Inspection on 06/04/10 for Old Hastings House

This is the latest available inspection report for this service, carried out on 6th April 2010.

CQC found this care home to be providing an Excellent 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

Old Hastings House 01/12/05

Old Hastings House 30/06/05

Old Hastings House 18/01/05

Old Hastings House 08/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Anchorstone Services Limited

Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for older people Name: Address: Old Hastings House 132 High Street Old Town Hastings East Sussex TN34 3ET     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Caroline Johnson     Date: 0 6 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Old Hastings House 132 High Street Old Town Hastings East Sussex TN34 3ET 01424452640 01424424027 natasha@oldhastingshouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Magdalen & Lasher Charity Name of registered manager (if applicable) Natasha Jane Seymour Type of registration: Number of places registered: care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 45 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Old Hastings House is a detached building on four floors, in which the main part of the building is listed. It is situated in the old town area of Hastings, close to the High Street and town centre, which is accessed by many of the service users. There are public transport routes nearby and also a main line railway station. The Decor and furnishings are maintained to a good standard with an ongoing decorating plan to Care Homes for Older People Page 4 of 28 Over 65 45 0 Brief description of the care home further enhance and update the home. The home has a number of Georgian period features. Resident accommodation comprises of 45 single[en-suite toilet and sink] bedrooms. There are a range of communal areas, which comprise of three dining rooms two on the ground floor, and one on the first floor, and a lounge and conservatory on the ground floor. There are further seating areas at the top of the stairs on the first floor and also a further lounge on this floor. There are tea corners on the first, second and third floors. Residents have the option of a weekly minibus excursion along with a range of indoor activities such as coffee mornings, luncheon clubs, quizzes, bible studies, hand massage and manicure, and wine evenings. The home has a number of strong links with the local community. A small number of bedrooms can only be accessed by those with good mobility. The home has a number of ramps around its external grounds and entrances to facilitate disabled access. There is a car park to the rear of the property. The home has two lifts, one of which is a passenger lift. Information on the range of fees charged is within the homes current statement of purpose/service user guide and ranges form 359 to 425 pounds per week. Additional charges are made for items such as newspapers, perfumes, chiropody, and hairdressing. Inspection reports are available via the home. Care Homes for Older People Page 5 of 28 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: three star excellent 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: For the purpose of this report the people living at the Old Hastings House will be referred to as residents. As part of the inspection process a site visit was carried out on 6 April 2010 and it lasted from 10.05am until 17.00pm. The registered manager was on leave so the deputy manager and a senior carer facilitated the inspection. Over the course of the inspection there was an opportunity to meet with five residents in private and to speak generally with other residents throughout the day. In addition time was spent talking with five staff members in private. Five care plans were examined in detail. A wide range of records were also seen including - staff rotas, staff training, medication, menus, health and safety documentation, quality assurance and leisure activities. In advance of the inspection the home submitted a very comprehensive AQAA (annual quality assurance assessment) which contained detailed information about the home and how it is run. Information from this document was used in the writing of this Care Homes for Older People Page 6 of 28 report. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? The homes information booklet for prospective residents has recently been updated and all current residents have also been provided with the updated copy. A new chaplain has been appointed to the home. A new gardening club has recently been established. The home is continually reviewing and looking to improve the already wide range of activities that are on offer at the home. There is a continual programme in place to ensure that the home remains decorated to a high standard. Within the past year nineteen bedrooms were redecorated. A number of improvements have also been highlighted for completion within the next twelve months. Care Homes for Older People Page 8 of 28 Plans for the next twelve months include replacing four boilers and replacing lights in residents bedrooms with low energy fittings. In addition improvements will be made to the lower communal lounge and restoring brick arches over ground floor windows. It was also reported that a freesat feed will be provided for all residents wishing to have freesat TV in their rooms. The manager keeps up to date with changes in care practices and ensures that the staff team are trained on any relevant courses both for individual and the homes development. 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 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 7535. Care Homes for Older People Page 9 of 28 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 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with detailed information about the services available within the home. Evidence: All new admissions to the home are given a very detailed information booklet. This booklet had recently been updated and all residents were issued with a new copy. The booklet describes the care arrangements in place and the facilities that are on offer. Residents surveyed all confirmed that they had received a terms and conditions of residence contract. A pre admission assessment was seen in relation to one resident. It showed that the home was very thorough in obtaining detailed information about the needs of the prospective resident prior to making a decision about providing accommodation. The home does not cater for intermediate care. If there are vacancies then Care Homes for Older People Page 11 of 28 Evidence: consideration is given to the provision of respite accommodation. Some of the residents spoken with advised that they came into the home on respite and decided to stay permanently. Care Homes for Older People Page 12 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide detailed information about the abilities and needs of the residents and how individual needs are to be met. There are very good systems in place ensure that residents healthcare needs are met. Evidence: Five care plans were examined in detail. They contained a wealth of information, advice