Inspection on 25/08/09 for Strathmore House

This is the latest available inspection report for this service, carried out on 25th August 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

Strathmore House 11/10/07

Strathmore House 18/04/07

Strathmore House 10/11/06

Strathmore House 19/04/06

Strathmore House 07/11/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 26/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Strathmore House Friday Bridge Road Elm Near Wisbech Cambridgeshire PE14 0AU Lead Inspector Janie Buchanan Key Unannounced Inspection 25th August 2009 09:20 DS0000066352.V377427.R01.S.do c Version 5.2 Page 1 This report is a review of the 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. 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. Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strathmore House Address Friday Bridge Road Elm Near Wisbech Cambridgeshire PE14 0AU 01945 860569 01945 860202 strathmore.house@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited 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) Elizabeth Howard Care Home 46 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (46), of places Terminally ill over 65 years of age (25) Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum of 25 TI(E) beds Maximum of 20 DE(E) beds Maximum of 46 OP Date of last inspection 8th September 2008 Brief Description of the Service: Strathmore House is situated in secluded mature gardens set back from the road between the villages of Elm and Friday Bridge. It is a large 18th century house that has been extended beyond its original to provide the present facilities. Accommodation in the old house is on two floors with the first floor being accessed by a shaft lift There is a variety of sitting areas and a dining room. The extended area of the house is single story and within this area is a self-contained unit for older people with dementia. A detached bungalow next to the main house has accommodation for six people. Current weekly fees range from £354 for local authority funded residential care to £712 for residents receiving privately funded nursing care. Additional charges are made for newspapers, hairdressing and private chiropody. The inspection report is available on request from the manager or can be downloaded from the internet on: www.cqc.org.uk Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. For this key inspection we (The Care Quality Commission) looked at all the information that we have received since the last key inspection. This included the annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We received 12 completed questionnaires from residents, their advocates and people working in the home asking what they thought about it. We visited the home and talked with 5 people living there and 4 members of staff. We had lunch with the residents so we could watch how staff interacted with and helped them. We toured the premises and viewed a range of documents and policies. We also spoke with a local social worker who knows the home well. The home was subject to a suspension of placements by the social services contracts department last year due to a number of adult protection concerns, but this was lifted in January 2009 due to considerable improvements in service. What the service does well: Residents who completed our survey and those we spoke to told us they received the care and support they required, that staff were available when they needed and that the home was fresh and clean. Comments we received included: ‘The home looks after us very well’ and ‘I couldn’t be better looked after by my children’ and ‘I am very pleased with everything in the home. Carers are always there when I need them, meals are really nice. I am happy with it all.’ Relatives too made many positive comments including: ‘staff know all patients and their relatives, which is reassuring-no one works in isolation’ and ‘individual care and attention to personal needs is good, with friendly staff who seem dedicated to keeping happy cheerful faces’. Care plans we viewed were detailed with clear instructions for staff in how to meet residents’ needs, which were also reviewed regularly to ensure changes were picked up quickly. What has improved since the last inspection? There has been much improvement in the home since we last visited: Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 6 Medication procedures are tighter ensuring residents receive their medication as prescribed and there is a clear record of what they have received. A lot of work has gone into redecorating and updating interior areas of the home. Relatives have clearly noted and appreciated these improvements. One told us ‘in the last 18 months the care home has been tidied up, cleaned and decorated with new quality furniture purchased- a great improvement’ . During our last visit some areas of the home smelled strongly of stale urine: we detected no strong smells anywhere during this visit. A local social worker told us that things had greatly improved at the home and that she no longer had any adult protection concerns about it. Complaints management has improved and now residents’ and their advocates’ concerns are fully investigated and responded to within proper timescales. Staff receive regular and meaningful supervision and now have the opportunity to receive feedback about their working practices, identify their training needs, and raise any concerns they have. The home now has an experienced and committed manager in place who has brought about many positive changes. Staff morale and support has increased as a direct result which will clearly has a beneficial effect on the residents living there. As one relative told us: ‘the service has improved over the last few months and if it keeps this standard up it’s going to be a great house’. 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. Strathmore House DS0000066352.V377427.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 Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 People using the service experience good quality outcomes in this area. There is good information available about the home to help people decide if it is where they want to live, and the home’s admission procedures ensure their needs can be met there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a Statement of Purpose and Service User Guide that give good information about the home, its staff and the facilities on offer and these have been updated to include the new contact details of the Care Quality Commission. Copies of both these documents are available in each resident’s bedroom so they have good information about where they live. People who completed our survey told us they received enough information about the care service to help them decide if it was right for them. Residents also receive a contract which states the terms and conditions of their stay at Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 9 the home