there was found to be a relaxed and good atmosphere in the home, and staff and residents talked to felt that the management of the home had improved recently. A survey of the views of people living in the home was undertaken by the company in March 2007. A summarising report of the conclusions of this survey was published, and examples of action taken to make improvements accordingly were given by the manager. An action plan in response to the outcomes of the QA survey has been published and is on display in the home. The manager has told us that changes have been made to lessen the chance of errors in relation to the handling of money and property for people living at Sussexdown. We looked at the new system which is in place. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 25 The person responsible for the running of the new system advised us that the home does not manage the finances for anyone living there, but does offer a cheque cashing service and can hold small amounts of money on their behalf. The staffing records sampled during this visit indicated that one to one staff supervision which supports them in carrying out their job was not always being recorded. The manager acknowledged that the recording of supervision has not been commenced for all staff. The manager has told us of the most recent services and tests undertaken to maintain equipment in the home and to maintain safety in the event of a fire. We sampled accident records, and noted that there are good arrangements in place to review if any further action needs to be taken to reduce risks in the home or to an individual subsequent to an accident report. Staff interviewed said they had found recent equipment and manual handling training helpful, also infection control and food hygiene training recently undertaken. Staff interviewed gave examples of the action that would be taken to control the spread of infections in the home. The Commission has been advised of the most recent reviews undertaken in relation to the home’s required policies and procedures. Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 26 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 X 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 3 Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 27 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 2 Standard OP15 OP36 Regulation 16.2 (i) 18.2 (a) Requirement To meet the needs of the people accommodated, the quality of meals needs to be improved For the protection of people living in the home, staff records need to provide evidence that staff are being appropriately supervised. Staff working in the home, including agency staff, should have qualifications suitable to the work that he or she is to perform, and the skills and experience necessary for such work. Timescale for action 30/11/07 30/11/07 3 OP27 18.5 (b) 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 28 Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Sussexdown DS0000068390.V343195.R01.S.doc Version 5.2 Page 30 - 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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