Care Home: The Mount Nursing Home

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What the care home does well These are some of the comments we received from health care professionals who visit the home: "Treats all clients with the greatest respect and dignity and seeks appropriate medical interventions. The manager is extremely well organised, especially in relation to patients record keeping documentation." "I am happy that my patients are well cared for." "Treats residents as individuals, very friendly and warm atmosphere at the home." Relatives of people living in the home told us they are very happy with the care provided, they said they have confidence in the staff and management and know they will be kept informed of any changes. One person said, "All staff go out of their way to help and are very pleasant". What has improved since the last inspection? All the requirements made at the last inspection have been dealt with. The home has introduced a computerised system of care planning and this has made a significant improvement to the care records. Information about people`s care needs is recorded, up to date, and easily available, this has reduced the risk of people`s needs being overlooked. Improvements have been made to the building; this has helped to create an environment, which is pleasant, safe, and suitably equipped to meet people`s needs. What the care home could do better: In the home`s self-assessment they told us they know what they need to do to continue to improve the service. For example they have plans for more improvements to the environment and plans for more staff training. The acting manager is aware that he should apply for registration as soon as possible so that people can be assured that a suitably qualified and competent person runs the home. The management team are aware that more improvements are needed to how people are supported in spending their time meaningfully and are continuing to look at ways to develop this aspect of the service. The home should continue to explore ways of improving their systems for monitoring the quality of the services provided. Particular attention should be given to how they record feedback from people using the service and show they are using this information to continue developing the service. CARE HOMES FOR OLDER PEOPLE The Mount Nursing Home 43 Lister Lane Bradford West Yorkshire BD2 4LP Lead Inspector Mary Bentley Key Unannounced Inspection 16th December 2008 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 The Mount Nursing Home DS0000070136.V373534.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. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mount Nursing Home Address 43 Lister Lane Bradford West Yorkshire BD2 4LP 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) 01274 641444 01274 632 996 Holberry Care Ltd Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40) of places The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of care only: Care home with nursing - Code N; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP and Dementia - Code DE The maximum number of service users who can be appointed is: 40 2. Date of last inspection 11th December 2007 Brief Description of the Service: The Mount Nursing Home is a converted Victorian property and is registered to provide personal and nursing care for a maximum of 40 people. The home has 3 double rooms, the remaining accommodation is provided in single rooms two of which have en-suite facilities. A passenger lift provides access to all areas of the home. Communal space is provided on the ground floor and consists of two lounges and a dining room. The home is located in a residential area and overlooks Peel Park; there are a number of small shops nearby. The home is set in mature gardens and ample car parking is provided on site. In December 2008 the weekly fees ranged from £512.40 to £651.00. Additional services such as hairdressing and private chiropody are available at an additional cost; full details of additional services and the charges are available from the home. Information about the service, including copies of previous inspection reports can be requested from the home. The Mount Nursing Home DS0000070136.V373534.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 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The inspection process included looking at the information we have received about the home since the last key inspection in December 2007. The purpose of this inspection was to look at how the needs of people living in the home are being met. We did this visit in one day between the hours of 9:30am and 5:30pm. During the visit we spoke to people living in the home, visitors, staff and management. We observed staff at work, looked at various records including care records, and looked at parts of the building. Before the visit we sent surveys to the home to distribute to people living there, staff and health care professionals. In total 10 were returned. We asked the home to complete a self-assessment (AQAA); this was returned to us in good time and contained all the information we asked for. This report incorporates the information we have received from various sources including our visit to the home, the surveys, and the home’s self-assessment. What the service does well: These are some of the comments we received from health care professionals who visit the home: “Treats all clients with the greatest respect and dignity and seeks appropriate medical interventions. The manager is extremely well organised, especially in relation to patients record keeping documentation.” “I am happy that my patients are well cared for.” The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 6 “Treats residents as individuals, very friendly and warm atmosphere at the home.” Relatives of people living in the home told us they are very happy with the care provided, they said they have confidence in the staff and management and know they will be kept informed of any changes. One person said, “All staff go out of their way to help and are very pleasant”. 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. The Mount Nursing Home DS0000070136.V373534.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 The Mount Nursing Home DS0000070136.V373534.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 & 5 Standard 6 does not apply to this service People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are given information about the range of services offered, they are encouraged to visit, and their needs are assessed before they move in. EVIDENCE: Several people told us they had visited the home when looking for a suitable place for their relatives. They said they had been given enough information, one person said staff were “extremely helpful and informative”. Another person said “we were shown around, introduced to staff and shown rooms available”. Another person told us they had chosen the home because it “felt right” and they said it has met their expectations. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 9 Information about the service available in the home in a number of different formats, this includes a large screen in reception area where the service user guide is displayed. We saw pre admission assessments in the records and staff told us they get information about people’s needs before they move in. The Mount Nursing Home DS0000070136.V373534.