Inspection on 03/11/08 for Holy Cross Priory Nursing Unit

This inspection was carried out on 3rd November 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holy Cross Priory Nursing Unit 29/11/06

Holy Cross Priory Nursing Unit 11/10/05

Holy Cross Priory Nursing Unit 23/05/05

Holy Cross Priory Nursing Unit 29/09/04

Holy Cross Priory Nursing Unit 28/04/04

Holy Cross Priory Nursing Unit 30/09/03

Holy Cross Priory Nursing Unit 01/07/03

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Holy Cross Priory Nursing Unit Cross In Hand Heathfield East Sussex TN21 0TS     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: Melanie Freeman     Date: 0 3 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 26 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 26 Information about the care home Name of care home: Address: Holy Cross Priory Nursing Unit Cross In Hand Heathfield East Sussex TN21 0TS 01435863764 01435866707 holycrossnursingunit@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Soley Kurinhikanathil Mathai Type of registration: Number of places registered: The Grace and Compassion Benedictines care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 21 The registered person may provide the following categories of service only: Care home with Nursing(N) to service users of the following gender: Either: Whose primary need on admission to the home are within the following categories:Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Holy Cross Priory Nursing Unit is a purpose built extension to The Priory residential care home. It is owned by the Grace and Compassion Benedictine Society (Charitable Trust) and run by the Benedictine Sisters of our Lady Grace and Compassion, which is a Catholic order. It is situated in Cross-in-Hand, approximately three miles from Heathfield town. The unit is attached by a corridor to The Priory and is staffed and run as a completely separate home apart from the shared laundry and main kitchen. The Care Homes for Older People Page 4 of 26 Over 65 21 0 Brief description of the care home residents enjoy a lounge and separate dining area, they can also use the facilities of The Priory if they wish. On site is a hairdressing room as well as a chapel. There are extensive attractive gardens that are accessible to residents and used when the weather permits. The Holy Cross Nursing Unit is registered to provide general nursing care for 21 residents and admits residents who are either privately funded or funded by Social Services. The homes fees as from 01 April 2008 are 560 pounds per person per week. Additional costs are charged for chiropody, hairdressing newspapers, magazines and toiletries. The homes literature states that one of its main aims is to provide the highest standard of care for every person living here at the home, their family and carers. Care Homes for Older People Page 5 of 26 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at Holy Cross Nursing Unit will be referred to as residents. Comments shared by residents and their representatives during the inspection process included Everything I desire is catered for The service of the staff is always excellent When I decided to come here it was the best move that I ever made Excellent loving care We wish it to be known that we are very impressed and thankful for the care compassion and good humour with which the staff carry out their duties. Care Homes for Older People Page 6 of 26 At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from ten residents and ten staff members. Information provided by the home within the Annual Quality Assurance Assessment (AQAA) was used to plan and inform this report.This provided a good level of information about the service, the improvements made and planned for in the future. This was a key inspection that included an unannounced visit to the home on Monday 3 November 2008, and follow up contact with a visiting health care professional. The allocated inspector spent approximately four hours in the home and was able to discuss matters with the registered manager who received the inspection feedback at the conclusion of the visit. A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, care plans, duty rotas, medication records. The care documentation pertaining to three residents was reviewed in depth along with a number of policies and procedures and records relating to health and safety. 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. 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 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from the provision of comprehensive and well-presented documentation, which enables prospective residents to make an informed choice about whether to move into Holy Cross Nursing Unit. All residents are thoroughly assessed prior to any admission being agreed by a competent person. Residents are only admitted to the home if their needs can be met. Intermediate care is not provided. Evidence: The home has a detailed Statement of Purpose and Service Users Guide that are displayed in the main reception area of the home for residents and visitors to see, alongside a copy of the last Key inspection report and Annual Service Review (ASR). Care Homes for Older People Page 10 of 26 Evidence: Both the Statement of Purpose and Service Users Guide were found to be detailed and comprehensive covering the homes philosophy of care, the facilities provided, complaints procedure, and health and safety aspects.There was also evidence to confirm that they have been updated regularly. The AQAA confirmed that the admission process is extensive and includes a preadmission assessment completed either by the manager or another registered nurse working in the home. These are completed at the prospective residents place of residence and often undertaken by two members of staff to get a clear overview. Prospective service users and or family and friends are welcome to visit the Unit to ask questions and also to spend time within the home before a decision on permanent residency is made. The Unit also offers a months trial period so that both parties can be sure of their decision (a longer stay can be arranged if necessary). The registered nurses spoken to were able to discuss the admission process and how thorough this is, to ensure the home is suitable. If it is felt the needs cannot be met they are given a detailed and sensitive explanation of the reasons. The pre admission assessment identifies whether the Unit can meet their needs and once this assessment is completed an individualised care plan is completed, a copy is sent with a covering letter to the prospective resident, family or advocate. The home always ensures that individualised, person centred, care is planned, implemented, evaluated and up-dated, involving residents, families or their representatives, throughout the residents stay. The assessment process is used to ascertain peoples dietary needs taking into account their religious beliefs. Holy Cross Nursing Unit has several prospective residents on a waiting list although priority is always given to residents from The Priory or other homes within the order. A review of the homes documentation and discussion with the manager