Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Bronte Park Bridgehouse Lane Haworth Keighley West Yorkshire BD22 8QE The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Cuddington
Date: 1 8 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home
Name of care home: Address: Bronte Park Bridgehouse Lane Haworth Keighley West Yorkshire BD22 8QE 01535643268 01535647468 theheathersbrad@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bronte Regency Healthcare Ltd care home 28 Number of places (if applicable): Under 65 Over 65 0 dementia Additional conditions: 28 The maximum number of service users who can be accommodated is: 28 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Dementia Code DE Date of last inspection Brief description of the care home Bronte Park is a detached, converted property situated in the village of Haworth and is registered to provide nursing care for older people with dementia. The home is close to local amenities and public transport routes, although there is a long driveway leading up to the home. There is parking to the front of the property. The rear gardens are accessible to the people who live at the home and steps have been taken to make this a secure area. A side entrance provides disabled access into the property. The main house is a listed building with an extension to the rear of the property. The Care Homes for Older People
Page 4 of 30 Brief description of the care home accommodation is on two floors, with access between floors via a new shaft lift. Some of the bedrooms have en suite facilities. There is a lounge and separate dining room on the ground floor as well as a separate smoking room. There are three bathrooms, one shower room and seven toilets in the home. Care Homes for Older People Page 5 of 30 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are between four hundred and eight pounds for residential care in a shared room and four hundred and eighty two pounds and twelve Care Homes for Older People
Page 6 of 30 pence, plus the nursing payment, for a single en suite room with nursing care. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Bronte Park. The visit to the home was carried out over two days by one inspector. The last key inspection was in June 2008. The methods used to gather information included conversations with the people living at the home, the staff and visiting healthcare professionals as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire before the inspection visit. We also received surveys from people who live at the home and the staff. These all gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the care home does well: What has improved since the last inspection? Since the last inspection a manager has been appointed and has been registered with us. This has resulted in a significant improvement in the quality of the care and support people recieve and has given the people who live at Bronte Park and the staff a stable management for their home. The home now has more registered nurses with a qualification in nursing people who have a diagnosis of a dementia or other mental health needs. Care Homes for Older People Page 8 of 30 The care plans have been improved, making them more straightforward and easy to use. They contain up to date information about the individual, including risk assessments where needed, clearly showing how staff are to provide the persons care and support. The care plans are now being reviewed regularly, to make sure they are up to date and reflect the persons current care and support needs. Where possible people, or their representatives, are signing the plans to confirm their agreement. The medicines administration systems have been improved, to make sure they are accurate and confirm that people are receiving their medicines in the way their doctor has prescribed. One of the support staff has taken on the role of activities co-ordinator and is about to start a relevant training course. Suitable risk assessments have been completed for all areas where the health and well-being of the people who live and work at the home may be at risk. The complaints procedure clearly shows how the complaint has been managed and where improvements have been made as a result of the investigations. Some re-decoration has taken place in the home and further improvements to the decor are planned. Some of the bedrooms have been refurbished and en suite facilities installed. New carpets have been laid in the hallways and stairs. The stair lift has been removed and a new shaft lift has been installed, making it easier and safer for people to move between the two floors of the house. As part of the renovations a smoking lounge has been created on the ground floor The staff training programme shows that the majority of the staff have taken the mandatory health and safety training, as well as other courses to keep their skills and knowledge up to date. One of the nurses has just completed a two year diploma in dementia care. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors. Peoples personal information is stored securely when it is not being used. The homes policies and procedures have been revised and are now up to date, which makes sure they provide relevant information to guide staff on how to act in every situation. Care Homes for Older People Page 9 of 30 Regular reports are being made on behalf of the registered providers, to confirm that regular visits are being made to the home and they are aware of the quality of the service that is being provided. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 30 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 11 of 30 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 are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: People said that they were given enough information about the home before deciding to move in. Where possible the home encourages people and their families to visit the home and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time at the home, share a meal and maybe take part in the days activities. This means that the home can get to know the persons needs and the individual has the information he or she needs to make a decision. Before moving into Bronte Park, peoples needs are assessed to make sure that the
