CARE HOME ADULTS 18-65
The Old Rectory Stubb Lane Brede East Sussex TN31 6ES Lead Inspector
Jeanette Denereaz Unannounced Inspection 2nd May 2006 09:00 The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Old Rectory Address Stubb Lane Brede East Sussex TN31 6ES 01424 882600 01424 882066 old-rectory@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes (No. 2) Limited 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) Mrs Kelly Lisa Mendis-Gunasekera Care Home 16 Category(ies) of Learning disability (16) registration, with number of places The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is three (3) in the cottage and thirteen (13) in the main house Service users must be aged between eighteen (18) and sixty-five (65) years on admission Service users with a learning disability only to be accommodated Date of last inspection 14th December 2005 Brief Description of the Service: The Old Rectory is registered to accommodate thirteen adults with learning disabilities in the main house, and three adults in the cottage. The property is set in extensive grounds close to the village of Brede near Rye. Whilst Brede offers some amenities the village of Westfield approximately two miles away is used for shops and post office facilities. The main property is a three-storey building and service users accommodation is now on all floors. The cottage is adjacent to the main house, is detached with all three bedrooms having ensuite facilities and a private garden area. The properties are owned by Parkcare Homes Limited, which in turn is owned by Craegmoor Healthcare Limited. The current scales of fees for this home are a minimum of £553 per week. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection including a site visit, for the year running from April 1st 2006 to March 31st 2007. Time was spent with the manager, residents, staff and an evaluation of gathered information. Three staff were formally interviewed during the visit; 6 telephones calls were made to service users’ relatives and 4 willingly gave their observations of the service. All service users were sent a ‘Have you say’ survey about The Old Rectory, and 9 were returned, three service user request to speak to the Inspector, and during the visit they were interviewed. Also during this inspection process the inspector spoke to the General Practitioner for the residents of the Old Rectory, and one individual resident’s care was discussed in depth. The pre-inspection questionnaire, staffing rota and a selection of menus were also received and the information from this document is included in this report. Due to the nature of some of the service, it is difficult to reliably incorporate accurate reflections of the service in the report. Some judgements about quality of life and choices were taken from direct conversation with service users, information received and observation followed by discussions with the manager, service users, staff members and evidencing records held in the home. What the service does well:
The manager has re-established her role within the home, returning from maternity leave and is committed to improve the service offered to the residents. Since the last inspection the manager has continued to review the ethos and care procedures of the home to reflect this. The manager and staff ensure as far as possible to make the residents feel at home. This was confirmed by the residents, their relatives and from the staff interviewed. The residents living in the cottage are very happy with their new accommodation, and they are now living a more independent lifestyle, only one resident was a home during this inspection, and he has just recently moved to the service, but he was very complementary about his new home and the service.
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better:
The manager must ensure that all relevant information is sort of prospective residents, and evidence that new residents can be assured that their aspirations and needs can be met within the home, and that they and others will be safe. All staff working in home should at all time should provide sensitive and flexible personal support, and following an investigation into a staff member actions, residents should have a say who works with them. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 7 The manager and the Craegmoor organisation should ensure that in the absence of the manager that the staff have the training, experience and maturity to be able to maintain the high standard of care that is present when the manager in on duty. This should improve when the deputy manager take up the post in June 2006. The role of the day service co-ordinator should be reviewed and the post holder should initiate more day activities for the residents who spend more time in the home. The home should have a planned maintenance programme for the redecoration and repair of the buildings and grounds, and there should be timescales for the works to be completed. The grounds are now in need of professional in-put, as areas have become overgrown; also there are areas of the garden that are not accessible for the residents that have mobility problems. . 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 Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home’s Statement of Purpose and Service users’ guides are good and inconjcetion with the pre-admission assessments undertaken by the manager, the prospective residents should be sure the home could meet their needs. The manager must ensure that all information gathered is accurate and relevant to ensure that home can meet the needs of the prospective resident. Outcomes from these key standards at this time are adequate. EVIDENCE: At the last inspection on the December 2005 two residents had come to live at the home from other Craegmoor establishments and the information and preassessment were not adequate to ensure the home could meet their individuals needs, however, they have both settled well and one resident’s mother was contacted during this inspection and she confirmed that her son is very happy living at The Old Rectory, and following weekend visits home, he is always pleased to return. There has been a new resident to the home since the last inspection, and all the appropriate documentation including risk assessments are in place and were discussed and seem by the inspector. The individual was interviewed and he stated he is very pleased with his new home in the cottage, and is very settled at the time of this inspection. The manager and the staff member
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 10 working in the cottage confirmed this. However, during this inspection process and information received, it has come to light that the manager was not given all the relevant history and information regarding an prospective resident from the previous placement and therefore it may aspire the home cannot meet the needs of a resident. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 The majority of residents living in the home knows that their personal goals are reflected in their individual plans and that potentials risks are managed. The service is good at identifying changing needs of residents and making any necessary changes to the way in which the service supports residents. However, the needs of one particular resident had not been clearly identified due to incomplete information being passed to the manager prior to his arrival at the home. Outcomes from these key standards at this time are adequate. EVIDENCE: Following the decline in the physical and health needs of one resident, the manager made the appropriate assessment that the home could not met the individuals needs, and has supported the resident to move on. Also the manager has re-assessed another residents increasing mobility and vulnerability living upstairs in the home. He has been support to move rooms, from a bedroom he has occupied for many years, but the move has to date been successful.
