Inspection on 07/05/09 for Ashton Grange

This is the latest available inspection report for this service, carried out on 7th May 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashton Grange 31/08/06

Ashton Grange 04/10/05

Ashton Grange 03/05/05

Ashton Grange 12/08/04

Ashton Grange 19/04/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ashton Grange 3 Richmond Road Horsham West Sussex RH12 2EG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Annette Campbell-Currie     Date: 0 7 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Ashton Grange 3 Richmond Road Horsham West Sussex RH12 2EG 01403257263 F/P01403257263 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashtonleigh Nursing Home Limited care home 25 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Additional conditions: 25 25 The maximum number of service users be accommodated is 25 The registered person may provide the following category 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 category: Dementia (DE) Mental disorder. excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Ashton Grange is a privately owned care home registered to accommodate up to twenty five older people with dementia. The property is a large detached, converted, two-storey house, situated in a quiet residential area of Horsham. It is opposite a school and close to local shops and public houses. There is car parking to the front of the home and a spacious, well maintained garden to the rear. Accommodation is provided in twenty-two single rooms and one double room. Seven of the rooms have en-suite facilities. There is a passenger lift connecting the two floors. Care Homes for Older People Page 4 of 27 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The previous key unannounced inspection was carried out on 9th May 2007 and an Annual Service Review (ASR) was carried out on 13th May 2008. The current fees are from 750 to 850 pounds per week depending on the assessment and the fee for the double room is 650 pounds. Annette Campbell-Currie carried out the site visit over six hours. Mrs Rigby,the registered manager assisted with the inspection. The information and documents required by us (the Commission) were available. There were twenty four people living in the home at the time. Care Homes for Older People Page 6 of 27 The manager completed an annual quality assurance assessment form (AQAA) before the inspection. The AQAA provided information that was used to help plan the site visit. During the site visit most of the people staying in the home were seen, two people living in the home and the relatives of two people were spoken with. Time was also spent with three members of staff. Surveys were sent out to people living in the home, staff and health and social care professionals, to find out what people think about the service. Eight people living in the home returned surveys with the support of relatives and two general practitioners (GPs). The information gathered has been used to help make an assessment of the service. A tour of the building included communal areas, the kitchen, laundry, bathroom and toilet facilities and a number of bedrooms. The following documents were read: the case records of three people living in the home, other documents relating to peoples care, the complaints policy and procedure, recruitment records for three recently appointed staff, training records, a sample of medication records and Regulation 26 reports. Time was spent in the dining room at lunchtime and the medication round was observed. The outcomes for people living in the home have been assessed in relation to twentyone of the thirty-eight National Minimum Standards for Care Homes for Older People; including those considered to be key standards to ensure the welfare of people living in the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Older People Page 8 of 27 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before a decision is made about them moving the Ashton Grange. Evidence: The manager said in the annual quality assurance assessment form (AQAA) that a full pre-admission assessment is carried out before a decision is made about someone moving to Ashton Grange to make sure that the home could meet the persons needs and that a good balance is maintained within the home. The manager or the deputy carry out the assessments and visit people in their home or in hospital. Samples of the assessment forms were seen and showed that a full assessment had been carried out and signed by the manager. She said that she involves relatives where possible and also gains information from other professionals who may be involved in the persons care. One person was admitted to the home from Care Homes for Older People Page 11 of 27 Evidence: hospital following a fall and a risk assessment regarding falls was carried out so the staff had this information before the person arrived. All aspects of the persons needs are included in the form. There was little information about peoples backgrounds, interests and spiritual needs. There was a form that included the persons wishes after their death; however this had not been completed in all cases. The manager said that she takes into account the needs of the person being assessed and of the other people living in the home before making a decision as to whether or not the person should move to Ashton Grange. She gave an example of a person she felt was not at the stage to need residential nursing care and did not accept them as she felt it was not in their best interest. Letters are written to people or their carers when the pre-assessment process is complete so that they know that the home will be able to meet their needs and which room they will be moving to. Intermediate care is not provided in the home. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their health and personal care needs set out in a plan of care that is kept under review. Peoples health needs are monitored and provided for. The medication policies and procedures protect people living in the home. People are treated with respect and their right to privacy is upheld. Evidence: The manager said in the AQAA that a care plan is generated from the pre-assessment and this works as a basis for providing care when the person moves in and is expanded upon as the person settles in to the home and the staff get to know them better. The case records for three people were read. There were no photographs on the case files and the manager said this matter is being addressed and photographs will be included soon. The care plans included all aspects of individual need and provided guidance to staff. There was a note of the persons mental capacity with guidance for staff, for example: X is disorientated to time and place but can respond to simple instructions and for another person: repeat Care Homes for Older People Page 13 of 27 Evidence: information if needs be. Staff are provided with guidance about the way to provide personal care as part of their induction. There was further guidance on case records, for example: ensure X has a bath or shower once a week, more often if needed, staff should explain to X before starting the procedure. Some people are being cared for in bed and staff said that people then have frequent bed baths to ensure that they are comfortable. Peoples healthcare needs were noted in their care plan and people indicated in the surveys that were returned that they receive the healthcare that they need. The manager said that the home has a good relationship with local general practitioners (GPs). Two local GPs returned surveys and made positive comments about the home. There is a GP request book in the office with notes regarding any concerns about a persons physical or mental health needs, so it is clear for all staff. There is a sheet of paper for the GP to make notes and this is kept on file so that peoples healthcare can be monitored. Risk assessments had been carried out for aspects of daily living or care that may present a risk including mobility, skin integrity and nutrition. There was a note on case files as guidance for staff: if the risk changes so must the assessment, ensure the risk assessment has a care plan to go with it. Risks associated with peoples mental state were included in case files with guidance for staff: wandering without supervision, walking without a frame, has confusion- supervision needed at all times, to walk with a frame and staff support, The manager said that there is a good relationship with local mental health professionals including the consultant psycho geriatrician. Community psychiatric nurses are very supportive and visit to provide guidance and advice when required. Where a particular need is identified regarding peoples healthcare, a chart is available for staff to complete and monitor the persons wellbeing. Copies of fluid and food intake charts are completed as well as turning charts, sleep charts, behaviour charts and choking charts for people who have difficulty swallowing. The relatives of one person who is being cared for in bed said that staff take great care to make sure their family member is turned regularly and is taking food and fluids. The manager has set up systems to make sure that the healthcare of people in the home is carefully monitored. A record book is kept of infections people may have with medication that was prescribed and outcomes. Records are also kept of wound care. These records are kept under review and any issues that arise are addressed. Care Homes for Older People Page 14 of 27 Evidence: People have access to a dentist, an optician and chiropodist as required. Relatives are kept informed of the wellbeing of the person in the home and all care plans are reviewed at least every month or when the persons care needs change. People who returned surveys indicated that people are receiving the care that they need at Ashton Grange. The relatives of two people living in the home were spoken with and also said they are very satisfied with the care that their family member is receiving. The medication storage and samples of records were seen. The qualified nurse on duty is responsible for administering medication and the nurse on duty at the time said she is kept up to date with medication practices and policies. The storage facilities meet requirements. Samples of records were seen and some gaps in recording were noted. The manager said she would address this with the member of staff involved as a matter of urgency. It was evident from observation during the day that staff were treating people with respect and protecting their dignity. A member of staff was observed knocking on someones door, waiting for a reply and entering with a cheery greeting. People were not being hurried and were being gently supported by staff if they were wandering or appeared lost. One person was supported to spend a little time in the garden at her request. Comments received from relatives indicated that staff are kind and helpful and communicate well with people living in the home and with their families. Care Homes for Older People Page 15 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the lifestyle that they prefer and are supported to maintain contact with relatives and friends. People are supported to make some choices in their daily