Care Homes for Older People Page 12 of 30 Evidence: home is able to meet their needs. This assessment, as well as Social Services needs assessments when available, forms the basis for the individual plan of care and support. Care Homes for Older People Page 13 of 30 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. Evidence: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. Four care and support plans were looked at, to make sure that peoples health and personal care needs are being met in the way the person prefers. The plans cover each area of the individuals care needs, emphasising any special needs the individual may have. Care Homes for Older People Page 14 of 30 Evidence: The plans include risk assessments and management plans where someone is at risk of falling, becoming malnourished, injuring themselves or any other area the staff feel may put the individual at any risk. Health care visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One persons medical diagnosis has changed and the plan needs to be updated to reflect this. One healthcare professional said that the home had acted promptly when they were concerned about peoples health and had contacted the specialist services for advice and guidance. They did say that the home could take action to help prevent these health issues and gave the manager advice on suitable preventative measures. The care plans have been improved since our last inspection visit; they are clearer and easier to follow, they reflect peoples care and support needs and contain a lot more detailed information. This makes sure all the staff have records to refer to that are up to date and give them all the information they need in order to support each person. Some of the plans include a life history, which gives staff an insight into the person and helps them provide the appropriate care and support. The care plans are reviewed regularly but they all need to show that where possible the individuals, and their families or representatives, are involved in developing and reviewing their plans. The people we spoke with said they are satisfied with the care they receive and everyone who commented said they are looked after well. The medicines are kept safe and secure in locked cabinets and the medicine trolleys were locked when unattended. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some remain in the original packaging. The Medicines Administration Record (MAR) charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be recorded accurately. We checked some of the medicines that were supplied in their original packaging, to make sure the numbers that had been signed as administered tallied with the amounts received and the quantities remaining. One medication we checked did not appear to be accurate, but the records showed that the others we looked at had been administered and recorded accurately. The
Care Homes for Older People Page 15 of 30 Evidence: homes manager said he would find out why one did not seem to be correct and a satisfactory explanation was provided, showing that it was accurate, but not as clear as it could be. The controlled drugs register and stock was checked and were all accurate. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Everyone said the staff listen and act on what they say. Care Homes for Older People Page 16 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. Evidence: The activities are organised by the care staff, and people take part or not as they wish. When we visited some people were enjoying listening to music in the lounge, others spent time in the garden and many people enjoyed an ice cream either indoors or sitting out in the garden in the sunshine. The staff spend time with people on one to one activities, as well as doing things people can enjoy together. These include outings to places of interest, watching films and singing with the karaoke. One relative said that there are not enough activities at present and our observations confirmed that this is an area for improvement. However, one of the support staff is about to start a training course on developing and planning activities that people will
Care Homes for Older People Page 17 of 30 Evidence: enjoy. He has just started in his role and time is set aside every afternoon, with no other appointments or planned visits, for people to spend doing the activities they choose. Some people enjoy gardening and one person had been helping to clear the garden and put in new plants. The records of activities that people have taken part in need to be improved, and this is part of the new co-ordinators role. At mealtimes there are always alternatives available if people do not want the choices on the menu. As well as a cooked meal at lunchtime, there is a choice of hot and cold dishes at teatime. People said that they enjoy the meals and the food is always hot when it is served. People are offered hot and cold drinks and snacks throughout the day. The people who live at Bronte Park said they can do what they want, when they want. This confirmed our observations that the staff support people to live their life in the way they choose. Care Homes for Older People Page 18 of 30 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 are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The majority of staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. The responses to complaints dealt with all the issues raised and answered the persons concerns thoroughly. Where they are needed, improvements are made as a result of complaints investigations. Staff said they know what to do if anyone has concerns. The people who live at the home said they know what to do if they have a concern or complaint. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the new staff take adult protection training as part of their induction training. The records showed that all but one of the staff have had adult protection training in
Care Homes for Older People Page 19 of 30 Evidence: the last two years. Staff take take this training to make sure they all understand fully how to protect the people who live at the home. All the appropriate policies and procedures are in place to guide staff. Care Homes for Older People Page 20 of 30 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and well-maintained environment. Evidence: The home is clean and generally well maintained and everyone we spoke to said the home is always kept fresh and clean. A new shaft lift has been installed, making it easier and safer for people to move between the two floors of the house. It has also brought increased independence to those people who needed assistance to use the stair lift, but who can use the new lift without help from the staff. The stair lift has been removed and new carpets laid in the hallways and stairs. A programme of re-decoration has been started and all of these improvements will make the whole home a more attractive place for people to live. To accommodate the new lift some of the bedrooms have been altered and en suite facilities put in. One person said how pleased he was with his new room and the en suite was spacious and attractive. The rooms are comfortably furnished and have a welcoming feel. There are sufficient,