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 quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People or those close to them are involved in drawing up their care plans and people’s personal and health care needs are met. EVIDENCE: We looked at three people’s care plans. The care plans are done on the computer and copies are printed, there is also a summary of people’s preferences regarding daily routines which is printed and made available to staff. Changes are recorded on the computerised records and there is a system in place to cross-reference the paper copies with computerised records to make sure the paper copies are up to date. However, as more staff become familiar with the computerised records and confident in using the computer there is less reliance on the paper records. The care plans are person centred and cover all aspects of health, personal and social care. Plans are in place for specific needs such as challenging behaviour. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 11 We saw evidence of involvement by people or those close to them both in annual and periodic reviews. People told us they are involved in planning care and kept informed of any changes. One person told us she has “peace of mind” knowing that her relative is being cared for and that she will be informed if anything changes. The care plans are evaluated every month. Risk assessments are in place for areas such as pressure sores, nutrition, and falls. People’s weights are recorded every month and if people are losing weight they are identified on a “priority patient” list so that staff know they need extra snacks etc. The records showed that people have access to a range of NHS services such as GPs, physiotherapy, speech therapists, and dieticians. People we spoke to confirmed this. Health care professionals told us the home communicates well with them; they said staff always seek appropriate medical help and act on the advice given. One person said the home is “very proactive with regards to nursing care”. A number of health care professionals made positive comments about the way the home records people’s care needs. They said the computerised records make it easy to get information about people’s needs and said the information is up to date. There are suitable systems in place to make sure that medicines are managed safely and people get their prescribed medicines. At the present time no one in the home is able to manage his or her own medicines. During the visit we saw that staff were kind and respectful in the way they interacted with people and respected people’s privacy and dignity. Most people felt that people’s privacy and dignity is always respected. However, one person said they had seen the chiropodist treating people in the lounge and felt this type of treatment should be carried out in a more private place. The Mount Nursing Home DS0000070136.V373534.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 quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Generally people are supported in following their interests and are given the opportunity to take part in a variety of social activities. This could be improved by continuing to develop a more individualised approach to social care. EVIDENCE: Daily routines are flexible and people can choose whether to stay in their rooms or join other people in the various lounges. Information is recorded about people’s past lives, interests, religious and cultural needs. This is identified in the care plans, which are person centred and promote an individualised approach to care. For example, we saw that some people who had spent their lives caring for families had been provided with baby-like dolls to help them express their maternal feelings. Information about planned activities is displayed on a notice board near the lounges and shows a variety of activities such as music, reminiscence, bingo, The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 13 and dominoes. When we visited preparations were underway for the Christmas party, which was to be held the following day. People told us that during the summer months the home organised outings to various local places of interest. The home has a movie box and shows old films throughout the day. There is a fish tank in the hallway and some people really enjoy watching the fish. When we visited there was a lively atmosphere and we saw a lot of people visiting at various times of the day. We saw staff sitting chatting to people when they had time. However, there was very little planned activity for people. Some people said they were a were a little concerned that people who are less confused get bored because there are not many people they can talk to. Others said they felt more could be done to make sure people are supported in occupying their time meaningfully. We discussed this with the acting manager who agreed this is an area of the service where further improvements are needed. Visitors told us they are welcome at any time and said they are always offered refreshments. Several visitors said they are regularly asked if they want to have a meal at the home and others told us they had been invited for lunch on Christmas day. People told us the food is good. One person said the breakfasts are very good but said they would like to see a bit more variety in other meals. Visitors told us they believe the food is good and one person said their relative has put on weight since moving in. Most people have their meals in the dining room; a notice board outside the dining room tells people what the next meal will be. Special dietary needs are catered for. The Mount Nursing Home DS0000070136.V373534.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 quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints are dealt with appropriately and people are protected. EVIDENCE: People told us they how to make a complaint if they need to. One person said they “don’t have any complaints”, another said if they have any concerns they “speak to any member of staff and the manager comes back to us ASAP”. One visiting health care professional said they never had any cause for concern but felt confident that the home would respond appropriately if the situation arose. The home told us they have dealt with 2 complaints in the last 12 months. The owners usually deal with complaints and all complaints are recorded. The home also has a compliments file where they keep a record of positive feedback from people. The home has procedures in place to make sure people are protected from abuse. The majority of staff have attended training on the protection of vulnerable adults and training is booked for those who have not yet attended. The local authority provides a training course for service managers on the protection of vulnerable adults and we recommended that the acting manager attend this. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 15 There has been one referral to the adult protection unit in the past 12 months and this is still being investigated. The Mount Nursing Home DS0000070136.V373534.