confirmed that intermediate care is not offered or provided at Hoy Cross Nursing Unit. Care Homes for Older People Page 11 of 26 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. The care documentation provides a good framework for the provision of care and takes into account the individuality of each resident. Residents care needs are met and address residents dignity with evidence of regular input from health care professionals as necessary. Procedures and practice in the home allow for the safe administration of medicines. Evidence: The care documentation pertaining to two residents were reviewed in depth as part of the inspection process.These confirmed that the physical assessment following admission is thorough and informative and takes into account the social and physical care needs.The care plans are comprehensive and provide clear guidelines on how to meet the needs of residents. Care Homes for Older People Page 12 of 26 Evidence: Risk assessments are used to inform the care provided and these included an assessment of pressure areas, nutritional needs, the risk of falls and safe moving and handling. Those residents at risk of pressure sore development are provided with suitable preventative equipment and this should be recorded within the care documentation. Stipulating what equipment is being used and what if a pressure relieving mattress is used it is set on. The plans of care and the risk assessments are reviewed regularly and there was also evidence that residents and their representatives are consulted about the care and how it is to be provided. Doctors visit the home regularly and review the residents health care needs and when residents have specialist care needs appropriate professionals are sourced for their input. Daily reports are maintained and are detailed and reflect the life for residents in the home. Base line observations including residents weight, urine analysis and blood pressure are also completed to provide up to date health information. The AQAA recorded that their was a focus on supporting residents in making their own decisions, and that person centred care planning is used to provide the best support possible. During the inspection visit it was noted that liquid paper correction fluid has been used within the care documentation. When this was raised with the manager she confirmed that this had been noted and was being addressed. A staff handover was observed and was found to be inclusive of everyones opinions, and taking into account when staff had last worked. The opportunity to provide training and explanations of care practice was also taken. All feedback received about Holy Cross Nursing Unit and the care provided was very positive. Comments received included Excellent loving care When I decided to come here it was the best move that I ever made. I am better than I used to be, due to all the care and attention given meexcellent care. One visiting health care professional said how impressed she was with the way the staff related to residents and promoted their dignity and were always so pleasant and kind to them regardless of how the residents were to them. One staff member was able to say that she would be happy to have a family member in the home as the residents needs are always paramount. The medicine procedures and records were found to be clear and accurate. All medicines are administered and monitored by the registered nurses working in the home and the storage area was found to provide good facilities for all medicines. It was however recommended to the manager that those medicines administered on an as required basis are done so in accordance with individual guidelines to ensure a consistent approach. Observation during the inspection confirmed that all residents are treated very well Care Homes for Older People Page 13 of 26 Evidence: and had a very good relationship with the staff and the manager. Staff were seen to be kind and attentive to residents and to have a very good understanding of their needs. Care Homes for Older People Page 14 of 26 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. Links with friends and relatives are encouraged and choices made are respected. People in the home enjoy the activities provided, along with any contact with staff and the activities co-ordinator. On the whole the food is good however the standard of the meals provided needs to be further monitored to ensure residents receive an appealing, and nutritious diet at all times. Evidence: The home does provide activities and entertainment that include visiting entertainers and outings. Residents have recently enjoyed a meal out at a Public House /Restaurant. The home has an activities co-ordinator and the manager explained that this provision is to be increased, to provide time specifically for activity each day and more one to one time. She also advised that the professional support of an Occupational Therapist has been used to review what the home has in place and how this can be improved and tailored to each resident. It is hope that this will also Care Homes for Older People Page 15 of 26 Evidence: integrate physical activity and movement into the activity programme. During the inspection visit residents were encouraged to play a game of dominoes in a small group with the support of a staff member. The home has a video library that includes some old films and favorites like Dads Army. These are shown in the sitting area on the large screened television and are much enjoyed by the residents. The care documentation reflects residents social and psychological needs and it was clear through discussion and observation that residents choices and religious beliefs are respected and responded to . Feedback from returned surveys confirmed that the activities are appreciated and comments included Always enjoy outings, singing, and musical afternoons and board games I enjoy attending musical events at the home there are activities but limited ability or desire to take part. Visiting is seen as an important part of residents life and is very much encouraged. The AQAA confirmed that the home recognises the importance of the personal and social relationships that residents have and respect their right to privacy. Their visiting arrangements are completely open and they provide areas where residents can meet their visitors without being disturbed. Residents can also have a private telephone line in their own room if they wish. Residents mostly eat the mid day meal in the communal dining room and this provides a spacious and attractive area. The meal on this day was a choice of toad in the hole or vegetarian sausages with mixed vegetables mash potatoes and cabbage. The dessert was either apple sponge or stewed apricots and custard. Although the meals have improved and a regular cook is now in post, who is able to be more responsive to the needs of residents in the Unit. The meal provision still needs to be monitored and reviewed to ensure suitable and appropriate for all residents. Feedback from staff on the food indicated that it could be variable in standard and was not always suitable and had on occassions had to be returned to the kitchen. Feedback from residents was on the whole