Inspection on 05/11/08 for Cherry Tree House

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherry Tree House 10/11/06

Cherry Tree House 24/01/06

Cherry Tree House 31/08/05

Cherry Tree House 15/02/05

Cherry Tree House 03/08/04

Cherry Tree House 30/01/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 26/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cherry Tree House Collum Avenue Ashby Scunthorpe North Lincolnshire DN16 1TF     The quality rating for this care home is:   one star adequate 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: Kate Emmerson     Date: 0 5 1 1 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 29 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Cherry Tree House Collum Avenue Ashby Scunthorpe North Lincolnshire DN16 1TF 01724867879 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Anji Gibson Type of registration: Number of places registered: Barton Medical Services Limited care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care home only - Code PC, to service users 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 and Dementia - Code DE(E) Date of last inspection Brief description of the care home Cherry Tree House is situated in the Ashby area of Scunthorpe close to local shops and amenities. The home is registered to provide care and accommodation for up to thirtyfour older people with a broad range of needs including twenty people who may have needs associated with dementia. In addition they provide a day care service for up to five people per day. District nurses attend to those people who require day to day Care Homes for Older People Page 4 of 29 Over 65 20 34 0 0 Brief description of the care home nursing support. The home has two floors serviced by both stairs and a passenger lift. The home has four lounges, two quiet rooms and two dining rooms. All bedrooms are single occupancy although none have en-suite facilities. The home is divided into four units, each with two toilets and either a bathroom and/or a shower room. The garden has a secured lawned area with seating and a patio is accessible from one of the dining rooms. There is ample car parking facilities for visitors. According to information received from the home their weekly fees are £355.86 to £415.65. There is a topup of £29.80 for those funded by the Local Authority. Items not included in the fee are toiletries, hairdressing and chiropody. Care Homes for Older People Page 5 of 29 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: one star adequate 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 inspection took place over one day in November. The last key inspection of this service was completed on 10 November 2006. Throughout the day we spoke to people who lived in the home to gain a picture of what life was like at Cherry Tree House. We also had discussions with the manager, care staff and catering staff. We looked at assessments of need made before people were admitted to the home, and the home’s care plans to see how those needs were met while they were living there. Also examined were medication practices, activities provided, nutrition, complaints management, staffing levels, staff training, induction and supervision, how Care Homes for Older People Page 6 of 29 the home monitored the quality of the service it provided and how the home was managed overall. Prior to the visit to the home the inspector had sent out a selection of surveys to people living in the home and a selection of staff members. These were checked and comments used throughout the report. What the care home does well: What has improved since the last inspection? What they could do better: Generally the care plans reflected peoples needs but specific areas relating to the care of people with challenging behaviour and those who were at risk of pressure sores had not always been developed. There was little evidence that the care plans were checked regularly to make sure that they were still relevant. Care Homes for Older People Page 8 of 29 They must improve the planning of maintenance and refurbishment work in the home and ensure that issues such as heating and hot water problems and issues that affect peoples comfort and privacy and dignity are addressed in a timely manner in future. Although staff had received training there was a lack of forward planning to ensure that refresher training was provided as due. The quality monitoring processes had not been maintained and there was a lack of risk assessment and forward planning in some areas which could have put the health and safety of the people living in the home at risk. 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.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 29 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 29 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. Peoples needs were assessed and they had the opportunity to visit the home prior to admission. Evidence: The home had a detailed assessment format where they recorded peoples needs when an assessment had been completed by the home. Five care files were examined. The assessments were generally detailed but there was still some inconsistency in application of the homes own assessment format. In two cases assessments had not been fully completed by the home. However they had obtained Care Management assessments and care plans which identified peoples needs. They had developed care plans from this information and completed relevant risk assessments. There was evidence that the home formally wrote to people or their representatives following assessment to state they were able to meet needs and people were provided Care Homes for Older People Page 11 of 29 Evidence: with a contract stating the terms and conditions of admission. Surveys indicated that staff had information about peoples needs and people had been given information about