Care Home: Eastleigh (Nursing) Care Home

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What the care home does well What has improved since the last inspection? The Cool Running computer system is designed eventually to provide all records for the care systems and staff in the home. Examples of the records that can be created include comprehensive care plans and records of staff training and supervision. The full implementation of this pioneering system has taken time. At this inspection there was much progress although all would agree that the system could do more. All service users have a clear care plan that is based on the Activities of Daily Living model. Each service user has a further file of assorted documents that provide the nurses and care staff with more information. Now the system is up and running there is a need to consider the content of the care plans. These should contain clear directions to staff as to how peoples needs are to be met. Staff training in the use of the system is continuing and an audit system is planned. The recording and administration of medication is much improved, conforming with best practice. The ENC unit is established with the environment having signage and daily practice acknowledging some risks that may be encountered by people with dementia. The service of meals in the ENC unit was observed to be appropriate. The home has balconies on the second floor. The risk assessments, policies and procedures to ensure the safety of all service users are in place and people continue to enjoy this facility. A training co-ordinator has been appointed has organised training and begun work to review supervision and appraisal in the home. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Eastleigh (Nursing) Care Home Periton Road Minehead Somerset TA24 8DT Lead Inspector Shelagh Laver Unannounced Inspection 12th December 2007 09:30 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 Eastleigh (Nursing) Care Home DS0000067606.V355359.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. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastleigh (Nursing) Care Home Address Periton Road Minehead Somerset TA24 8DT 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) 01643 702907 01643 707649 Eastleigh Care Homes Limited Susan Margaret Pike Care Home 42 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (42) of places Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing nursing or personal care - Code N to people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP 2. Dementia - Code DE- maximum 7 places The maximim number of service users who can be accommodated is 42. 30/01/07 Date of last inspection Brief Description of the Service: Eastleigh Nursing home is a new service built next t o the established Eastleigh Residential home on the outskirts of Minehead. The home is situated in an elevated position and many rooms have exceptional views of Exmoor or the sea. The home has been constructed and equipped to a very high standard. All bedrooms have en-suite facilities. The bathrooms contain the most up-todate equipment. There are comfortably furnished communal dining rooms and sitting rooms. On the top floor of the building is a large laundry and kitchen. There is a computer room, activities room with gym and sauna. The grounds surrounding the home are landscaped with areas designed for outdoor living in the summer. There is a nurse on duty at all times and staff are provided with regular training. The home has a contract with Somerset Community Directorate and also provides care for service users who are self-funding. There is a pilot project currently running to provide Enhanced Nursing Care to seven service users with dementia who need nursing care. The care is provided in a designated unit. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This service was registered in May 2006 to provide nursing care to people over 65. The first key inspection was carried out in December 2006 at which time some systems were still being developed. A random inspection in February 2007 showed improvement and the appointment of the current manager/matron Susan Pike has provided stability. People living in the home spoke warmly of Mrs Pike. Comment cards confirmed that the people in the home found her approachable and “a real champion of our cause.” The home submitted an Annual Quality Assurance Assessment prior to the inspection. This document outlines the achievements and plans of the service measured against the National Minimum standards. Comment cards were received from people who live in the home, their relatives and staff. There were fourteen cards from people who live in the home. A visit to the home was made by one inspector on December 12th 2007. The inspector met with managers and staff and reviewed documents and records. People living in the home and relatives spoke to the inspector. The majority of the environment was visited including all communal rooms and the majority of bedrooms. What the service does well: Without exception people in the home said they were well looked after. People said staff were kind and helpful. Comment cards from people in the home said that they all always or usually received the care and support they needed. People said unanimously that staff listened to them and acted on what they said. “Almost all staff are grand and will stop and listen to any questions and give suitable help.” There were letters of thanks from relatives and friends of people in the home. “Words cannot express my gratitude for the kindness shown to my father.” Another card said “We want to thank you for caring for X so beautifully.” Another letter spoke of “great compassion tenderness and professionalism.” Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 6 15 relatives returned comment cards prior to the inspection. Comments included “I feel carers are efficient and very caring.” Relatives praised the home cleanliness and facilties. “Excellent arrangement of entertainments.” “They look after my wife much better than I can.” Overall the home is very well presented. It has been recently built and equipped to a very high standard. It is clean and well maintained. Comments cards said that the home was “very definitely fresh and clean.” Relatives commented that peoples clothes were “always clean.” “People look clean and smart.” A visit to the small Enhanced Nursing Care unit for people with dementia revealed a calm friendly atmosphere with evidence of individual care. Meals in the home are always or usually liked. One relative commented “My wife has put on weight.” Another praised “the home cooked food.” Social events and the quality of daily living are considered important and a range of activities are arranged with a view to meeting peoples interests. Two activities staff are employed ensuring that the programme for December was varied and interesting. There were the in-house activities of Flexercise, Making Sweets for Christmas, Flower arranging and Quizzes. A variety of people visit the home to provide music and entertainment. There were trips out of the home by mini –bus to be involved in Christmas activities and to view the countryside. Activities staff planned to be on duty throughout most of the Christmas period and it was heartening to see that one person planned to do 