and guidance for staff to follow to ensure that residents needs are met. In each case there is a statement of care needs and a plan for the delivery of care. Where risks are identified or perceived there is a detailed risk assessment in place. Keyworkers are responsible for updating care plans as and when needs change and it was noted that formal reviews of care plans are carried out every six months. Residents are involved in all aspects of care planning. Where residents require specialist advice and support in relation to their care needs then arrangements are made for this to happen. Staff stated that if a resident has any specialist needs then a district nurse will generally provide additional training for staff to ensure that needs are met appropriately. Care Homes for Older People Page 13 of 28 Evidence: Records showed that residents are supported to attend a wide range of healthcare appointments such as the dentist, opticians and chiropodist. Staff observed in the course of their duties were courteous and treated residents with respect. The home uses a monitored dosage system and arrangements in place for the storage and handling of medication were in order and all records seen were up to date. Arrangements are in place to ensure that all unused or out of date medication is returned to the local pharmacy at regular intervals. An assessment has been carried out in respect of each residents wishes in the event of their death. It was noted that a large number of the staff team had recently received training on palliative care. Care Homes for Older People Page 14 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to participate in a wide range of interesting and stimulating activities throughout the week. Evidence: A number of residents continue to use local facilities and amenities independently. There is an activity programme in place for those who choose to participate. Activities include exercises to music, games, karaoke and a cheese and wine afternoon. Those spoken with stated that they enjoy dipping in and out of the activities of offer. A wheelchair adapted vehicle is available for taking residents out on activities and to attend appointments. There is a parish outreach worker who regularly visits residents. A residents gardening club has recently been established. A weekly outing is arranged in a minibus and a number of the residents spoken with stated that they look forward to these trips. It was reported that there are plans to recruit a new driver for the bus and to expand the number of trips available to residents. Staff spoken with stated that they always try to take a couple of residents out at weekends. Care Homes for Older People Page 15 of 28 Evidence: Arrangements are in place to ensure that regular chiropody and a toe nail cutting service are provided. A dentist also visits regularly. There are two hairdressers and an aromatherapist visits the home monthly. There is a monthly coffee morning followed by lunch which is well attended by the local community. A number of residents help to run this event and in particular the cake and tombola stalls. There is a tuck shop run by the residents. There are religious services held six days a week. Nineteen residents attended the Communion service that was held on the day of inspection. Seasonal events are held such as Christmas Lunch at a local hotel, Summer fete in the gardens, Easter festivities, Halloween fireworks party, an open day and the Old Town Carnival procession. Staff perform in a Nativity Play and residents are taken to a pantomime at the local theatre. Residents spoken with were all very complimentary about the activities on offer in the home. One resident stated that they love the fact that the local community are invited in and that they still have opportunities to participate in local events, particularly attending church services locally. Another resident stated that although they are aware that there are lots of activities to choose from they like to spend their time in their room reading and watching the television. They enjoy spending time with staff but like to be on their own as this is how they lived prior to moving to Old Hastings House. Residents meetings are held regularly and records showed that there is generally a good attendance. Fifteen residents attended the last meeting. There is generally a wide range of discussion held, residents are updated on a range of house issues and residents also have opportunities to share their views on the running of their home. Examples seen included discussions about menus and about how money raised as a result of coffee mornings should be spent. There is a six week menu in place that is varied and well balanced. Residents spoken with stated that they are given the choice of meals selection a day in advance. There is a choice of meal at each mealtime and residents said that if they do not want what is on the menu the chef will always provide an alternative. Home made soup is provided daily and at weekends there is always a sherry and a roast dinner. All of the residents spoken with stated that the food is very good or excellent. Some residents have drink making facilities in their own rooms and in addition on all floors there are tea making facilities in an area known as the tea corner where Care Homes for Older People Page 16 of 28 Evidence: residents can go and make their own drink at any time. These areas are often used to meet with friends or to entertain families/friends. Care Homes for Older People Page 17 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to enable anyone wishing to make a complaint to do so. Evidence: There were numerous thank you cards where relatives and residents had expressed their appreciation for the care provided. It was reported that there is a detailed procedure in place on adult protection and prevention of abuse. A copy of multi-agency guidelines on adult protection are also available for staff to read and a flow chart of the steps to be taken should abuse be suspected is displayed on the wall in the office. Staff spoken with all confirmed that they have received training on the subject and were clear about what they should do if they suspect abuse. Care Homes for Older People Page 18 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is well maintained and decorated to a very good standard. Evidence: All areas of the home seen were well maintained and decorated to a good standard. Information provided in advance of the inspection showed that the home is continually seeking to improve upon the facilities provided for residents. Within the past year nineteen of the residents bedrooms have been refurbished and redecorated. New furniture and curtains have been provided in the main lounge and a new bin store has been provided for contaminated waste. The wooden floor in the main entrance lobby has been restored, fire doors have been fitted with in-tumescent strips to comply with fire regulations, the cellar has been cleared and racked for storage, following advice of energy consultant, roof voids insulated to latest building regulations standard and the programme of external maintenance has continued. Plans for