the home. Some people had visited or stayed at the home prior to admission. People said I visited before coming, I had a very thorough two way interview of needs, requirements etc, I heard how good it was before I came, I came for day care before coming to live here and I came to look round. Care Homes for Older People Page 12 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans generally reflected peoples needs and health and personal care needs had been met. However the care plans did not always consisently reflect the care being provided. Medication was well managed Evidence: Five care plans were examined during the inspection. Most care plans had been updated in 2008 as they were transferred onto new formats. The majority of the care plans were detailed in terms of the care people required although there were some deficiencies in specific areas. Where people were at risk of developing pressure sores the level of risk had not been identified and care plans had not been developed to show how risks were to be minimised. However there was evidence from staff and diary records that care was being provided to minimise the risk risk of people developing pressure sores. Care Homes for Older People Page 13 of 29 Evidence: Where people displayed challenging behaviour records were maintained of actions taken by the staff to minimse risks to themselves and other people living in the home. However specific plans of care and management had not been developed. There was no evidence of regular evaluation of the care plan and in one case where the care needs had changed the care plan had not been updated. It is important that care plans for these specific areas are developed to ensure that care needs are met in an effective and consistent way. Care plans should be regularly evaluated to monitor that care needs are being met effectively and care plans are kept up to date where needs have changed. People living in the home felt generally well cared for and comments included staff are always busy but help me when I need them sometimes have to wait for a bath, days not hours, I am well cared for and the staff are very helpful. Medication records were examined and administration of medications was observed. Good practice was observed in the handling of medication by the staff and records were well maintained. Information regarding people medications were available for the staff and where changes had been made to peoples medication these had been recorded in detail. Care records identified how people could maintain independence within their own limits and how privacy and dignity was to be maintained. The home was undergoing a process of refurbishment at the time of the inspection, curtains in communal areas had been taken down but not replaced. The manager stated that they were waiting for new curtains to be fitted. The manager had recognised that peoples privacy was being compromised and paper had been put up at windows. The manager was advised that this was not acceptable and this should have been recognised when planning the refurbishment. The manager has since advised us that temporary curtains were provided immediately following the inspection and new curtains have now been fitted. Care Homes for Older People Page 14 of 29 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. Generally the home ensured that people were able to make choices about aspects of their lives and provided flexible routines and nutritional meals. There had been improvements in social stimulation to enhance quality of life. Evidence: There was evidence that the homes activities programme had improved since the last inspection. An activities coordinator had been employed and an activities plan had been developed. Care plans included peoples likes and dislikes and social needs, they also acknowledged peoples need to maintain contact with friends and relatives. There was evidence from the activities plan and records that a range of activities were provided and these were suitable for the people accommodated in the home. Some of the activities were provided to promote and maintain skills and memory. There were varied comments about the activities available. Comments included could do with a few more activities, its a bit difficult for those hard of hearing and I enjoy the coffee morning and concerts. Care Homes for Older People Page 15 of 29 Evidence: People spoken to confirmed that their relatives were able to visit at any time and were made welcome. There was evidence that the home supported people to maintain relationships and the home arranged events to celebrate special occasions such as birthdays and wedding anniversaries. Staff members spoke about how they supported people to make choices about their lives. For example, the cook visited people after admission to find out their food preferences and dietary needs and care staff ensured people had a choice about clothes, bathing, make up, whether to stay in bed or in their bedroom and times of rising and retiring. The menus were six-weekly rotating and offered variety and choice at each meal including a full English breakfast everyday. The meal served on the day was well prepared and presented and people commented on how good the food was. Comments about the food included there is lots of choice and nice things at meal times and the food is very tasty. Care Homes for Older People Page 16 of 29 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 able to complain about services and were protected from abuse by staff knowledge of policies and procedures and adult protection training. Evidence: The home had a complaints procedure and this was displayed in the home. Staff members were aware of the procedure and the documentation used to record complaints. Evidence from surveys and discussions with people living in the home indicated that people would complain if necessary. In surveys people said I have never needed to complain and I am very happy with everything here. The five complaints that the home had received since the last inspection were dealt with appropriately and detailed records were held, one had been upheld. The complaints that had been investigated were about issues with lack of hot water, the temperature of the home and missing clothing items. All staff had received training in the protection of vulnerable adults from abuse. The training plan showed that most staff had been due for annual refresher training in November 2008. The manager stated that this would be arranged without delay. The home had policies and procedures that linked to the multi agency policies and procedures and in discussions staff were aware of what to do if they suspected abuse had occurred. The manager was aware of referral and investigation procedures. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was an ongoing commitment to improve the environment for people but a there was a lack of planning to ensure the comfort and safety of people in the home during this process. Evidence: The home was undergoing major refurbishment at the time of the inspection. Some areas had been redecorated and the manager stated that all the fixtures and fittings were to be replaced and new bathrooms and toilets fitted. However there was a lack of risk assessment and forward planning in respect to this refurbishment. This had lead to communal areas having no curtains and peoples privacy being compromised. The manager had recognised this and covered some of the windows with paper, She was advised that this was not acceptable. The Commission was advised following the inspection that curtains in communal areas had now been fitted. Complaints records, surveys and discussions with staff indicated there there was an ongoing problem with the supply of hot water and heating in the home. The manager confirmed that this was the case and stated that quotes to complete work to rectify the problem had been obtained between July and October 2008 and sent to the providers. At the time of the inspection the manager was still waiting for a decision on the work to be completed. Following the inspection the manager provided written Care Homes for Older People Page 19 of 29 Evidence: confirmation that initial work had been completed and hot water and heating was now available throughout the home. She stated further works were still required but due to the nature of this it would be completed during the summer months. The gardens were very pleasant and a sensory garden with wheelchair access had been developed. People living in the home were pleased with the work that had been completed, one commented the gardens are nice and there is now better access for wheelchair users. The people living in the home were satisfied with the standards of cleanliness and the environment in general. Comments included good cleaning service and staff work hard to clean up accidents. Care Homes for Older People Page 20 of 29 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. People were supported by a well trained and appropriately recruited staff team. Evidence: Staffing rotas were examined and showed that there were sufficient staff members on duty in terms of numbers. Staff confirmed that there were four staff and a senior in the morning and three care staff and a senior in the afternoon. There were two staff at night and one sleep-in staff member on call. The manager was supernumerary to the rota. The layout of the building meant that staff had a lot of floor space to cover when supporting people and this should be taken into account when planning staffing levels. The manager stated that staff at the head office used residential forum guidelines to determine the staffing numbers but there was no documentary evidence of this in the home. There were variable comments about the staffing levels in the home from both staff and people living in the home. Comments from people included sometimes wait a bit if staff shortage, but they are generally hard working and try their best, staff are lovely and helpful, could do with more staff, big home, staff always busy but help me if I need them and staff are lovely. Staff said of staffing levels they are enough, they are OK but a bit pushed sometimes another said we are able to meet everyones needs. Care Homes for Older People Page 21 of 29 Evidence: Three staff files were examined and evidenced good recruitment processes. Files were organised and appropriate references and criminal record bureau checks were in place. In two files examined there were no records of induction. However in surveys and discussions staff confirmed that they had had induction and this had covered everything they needed to know for their job and included shadowing more experienced staff. A training log showed the training completed and when the renewal date was due. Training consisted of in-house training, distance learning and external facilitators. Service specific training had been accessed by some staff, for example, risk assessment, pressure area care, ethnicity awareness. All staff had completed training in adult protection and those administering medication had completed an accredited medication course. Mandatory training was up to date regarding fire, first aid, health and safety and basic food hygiene. Refresher training for some staff in moving and handling and adult protection was due at the time of the inspection but had not been booked. The manager had previously received training in train the trainer for moving and handling but this had not been updated when due. Written information received from the manager following the inspection stated that all care staff were given moving and handling training by an external trainer on 18 November 08. She also stated that she was to attend a course training