Inspection on 27/04/10 for Wentworth House

This is the latest available inspection report for this service, carried out on 27th 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

Wentworth House 22/12/06

Wentworth House 24/02/06

Wentworth House 27/10/05

Wentworth House 10/11/04

Wentworth House 26/05/04

Wentworth House 28/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for older people Name: Address: Wentworth House 8 Blantyre Road Swinton Gtr Manchester M27 5ER     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: Susan Jennings     Date: 2 7 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 27 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 27 Information about the care home Name of care home: Address: Wentworth House 8 Blantyre Road Swinton Gtr Manchester M27 5ER 01617939090 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Wentworthhouse@aol.com Mrs Christine Belvedere,Mr Antonio Belvedere Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of people who can be accommodated is 25 Date of last inspection Brief description of the care home Wentworth House is a home that provides residential care for up to 19 service users over the age of 65. The home is situated on a quiet residential road in the Swinton area of Salford. The home is situated close to local amenities and close to public transport routes. Bedrooms are situated on both the ground and first floors of the accommodation. A passenger lift serves both floors. There are several communal Care Homes for Older People Page 4 of 27 25 0 Over 65 0 25 Brief description of the care home loungedining rooms that are situated on the ground floor of the accommodation. The home continues with ongoing refurbishment to provide a pleasant living environment. The cost of the service is between £395.00 and £426.00 per week. 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: 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: The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Care Quality Commission) in relation to this home prior to the site visit. The site visit was unannounced and took place over the course of 6.5 hours on Tuesday 27th April 2010. During the course of the site visit we spent time talking to people who live at the home, visitors the manager, owner and care staff to find out their views of the home. We spent time looking at records. We looked at the care files of people living at the home and staff files. We also walked round the home and looked at communal areas and a sample of bedrooms. Care Homes for Older People Page 6 of 27 This visit was just one part of the inspection process. Other information received was also looked at. Some weeks before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) telling us what they thought they did well, what they needed to do better and to give us up to date information about the service provided. This helps us to determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with homeowners or managers. References to we, our or us throughout this report represent the Care Quality Commission. Care Homes for Older People Page 7 of 27 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 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 8 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 9 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 were given enough information about the home and their care needs were assessed before moving in. Evidence: We saw that the home produced a statement of purpose and a service user guide. People or their representatives were invited to visit the home before making a decision to move in. We saw that they received a care managers assessment of needs and that they carry out their own pre admission assessment. This is to make sure that they are able to meet peoples needs. The information gathered forms the basis of the persons care plan. We spoke to a number of relatives visiting the home. They all confirmed that they had been given enough information about the home to make a decision. They also told us Care Homes for Older People Page 10 of 27 Evidence: that someone from the home visited their relative in hospital to carry out an assessment of their care needs. One persons relatives told us I was very impressed with this home, were able to come and visit before making a decision and we were advised by the manager to look at others in the area. This home does not provide intermediate care. Care Homes for Older People Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs were met and medication procedures safeguarded people from harm. Evidence: We saw that each person had a care plan in place and that some people and their representatives had been involved in developing the care plans. We saw that care plans had been signed by the person or their relatives where possible and we spoke to one persons family who told us they had seen the persons care file. We saw that care plans were being reviewed on a regular basis. They told us that they had introduced a new care plan format since the last inspection. The care plans are in the early stages of their development and more work is needed to make them person centred. We spoke to people and their relatives about the care they received. One persons relatives told us if we could not get a place here we did not want mum to go into a home, it is perfect and it is not an ideal situation for mum to be in a care home at all Care Homes for Older People Page 12 of 27 Evidence: but this is the best in the area, it is homely and the right size. Another said we had no qualms about choosing this home, the staff are very good and mum is always nicely dressed, the staff are always professional and very caring. One person living at the home told us we want for nothing the staff are all lovely and are there quickly if we need help another person told us the staff are excellent they work really hard, nothing is too much for them and the staff are always very pleasant. We looked at a sample of the new care plans and found that they contained an introduction to the person called a summary that included some good information about peoples likes and dislikes. It was clear from speaking to staff that they knew the people living at the home very well. They were able to tell us in detail what peoples needs were and what level of support they needed. Staff were knowledgeable about peoples personal care needs and preferences. Their approach was person centred they showed respect and sensitivity and responded to requests for assistance in a timely manner. The staff group is balanced so people can choose to have support from a male and female member of staff. We saw that daily records were kept and held in the persons care plan. The records were detailed in relation to the support people received. We saw that people had access to healthcare professionals such as district nurses, chiropodists and general practitioners. Any healthcare visits were recorded in the care plan. We spoke to people living at the home and their relatives. One persons relative told us they would contact the doctor if mum was not well and the staff are always very nice