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Care Home: Downlands Park Nursing Home

  • Isaacs Lane Haywards Heath West Sussex RH16 4BQ
  • Tel: 01444457871
  • Fax: 01444455812

Downlands Park Nursing Home is registered to provide nursing care for up to 46 residents in the category of older people. The home is set in landscaped grounds, which back onto woodland. Accommodation is provided over two floors, which are serviced by a passenger lift. All resident`s rooms are single occupancy, with the majority offering en-suite facilities. In addition there are two lounge areas and a mezzanine seating area, separate dining room, television room and assisted bathing and shower facilities. There is also a large activities room, which accommodates a daily programme of varied activities which residents can access as they wish. The Registered Providers of the home are BUPA Nursing Homes Limited. A new manager has been appointed and is registered with the Commission of Social Care Inspection (CSCI). Fees charged, as advised to the CSCI on the 28th February 2008 currently range between £530 and £1200 per week, extra services such as chiropody and hairdressing are not included in the fees and charges for these are available from the home.

  • Latitude: 50.998001098633
    Longitude: -0.11999999731779
  • Manager: Manager post vacant
  • Price p/w: £865
  • UK
  • Total Capacity: 46
  • Type: Care home with nursing
  • Provider: BUPA Care Homes (BNH) Ltd
  • Ownership: Private
  • Care Home ID: 5621
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Downlands Park Nursing Home.