lives. People are provided with a nutritious and balanced diet. Evidence: Two part time activity coordinators are employed to organise activities and entertainment in the home. There is a programme of activities either in the morning or the afternoon each weekday. The coordinators also provide some one to one time with people. Activities include: manicures, hand massage, story telling, scrabble and reading in the persons room. More reminiscence sessions are also planned. The assessments and care plans that were seen did not include very much detail about peoples life history or interests. The manager said that she is planning to send out questionnaires to relatives to gain more information about peoples interests. This information will help to inform the activities programme and the one to one time spent with people. The manager said that sometimes entertainers are invited to the home and outings are Care Homes for Older People Page 16 of 27 Evidence: arranged. The home is close to the town and there are local parks within walking distance which means that people can be taken out in good weather. The manager said that everyone in the home has visitors and links with family and friends is encouraged. The relatives of two people were spoken with and they all said that they are made to feel welcome in the home. Two people said that the home have been very supportive in meeting their relatives spiritual needs although her memory and health are now very poor. People are supported to make some choices in their daily lives. While there is a structure to the day people are also able to choose when to get up or retire to bed, what clothes they wish to wear and the food they prefer. The chef provides a healthy and nutritious diet and has information about special dietary needs. A number of people have a soft or liquefied diet. These meals were presented in an appealing way at lunch time. A menu is provided on the notice board in the dining room and people can ask for an alternative if they wish. Food is home cooked and served from a heated trolley in the dining room. Some people are assisted to eat in their rooms and ten people took their lunch in the dining room. People were being assisted appropriately and staff were giving people time to eat at their own pace. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their concerns or complaints will be listened to and acted upon. Evidence: There is a complaints policy and a copy is available in the hallway. There is a system for recording complaints. No complaints have been received in the past twelve months. The manager said that she has an open door policy and makes herself available to relatives and visitors so that any issues can be dealt with quickly. The people spoken with and those who returned surveys said they know how to make a complaint and feel that if they needed to raise a concern that it would be dealt with quickly. The home follows the West Sussex multi disciplinary policy and procedure regarding safeguarding vulnerable adults. The homes safeguarding policy has been revised and updated. Staff have all attended training in protecting vulnerable people and how to raise a concern that abuse may have occurred. The manager and staff spoken with were clear about their responsibilities in this respect. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and well-maintained home that is clean and hygienic. Evidence: The manager said in the AQAA that the equipment is serviced as required and that there are policies in place regarding health and safety matters. There is a member of staff responsible for maintenance in the home. The home is comfortable and people are encouraged to bring personal items to help them to feel at home. The majority of windows in first floor rooms have window restrictors to prevent the risk of people falling. The window in one shower room had not been restricted and the manager said that she would make sure that measures are put in place so that people are kept safe, as a matter of urgency. There is a large well kept garden at the back of the home. The garden is on level ground so it is easily accessible for people who have mobility problems. Areas of the home are in need of redecoration. The flooring in the dining room is being replaced and a bathroom is being refurbished. The manager was advised to ensure that there is a development plan with agreed timescales so that the building, furnishings and decor are kept to a good standard. Care Homes for Older People Page 19 of 27 Evidence: Two people have pictures on their bedroom doors to help them to recognise their room. The manager was advised to review and consider the use of signs and symbols or sensory materials around the home to help people who have memory loss and confusion to find their way around the home. These measures could be introduced in a way that protects peoples dignity and maintains the homely atmosphere of the environment. People have the equipment that they need and there is a call bell system in place for peoples safety and wellbeing. Domestic staff are employed and the home was clean with no unpleasant odours. All staff have attended training in infection control and are aware of procedures to prevent the risk of cross infection. Hand gel is available in the home and visitors are encouraged to use it. The wash hand basin has not yet been fitted in the laundry room and this must be done to make sure staff have the facilities to wash their hands. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by staff who are well trained and supported. The recruitment procedure is robust in order to protect people. Evidence: The staff levels that are now in place are: four care staff working in pairs during the mornings and afternoons with one trained nurse and two carers at night with one trained nurse. One of the carers at night is responsible for making sure that people with rooms on the first floor are safe and well cared for. The manager said that there has been a reduction in the number of people who need care at night time and that staffing levels would be reviewed if peoples needs changed. The manager said that occasional spot checks are carried out at night to make sure that people are receiving the care that they need. In addition during week days there is a part time activities coordinator each day, a chef, domestic staff, a gardener, a maintenance person and the deputy and manager are available for additional support. There were sufficient staff on duty during the visit and the visitors spoken with said that their relatives receive the care that they need. There has been a very low turnover of staff and several members of staff spoken with said they had worked in the home for more than six years. This helps to provide Care Homes for Older People Page 21 of 27 Evidence: consistent care as staff understand the needs of the people in the home and people are cared for by staff they know. Staff also said that they work well as a team and that Ashton Grange is a good place to work. Five of the sixteen care staff have achieved the National Vocational Qualification (NVQ) at level two or above and six people are studying for the award. One member of staff spoken with has been supported to do an assessors course and is studying for the Registered Managers Award (RMA). He said that the manager and provider have been very encouraging and supportive. There is a robust recruitment procedure and all prospective staff complete an application form and are interviewed by the manager. No one begins work until a POVA First check has been received. An enhanced Criminal Record Bureau (CRB) check is also carried out. The recruitment records for three people were seen and showed that the required checks had been carried out before each person began work. Interview questionnaires had been completed to show that an equal opportunities approach is taken to recruitment and that any gaps in the persons employment record have been explored. There is an induction and training programme in place. One member of staff said that all training is paid for by the provider. Newly appointed staff have the opportunity to shadow more experienced staff when they begin work. Handouts are also provided so that staff have reference material to refer to if they need to. All staff have attended mandatory training. The manager said that staff have not attended dementia care training this year although they have previously. The manager has links with the Alzheimers Society so that staff and relatives have up to date information about the care of people who have a dementia. Qualified nurses are supported to attend training to keep their skills updated. Some courses are available through a local hospital; other courses are through long distance learning programmes. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well run home that operates in the best interests of the people living there. Peoples financial interests are safeguarded. The health, safety and welfare of people living in the home and of staff are promoted and protected. Evidence: The manager is qualified and experienced to ensure the efficient running of the home. Mrs Rigby is a trained nurse and her qualification is for the care of people who have mental health problems. Mrs Rigby also has a management qualification. She is committed to developing her knowledge and skills and recently attended a course in providing end of life care which she cascaded to staff to make sure they have up to date knowledge. Mrs Rigby said that she has support from the provider and peer support from the manager of the sister home; she said that this is very helpful in developing the quality of care in both homes. The manager said that she is trying to find ways to encourage feedback from people Care Homes for Older People Page 23 of 27 Evidence: living in the home, their relatives and other people with an interest in the home, so that ideas and comments can be used in the development of the service. There are no formal systems in place although a feedback sheet is available in the hall for people to complete and return. Five questionnaires have been returned and the responses were positive. A file of letters of gratitude is kept so that staff can see their work is appreciated. Comments include: I admire each and every one of you for the job you do, thank you for your support and the wonderful job that you and your staff do and words cannot express my gratitude for the care given to X and the treatment administered to her. The manager said that she would be setting up a formal system for quality assurance in the home. There is a system for ensuring that petty cash is documented, receipts kept and small transactions are recorded. The home is not involved with the finances of people living in the home. Each person has a relative or solicitor who supports them with their finances. The manager said in the AQAA that there are health and safety measures in place. All staff have attended mandatory training in health and safety matters. There are fire procedures in place and a fire risk assessment has been carried out. Incidents are reported and recorded appropriately and the manager monitors these each month to identify trends and to put preventive measures in place where possible. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!