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Inspection on 06/06/07 for Westhampnett Nursing Home

Also see our care home review for Westhampnett Nursing Home for more information

This inspection was carried out on 6th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is well maintained and homely with an attractive garden available for the use of people living at the home and their visitors. From information gained at the inspection it is evident the manager and staff treat people living at the home with respect and dignity. Residents are well cared for and their health needs are met. All residents spoken with praised the staff and were complimentary about the service they received.The home has a complaints process which people have the confidence to use and know that any dissatisfaction will be investigated.

What has improved since the last inspection?

The admissions policies have been reviewed so that there are no unplanned admissions at the weekend There is a continued refurbishment at the home and each time a bedroom is vacated the room is redecorated. Since the last visit to the home the manager has introduced a formal supervision process for staff working at the home. The manager says that the homes infection control practices have improved by introducing a new system in the laundry and providing every room with antibacterial soap dispensers and alcohol gel. Further staff have completed N.V.Q qualifications and staff training has included: Health and Safety, Risk Assessment, Supervision and Appraisal, Food Hygiene and Moving and Handling.

What the care home could do better:

The home could involve people living at the home and their representatives more in the planning and review of their care. There could be more regular and varied social events for people living at the home to choose from. The homes systems of ensuring that it meets its aims and objectives and statement of purpose must include seeking the views of the people that live there, their relatives and friends and other stakeholders in the community. The manager has already identified this as an area of improvement to be made. Further staff need to achieve an N.V.Q in Health and Social Care to meet the National Minimum Standards target of 50%.