CARE HOMES FOR OLDER PEOPLE Downlands Park Nursing Home Isaacs Lane Haywards Heath West Sussex RH16 4BQ Lead Inspector Elizabeth Dudley Unannounced Inspection 09:30 29 February 2008 th 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 Downlands Park Nursing Home DS0000024137.V359301.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. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Downlands Park Nursing Home Address Isaacs Lane Haywards Heath West Sussex RH16 4BQ 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) 01444 457871 01444 455812 palladin@bupa.com www.bupa.com BUPA Care Homes (BNH) Ltd Miss Nicola Emma Palladino Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - (OP) The maximum number of service users to be accommodated is 46. Date of last inspection 21st November 2006 Brief Description of the Service: Downlands Park Nursing Home is registered to provide nursing care for up to 46 residents in the category of older people. The home is set in landscaped grounds, which back onto woodland. Accommodation is provided over two floors, which are serviced by a passenger lift. All resident’s rooms are single occupancy, with the majority offering en-suite facilities. In addition there are two lounge areas and a mezzanine seating area, separate dining room, television room and assisted bathing and shower facilities. There is also a large activities room, which accommodates a daily programme of varied activities which residents can access as they wish. The Registered Providers of the home are BUPA Nursing Homes Limited. A new manager has been appointed and is registered with the Commission of Social Care Inspection (CSCI). Fees charged, as advised to the CSCI on the 28th February 2008 currently range between £530 and £1200 per week, extra services such as chiropody and hairdressing are not included in the fees and charges for these are available from the home. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on the 29th February 2008 over a period of eight hours and was facilitated by the registered manager, Ms N Palladino. Methods used to form the judgements made at this inspection included a tour of the home, examination of documentation and discussions with five residents, three visitors and seven staff. All residents in the home were seen during the inspection, and many made positive comments about the home and the staff. Prior to the inspection ten surveys were sent out to the residents in the home and five of these returned. These help to form the judgements in this report and thanks are extended to all residents who completed these and gave their time to discuss life in the home with the inspector on the day. Comments received included: ‘ The staff are excellent’, ‘ The food is much improved’, ‘ Good standard of care and nursing’. What the service does well: The service provides nursing care to older people in a well decorated and maintained home, which is surrounded by accessible extensive grounds. Staff are guided in their care of residents by well documented and reviewed care plans and care is given in a manner that respects their privacy and dignity. The quality of life and the catering service offered to the residents is excellent with residents being offered a range of activities and outings. The food is mainly home cooked and there are varied choices at all meal times. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There were no requirements made at this inspection as the manager assured the inspector that issues mentioned would be addressed. Recommendations were made around some areas of improvement that are needed and the manager gave assurances that these would be completed. These recommendations are made either in the main body of the report or in the specific section at the end. The Statement of Purpose and Service User Guide are in the process of being reviewed and the Service User Guide should be given to all residents. All residents who are funded by Local Authorities must be given a copy of the relevant BUPA contract. The company’s adult safeguarding procedure must be brought into line with the revised multi agency guidelines. The manager should ensure that residents are protected from infection and risk by ensuring that staff do not leave toiletries and washcloths in the bathrooms. Please contact the provider for advice of actions taken in response to this Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 7 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. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. People who use the service experience good quality outcomes in this area. Residents receive sufficient information to allow them to make a decision over whether the home can meet their needs and is the place they wish to live. The information is not yet completed to reflect the current status of the home. All residents are assessed prior to admission, this assessment is comprehensive and reassures prospective residents over whether the home can meet their health, personal care and social needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in the process of amending the statement of purpose and service user guide to reflect the current management status and situation within the Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 10 home. The manager gave assurances that these would be put in place by April 2008. These documents need to be made available to all residents and to any interested party that visits the home. The home produces a brochure, which is given to prospective residents. All residents that are privately funded receive a terms and conditions, there is a copy of this document for local authority funded residents but this has not yet been supplied to them. This should be done as soon as possible and discussions were held with the manager who gave assurances that this would be a priority. Prospective residents are assessed prior to admission to ensure that the home can meet their needs. Four assessments were seen and these were comprehensive and addressed the majority of the needs of the residents. The home does not admit residents for intermediate care. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 People who use the service experience good quality outcomes in this area. Care plans are comprehensive and identify current and changing needs ensuring that residents receive the care that they require. The standard of care given to residents respects their privacy and dignity whilst ensuring that their health and personal care needs are met. The administration of medication safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five (20 ) care plans were examined; all care plans seen were quite comprehensive and addressed most areas of health and personal care. These had been reviewed on a regular basis, were formed in consultation with the Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 12 resident or their relative and addressed current and changing health and personal care needs. The care plans included a continence review, nutritional care plan and evidence of weighing and the Malnutrition Universal Screening Tool, they had pressure care instructions, however these were not always sufficiently detailed or clear. There was evidence of specialist nurses’ involvement with the tissue viability. Risk assessments for bedrails and other matters were in place, but in one care plan the risk assessment for the room had not been completed prior to the resident taking up occupancy. In most care plans had a ‘life map’ included, which identified social interests. Another care plan did not identify the mouth care given to a resident having enteral feeds. These issues were discussed with the manager who will address these. The standard of care planning was generally good and of a standard, which safeguarded the resident, and ensured the required care was being given. Residents appeared well cared for and those residents nursed in bed were comfortable and there was evidence of frequent nursing intervention including correctly documented evidence of fluids offered. Residents spoken with said that their privacy was respected, that the staff treated them in a ‘dignified manner’ and ‘the care was very good’. The standard of administration, recording and storage of medication safeguards the residents in the home. It is recommended that when a drug is not given for whatever reason, the reason is always identified on the Medication Administration Records. The home is commencing staff training for the Liverpool Care Pathway and Gold Standard framework, as residents are admitted for continuing care this should be implemented as soon as possible. Currently the home receives advice and sends staff for training at the local hospice. The manager must ensure that any advance directives regarding end of life care are in line with the national guidelines. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, People who use the service experience excellent quality outcomes in this area. The home offers varied activities, which are decided following consultation with residents and identification of their interests. The standard of catering is good and residents are offered several choices at each meal. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides a good range of activities, which are facilitated by an activities organiser who works four days a week. These include one to one sessions with residents who cannot leave their rooms. The manager is recruiting a second activities organiser with the aim of providing activities at evenings and weekends. Outings are also available to places of interest and the transport has wheelchair access. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 14 The home has several musicians coming in to play to people and these have included a tenor, a pianist and a harpist, No crafts are provided as these have not been popular, but newspaper discussion and quizzes and bingo are enjoyed by the residents. Every resident is given a copy of the activities programme. There is an open visiting policy and religious services are held three times a year, with ministers of religion visit the home at intervals to see individual residents. The menu is varied and consists mainly of home cooked fresh food. Residents have a choice of four alternatives at all meals and the home operates a ‘Nite Bite’ service whereby food is available during the night for any resident that wishes for this. Cooked breakfasts are available daily. Meals are taken in a pleasant dining room or in residents own rooms and were attractively presented and served in good size quantities. Discussions were held with the manager over the practice of staff not sitting to assist with meals and helping them as they passed by the resident. She will address this. The kitchen was clean, and 50 of the catering staff have the food hygiene course. This course is being planned for all catering staff and the manager should ensure that this is made a priority. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. People who use the service experience good quality outcomes in this area. Residents are comfortable with making a complaint and are confident that this will be dealt with in an open and transparent manner. Staff receive training in adult safeguarding and are aware of their responsibilities towards those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed in the hall and complies with the regulations. The home has had thirteen complaints in the past year, the records of these were seen and these showed that they had been dealt with in a satisfactory manner. These were relatively minor concerns mainly dealing with daily matters such as catering, laundry and accessibility of staff. All staff have received adult safeguarding training and this is commenced during their induction. The adult safeguarding procedure requires updating to fully follow the revised multi agency guidelines and flow chart, whilst the information is in the Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 16 procedure the reporting protocol is not in the correct order to ensure that safeguarding issues are dealt with correctly at the initial stages. This was discussed with the manager. There has been one adult protection since the last inspection, which the lead agency passed to the home to deal with. Correct procedures were followed. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 17 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 excellent quality outcomes in this area Residents live in an attractive, clean, comfortable and safe environment. Easily accessible and spacious gardens complement the interior of the home, which is well maintained for residents to enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is spacious, clean and well decorated and maintained. It is set in large grounds, which are accessible to residents in the home. The home has a large dining room and separate lounges. Residents’ rooms are comfortable and are made homely with their personal possessions. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 18 All residents’ rooms have a lockable drawer and window restrictors are in place in those rooms that are above first floor. Water temperatures are monitored regularly and records showed that these were within recommended parameters. The home has appropriate aids for enabling residents to maintain their independence and all parts of the home are accessible by a shaft lift. The standard of cleanliness in the home was good. It was noted that block soap, toiletries and hairdressing implements were left in bathrooms, which could have implications on infection control and resident choice. The manager was aware of the risks involved and is addressing this. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 19 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 quality outcomes in this area. Staff are generally employed in sufficient numbers to meet the needs of the residents in the home. Robust recruitment procedures ensure the safety of the residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of staff on duty are sufficient to meet the needs of the residents currently in the home. The manager has the flexibility to increase staffing levels according to the number and dependency of residents accommodated in the home. Staff spoken with said that generally the staffing levels were sufficient, but the manager must ensure that dependency of the residents and size of the home is taken into account when deciding on these. The home is committed to the ongoing training of staff in the home and currently 46 of the care staff have the National Vocational Qualification level 2 in care. Registered nurses are encouraged to participate in updating their Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 20 existing knowledge, and training is available both through BUPA’s own training department and from outside agencies. All staff receive a two day induction course relevant to their role, which incorporates mandatory training and then can go onto the skills for care programme for care assistants. The training matrix identified what training staff had received and was up to date. Three personnel files were examined and these contained all documentation and checks as required by the Regulations. Due to the time required before the Criminal Records Bureau check comes through, staff are employed with Protection of Vulnerable Adults checks only, but work under supervision until their Criminal Records Bureau check is received. Staff spoken with confirmed that they had not been allowed to work on their own until this was completed. Discussions were held with the manager over whether the chiropodist and hairdresser had furnished the home with a Criminal Records Bureau check and the manager is looking into this. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38. People who use the service experience good quality outcomes in this area. Management systems in place safeguard the residents living in the home and ensure that the services delivered by the home meet residents expectations. Regular formal supervision of staff is not taking place which could impact upon the care and lifestyle expected by the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 22 The manager has been working in the home since January 2007, and was appointed as manager from June 2007. She is an RGN, is registered with the CSCI and has recently completed the Registered Managers Award. She has sufficient qualifications and experience to ensure that the home is run in a manner that meets the needs and expectations of the residents. An annual quality monitoring system is in place and this gains residents and their families view points by the use of surveys, these are collated and used to inform practice. Residents meetings are held three monthly and residents said that they enjoyed attending these and making their views known. The Annual Quality Assurance Assessment required by the CSCI accurately reflected the status of the home, its shortfalls and methods to address these. Although the manager is not an appointee for residents some money is held to give to residents. Whilst the complete records of these were unavailable on this day, those available were in order. Staff supervision has been taking place, but not always within the time scales directed by the National Minimum Standards, the manager should ensure that these take place and are in a format which enables staff to make their training and other requirements known and addresses concerns regarding their work at the home. A new format for the Regulation 26 visits (visits by the registered provider required by regulation) is being piloted within the home, the reports showed quality monitoring in detail but were not sufficiently detailed regarding interviews with staff and residents. It is recommended that these be reported in more detail to ensure that the reports fully comply with the regulations. The Annual Quality Assurance Assessment identified that all equipment and utilities within the home had received regular servicing and that mandatory training for staff was ongoing. Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 3 3 Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 24 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 OP1 Good Practice Recommendations That the service user guide and statement of purpose are reviewed and given to all service users and that service users who are funded by the Local Authority receive the BUPA contract The BUPA safeguarding policy must show reporting procedure in the order that is required by the multi agency guidelines. That toiletries and block soap are removed from bathrooms to comply with infection control guidelines That the manager ensures that the dependency of the residents and geography of the home is considered when deciding upon staffing levels. That staff supervision is carried out at intervals as directed by the National Minimum Standards. 2 3 4 4 OP18 OP26 OP27 OP36 Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Downlands Park Nursing Home DS0000024137.V359301.R01.S.doc Version 5.2 Page 26 - 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!

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