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Inspection on 22/10/08 for Cherry Garden Nursing Home

Also see our care home review for Cherry Garden Nursing Home for more information

This inspection was carried out on 22nd October 2008.

CSCI 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users are given information about the home to help them decide if they want to live there and they can visit the home to see what it is like. The home makes very good use of the assessment tools available to them to carry out a comprehensive needs assessment, to make sure that they only admit service users whose needs they can meet. Service users can be sure their religious or cultural needs will identified during the assessment process. Comprehensive care plans make sure service users needs are met in the way they prefer. Service users are encouraged to be as independent as possible and risk assessments identify any potential risks. Health care needs are identified and met with the help of relevant health professionals. A robust medication procedure makes sure that medication is given safely. The home makes sure it knows service users end of life wishes. Service users benefit from a stimulating lifestyle and can choose from an excellent range of activities and opportunities for outings in the community. The home provides them the opportunity to fulfill their spiritual needs and to keep in contact with family and friends. Meals provided are of a good standard and take service users nutritional needs, choice and suggestions into account. Service users and others know that their complaints will be dealt with effectively. Staff are trained to recognise potential abuse and how to respond to this. Service users benefit from an attractive, clean and well maintained home. Alterations and improvements to the laundry area and staff training updates help maintain good infection control. Service users are supported by enthusiastic staff who are very well trained to to meet their needs. A robust recruitment procedure protects service users and makes sure that suitable staff are employed. The home is very well managed by a qualified and competent manager. The views of service users and others are sought to help develop the service. Robust health and safety systems maintain a safe environment for service users.

What has improved since the last inspection?

Recent redecoration and furniture replacement has further improved the environment for service users.

What the care home could do better:

