Inspection on 28/02/07 for The Mount

This inspection was carried out on 28th February 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

The Mount 06/04/10

The Mount 26/02/08

The Mount 18/01/06

The Mount 13/07/05

The Mount 21/01/05

The Mount 04/10/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 The Mount Faircrouch Lane Wadhurst East Sussex TN5 6PT Lead Inspector Jeanette Denereaz Key Unannounced Inspection 28th February 2007 10:00 The Mount DS0000021251.V326184.R01.S.doc Version 5.2 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 The Mount DS0000021251.V326184.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 Adults 18-65. 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. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mount Address Faircrouch Lane Wadhurst East Sussex TN5 6PT 01892 782025 01892 782917 Office@mountcamphill.org 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) The Mount Camphill Community Brigitte van Rooij Care Home 39 Category(ies) of Learning disability (39) registration, with number of places The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirty nine (39). Service users must be aged between sixteen (16) and nineteen (19) on admission. Some of the service users may also have associated mental health problems 18th January 2006 Date of last inspection Brief Description of the Service: The Mount Camphill Community is an independent specialist college that provides further education and training for residential and day students aged 16 to 25. The Community is a registered educational charity providing up to 39 residential places for young people with moderate learning disabilities, and therefore is also inspected by Ofsted. The Camphill Movement, founded in 1940, works to create communities in which vulnerable children and adults can learn and work with respect. Camphill is inspired by Christian ideals as articulated by Rudolph Steiner and is based on the acceptance of spiritual uniqueness of each human being, regardless of religious or racial background. The Mounts training programme extends over 4 years. An educational year is approximately 38 weeks divided into 4 terms, with students returning home or to other placements during the holidays. There are 4 community houses onsite, each with its own character. There are craft workshops for pottery, bakery, weaving, woodwork and catering. In the main house, which is a renovated monastery, are classrooms, a library and a community hall. There is a large vegetable garden and orchard, which provides the venue for a horticultural course and extensive grounds and woods where the estate and rural skills course are taught. There is also a gymnasium on the site. The Mount is staffed by residential co-workers and day staff. The senior co-workers live permanently in The Mount. Most staff take on the role of house co-workers, team leaders and some are also College tutors. The trainee co-workers are volunteers from a wide range of countries and usually work at The Mount for up to one year. The current scales of fees are based on the Learning and Skill Council (LSC) matrix, which is in the range of £35000 & £45000 p.a. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at The Mount are referred to as ‘students’ and the staff team are referred to co-workers. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 28th February 2007. The site visit included a tour of the premises, college facilities and the workshops. The inspector undertook an examination of various records including medication, care and staffing records. The Inspector met with the registered manager, the co-workers on duty and students at various venues throughout the day, which included the individual houses, the community meeting, classroom and in the workshops. The students were sent the CSCI ‘Have your say’ about The Mount survey, but the registered manager informed the CSCI by letter that this survey was inappropriate for the students. Student feedback from The Mount’s Self Assessment Report and Quality Improvement Plan undertaken in December 2006 was available for the inspector to review. Also during the inspection visit the inspector spoke with students, and all gave very positive feedback about their life at The Mount. The registered manager gave the inspector a copy of the feedback form parents based on 17 responses in November 2006. This information was also very positive and one outstanding statement was: “When I asked him if he would rather live at home or The Mount, he replied “The Mount”. What the service does well: The Mount offers an excellent standard of accommodation in a beautiful setting, and also offering students the opportunity to get out into the wider community. The CSCI was sent prior to the inspection a sample of menus and on the day of the visit the inspector was invited to dine with the students. The quality and quantity of the food was found to be very good. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 6 The college curriculum and workshops within the community offer students the opportunity to acquire skills, have a meaningful and stimulating day with a sense of achievement. The Mount is excellent at ensuring that new students settle in and responds well to any difficulties. The Mount was found to provide good support and the registered manager and staff are good at ensuring students have a good and stimulating life. The co-workers are well skilled and operate in an open and inclusive way, supporting both students and the young volunteer co-workers. Besides the college curriculum and workshop activities The Mount offers many opportunities for leisure and cultural activities including sport, music and drama. On the evening of this inspection visit a ‘Brazilian evening ‘ of South American music and dance, had been arranged, and students were talking and preparing for this event. What has improved since the last inspection? What they could do better: The registered Manager and co-workers must ensure records are maintained of current medication for each student and are handled appropriate and only under the instruction of a consultant or GP . The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 7 All care staff must have regular recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on dayto-day practice The practice of co-workers maintaining and the storing of documents and regulation records in the personal accommodation, must be reviewed to ensure this activity is not comprised and is conducted in a confidential manner 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. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Quality in this outcome area is excellent. The statement of purpose and student handbook clearly says what service will be offered. Prospective students can be confident their needs will be assessed, and the service will meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there has been ten new students. The newest student arrived in January 2007 and it was evident he had, had a very individual introduction to The Mount and case tracking confirmed good practice. The Mount was approached by the student’s parents and the service under took a pre-assessment of the student, which included information from the student’s previous placements, home tuition and care management and comprehensive documentation with regards to the student’s care and socials needs were supplied. The student visited The Mount before taking up residency and these visits were documented. The inspector had the opportunity to meet with the new Student during this inspection visit, and spend time with him at the coffee break and at his studies. He has limited verbal skills, but the inspector observed him, and he The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 10 seemed relaxed and enjoying the experience. It was apparent the co-workers and his peers supported him. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 & 9 Quality in this outcome area is good The registered manager and co-workers demonstrate their knowledge of the individual student, and are aware of the complex needs of the students and encourage them to have an independent lifestyle as far as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The selection of care plans seen by the inspector had relevant information and there was evidence they are reviewed regularly and that students are encouraged to be fully involved in decision making. The involvement of students into decision-making was also confirmed by frequent consultation with students individually and in groups and student have an opportunity to contribute to The Mount’s Self Assessment Report and Quality Improvement Plan. The inspector reviewed the December 2006 document during the The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 12 inspection visit, and saw students had been fully involved and their views were recorded. The inspector spoke with students during the tour of the community and at coffee time, they spoke of their lives at The Mount, time spend with their families and their futures. The Inspector also spent time in two of the houses and discussed with coworkers the care plans and other documentation held in the individual houses. It was evident that documentation has improved, and aims and targets are set for each student and this information is recorded and updated. Individual risk assessments have also been reviewed. However, written information needs to clearly dated to ensure accuracy of events and identification of the author for reference. The co-workers confirmed they would review practices immediately. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 & 17 Quality in this outcome area is excellent. The registered manager and co-workers demonstrate their knowledge of the individual student, and are aware of the complex needs and encourage them to have an independent lifestyle as far as possible. Life at The Mount enriches the students’ lives, and their can choice from a variety of activities that they can enjoy and met their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector toured the community and met with the students and staff within the workshop and college setting. In the weaving workshop the inspector met with the students completing pieces of work for their final college assignments. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 14 The inspector visited other workshops including the Bakery and Woodwork, and had the opportunity to speak with the students. Also the inspector spent time in the classroom, and met with the tutor and the newest student to the community. All students spoken to were very forthcoming about their lives at The Mount and told the inspector what they did during the day, evening and weekends. All were very positive about their experiences, and discussed their future plans when they move on from The Mount. The students had just returned to The Mount from their half term holiday and spoke about their families and friends. The quality and quantity of the food is very good and the inspector was invited to have lunch with the students living in the White House, and the meal was very good, wholesome and plentiful. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. Students receive personal support appropriate to their physical, emotional and healthcare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All students are registered with the local GP and health checks are regularly carried out and all personal and healthcare needs are well documented, including full health reviews. The students receive, when requested or needed, support from other health professionals including the service of an anthroposophical doctor who visits the community regularly. Since the last inspection further medication training has taken place. However, during this inspection visit the inspector had concerns that a letter of instructions from a parent stating medication changes, without any The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 16 confirmation from a doctor was in the medication cabinet. The co-worker in charge of the house, seeing this information confirmed she would be contacting the student’s GP for advice immediately, and also stated that the student had just returned from home and no medication had been given. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 &23 Quality in this outcome area is good. Students and their relatives’ complaints would be taken seriously and investigated. The co-workers have the knowledge and understanding to take the correct action to safeguard students from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are no recorded complaints or concerns since the last inspection. The service operates in an open and pro-active manner, and the service’s policy and procedures on preventing abuse and staff recruitment were seen and were comprehensive. The registered manager and co-workers demonstrated a sound understanding on how to prevent abuse, and during this inspection visit the inspector observed all staff working in a very supportive and respectful way towards students within the home setting and college Students interviewed during this inspection visit informed the inspector that they are very happy living at The Mount and if they were unhappy they would always speak to the co-workers. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28 & 30 Quality in this outcome area is excellent. The overall standard of the environment including the décor and furnishing are excellent and provide a homely and attractive place for students to live and study. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector toured the whole community. During the tour the inspector met with the staff in the individual units and was invited to have lunch in The White House, and met with the co-workers and students that live there. The accommodation is of a high standard being very homely and well furnished. Two students share most bedrooms and the selection of The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 19 bedrooms seen by the inspector, and they reflected the interest and hobbies of the individuals. The Mount is well maintained and very clean in all areas, and the inspector observed cleaning being undertaken in many areas during the course of the day. There is a rolling maintenance schedule, undertaken by the Maintance person, who was unfortunately not at work during this inspection visit. Areas of the community have been recently decorated and upgraded, and areas seen to need repair have been noted and work scheduled to take place. The house co-workers confirmed that repairs and decorating is undertaken regularly, and the maintenance person is very vigilant and competent. The Mount is in a beautiful location, and also has the advance of being within walking distance to the village Wadhurst. Larger towns are also accessible including Tunbridge Wells for students to go shopping and access other leisure and entertainments facilities. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 & 36 Quality in this outcome area is good. Staff are well supported, well trained, motivated, and well suited to meeting the needs of Residents. Although supervision for care staff has taken place, it has not been regular or recorded. There is a need for the service to review the supervision policy to ensure it is meeting the National Minimum Standards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector observed all the staff working with the students and was impressed with the respect and empathy shown by all. When questioned the staff had a good knowledge of the students, and gave the students a personal touch to their care, this is achieved by the established staff team working well together. Training is very important to the registered manager and the staff and all are encourage by the Camphill organisation to undertake training. The volunteer co-workers come to work at The Mount for a year, and following their induction The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 21 training they are offered further training towards certification at OCN lever 2 in the Camphill approach to special education. The inspector during this inspection visit reviewed the staffing records of the two newest staff members, and the recruitment records were seen to be in order. They are a married couple and are co-workers living within the community with their family. Both were interviewed by the inspector and both were enjoying their work and fully integrated into the life of the community. From the records held they both received a full induction training, mandatory training and supervision from their mentors, who are senior members of the community, supervises both. Because the starting age group of the students is between 16 years Old The Mount’s staff as well as having CRB checks must adhere to the Safe Guarding of Children procedures as stated by the Education and skills Ofsted report. All staff received a form of supervision, and the house co-worker interviewed during this inspection confirmed she did supervise staff working in the house, individually and in a group setting, but she does not always record the meetings. It is required that all care staff are supervised and the need for formal supervision to be undertaken by senior staff. There should also be supervision contracts written, which would explain what was the home’s policy and expectations of the supervision, and the outcome with regards to the National Minimum Standard (36). The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41 & 42Quality in this outcome area is good. The Mount is well managed in the best interests of the students who are fully involved in the running of their residential accommodation. The service benefits from a well-motivated organisation which and a motivated and enthusiastic staff team. However, where house co-workers undertake administrative duties should be reviewed and space should be provided for them away from their personal accommodation for them to be more effective. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records showed that all aspects of health and safety were being met this included looking at appliance safety certificates, staff training, and accident records. All staff and volunteers receive regular mandatory training in food The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 23 hygiene, moving and handling, fire training, first aid training and infection control. All accidents and significant incidents are promptly reported to the CSCI. Once again the service completed its annual Self Assessment report and Quality Improvement Plan in December 2006. Part of this process involved sending satisfaction questionnaires to families, students and volunteer coworkers. Through this process they examine all aspects of the service they provide and then detail an action plan stating the actions they propose to take to address the shortfall they have assessed in the service. The inspector saw this document during this inspection visit. It was evident the role of co-worker and become more complex with the tasks of ensuring care planning and the recording of such plans are maintained to a good standard. However, the inspector saw that the family environment could be overwhelming and not conductive for completing documentation. Both house co-workers interviewed during this inspection visit confirmed that they undertook administrative task in their own accommodation. It is required the current arrangement for the maintaining and storing of documents and regulation records in the personal accommodation be reviewed to ensure this activity is not comprised and is conducted in a confidential manner. The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 4 2 4 3 4 4 4 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 3 27 3 28 4 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 2 3 X The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) 17 Requirement It is required the registered Manager and co-workers ensure records are maintained of current medication for each student and are handled according to the requirements of the Medicines Acts 1968. This is in connection to the service taking instruction from a parent to the reduction of medication without any official notification from a consultant or GP. Timescale for action 28/02/07 2. YA36 18(2) 3. YA41 17 It is required that all care staff 30/06/07 have regular recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practice. It is required that the service 30/06/07 review the practice of co-workers maintaining and storing of documents and regulation records in their personal accommodation to ensure this activity is not comprised and is conducted in a confidential manner The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 26 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 The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 The Mount DS0000021251.V326184.R01.S.doc Version 5.2 Page 28 - 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!