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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean, comfortable, and safe and provides a pleasant place for people to live. EVIDENCE: People told us the home is usually clean and it was clean and free of unpleasant odours when we visited. Since our last visit the home has done a lot of work to improve the environment and more improvements are planned. The communal rooms are suitably decorated and furnished and there are signs to help people find their way around. There are black and white photographs of parts of Bradford dating back to the early 1900’s on the corridor walls and these provide a focal point for people who are able to walk around. A red rope barrier is fitted across the bottom of the main stairs to deter people from going up the stairs, The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 17 where they could be at risk of falling. The acting manager told us this works well. The home has made a secure decked patio area, which can be accessed, from one of the small lounges and this means that people can go outside safely and without staff if they choose to. The bathroom on the ground floor has been upgraded to a high standard and the acting manager told us the bathroom on the first floor would be refurbished to a similar standard. The majority of bedrooms have been refurbished and are suitably equipped to meet people’s needs. In the rooms we looked at we saw that people have lots of personal belongings such as photographs and ornaments. Some visitors told us their relatives room is “lovely” and is always clean. Door locks are fitted to all bedroom doors. Some of the bedrooms have interconnecting doors that are part of the fire exit route. These doors are fitted with locks that are connected to the fire alarm and automatically open when the fire alarm is activated. This means that people’s privacy is protected without compromising on safety. The home does not routinely provide lockable storage facilities in bedrooms. However, the acting manager told us that secure storage is made available if people request it. There are suitable systems in place to reduce the risk of cross infection and this includes staff training. The majority of people did not raise any concerns about the laundry service however one person told us they occasionally find their relative wearing clothes that do not belong to them. During our visit we saw that some items of personal clothing did not look as if they had been ironed. The acting manager explained that the regular laundry person was off work and agreed to follow this up. The Mount Nursing Home DS0000070136.V373534.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 quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough staff available to make sure people’s needs are met and staff are supported in developing the skills and knowledge they need to care for people properly. People are protected because all the required checks are completed before new staff start work. EVIDENCE: People living in the home told us staff are usually available when they need them and said staff listen to them and take notice of what they say. One person said staff are “always willing to help or advice”. Visitors told us there are always staff around and said it was good to see that there are not a lot of changes to the staff team. They felt reassured by this because regular staff get to know people and have a better understanding of their needs. People told us the staff are “friendly, welcoming and patient”. Health care professionals told us they feel the staff have the right skills and experience to meet people’s needs. One said, “All have had relevant training and always treat residents as individuals”. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 19 In addition to nursing and care staff the home has separate staff for housekeeping, catering, administration, and maintenance. Staff told us they were given a good induction when they started work and said they are given the training they need to help them meet people’s needs. The home has computerised training records and they showed that over the past year staff have done training on subjects such as infection control, adult protection, catherisation, paliative care, feeding and nutrion and mental health awareness. 36 of care staff have an NVQ (National Vocational Qualification) in care and the majority have done or are doing a VRQ (Vocationally Related Qualification). This is nationally accredited training and is based on a person centred approach to dementia care. It is not clear if this qualification is equivalent to an NVQ. However, the company feels it is more relevant to the needs of people living in the home and therefore has given it priority over NVQs. We looked at the files of 3 newly appointed staff and they showed that all the required checks are completed before new staff start work. The home told us that staff have appraisals and supervisions on a regular basis and staff confirmed this. The Mount Nursing Home DS0000070136.V373534.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 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are suitable arrangements in place to make sure that the home is managed properly. The home provides a safe place for people to live and work. EVIDENCE: The acting manager is a nurse who is experienced in the care of older people. He has been employed at the home for over a year and has not yet applied for registration with the Commission. He agreed to start the process of applying for registration immediately. Registration is required by law and will also give people confidence that the home is managed by a suitably qualified and competent person. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 21 The home told us they have an open door policy and encourage people to speak to them if they have any questions or concerns about the service. People we spoke to confirmed this and we saw evidence of this in the care records. The home does not hold formal meetings for the people living there or their relatives. They said they held one meeting shortly after taking over the home but this had not been very successful, they said people generally seem to prefer less formal individual consultation. The home has sent surveys to people but none were returned. They also leave surveys in the home for people to take and complete but again none have been returned. The owners visit the home regularly and during these visits they talk to people living in the home, their relatives and staff. We recommended that they make a record of these conversations so that they can demonstrate they are giving people the opportunity to share their views of the service. The home told us they are planning to set up an amenities fund and are hoping some relatives will get involved in making decisions about how to spend the money raised for the benefit of people living in the home. As a rule the home does not manage personal money for any of the people who live there. Any additional services are added to the monthly invoice. The home does hold some personal money for one person, this is kept at the company’s head office, and records are kept of all transactions. Information provided by the home showed that there are suitable systems in place to protect the health and safety of the people who live and work there. During our visit we saw that the home is well maintained. The Mount Nursing Home DS0000070136.V373534.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 3 X 3 X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 The Mount Nursing Home DS0000070136.V373534.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. 2. Refer to Standard OP31 OP33 Good Practice Recommendations The manager should apply for registration with the Commission. The home should continue to explore ways in which it can develop the systems for monitoring quality with particular attention to obtaining and recording the views of people using the service. The Mount Nursing Home DS0000070136.V373534.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Mount Nursing Home DS0000070136.V373534.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. 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