More detail of the risks associated with bathing could be added to individual risk assessments.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cherry Garden Nursing Home. Breadcroft Lane Littlewick Green Maidenhead Berkshire SL6 3QF     The quality rating for this care home is:   three star excellent 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: Jill Chapman     Date: 2 2 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Cherry Garden Nursing Home. Breadcroft Lane Littlewick Green Maidenhead Berkshire SL6 3QF 01628825033 Telephone number: Fax number: Email address: Provider web address: cherry.garden@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Amberbrook Limited Type of registration: Number of places registered: care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Cherry Gardens is a care home with nursing registered for 36 older people. The home is not registered to admit people whose primary diagnosis is dementia. The home is a large property in a rural location. Access to the property is best achieved in a motor vehicle. The accommodation is on two floors. All of the communal areas are downstairs; these are spacious and overlook the gardens of the home. Eight of the rooms are used for double occupancy. This home was registered prior to 31 March 2002, therefore there are rooms in the home that are smaller than the present standards. There are seven single rooms under 10 square metres. Charges in the home vary between £525 and £695. Extra charges are in place for hairdressing, chiropody and television rental. Telephones can be arranged directly with the supplier and daily newspapers can be ordered. The home has an equal opportunities policy in place. It welcomes people from all religious and cultural backgrounds and currently is Care Homes for Older People Page 4 of 28 0 Over 65 36 Brief description of the care home regularly visited by ministers from four different religious organisations. It has an appropriate policy on racial harassment which was reviewed in January 2008. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection of the service was an unannounced Key Inspection. The inspector arrived at the service at 10:40 and was in the service for five and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the services owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgments about the standard of the service. The inspector toured the premises and spoke to service users either in their rooms or in a group at lunchtime. Three visiting relatives were willing to give their views of the Care Homes for Older People Page 6 of 28 service. The inspector also spoke to the manager, deputy manager two nurses and the cook. Some of the daytime routine was observed and the inspector joined service users for a lunchtime meal. Records relating to care, staffing and health and safety were sampled. The last inspection of this service was carried out on 27th October 2006. There were no requirements and the five recommendations made are referred to in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are given information about the home to help them decide if they want to live there and they can visit the home to see what it is like. The home makes very good use of the assessment tools available to them to carry out a comprehensive needs assessment, to make sure that they only admit service users whose needs they can meet. Service users can be sure their religious or cultural needs will identified during the assessment process. Evidence: The home has an up to date Statement of Purpose and Service Users Guide. Service users and relatives confirmed that they were given enough information to help them decide if the home was suitable for their needs. They said that they or their relatives were able to visit the home before they decided to live there. The manager confirmed that the home does not admit service users if they cannot meet their needs and said Care Homes for Older People Page 11 of 28 Evidence: they give clear reasons if they cannot offer someone a place. The home is in the process of adopting an assessment and care planning system recently developed by the Berkshire Care Homes Association that gives staff a comprehensive range of assessment tools. The files of three new service users were sampled and showed that they had been fully assessed using the new system so that the home could be sure that it can meet their needs before agreeing to admit them. A variety of other assessment tools are used to identify potential risks areas for example manual handling, pressure sores, malnutrition and mental capacity. The assessment includes looking at religious or cultural needs. The pre-inspection information shows that the manager uses the pre-admission assessment to identify and get in place any special equipment needed to help promote independence and to make sure the accommodation is suitable. Staff receive a variety of training to meet service users individual needs, this is made available to staff at all levels. The home does not offer intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive care plans make sure service users needs are met in the way they prefer. Service users are encouraged to be as independent as possible and risk assessments identify any potential risks. Health care needs are identified and met with the help of relevant health professionals. A robust medication procedure makes sure that medication is given safely. The home makes sure it knows service users end of life wishes. Evidence: The files of six service users were seen, three had care plans from the homes previous system and three from new Berkshire Care Association system. All care plans were well documented and various ongoing assessment and monitoring tools are used e.g. weight charts, nutritional screening. A previous recommendation to record service users personal goals in their care plan has been met. Care plans cover all aspects of care provided including physical care, activities, communication, sexuality, culture, religion and cross gender care preferences. Service Care Homes for Older People Page 13 of 28 Evidence: users are encouraged to be involved in care planning and their support preferences are documented. Service users spoken with confirmed that they are involved in planning their care.Care plans are audited monthly and daily records sampled show that care plans are carried out. It was seen that risk assessments are carried out to reduce any potential risks and to enable service users to be as independent as possible. The manager agreed to further develop individual bathing risk assessments to show that the risks of falling, scalding and drowning had been considered. Health care needs are clearly documented and visits from health professionals are recorded. A weekly group Physiotherapy session is provided free of charge and