and the fees payable. We checked the files of two recently admitted residents which showed us their needs had been fully assessed before they were admitted into the home. The home’s uses its own pre-admission assessment tool which is used to identify people’s needs and their ability to meet them Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience good quality outcomes in this area. Residents’ health care needs are well monitored by the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We checked the care plans for three residents. Residents’ needs in relation to their communication, eating, mobility, personal hygiene, pressure care and breathing had been clearly recorded with the action needed by staff to assist them. Residents’ dependency levels, weights, blood pressure and temperatures were all regularly monitored to ensure their well being. We also checked the notes in for two people who were cared for in bed. These showed that they were turned regularly, that the amount of food and fluid they took was carefully recorded and that their elimination was monitored closely. We noted jugs of juice beside residents’ beds, giving them access to fluids to keep them hydrated. Resident who completed our survey told us that the home makes Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 11 sure they get the medical care they need and one relative reported: ‘care given to my mother is very good; she is listened to and helped with feeding when under par’. Most residents we saw were smartly dressed and clean however, two had unsightly chin whiskers which should have been removed by staff. We checked a sample of residents’ medication administration records. There were generally good, with staff signing correctly to show what medicines they had given residents. We noted two small shortfalls: that handwritten additions to the printed MAR sheets had not been signed, dated or checked by a second person for accuracy and that there was one signature gap where it was not possible to tell if the person had received their medication. A monthly medication audit is undertaken by the manager to ensure good practices are maintained. All medicines were stored correctly and temperatures of their storage areas were maintained. Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience adequate quality outcomes in this area. Residents have access to some activities to keep them stimulated and they are given genuine choice about what they eat. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home employs a specific member of staff to undertake activities with residents 5 hours a day, Monday to Friday, and there is also a volunteer who visits to talk to residents. Posters letting residents know what activities are on each day are displayed in the hallway and these include cards games, bowls, bingo, dominos and nail painting. One resident told us that she had been out gardening and had made hanging baskets and sowed leeks. Entertainers regularly visit the home and residents visit St Andrews Church at Outwell four times a year. One resident we spoke to however told us; ‘I do get bored’. Also the chair she sat in was positioned in such a way that it made it almost impossible to see her TV. She told us: ‘The TV’s on but I don’t really give it much attention’. Another described the home’s entertainment as ‘feeble concerts, not very good’. Some residents are taken out to the local village and to the duck pond, but aside from this there wasn’t much evidence that they get Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 13 the opportunity to visit other places of interest such as garden centres, local pubs, car boot sales, the coast, shopping etc. We spent some time in Jasmine House (the home’s dementia facility). Residents we viewed were relaxed and actively occupied. One member of staff helped three residents colour in pictures and two residents were watching TV. During this time another member of staff brought fruit, which had been cut into pieces to make it easier to eat, was offered to all of the residents here. Relatives told us staff at the home were good at keeping them up to date with issues affecting their loves ones. One commented; ‘just to say that it is very reassuring for us relatives to get the standard of care we are getting now, and always being informed what’s happening’. We took lunch with the residents which consisted of corn beef hash or chicken casserole, served with broccoli and carrots, followed by apple and blackberry crumble. Residents were asked just before being served which they preferred, ensuring they were given genuine choice of what they ate. Lunch was mostly a relaxed and pleasant affair, with residents given plenty time to eat. However one member of staff talked a little sharply to residents and bellowed loudly across the dining room to one resident for all to hear; ‘are you going to be sick or do you just need the toilet’. This was not a dignified or respectful way to talk to the resident. Another resident was given carrots to eat on her plate despite telling staff she didn’t like them. One resident told us she was a fussy eater but that the cook always found her something else to eat if she didn’t like what was on the menu. She told us she particularly liked sausages and we noted that she was given them for lunch instead of the 2 mains meals on offer. Another told us: ‘meals are good and cups of tea regularly’. However another reported: ‘I think at times the food could be improved’ Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. Residents concerns are taken seriously and fully investigated and the home’s procedures protect them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Details of how to complain are in the home’s statement of purpose and service user guide, copies of which are in each resident’s bedroom. Complaints slips are also available in the entranceway to the home so that they are easily accessible by visitors and family members. The home has received 5 complaints since we last visited concerning water not being hot enough; a resident’s broken nebuliser; the ability of a member of staff and the care of one resident’s feet and pain control. These complaints were fully investigated by the manager within the home’s own timescales and written responses were sent to the complainant. One resident told us that she had complained about a particular carer. She said the manager had listened to her and the carer no longer worked at the home as a result. We spoke with a local social worker who knows the home well. She told us that there had been a few minor adult protection incidents between residents in the home recently but these had been dealt with well, and action plans put in place quickly by staff to prevent them happening again. 