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 12 All residents have comprehensive individual risk assessment in place to ensure their safety and where appropriate the safety of other. However, during this inspection process and information received, there needs to an urgent review of one resident’s risk assessments and the suitability of home to meet his needs and to ensure his safety and the safety of other. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Although the home is in a rural setting links with the community are at times good and enrich residents’ social and educational opportunities. However, the role of the day service co-ordinator should be reviewed and thus provide a valuable service to residents that do not wish to access the wider community. Overall the outcomes from these key standards are good. EVIDENCE: The home has the facilities of an in-house day service, and a day service coordonator is employed. This role has changed over time due to within the home, an the role has become more escorting and driving residents to venues instead of facilitating and initiating in-house and off site activities. On the day of this site inspection the co-ordinator was escorting a resident to visit his family, and the in-house day service was not open, and when viewed the building was being used to store furniture. It was evident that the manager is at this present time arranging and co-ordninatoring daily activities. This is a waste of two valuable resources and with the recent news that the Craegmoor
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 14 day centre in St Leonard’s is due to close; it is recommended the role and job description of the day service co-ordinator should be reviewed to reflect the needs of residents. The situation of drivers for the home should also be reviewed; with the home being quite isolated transport is an important and essential resource for the home. During this inspection visit the inspector was present for lunch and the residents were offered a choice of sandwiches. The main meal is usually served in the evening when everyone is back for his or her various day activities. Copies of the menus were seen and residents assured the inspector that the food was good. This evening there was going to be a special birthday meal for one resident and she was really looking forward to the cook arriving to discuss the menu. The three families that the inspector spoke to were very complementary about the manager and staff, they all stated that they were always made to feel welcome, and felt their relative enjoyed a good standard of life living in The Old Rectory. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Usually the personal care offered is good, but there has been a recent allegation of an incident which if proven had placed residents at risk. Whilst most of these standard are well met within the home, at the present time the overall standards keys are adequate. EVIDENCE: A resident regarding the giving of personal care has made an allegation. The manager has acted appropriately and the alleged victims asked to speak to the inspector. They are satisfied with the action of the manager and she has given them support and continues to do so. The organisation is in the process of undertaking an investigation and the Community Learning Disability Team (CLDT) the residents care manager and CSCI are being fully informed at all stages. The residents confirmed to the inspector that they now feel listened to and are safe, but are worried about the outcomes and future in the home if the staff member returned to work. This information was passed onto the manager by the inspector with the residents’ permission. The home has a comprehensive medication policy and procedures in place; only staff trained administer medication to the residents. The dispensing
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 16 chemist has recently undertaken an audit of the medication within the home and found this to be satisfactory. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home has a complaints system in place and there in recent evidence that residents concerns and complaints are listened to by the manager. Recent events show that some staff lack the knowledge and understanding to be able to work with vulnerable people in a care setting are protect them from potential abuse and neglect. At the present time these key standards are adequate. EVIDENCE: The manger has been aware of a certain culture within the home, and has tried since her return to ensure staff have the appropriate training and supervision. The home run well when the manager is on site, but there is a deterioration of care when there is no leadership in the home. This was confirmed by residents they informed the inspector that when the manager is not on duty some staff are not helpful. However, the residents and their families for their help and support praised the majority of staff. The manager is quire aware of this and has requested that as well as on going staff training, supervision and staff meetings there is a need for a senior in the form of a deputy manager to be in post to ensure the standard of care is constantly good. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 & 30 The overall standard of the environment including the décor and furnishing are good and provide a homely and attractive place for residents to live. Improvement to the outside area could provide a pleasant and safe area for resident in the summertime. At the present time the key standards are good. EVIDENCE: During the site inspection the inspector tour the home including the cottage and found all to be in good order. There have been plans for the dining room and part of the kitchen to extended and modernised. This is still to be undertaken. The Old Rectory is a large Victorian house and some of the residents are hard on their environment, and therefore there are always areas that need redecorating and replacing, but overall the home is in a good state of repair. Thee should be a planned maintenance programme in which repairs and redecoration are recorded and timescales set to rectify. The house does have a maintenance person who is self-employed and only works times that suit him, and the manager has little control over his working time and direction. A house of this size needs more maintenance input to ensure good safe standards are met.