CARE HOMES FOR OLDER PEOPLE Westhampnett Nursing Home Westhampnett House Westhampnett Road Chichester West Sussex P018 ONT Lead Inspector Mrs D Peel Unannounced Inspection 09:45 6th June 2007 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 Westhampnett Nursing Home DS0000024238.V338764.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. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westhampnett Nursing Home Address Westhampnett House Westhampnett Road Chichester West Sussex P018 ONT 01243 782986 01243 778935 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) Mr Philip Norman Davis Mrs Mary Davis Mr Ignatius Gilarty Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Westhampnett Nursing Home is a care home registered to provide nursing care for up to 32 older people. It is a two storey listed Georgian building located in Westhampnett Village, which is situated on the outskirts of Chichester, West Sussex. The building has been thoughtfully converted to ensure the original features remain. Accommodation is provided on two floors, serviced by a passenger lift. There are 24 single and 4 double rooms. Large landscaped and beautifully kept gardens surround the property. These are accessible to the residents and seating is available. The current fees being charged by the home are: from £625 to £750 for a single room and £850 to £900 for a double room. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 6th June 2007. During this visit the intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed, previous inspection reports, information gathered about the home since it was last visited in February 2006 and surveys returned to CSCI by people living at the home and staff working at the home. The Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) prior to this visit to the home and this was used to address areas of improvement with the manager. During the visit a tour of the home took place with all communal areas and private accommodation visited. A case tracking exercise for three people living at the home was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. People living at the home, staff working at the home and visitors to the home were spoken with to gain their views of the service. Records required to be kept at the home and policies and procedures were sampled during the visit. What the service does well: The home is well maintained and homely with an attractive garden available for the use of people living at the home and their visitors. From information gained at the inspection it is evident the manager and staff treat people living at the home with respect and dignity. Residents are well cared for and their health needs are met. All residents spoken with praised the staff and were complimentary about the service they received. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 6 The home has a complaints process which people have the confidence to use and know that any dissatisfaction will be investigated. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westhampnett Nursing Home DS0000024238.V338764.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 Westhampnett Nursing Home DS0000024238.V338764.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): 1,3,4,5,6 People who use the service experience excellent outcomes in this area. Prospective users of the service have the opportunity to make a fully informed choice about whether or not the home is suitable and able to meet the individual persons needs. EVIDENCE: Westhampnett Nursing Home has a Statement of Purpose and Service User Guide, which is provided to all people living at the home and offered to people who are considering moving into the home. The document was observed to be present in each bedroom visited along with a brochure about the home. The three surveys from people living at the home returned to CSCI prior to the visit all indicated that those people returning the surveys had received enough information about the home so that they could make sure that it was the right place for them. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 9 Four staff returning surveys to CSCI reported that the services assessment arrangements ensured that accurate information is gathered and that the right service is planned and given to individuals. One person commented “ I find sometimes we don’t have some information until they have been with us for a while. Either from the resident themselves, GP or relatives”. A notice above the visitors signing in book was observed to offer people the opportunity to read the most recent inspection report, which could be requested. Care records observed at this visit were observed to have detailed assessments of need and the Annual Quality Assurance Assessment (AQAA) returned to CSCI stated that “qualified nurses visit prospective service users e.g. In their own homes or in hospital”. Discussion with the manager confirmed that people come to the home for respite care and during this time their needs are assessed in case they decide that they want to stay or come back at a later date, as was the situation with a person who spoke to the inspector during the visit. This person said that their family had been to look at the home for them. They came for a trail stay and had decided that they wanted to remain at the home. Another person living at the home said that they had been around six or seven homes in the area and had chosen this one after visiting twice. They had stayed at another care home until a vacancy had arisen at Westhampnett Nursing Home. Intermediate care is not offered at the home. Westhampnett Nursing Home DS0000024238.V338764.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): 7,8,9,10 People who use the service experience good outcomes in this area. Care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal and social care needs so that the changing needs of people living at the home can be monitored. EVIDENCE: All people living at the home have a care plan, which has been developed from an assessment of need. The care plans of four people were observed during this visit and a case tracking activity undertaken for three people to see if people’s plans reflected what they expected. The care plans were detailed and considered all aspects of health, personal and social care, detailing the action needed to be taken by staff and whilst ensuring that people are supported to retain individual levels of independence. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 11 The home has a number of ways of reviewing care plans, which includes a formal bi monthly review and daily progress reviews. The manager said that the home does not routinely do a complete care plan review monthly but changes to the care plan are made as and when needed in-between the bi monthly review if peoples needs change. This was evidenced in two of the care plans observed at this visit by daily records and entries of changes to needs in plans of care. Individual risk assessments were observed to be in place for prevention of falls and pressure areas and there was documented evidence of visits from GP’s and other specialist medical services. People spoken with during the visit reported that the doctor visits regularly and a member of staff returning a survey to CSCI said, “ Sometimes advice or help is needed from people outside the home like District Nurse or Stoma Care Nurse”. An area identified for improvement by the manager in the AQAA returned to CSCI is to increase the involvement of people living at the home and their relatives in care planning and review the plan monthly. Westhampnett Nursing Home has a medication policy and procedures, which were observed during the visit. Medication is stored in three locked trolleys in three different areas of the home. The trolleys are attached to the walls when not in use. Prescribed stock medication was observed to be stored in locked metal cabinets on the wall in a lockable clinical room. Medication administration records are printed up by the home and qualified nurses administer the medication to people living at the home. A member of staff returning a survey said, “ People have their medication personally given by trained staff on duty “ and another member of staff said “ residents who self medicate are given as much support as possible to continue doing this for themselves”. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, People who use the service experience good outcomes in this area. Activities are offered and residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional. EVIDENCE: Those people living at the home who the inspector spoke with thought that the routines of the home were flexible. One member of staff returning a survey said “ residents are encouraged to live the life they choose” and residents are encouraged to continue doing social activities such as going to church”. Another member of staff returning a survey commented “ health care needs are always fulfilled however time constraints sometimes mean social needs have to take a lower priority”. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 13 People who live at the home, returning surveys to CSCI say that there are usually activities arranged by the home that they can choose to take part in. On the day of the visit a priest visited the home to undertake communion with those people choosing to take communion in their own rooms and in the afternoon a few people went to a club. Most residents spent their time in their own bedrooms, at their wish but the lounge was observed to be used by a few people. Some residents had newspapers, which they were reading and books and televisions and radios were in most rooms. Musical entertainment is provided twice monthly and birthdays and other special occasions are celebrated. In the AQAA returned to CSCI the manager had identified that a more regular and varied social events was one area, which could be improved. There were many visitors to the home during the visit. For one couple it was their first visit to the home to spend time with friends who had recently moved into Westhampnett Nursing Home. They commented on how welcome they had been made to feel and how nice the home was. The visitor’s book shows regular visitors to the home and the AQAA returned to CSCI states “relatives are free to dine at no extra cost”. Residents spoken with said the food served was good and there was plenty of choice given. The cook said that there was a choice for every meal and on the day of this visit she had prepared a smoked trout salad for two people, one who is a vegetarian and another who doesn’t eat poultry. The main meal was chicken, roast potatoes, cabbage, carrots and swede followed by a choice of fruit salad, strawberry fool or syrup sponge. Softened diets were observed to be being served and the cook served them to look as appetising as possible, keeping the vegetables separated. Those people needing assistance were helped on an individual basis in private. Hot and cold drinks were frequently available throughout the day. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good outcomes in this area. The complaints procedure enables those people using the service to know that any complaints will be taken seriously and responded to. People living at the home are safe guarded by the homes safe guarding adult’s procedures. EVIDENCE: The home has complaints procedures, which are outlined in the Statement of Purpose and Service User Guide and on display in a number of places around the home including on a notice board above the visitors signing in book. Five complaints had been raised at the home since the last visit in February 2006. These were observed to be fully documented and had been dealt with in line with the home’s complaints procedure. The action taken was fully documented. One person living at the home who spoke with the inspector commented that they had made a complaint and it had been acted upon to their satisfaction. The homes own safe guarding adults policy was observed to have been regularly updated and included the West Sussex Multi Agency Adult Protection flow chart on how to report suspected abuse. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 15 Most staff have had formal safeguarding adults training and the manager has identified as an area for improvement in the AQAA returned to CSCI that the remaining staff who have not had this training should do so. The manager told the inspector that places have already been booked on a course. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 People who use the service experience good outcomes in this area. The home is clean, well maintained and offers people a comfortable, pleasant, environment to live in. EVIDENCE: Accommodation is provided on two floors, serviced by a passenger lift. There are 24 single and 4 double rooms. Large well kept gardens surround the property. These are accessible to the residents and seating was available. All areas of the home were tastefully decorated and carpeted with fixtures, fittings and furniture being of a high standard. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 17 Some bathrooms are in need of modernisation and this had already been identified as an area, which could be improved by the manager in the AQAA returned to CSCI. The home has a designated member of staff who is the appointed Fire Officer. This person spoke with the inspector about the fire risk assessments, which she had carried out and the fire safety training which she ensures staff undertake. The fire procedures, risk assessments and safety checks were recorded and detailed. Appropriate infection control measures were in place. Alcohol hand gel and antibacterial soap dispensers are provided in all rooms. There was a plentiful supply of gloves and aprons present in each resident’s bathroom, communal bathrooms and toilets. People living at the home spoken with during the visit were pleased with the accommodation provided and pointed out what ornaments, pictures and small pieces of furniture, which they had brought to the home. Two staff returning surveys to CSCI commented about the equipment provided by the home. One said “ equipment for peoples individual needs is purchased regardless of cost” and another said, “If equipment is required for a specific resident it is always provided regardless of cost”. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good outcomes in this area. People living at Westhampnett Nursing Home are protected by the recruitment procedures and staff receive appropriate training so that they can meet the needs of people living at the home. EVIDENCE: A rota was available in the home and the staff on duty was observed to be well organised and able to attend to respond to the needs of people living at the home. Out of the eight staff that returned surveys to CSCI, three suggested that it would help if there were more staff on duty so that they could spend more time with the people living at the home. In addition to qualified nurses and care staff there are cleaning staff, maintenance staff, kitchen staff, and an administrator who also steps in to cook when the main cook is not working. People living at the home spoke highly of the staff and their dedication to their work. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 19 One person said, “We have dedicated staff, it is a happy place” and another person said, “the staff are superb and very kind”. One person living at the home who returned a survey to CSCI said “ a well run home with pleasant and helpful staff”. Two members of staff have achieved their NVQ level 2 in Health and Social Care and one member of staff has achieved NVQ level 4. In addition a member of staff has completed the NVQ internal assessors qualification. The home has yet to achieve the 50 ratio of trained care staff and this is a recognised area for improvement in the next 12 months. The records of three staff were observed during this visit to the home, which included someone recently employed. They were observed to include evidence of Criminal Record Bureau (CRB) and Protection of Adults (POVA) checks. A job application was on file, two written references, photograph, proof of the person’s identity and completed equal opportunity monitoring forms and health declaration forms. During the course of the visit a prospective new member of staff arrived with their documentation for the manager to check to apply for their CRB and POVA. Supervision, appraisal and training records were available and the inspector discussed ways of tracking training with the manager, which could include a training matrix and training profile. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 People who use the service experience good outcomes in this area. Residents benefit from a well run home and are safe guarded by the homes policies, procedures and systems. EVIDENCE: The registered manager is a qualified nurse, holds a BSc in Health and Social Care and an N.V.Q level 4 in Health and Social Care. He has managed the home for seven years. People living at the home and staff working at the home had positive things to say about the manager and the registered providers. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 21 An area fro improvement identified by the manager in the AQAA returned to CSCI was to improve on the homes quality assurance measures. At the moment this does not include giving out surveys to people living at the home, people visiting the home or other agencies involved with the home. The manager has already started to design the questionnaires. The home has a policy about holding monies for people living at the home. The policy was observed to state that a maximum of £50 could be held in a locked safe. Records are then kept of all transaction for ingoing and out going monies. These were observed at the visit to the home and observed to include receipts for expenditure. The records of staff observed at this visit to the home were observed to include supervision records and appraisal. Records and policies and procedures required to be kept at the home were sampled during this visit and were observed to have been regularly reviewed and updated. Safeguarding the heath and safety of people living at the home and people working at the home is a high priority with systems and records being in place to show the constant monitoring of its own practice. Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 3 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 3 3 Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 OP33 Good Practice Recommendations The homes systems of ensuring that it meets its aims and objectives and statement of purpose must include seeking the views of the people that live there, their relatives and friends and other stakeholders in the community Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 24 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 Westhampnett Nursing Home DS0000024238.V338764.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!