one to one appointments can be booked at service users cost. Files sampled show that other health professionals are consulted for example the Tissue Viability Nurse and Continence Advisor. Service users spoken with confirmed they are supported by various health professionals and the homes GP. The home has an appropriate medication system and procedure. The medication system was seen and the storage, administration and recording systems were found to be satisfactory. The manager said the home has a good working relationship with the local pharmacist who offers training and advice. The need to uphold service users privacy and dignity is included in staff induction. Service users confirmed that all visits from health care and other professionals are carried out in private. Service users can have keys to their own room, their own telephone line or use of cordless office phone to take a call in private. Some service users have asked for personal care to be provided by female staff and this has been respected and is part of their care plan. A previous recommendation to record service users personal, religious and cultural wishes at the time of their death has been carried out. End of life care wishes are sought from the service user and recorded in their care plan. A staff member has been appointed as a lead in end of life care issues. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a stimulating lifestyle and can choose from an excellent range of activities and opportunities for outings in the community. The home provides them the opportunity to fulfill their spiritual needs and to keep in contact with family and friends. Meals provided are of a good standard and take service users nutritional needs, choice and suggestions into account. Evidence: The home provides an excellent range of activities and outings and there was good feedback from service users and their relatives about these. An activity organizer has been employed and activities are more person centered. On the inspection day a group of service users were making Christmas cards and hats and in the afternoon another group were potting up spring bulbs. Service users who were unable to participate physically were seen to be enjoying watching the activities. Some relatives visit daily or weekly and they confirmed that they are able to join in with their relative to play Bingo or take part in quizzes. One service user showed the homes cat that had replaced one that had died and another service user has a budgie for company. The home has an arrangement with the neighboring farm for service users to visit Care Homes for Older People Page 15 of 28 Evidence: weekly to see the large and handle the small animals. The home helps service users access the local Stroke Club fortnightly meetings, their outings and boat trips. Joint outings are arranged with other homes in the Amberbrook group that enable service users to meet people from the other homes and the outings to be more varied. There is good contact with other organizations from the community for example the Rotary Club, volunteers, visits from several local churches, visits from a local school and a PAT dog scheme. Local mobility transport is used for trips out, for example a picnic by the river at Marlow. An annual barbecue is held and welcomes past and present relatives. Discussion with three visiting relatives confirmed that they are made welcome in the home and are invited to share a meal with their service user. One said they are notified of planned outings and he had joined his relative on some of these. Visitors said they are very happy with the care given to their relative and it was seen that the manager and staff had good rapport with them. Other service users said their families and friends are made welcome. The home supports service users to exercise their voting rights and postal votes are requested if necessary. They are encouraged to stay in control of their finances and a lockable facility is made available in their room if needed. There is a system in place to look after service users personal monies and this is audited monthly. Service users and visitors were complimentary about the meals provided. The cook discusses the menu with service users and knows their nutritional requirements. Service users confirmed that there is flexibility in mealtimes to meet their routines and preferences. The dining area has been refurbished, with new tables and chairs and flooring. Napkins are used now rather than aprons to help maintain dignity. The inspector joined service users for a lunchtime meal and saw that staff supported those who needed help. A service user described how his special dietary needs are met. The meal was appetizing and was served hot. There was a happy and unhurried atmosphere in the dining room. Service users said there was always a choice at mealtimes. Fresh meat and vegetables are purchased from local suppliers and the menus seen were varied and imaginative. The cook and other staff who handle food are trained in food hygiene and records sampled show that food is cooked and stored at the right temperature. Care Homes for Older People Page 16 of 28 Evidence: Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users and others know that their complaints will be dealt with effectively. Staff are trained to recognise potential abuse and how to respond to this. Evidence: No information has been received by the Commission about complaints made about the service. Discussion with relatives and service users and feedback from the homes Quality Assurance system shows that service users are aware of the complaints procedure. The manager said that home views complaints as a way of improving practice. The complaints record was sampled and shows that they were dealt with appropriately and outcomes recorded. A previous recommendation to revise the complaints procedure to clarify that the Commission for Social Care Inspection does not function as an appeal body, has been carried out. The home has not needed to make any referrals to the Protection of Vulnerable Adults (POVA) list and the Commission has not received any information about safeguarding issues relating to the home. A staff member has attended a train the trainer course for delivering POVA training to the staff team. Staff are given a copy of companys POVA and Whistle Blowing procedures. The manager has attended the launch of the new local safeguarding adults procedure. A video from Action on Elder Abuse is used in Care Homes for Older People Page 18 of 28 Evidence: induction training to show staff how to recognise potential signs of abuse. Any form of restraint used is subject to risk assessment, for example the use of bed rails, and consent is sought from the service user or next of kin. Discussion with staff during the inspection showed that they know how to deal with complaints and have received POVA training. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from an attractive, clean and well maintained home. Alterations and improvements to the laundry area and staff training updates help maintain good infection control. Evidence: A tour of the premises was carried out and shows that there have been a lot of improvements to the home in the last year. All bedrooms have been repainted and those seen are personalized with the service users belongings. Many bedroom carpets have been replaced and new furniture purchased for some of the bedrooms. Additional adjustable beds have been purchased to meet service users manual handling needs. The home has several shared rooms and has submitted a planning application to convert some of these into single en-suite accommodation. A shower room has been redesigned and an accessible shower installed. There is new dining room furniture and new flooring to the dining room, hallway and reception area. Care Homes for Older People Page 20 of 28 Evidence: A wide screen TV has been purchased and the lounge seating has been rearranged to enable a quiet area separate from the TV lounge area. Access to the driveway has been improved and the fire officers recommendations regarding fire doors have been carried out. The staff room has been re sited to enable staff to have uninterrupted breaks but be within contact if an emergency occurs. The laundry area has been rebuilt to give better space and access to improve infection control. There is a lead nurse in infection control who attends regular updates and reports back to the rest of the staff team. New hoist slings and an alternative set of scales have been purchased. Earlier in the year the home had a health and safety incident that was reported to CSCI and the Local Authority. As a result the home have taken further action to make sure this incident does not re occur. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by enthusiastic staff who are very well trained to to meet their needs. A robust recruitment procedure protects service users and makes sure that suitable staff are employed. Evidence: The manager confirmed that staffing levels are reviewed in relation to the needs of the service users. For example the activity organisers hours have been increased to offer a better service. Staff deployment was verified and is sufficient to meet service users current needs. There is some use of agency staff but the manager uses regular agency who know the home and service users. There is a varied induction and training programme and staff confirmed that this is open to staff at all levels. The training schedule showed that regular training and updates take place. Staff confirmed that they have very frequent access to a variety of training courses to help them meet service users needs. Two staff are National Vocational Qualification training assessors and NVQs are accessed via distance learning. Almost 100 of staff have NVQ 2 or above. The deputy manager is taking the Registered Managers Award and one of the registered night nurses is taking NVQ 4 in Care. Care Homes for Older People Page 22 of 28 Evidence: The staff team is of mixed culture and when required training is obtained from a local college for those who need help with their English writing, reading and speaking skills. The manager confirmed that the recruitment procedure has been made more robust by verifying some references by telephone calls and any gaps in an applicants full work history are clarified. Some service users have been involved in staff recruitment. Staff recruitment practice was verified by sampling recruitment files and speaking to two staff. Staff said there is good moral, they felt that they worked well together and that there was good communication about service users needs. Comments made were proud to work here and I like working here, it is my home. Staff were seen to be attentive and friendly to service users and their visitors. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed by a qualified and competent manager. The views of service users and others are sought to help develop the service. Robust health and safety systems maintain a safe environment for service users. Evidence: The Annual Quality Assurance Assessment (AQAA) was very well completed by the manager and gave detailed information to show how the home meets the standards. The manager is experienced in the care of the elderly, is a qualified nurse and has the Registered Managers Award. She regularly updates her practice and has recently achieved ENB11 Care of Service Users with Dementia and the NEBOSHH health and safety qualification. She is also completing her MSc in Positive Care of Older People. She is a train the trainer in POVA. The manager is proactive in developing her staff teams potential and training, by Care Homes for Older People Page 24 of 28 Evidence: making training courses available to staff at all levels and encouraging staff to take training courses that will help them achieve promotion above their current role. Staff said that the manager is supportive and accessible. The home has a clear and accountable management structure. The manager is also registered for another Amberbrook home in the area and divides her time between the two. There are clear arrangements in place for the deputy who manages the home in her absence. There is a quality assurance system in place and the manager said this is to be further developed. The views of service users and their relatives are sought via questionnaires and these are to be extended to other stakeholders. Service user and relatives meetings are held but because of limited attendance the manager is looking at other ways of seeking verbal feedback. A previous recommendation to produce an annual quality assurance report has been carried out. The system for looking after service users money was seen, samples were checked and found to be accurate. The system for supervising staff was verified and staff confirmed the frequency of the sessions. Staff who supervise have all undertaken appropriate training in this role. The pre inspection information (AQAA) shows that policies and procedures are updated regularly and new ones developed in line with best practice. Records viewed during the inspection were well organised accessible and up to date. Health and safety policies, risk assessments, accident audits and fire risk assessments are in place. Staff receive training in health and safety and a copy of the health and safety policy. The Annual Quality Assurance Assessment (AQAA) shows that essential equipment is serviced and checked regularly. Health and safety records were sampled and show that these are up to date. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 28 of 28 - 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!