1:1 visits on boxing day. The home is organised, key staff are responsible for different aspects of home life areas and there is a real effort to provide a good service in all areas. The majority of staff who returned comment cards prior to the inspection were very pleased with the induction and training they received at the home and felt there was support from senior staff. Comments included “For twelve months we have gone from strength to strength.” “Nothing is perfect but on the whole this is a very good care home.” Staff thought that “We put residents first” and “provide in general excellent care in a clean, warm, well kept and friendly environment.” Trained staff meetings are held regularly to monitor care practice and to discuss any issues relating to the running of the home. What has improved since the last inspection? The Cool Running computer system is designed eventually to provide all records for the care systems and staff in the home. Examples of the records that can be created include comprehensive care plans and records of staff training and supervision. The full implementation of this pioneering system has taken time. At this inspection there was much progress although all would agree that the system could do more. All service users have a clear care plan that is based on the Activities of Daily Living model. Each service user has a further file of assorted documents that provide the nurses and care staff with more information. Now the system is up and running there is a need to consider the content of the Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 7 care plans. These should contain clear directions to staff as to how peoples needs are to be met. Staff training in the use of the system is continuing and an audit system is planned. The recording and administration of medication is much improved, conforming with best practice. The ENC unit is established with the environment having signage and daily practice acknowledging some risks that may be encountered by people with dementia. The service of meals in the ENC unit was observed to be appropriate. The home has balconies on the second floor. The risk assessments, policies and procedures to ensure the safety of all service users are in place and people continue to enjoy this facility. A training co-ordinator has been appointed has organised training and begun work to review supervision and appraisal in the home. 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 Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 8 be made available in other formats on request. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 9 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 Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users or their families are provided with sufficient information before arriving at the home. Assessments of service users are completed prior to admission to the home. EVIDENCE: People who live in the home and relatives spoken to confirmed they had received information prior to admission to the home. All comment cards returned prior to the inspection stated that everyone felt they had had enough information. People talked about being able to visit the home and being “made welcome.” Files examined contained assessments completed prior to admission by the registered manager. There were also copies of SAP documents and additional information from health professionals where appropriate. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 11 Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is evidence that service users are well cared for and that their health needs are met. Service users are treated with respect and their privacy is up held. Care plans are developing and give sufficient for good care to be delivered. Medication administration is safe and efficient. EVIDENCE: There is evidence in the minutes of staff meetings that the home strives to provide a good standard of personal care. Some practice issues are addressed and guidance is given. People spoken with felt well cared for. One lady spoke of her improved health since coming to the home. People who returned comment cards said that they always or usually received the medical support they needed. They felt staff listened to them. There was evidence that people received the support of appropriate health professionals including CPNs , the hospice and regular GP visits. The home is well equipped with pressure relieving mattresses. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 13 Care plans are allocated to the named nurses. Four care plans were examined. There were clear instructions to meet peoples needs. Instructions to staff in the care plan matched the information given to the inspector during conversations. All plans had clear information about peoples abilities’ in daily living. When staff are completing the plans they should bear in mind that care plans are intended to give clear guidance regarding what care is to be given by staff in order to meet peoples care needs. Wound records were clear and detailed. Staff try to review all care plans monthly. A review of medication records showed that all medication had been signed as given. There is a list of indications for “as required” medications. There is a system of recording prescribed creams. The records for Controlled drugs was observed to conform to good practice. People spoken to confirmed they were treated with respect. Interaction between staff and service users was seen to be appropriate. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are able to choose how they spend their day. Service users receive a wholesome and appealing diet. EVIDENCE: People were observed spending their days in a variety of ways. People chose how much time to spend in communal rooms and how much to be involved in social events. One person talked about their books and TV which was sufficient. Others liked to be involved if anything was “going on.” On the day of the inspection a group of people had gone out in the mini bus for a Christmas lunch party. Some people are very poorly and want the peace and quiet of their room. Visitors were seen coming and going during the day and three spoke with the inspector. All felt welcome at all times. People are encouraged to go out with their families if possible. Meals are served in the dining rooms or in peoples’ rooms. The lunch served on the day of inspection included roast lamb and fresh vegetables. There was evidence that people were able to express a choice. In the dining rooms restful music was playing and people were being helped appropriately. Senior staff are Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 15 present in the dining rooms and it is clear that meal times are important in the home. One visitor spoke of the meals he ate regularly with his wife. Both confirmed that the food is very good. In the Enhanced Nursing care unit lunch is served from the trolley giving people opportunities to see the food and make choices from the meals available. There is an activities programme clearly displayed. Activities in the Enhanced Nursing Care unit are presented on an individual and group basis. People join in the trips organised by the main home. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. People are aware of the complaints procedure and are happy to raise concerns. People are protected by the policies and procedures in the home. EVIDENCE: The home has a complaints procedure. One complaint has been received and was addressed appropriately. People and relatives said they would raise concerns if they were worried. One comment card said “Matron sorts out problems.” The majority of staff have received training on protecting vulnerable adults on commencement of employment. The Whistle Blowing policy has been reviewed to give clear instructions to staff. Eastleigh (Nursing) Care Home DS0000067606.V355359.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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall physical environment of the home is excellent. People live in a home that is clean pleasant and hygienic. There is evidence that staff practice procedures to reduce infection. EVIDENCE: This is a new building built and is equipped to the highest standards. Furnishings, equipment and decoration are of good quality. Bedrooms are well planned and have en-suite facilities. There is a selection of communal areas including an activities room on the top floor. The grounds around the home include outdoor sitting areas. Residents are able to meet with relatives in their rooms or in communal areas. Bathrooms are comfortable and easy to use. They have been equipped to the highest standards. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 18 There are sufficient hoists including over bed hoists. On the day of the inspection the home was clean and tidy. The signage for the ENC unit is in place. There is evidence of awareness of the risks to some people with dementia and all toiletries are stored in the lockable cupboards. There is a well equipped laundry. Sluices are provided on each floor. Eastleigh (Nursing) Care Home DS0000067606.V355359.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff to meet service users needs. There are sound recruitment policies and procedures in place but care must be taken to ensure they are fully implemented. There is a comprehensive training programme. EVIDENCE: Staffing levels in the home appeared adequate. There are two RGNs on duty at all times. The ENC unit was staffed with 2 carers. Domestic staff spoken to felt they had sufficient time to keep the home clean. A new member of staff spoke of a thorough induction programme and helpful supportive team members. A new training co-ordinator has been appointed. There is a plan for future training in the home. The home has made arrangements for the delivery of an NVQ programme. There is evidence that training is taking place in a variety of ways. Events organised for there near future included a talk on dementia care by a CPN and Emergency Aid training by an external training company. There is evidence that the NVQ assessor is visiting regularly. There was further evidence of training in the staff files. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 20 Meetings of minutes of nursing staff indicate clearly the importance of the trained nurses in maintaining standards of care and in running staff teams. The professional up-dating and continued development of trained nurses should be discussed and planned to meet the needs of the staff and the home. At this inspection four staff files were seen. Files contained application forms references and POVA/CRB checks. The recruitment process is currently undertaken at the homes administrative office in South Molton and “completed files” are sent to the home. The registered manager must be fully confident that all checks and documentation are in place before staff commence at the home and that she is satisfied that the person she has employed is satisfactory in all respects. It should for example be understood that merely receiving a reference is not enough. One reference received after interview made adverse comments about the person but there was no evidence that these had been discussed or noted. “Risk assessments” regarding references are not acceptable. Initial review of files at the inspection indicated that some references were missing. These were later sent on in order to complete the files. Staff comment cards were generally very positive but indicated that some aspects of team communication and functioning need to considered. Eastleigh (Nursing) Care Home DS0000067606.V355359.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 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is evidence of clear direction and leadership in the home. There is scope to further develop team working in the home. There are systems in place to promote the health and safety of service users and staff. EVIDENCE: There is evidence that there is commitment to running the home in the interests of the service users. The registered manager (matron) is seen as an ally by people who live in the home and their relatives. There were several comments in the cards returned prior to inspection praising both her skills and commitment. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 22 Minutes of staff meetings were seen indicating that a wide range of issues are addressed. There is now scope to further develop the operation of staff teams in the home in view of some staff comments regarding communication. The maintenance and Health and Safety aspects of the home are well managed. The testing and maintenance of fire prevention equipment was upto-date and met requirements. The training of staff is undertaken thoroughly at induction and up-dated every six months. It is good practice that particular attention is paid to the night staff. Staff are given scenarios to discuss and every effort is made to ensure that staff would act effectively and safely. There are contracts for the maintenance of most equipment notably all hoists baths and lifts. Records showed that hoists were serviced according to LOLER regulations. PAT testing has been undertaken. COSHH sheets are available and staff confirmed they had had training. Eastleigh (Nursing) Care Home DS0000067606.V355359.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 X X X x x x 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X 3 Eastleigh (Nursing) Care Home DS0000067606.V355359.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. 1. Standard OP7 Regulation 15 (1) Requirement The development of the care planning system must continue including training of staff and auditing of care plans. Timescale for action 01/04/08 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. 2. 3. Refer to Standard OP32 OP30 OP29 Good Practice Recommendations The registered manager should planning and practice in the home to stimulate creativity and development of effective staff teams. There should be an audit of nurse training and skills to ensure that nurses are able to lead staff teams and function as first line managers in the home. The registered manager should review the systems of recruitment to ensure that she can be certain that all staff commencing work in the home have undergone appropriate checks and that action has been taken concerning any information supplied. Eastleigh (Nursing) Care Home DS0000067606.V355359.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Eastleigh (Nursing) Care Home DS0000067606.V355359.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. 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