the next twelve months include replacing four boilers and replacing lights in residents bedrooms with low energy fittings. In addition improvements will be made to the lower communal lounge and restoring brick arches over ground floor windows. It was also reported that a feesat feed would be provided for all residents wishing to have access to freesat TV in their rooms. Care Homes for Older People Page 19 of 28 Evidence: Bedrooms seen were homely and had been decorated to a good standard. The majority of the residents spoken with had brought small items of furniture with them when they moved in and this gave a very personal feel to each of the rooms. All residents spoken with were very pleased with their rooms and with the facilities provided. All areas of the home seen were clean and there were no unpleasant odours. Records showed that staff have received training on infection control. Care Homes for Older People Page 20 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the support of a dedicated and well trained staff team. Evidence: Rotas seen showed that there are sufficient staff on duty and staff spoken with stated that staffing levels are satisfactory. Residents stated that they never have to wait long when they call for assistance. Records were seen in relation to the recruitment of three staff employed to work in the home and they demonstrated that the home had been thorough in ensuring that appropriate checks were carried out. It was noted in relation to one reference obtained that it was very difficult to read the referees signature and it was agreed that perhaps it would be beneficial to ask referees to sign and print their names. Once staff complete their in house induction they are immediately enrolled on an NVQ (National Vocational Qualification) course. A staff member spoken with stated that as part of their induction to the home they shadowed an experienced staff member for a few shifts until they felt confident with their new role. Information provided in advance of the inspection showed that twenty seven of the twenty nine staff employed have attained an NVQ at level 2 or above. Five senior staff have also completed NVQ level four in care and three staff have completed level three. Two cooks and two kitchen assistants have completed NVQ 2 in food preparation. Care Homes for Older People Page 21 of 28 Evidence: Mandatory training is provided on an ongoing basis and records showed that staff either have completed, or are booked to attend, training on all mandatory subjects. Prior to the inspection a large number of the staff team had recently completed training on dementia and on palliative care. The manager, head of care and senior care team leader have attended training on the new Regulatory Changes that come into effect from April 2010. Care Homes for Older People Page 22 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well in the interest of the residents accommodated. Evidence: The manager Mrs Natasha Seymour has completed NVQ (national vocational qualification) at level four. In addition she has also completed the RMA (registered managers award) and the A1 assessors award. Staff meetings are held periodically and records showed that in addition to care staff meetings there are also regular meetings for senior staff, kitchen staff and twilight staff. One of the Trustees was in the home on the day of inspection and he stated that he also meets regularly with the manager to make sure that all action points from the various meetings have been actioned. Staff stated that staff meetings are very helpful. They described the manager as very approachable and supportive. A record is kept of all planned supervision dates and staff spoken with confirmed that they receive regular supervision. Staff files seen also showed that this is the case. All staff spoken with confirmed that they find supervision beneficial. Care Homes for Older People Page 23 of 28 Evidence: There are a wide range of measures in place to monitor the quality of the care provided in the home. A quality review meeting is held periodically. The Responsible Individual carries out an unannounced visit to the home on a monthly basis to monitor progress. Reports show that a range of areas are assessed during these visits including care plans, monitoring that supervisions and training has taken place, monitoring of quality assurances process and that health and safety arrangements are in place. Records show that conversations are had with a number of residents but not the outcome. There are no references to conversations with staff. A range of surveys are sent out periodically to seek the views of residents, and any visiting professionals. There was a very high return rate and responses were all glowing in their praise for the staff and the facilities provided by the home. Overall only two minor negative comments were seen and one of the Trustees said they would look into both issues to see if there was any action that needs to be taken as a result. In advance of the inspection a range of surveys were also sent by the Commission to residents and staff. Comments from staff included: I feel OHH (Old Hastings House)meets the needs of all our residents. Staff training is kept up to date. If a resident has specialist needs, training takes place to meet these needs. The home has a friendly atmosphere and is welcoming to visitors. We meet all the residents care needs and when needed outside agencies are brought in. Residents often say that they are happy and glad that they made the decision to come to OHH. I have worked at OHH for ? years , I feel that the residents are well cared for, staff meet individual needs. Staff are friendly and caring towards residents. Through my experience in the care sector I feel that OHH is one of the best homes in Hastings because we are a non profit company all money is put back in to the home for home comforts and lovely surroundings. Up to date training given to staff to enhance knowledge. Comments from residents included: This home appears to be one of the best in the area. It is always kept spotlessly clean in all departments, visitors made very welcome and all the staff are always helpful, kind, happy and work well together making for a very happy home. We could not ask for more. Care Homes for Older People Page 24 of 28 Evidence: Always someone available and attend very quickly if called. Lots of activities. Residents meeting held monthly. Anything brought up and discussed is always addressed. I have been in this home over a year now and have no fault to find with the staff, or the running of it. It is a pity other homes are not up to this very high standard. Information provided in advance of the inspection showed that the home ensures that there are a range of measures in place to ensure the health, safety and welfare of residents and staff. In addition all records seen in relation to this area on the day of inspection showed that the home was thorough in ensuring that appropriate safety checks are carried out and that equipment used is tested and serviced regularly. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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