Care Homes for Older People Page 21 of 30 Evidence: accessible toilets and bathrooms on all floors of the house. As part of the renovations a smoking room has been created on the ground floor and staff have been given the choice of whether or not they are willing to enter this room. When we visited, the room was being ventilated by opening the windows, but an extractor fan was about to be installed. There was no smell of smoke in the main part of the house. Staff are employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy. Protective gloves, aprons and disinfecting hand rub are available for staff to use when necessary, to support the homes infection control measures. Care Homes for Older People Page 22 of 30 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet peoples needs. Evidence: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care, social and leisure needs. In addition to the manager, there is one nurse and three support staff on duty during the day and evening and two waking night staff, including a nurse. This number seems to be sufficient to provide care and support for the people who currently live at Bronte Park. The staff confirmed that staffing levels are adjusted to meet peoples needs. People who live at the home said there are enough staff around and our observations confirmed this. The home now has more registered nurses with a relevant qualification and experience in nursing people who have a diagnosis of a dementia, or who have other mental
Care Homes for Older People Page 23 of 30 Evidence: health needs. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. There is plenty of training available for staff and they said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. Staff have attended training courses on moving and handling, fire safety and other health and safety training. Some staff have also taken nutrition training as well as other courses including one on palliative care. The records show that only two members of staff have taken infection control training. This number should be increased, to make sure all staff are aware of best practice in this area. Courses are arranged for the nurses, to keep their clinical skills and knowledge up to date. Other specialist training is also provided in subjects such as falls prevention and managing challenging behaviour. One of the nurses has just completed a two year diploma in dementia care at Bradford University. The nurse said she is using her knowledge to help gradually implement changes that will benefit the people who live at the home. As a significant number of the people who live at Bronte Park have a diagnosis of dementia, it may be beneficial for more staff to complete dementia care training. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. Three of the care and support staff have achieved an NVQ in care at level 3. One is about to start the level 3 award and four other staff are about to start the level 2 course. More care staff need to complete their NVQ in care in order to meet the expected minimum standard of 50 of care staff with a qualification. The housekeeping and kitchen staff are being encouraged to take a relevant NVQ award and the chef has just completed a level 2 NVQ in catering.
Care Homes for Older People Page 24 of 30 Care Homes for Older People Page 25 of 30 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 safe and well managed, in the best interests of the people who live there. Evidence: Since the last inspection a manager has been appointed and has been registered with us. The manager has the necessary experience and qualifications to manage the home, in the best interests of the people who live there. The manager attends training to keep up his professional development and has just completed a management qualification for managers who work in care. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of concern in a confidential setting. Care Homes for Older People Page 26 of 30 Evidence: The staff said that they are well supported and they work well together as a team. Peoples personal information is stored securely when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions and all monies are securely stored. Regular audits are carried out by the homes management, to make sure everything is in order. The homes policies and procedures have been revised and are now up to date, which makes sure they provide relevant information to guide staff on how to act in every situation. The staff all read and sign them, to confirm that they are aware of their contents. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. Following their most recent inspection, the Environmental Health Officer has awarded the homes kitchen a score of four stars out of a maximum of five, for hygiene and good kitchen practice. The requirements of the report have been dealt with. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors. People are also asked to complete a brief feedback form when they visit to look round the home. The home is developing suitable questionnaires for health and social care professionals. Regular reports are being made on behalf of the registered providers, to confirm that regular visits are being made to the home and they are aware of the quality of the service that is being provided. Care Homes for Older People Page 27 of 30 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 28 of 30 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 12 An improved range of activities and outings would be beneficial and make peoples daily lives more interesting and fulfilling. More of the staff should take infection control training, to make sure they are all aware of best practice in this area. Less than 50 per cent of the support staff have achieved a National Vocational Qualification. This needs to improve in order to meet the standards expected. As a significant number of the people who live at the home have a diagnosis of dementia, it may be beneficial for staff to complete dementia care training. 2 3 31 31 4 31 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - 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!