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 19 The outside areas especially round the main house needs professional attention, areas have become very overgrown and need more than general gardening. The manager has in the past requested that areas to be make level by decking to able residents with mobility problems access to the garden safely. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Since the last inspection there has been a marked improvement in the vetting and recruitment practices within the home. Staff now are receiving regular supervision and training, which offers consistency of care for the residents. Overall the outcomes from these key standards are good. EVIDENCE: The manager was requested to employ staff from the closing Craegmoor home in Hastings. This was only actions after the manager had received all relevant information about the staff and their working history. She undertook interviews and only when she was satisfied did she agree on their employment. All staff now received regular supervision from the manager, and in turn she is also receiving regular supervision from the Area Manager of the organisation. Since the last inspection there has been a full staff meeting with others planned for the future months. The manager takes the training of staff very seriously and all staff training is recorded and refresher training is also recorded, when due and undertaken. Three staff members were interviewed during the site inspection, and all were very positive about they jobs, and remarked that since the manager had returned to the home, things had greatly improved and training is always being organised for the staff. The staff stated that:
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 21 • • • “The Old Rectory is a nice home to work in”. “Thing are happening in the home because of Kelly (The manager)”. I wish to stay at the Old Rectory”. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 &42 The manager has a good understanding on the area in which the home needs to improve, she has a clear development plan and vision for the home. However, the manager needs support from senior staff to provide clear leadership at all time within the home, so staff can demonstrate an awareness of their roles and responsibilities. Overall the outcomes from these key standards are good. EVIDENCE: The manager has returned to the home after having maternity leave, and has greatly improved the service. Residents and staff all remarks that the home has improved and there was evidence to justify this. The home was calm, staff had direction and all occupied with meaningful and resident centred activities, with most residents out and about in the community. Many of the home procedures are being reviewed and the home now has leadership and direction. The relatives that spoke to the inspector also felt that the home is now well run, and feedback from their relative living at The Old Rectory was
The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 23 now positive with one mother stated that her son after a weekend at home also wants to return to The Old Rectory, which never happened in his previous care homes. Unfortunately these positive aspects are only evident when the manager is on duty, and there has been a recent alleged incident to confirm this. Two residents interviewed confirmed that when the manager is on duty the home is run very well, but when she is not some staff spend time in the office ‘chatting and are not helpful’. The manager is aware of this and has been undertaking spot visits at different times of the day, but she feels she needs more support in the from senior management in the form of a deputy to give the direction and a role model to the staff team at all times. The Area Manager has agreed this and deputy will be starting in early June2006. From the pre-inspection questionnaire that was completed and signed by the manager, all the requirements relating to the health and safety of home are up to date and accurate and in order. The overall maintenance of the home needs attention, and the manager needs to compile a maintenance schedule for re-placement and repair with timescales for completion. The grounds also needs professional attention as mentioned in the Environment standards with a view to providing level access to the garden area for the residents with mobility problems. The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 3 X 3 X X 2 X The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 25 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 YA2 Regulation 14(1)See Sch 3(1)(a) Requirement The registered manager must ensure that in the future new residents are admitted only on the basis of a full assessment undertaken, including all relevant medical and psychological history. The process must involve the prospective resident and other stakeholders. The registered manager must ensure that information contained in care plans are accurate and have the information on which to base decisions. From the information received care plans are written as far as possible to ensure the safety of the The registered manager must ensure that all staff provide a sensitive and flexible approach to personal care for residents in privacy and with dignity. All staff should be aware of the assessed needs and Timescale for action 01/09/06 2 YA6 13(4)(b) 12(3)See Sch3(3)(q) 15(1) 14 13(4)(b) 12(3)See Sch3(3)(q) 15(1) 14 12(4)(a) 16(2)(i)(h) See Sch 3 (3)(q) 01/06/06 2 YA7 01/06/06 3 YA18 01/06/06 3 A19 12(4)(a) 16(2)(i)(h) See 01/06/06 The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 26 Sch 3 (3)(q) 4 YA23 13(6)(5) 22(4) 4 5 YA22 YA35 13(6)(5) 22(4) 18(1)(4)(c) 19 6 YA42 23(2)(n) 12 37(1)(e) 6 YA29 23(2)(n) 12 37(1)(e) procedures in place to address the healthcare of all residents. The registered manager must ensure that resident are safeguarded from all forms of abuse and that the staff team are fully trained, have and a comprehensive understanding in these areas. The registered manager must ensure that appropriate and competent staff are employed to work within the home. This in connection to the recent complaint raised by a service user, and that service users should have an input into who is employed in their home, and they should feel safe when all staff are on duty. The registered manager must ensure that all residents safely access the home, and this is to include the outside of the home. This is in connection with the garden area, which at present is uneven, especially outside the lounge area, and is not easily accessible to residents with mobility problems. 01/06/06 01/06/06 01/06/06 30/09/06 30/09/06 The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA12 Good Practice Recommendations It is recommended that the manager review the Job description and role of the day service coordinator within the home and ensure that this role meet the needs and aspirations of the residents. It is recommended that in the future the manager compiles a maintenance schedule of decorating and repairs for the home on an annual bases and there are timescales for completion. 2 YA42 The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Rectory DS0000021256.V290089.R01.S.doc Version 5.1 Page 29 - 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!