to train moving and handling on 29 January 09. The homes Annual Quality Assurance Assessment (AQAA) stated National Vocational Qualification (NVQ) training was progressing and the target of fifty per cent of care staff qualified had been achieved. The document stated that nineteen of the twenty four care staff had completed NVQ 2 with a further five in training. Staff confirmed that they had access to training and were completing NVQ qualifications. Care Homes for Older People Page 22 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality monitoring processes had not been maintained and there was a lack of risk assessment and forward planning in some areas which could have put the health and safety of the people living in the home at risk. Evidence: The manager had completed her Registered Managers Award in May 2005. Staff surveys indicated that they received regular support and guidance from the manager. The manager confirmed visits under Regulation 26 of the Care Homes Regulations had been completed, however records were only available up to July 2008. Peoples views about the home had previously been obtained via the homes quality assurance processes. This had consisted of audits completed by various staff members and questionnaires sent out to people living in the home, relatives, professional visitors and staff. Action plans had previously been produced to address shortfalls and Care Homes for Older People Page 23 of 29 Evidence: staff were informed of the results and the action required to put things right. However there was little evidence that these systems had been maintained since March 2008. The home had previously achieved the Gold Standard Award for quality monitoring awarded by the Local Authority. The management of finances on behalf of people living in the home were assessed. Clear records were maintained and receipts held for purchases. Care plans focused on risk assessments and how to maintain a persons individuality and staff had received training to care for people safely. General environmental risk assessments had been completed and regularly reviewed but there was no evidence that additional risk assessment in respect of the refurbishment had been completed. Fire training and weekly equipment checks had been completed but there was no evidence of a fire risk assessment in place. The passenger lift had last been serviced in March 2008 and hoists had been serviced in May 2008, the maintenance plan indicated that these would be completed annually. However to comply with lifting operations and lifting equipment regulations (LOLER) 1998 this equipment must be serviced every six months. Some staff were due to have moving and handling training but this had not been planned. The manager provided written information following the inspection that this traning had been completed. Accident records were maintained and audited regularly by the manager and there was generally a low incidence of accidents in the home. Care Homes for Older People Page 24 of 29 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 29 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 1 7 15 The care plans must be reviewed at least once a month and updated as necessary to reflect changing needs. To monitor that the care plan remains relevant to the care needs of the individual. 01/03/2009 2 8 15 The care plan must record the intervention required to promote tissue viability and manage challenging behaviour. To ensure consistent and effective care and minimise risks to health and wellbeing. 01/03/2009 3 19 13 A refurbishment plan must 28/02/2009 be completed and the risks associated with the work must be identified and a plan of action formulated to identify how any risks will be managed. A copy of these plans must be made available to the manager of Care Homes for Older People Page 26 of 29 the home and sent to the Commission. To ensure that the health safety and comfort of the people living in the home is maintained and any disruption can be effectively managed. 4 25 23 Hot water and heating must 28/02/2009 be available throughout the home. The providers must provide written details to the Commission of the works already completed and planned to improve the hot water supply and heating system. To make sure that adequate and appropriate actions are being taken to ensure the availability of heating and hot water in the home. 5 33 26 The responsible individual or 28/02/2009 a designated person as described in this regulation must visit the home unannounced on a monthly basis to assess the conduct of the home. A report of the visit must be completed and a a copy supplied to the manager. The report must be available for inspection or on request by the Commission. To ensure that the responsible individual is undertaking their responsibilities and the Care Homes for Older People Page 27 of 29 standard of care is being monitored. 6 37 13 Equipment used to lift 28/02/2009 people must be thoroughly examined by a competent at least once every six months. copies of certificates for passenger lift and hoists must be provided to the Commission To ensures the health and safety of people living in the home and to comply with Lifting operations and lifting equipment regulations (LOLER) 1998 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 27 Evidence of how staffing levels have been determined should be provided to the manager and records kept in the home for inspection. A training plan should be developed to ensure that training needs will be met over the next twelve months. The quality assurance procedures should be implemented. A fire risk assessment should be completed. 2 3 4 30 33 38 Care Homes for Older People Page 28 of 29 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 © (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 29 of 29 - 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!