97 of staff have received Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 15 training in how to protect vulnerable adults and there are posters around the home giving details of who to contact should anyone want to raise concerns. Staff we interviewed had a satisfactory knowledge of reporting procedures Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,26 People using the service experience adequate quality outcomes in this area. Residents live in a clean and comfortable environment. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There have been a number of improvements in the home’s internal environment since we last visited. Two lounges and the reception area have been redecorated, dining room furniture has been replaced, the dining room floor has bee re-laid and all radiators now have adjustable thermostats so that residents can control their heat. External lighting has been installed outside the home to make it better lit for people when approaching it. We toured the premises and found them to clean, hygienic and there were no strong smells around the home. One resident reported: ‘cleaners keep my room nice and clean’. Furnishings and fitting were of good quality. However, the home has a Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 17 large lawn area to its rear, which is not really accessible to residents as it is very uneven and the pathway around it is blocked by overgrowing plants. There are also no sign posts in the home indicating how to get to it. As a result no residents actually use this area of the garden and only staff who sit outside to smoke benefit from it. Some external areas of the home continue to look shabby and neglected. Paint is peeling away from some external window frames and fascia boards. Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service receive good quality outcomes in this area. Residents receive their care from competent staff in sufficient numbers to meet their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Between 8am and 2pm there is one nurse and 5 care staff on duty, between 2pm and 8pm 1 nurse and 4 staff, and between 8pm and 8am, 1 nurse and 2 or 3 carers to meet the needs of 29 residents currently. Residents who completed our survey told us that staff were available when they needed them, and they only occasionally waited long for help. One resident told us: ‘if I ring my bell they come’. Staff told us they were sometimes busy of a morning but generally staffing levels were OK and allowed them time with residents, including time to chat and do activities with them. The use of agency staff has dropped considerably with none having worked at the home since October 2008, ensuring that residents receive their care from familiar faces who know them well. Residents we spoke to told us there were staff around when needed and one commented; ‘they always look in the door to check we’re alright’. We viewed the home’s training records and also a sample of staff files containing their training certificates. This showed us that most staff had Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 19 undertaken training such as fire, food hygiene, moving and handling people, health and safety, nutrition, medication administration and dementia awareness. 9 of about 18 care staff hold the NVQ level 2 in care and more have signed up to begin this award. The cook and some care staff were attending a nutrition course on the day we visited. We checked the personnel files for two recently recruited members of staff. Both files contained good evidence that proper references and CRB checks had been obtained before they had started working at the home, thereby ensuring that only the right people were employed to look after vulnerable adults. Strathmore House DS0000066352.V377427.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 People using the service experience good quality outcomes in this area. Residents’ live in a home that is run by an experienced and committed manager. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A new manager was appointed to the home in October 2008. Since qualifying as a nurse she has mainly worked in nursing positions in the NHS and the social care sector. She has the NVQ level 4 registered manager’s award and a Certificate in Management Studies. Prior to taking up her post she was the clinical manager at another large nursing home in Wisbech. She has clearly been working hard (and putting in long hours) to improve standards at the home with some success. Staff we spoke to made the following comments Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 21 about her: ‘she’s pretty good, always here and listen, deals with her job well’; and ‘she’s committed and has turned the home around’ and ‘things are ten times better’. Staff told us they felt supported by the home’s management team and confirmed they received regular supervision which they described as ‘much better than it used to be’. One staff member commented: ‘they soon tell you in supervision if they’re not happy with things’. We looked at the supervision record for one member of staff. These were detailed and covered a whole range of issues including the person’s annual leave, their rota, training, and their roles and responsibilities. The home holds cash for some residents. We checked the records for how residents’ monies were being spent which showed that the home keeps detailed record of all transactions undertaken on behalf of residents and appropriate receipts. Cash sheets are regularly audited by Southern Cross Healthcare’s head office. We checked a number of records in relation to health and safety including fire service records, gas safety certificate, portable appliance testing and lift servicing which showed us that the home maintains its equipment to ensure its safety. We toured the premises and saw no major health and safety hazards, apart from a clinical waste bin which was not locked and some food stuffs stored in the fridge that had not been dated thereby making it possible to tell how fresh it was for residents. The home has a 4 star (very good) rating from the environmental health officer. Strathmore House DS0000066352.V377427.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 3 3 x x 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 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 3 x 3 x 3 3 x 3 Strathmore House DS0000066352.V377427.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. 1 Standard OP8 Regulation 12 Requirement Personal care for some residents must improve so that they do not grow long and unsightly chin whiskers Timescale for action 01/10/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Opportunities for residents to get out more (e.g. to garden centres, care boot sales, shopping, seaside etc) should be provided so they get more chance for stimulation and a chance to enjoy life outside the home. Strathmore House DS0000066352.V377427.R01.S.doc Version 5.2 Page 24 Care Quality Commission East Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Strathmore House DS0000066352.V377427.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. 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!