and if there are any issues they contact me, they never assume. Another told us they ring us if there are any problems and we are kept up to date with any appointments. We saw that where necessary pressure relieving equipment was provided. We saw specialist mattresses and cushions in use. The district nurse told us if there were any concerns about skin integrity the manager would request equipment to prevent pressure areas from developing and I have no concerns about pressure area care. A district nurse was visiting the home during our visit who told us that they visited the home every other day. They told us that referrals usually come directly from the home and are appropriate. They told us that staff at the home were very good, they were well trained and most had been employed at the home for a number of years and knew the people living there well. They told us that when they left instructions for staff they were confident that they would be carried out and I know my patients are Care Homes for Older People Page 13 of 27 Evidence: being well looked after. Medication was dispensed in blister packs and stored in a metal trolley in a locked cupboard. Medication Administration Records (MAR) were accurate and up to date with no gaps in recording. We saw that they kept a list of signatures and initials of those staff responsible for administering medication. This means that they have a clear audit trail of which member of staff gave medication on any particular day. Medication was appropriately signed into and out of the home. We looked at the policy relating to controlled medications. We saw that it gave staff instructions on dealing with controlled medications. We saw the training matrix, this showed that staff responsible for administering medication had received training in the safe administration of medicines. Care Homes for Older People Page 14 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. A range of activities are provided and people were offered a varied and balanced diet. Evidence: People were seen sitting relaxing in one of the three lounges or one of the quiet areas. One of the lounges opened up onto a large balcony. People told us the balcony is lovely, we will be planting the baskets up soon another said the manager will be putting plants out in those baskets soon. Another person told us we can sit out there if we want to but it is not warm enough yet. The grounds were secure so that people were able to wander in and out of the home as they wished. There were large metal calendars throughout the ground floor of the home with the month day and date circled by a magnetic ring. This means that people were oriented to day and date. People living at the home told us that a number of different entertainers had visited the home in the past month. These included the Christian Charlies music for hospitals group, a group from St Peters and a singer who attends the home on a monthly basis. Some people told us they helped with the garden or crotched blankets for charity and Care Homes for Older People Page 15 of 27 Evidence: others chose to sit quietly with visitors. The atmosphere in the home was relaxed. We saw people watching television, listening to the radio, reading or completing crosswords. Other people cared for the pets in the home and seemed to really enjoy doing so. One person told us they had recently celebrated their birthday. They told us the manager and staff had arranged a party and relatives had been invited to join them. They told us it was a lovely surprise and they always do something if it is your birthday. We saw the evening meal being served, the meal was braised lambs liver with bacon, creamed potatoes and vegetables. People told us the meals are excellent and the food is always very tasty and there is nothing that I dont like but I am sure they would make something different for us. The meal was served in relaxed and pleasant surroundings, tables were nicely set with tablecloths, cutlery and condiments. We saw where people needed assistance with eating their meal this was given in a sensitive manner. People told us that they were asked what meal they would like from the days menu choices. Relatives told us that the days menu was displayed on a board outside the main dining room. Ministers from various faiths visit the home on a regular basis and the if people wanted to go to church they would be supported to do so. The manager told us that she was in the process of making transport arrangements for those people who wished to go to the polling station to cast their vote in the upcoming General Elections. Other people have chosen to use the postal voting system. We saw information about advocacy services displayed in the hallway of the home. This means that people have contact details for an independent advocate should they want one. People told us that staff listened to them and always acted on what they said. We spoke to one persons relative who told us that staff were always welcoming and cheerful. Care Homes for Older People Page 16 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 were aware of how to make a complaint and are confident that their concerns will be listened to. Evidence: People living at the home are given a statement of purpose and service user guide. This included a copy of the homes complaint procedure. Relatives and staff at the home were made aware of the complaints procedure. We saw copies of the service user guide in peoples bedroom that explains how to make a complaint. This information is also displayed in reception for visitors attention. We spoke to people living at the home who told us that they would speak to the manager if they had a concern. One visitor told us I would contact the manager and am happy that they would deal with any issues. Another told us I would speak to any of the staff or the manager if I was concerned about anything. the manager told us that they preferred to deal with any issues raised before they became a real concern for people. They told us that most of the care staff had received safeguarding training. The training makes them aware of how to recognise abuse and report poor practice. We saw that there is an organisational procedure for staff to follow in the event of any allegations being made. Care Homes for Older People Page 17 of 27 Evidence: There was a copy of the Salford Joint Agency Policy on the Protection of Vulnerable Adults available for staff to reference. We spoke to staff that were aware of the action to be taken in the event of an allegation of abuse being made. One member of staff told us I would tell the manager as soon as possible. We spoke to staff who were able to tell us that they would contact social services if they witnessed poor practice from the manager or owner. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in well maintained, clean, comfortable and very pleasant surroundings. Evidence: There had been a major refurbishment of the home since the last inspection. The improvements include six additional bedrooms with en suite facilities that included walk in showers. The double bedrooms had been made into single rooms with en suite facilities. Three of the bedrooms on the ground floor had patio doors that opened up onto the balcony. An automatic gate has also been fitted to the front of the building, this enables people to use the front garden area safely. We saw that the home was very well-maintained, bright and airy with views over the gardens. One of the lounges had patio doors that opened up onto a large balcony. People told us that they were able to sit out in the fine weather. The communal areas were comfortable well decorated and furnished to a high standard. People were seen reading, walking in the gardens, watching television, listening to the radio or relaxing in lounges. We spoke to people living at the home who told us the home was always kept fresh and clean. One person told us they keep it really nice, they work very hard. One Care Homes for Older People Page 19 of 27 Evidence: persons relative told us I have visited a lot of homes and the thing that was evident here is that there were no odours and they all work very hard to keep the home nice. We walked around the home and looked at a sample of bedrooms. The beds were well made and the rooms were fresh, clean and tidy. We saw that bedrooms were personalised to varying degrees depending on the persons choice. Some people had brought favourite pieces of furniture with them others had brought pictures and ornaments. We saw that a number of carpets had been replaced in the past twelve months. The manager told us that if something needed changing they replaced it. They told us that bedrooms were generally decorated as and when they become vacant and that there is an ongoing programme of routine maintenance. There was a separate dining room and dining facilities were also located in the lounge areas. Dining areas were spacious with a relaxed and comfortable atmosphere. We saw that protective clothing such as latex gloves and plastic aprons and sanitising hand gel were provided. This means that they take care to reduce the risks of infection. We saw that a variety of bath hoists were available to assist people with bathing. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment and selection process was robust and safeguarded people from harm. Evidence: They told us that many of the staff had been employed at the home for a number of years. We saw a sample of staff files. We saw that these were well maintained and contained all the necessary checks. We saw that a Criminal Records Bureau check (CRB) was obtained and that checks had been made against the Independent Safeguarding Authority list (ISA). This is to make sure that staff are safe to work with vulnerable people. All applicants have at least two references and, when possible, one from their last employer. We saw that staff files contained photocopied documents used as proof of identity for example passports, utility bills and certificates. It was recommended that any copies of documents given as proof of identity be signed and dated to show that the originals have been seen. We saw that all staff completed an induction period. We saw that staff received regular supervision. This was an opportunity for them to discuss their training needs and identify further training that would be of benefit to the people living at the home. Care Homes for Older People Page 21 of 27 Evidence: We saw that staff received a job description that detailed their role and responsibilities. The home keeps individual records of training and updates these after each supervision meeting. They told us that they a training programme that includes training on safe working practices. We saw that staff had attended training on Safeguarding Vulnerable Adults, Health and Safety, Manual Handling, Basic Life Support, Skills for Care Common Induction, Dementia Training and Continence Care. We saw that staff approached people with respect and maintained peoples dignity. Where people were supported with personal care this was done in private. Staff were seen to be sensitive to peoples needs and it was obvious that there was a good working relationship between staff and people living at the home. We saw that there was a mix of male and female staff so that people can choose to have a male or female carer. We spoke to people living at the home. They told us the staff are really very helpful another said they really work very hard and are good to us. One person told us it is excellent they look after me really well. Visitors to the home told us the staff work really hard, if there is a problem they contact me immediately. Another told us they do a marvellous job. One visitor said the staff are really helpful and really kind. A visiting district nurse told us the staff always listen to any instructions and I am confident they will follow them and the staff are very well trained. 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. The home is well managed so that it is run in the best interest of the people who live there. Evidence: The home is managed by Mr and Mrs Belvedere, who are both trained nurses and have extensive experience working with older people. We saw that policies and procedures were in place with regard to managing peoples finances. They told us that they manage the personal allowances of three people. We saw a sample of financial records, receipts were kept for all transaction made on behalf of the three people. These showed us that the peoples financial interests are safeguarded. We saw that they had developed policies and procedures relating to safe working practices. We saw that risk assessments of the premises had been carried out. This was to make sure that people living at the home and staff had relevant information to Care Homes for Older People Page 23 of 27 Evidence: enable them to live and work in a safe environment. They have a handyman who carries out regular checks. We saw that there are health and safety procedures in place, such as weekly fire safety checks, safe systems of work, health and safety checklists and routine maintenance checks. Information given in the Annual Quality Assurance Assessment (AQAA) showed that gas and electric appliances had been regularly maintained. They also carried out a periodic test of portable appliences and lifting equipment such as bath hoists. These checks mean that the safety of people living at the home, staff and visitors was given priority. They carried out a quality audit. This is to monitor the performance of the home in areas such as accident reports, medication storage and administration, staff training and Health and Safety. They told us they are planning to carry out quality surveys and will use the results to improve the service further. 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 1 29 It was recommended that copies of documents given as proof of identity be signed and dated to show that the originals have been seen. Care Homes for Older People Page 26 of 27 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. © 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. 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. 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