positive and included I always enjoy the food plenty of food hot enough I am easily pleased with food. The food is excellent I have gained 2 stone in weight since coming here. The records relating to meals provided and eaten need to be more clear and reflect what each resident is eating. In this way any problems can be followed through with an accurate history. The staff have received training from the Dietitian and had an understanding of fortifying foods, and in this way help to maintain residents weight. Care Homes for Older People Page 16 of 26 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. Appropriate systems are in place to ensure that all complaints are handled appropriately and that residents are safeguarded from harm. Evidence: The home has a detailed complaints procedure, and this is availble to those who may wish to use it. Surveys received confirmed that residents, their representatives and staff are all comfortable and confident with how any complaints made would be dealt with in the home. There have been no complaints recorded since the last key inspection and the manager was able to demonstrate the record keeping and procedure that would be followed once a complaint was made and how the confidentiallity of this would be maintained. The home has relevant guidelines on Safegaurding Vulnerable Adults and staff have received appropriate training in the last year. The manager had a good understanding of possible adult protection issues and there are systems in place to ensure all staff are able to refer any matter directly to a senior person in the home. Care Homes for Older People Page 17 of 26 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. Holy Cross Nursing Unit provides a comfortable, homely, safe, well maintained and clean environment for residents to reside in. Evidence: Holy Cross Nursing Unit is a purpose built home that was built specifically to care for residents with nursing needs. The home is on one level and therefore all areas in the home have good access to most residents. The home provides an attractive lounge and separate dining room along with a chapel, outside space includes a sensory garden and extensive grounds. The home is well maintained and redecoration is completed on a rolling programme. During the inspection visit the manager was able to demonstrae a number of improvments to the home that have included new corrdor carpets, new framed pictures placed along the walls, new fire alarm syaytem and precautions, and the upgrading of en suit facilities and bedroom furnitur. These improvments have given the home a far more homely feel that residents and visitors can appreciate. Most bedrooms still however have a vynl floor covering but residents are given a choice as whether they would like this replaced. The home is kept very clean with the standard of cleanliness throughout the home was noted to be extremely high. Surveys received also confirmed the cleanliness of the home, one comment recorded said I have been impressed by the standard of cleanliness visible daily. Infection control procedures are well established and staff are trained regularly to Care Homes for Older People Page 18 of 26 Evidence: ensure they are aware of the importance of prevention. Suitable equipment was seen during this inspection along with a new mobile hoist which has been purchased in response to the increasing dependency of some residents. All laundry is completed in the adjoining care home where the facilities are suitable. Care Homes for Older People Page 19 of 26 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. Staffing numbers and skill mix provides a competent staff team that can meet residents health and personal care needs. The homes recruitment procedures followed are robust. Evidence: At the time of this inspection 19 residents were living in Holy Cross Nursing Unit. Staffing arrangements were found to be appropriate to meet the care needs of the residents. A staff rota was available for inspection and confirmed that a registered nurse is working in the home at all times with the registered manager often providing the second registered nurse. There is a strong team spirit in the home and staff said how much they liked working in the home and how they felt well supported by the homes management, many of the staff have worked in the home for many years and appear to care for each other as well as residents. The surveys received also reflected this team cohesion with one recording since working here, I feel that you couldnot ask for a more caring place of work, whether for residents family or staff. I feel no problem is too small for someone to listen to you. Care Homes for Older People Page 20 of 26 Evidence: Residents and their representivies recorded a very high satisfaction with the staff within the returned surveys and the comments included We wish it to be known that we are very impressed and thankful for the care compassion and good humour with which the staff carry out their duties The staff always find time for us however busy they are The service of the staff is always excellent. Staff confirmed that the staff training provided was suitable, well planned and covered areas to ensure they could meet the needs of residents. In addittion records in the home confirmed that all manadatory training is provided in a timely fashion and is well recorded. The AQAA recorded that at least 50 of staff delivering personal care hold a National Vocational Qualification level 2 or above. It also recorded that the home undertakes a robust recruitment process and carry out various checks on prospective employees, for example Crimal Records Bureau check, take up references, ask for employment history. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and ensures the best interests of residents are protected. Quality assurance measures allow for residents and representatives views to be taken in to account and responded to. Systems are in place to ensure residents monies are safe and health and safety issues are well managed. Evidence: The registered manager is a registered nurse and has five years experience in a care setting, she has completed the Registered Mangers Award and has demonstrated that she manages the home effectively, she is supported by a team of registered nurses. Discussion with the staff indicated that there is a very good relationship between all Care Homes for Older People Page 22 of 26 Evidence: the staff and that they feel well supported by the manager. They said that she was approachable and showed that she cared about the staff. Feedback from other sources was also very positive about the management and comments included the manager is a most dedicated and hard working lady who truly loves the old people my manager always asks how I am and also if I have any problems. She is always there for me and the other members of staff she is always willing to listen to ideas and suggestions There is always plenty of support from all the trained staff and management. You can ask for any sort of support from any of them. But also they support the families. Residents/representatives and staff questionnaires are completed on an annual basis these are audited by the manager with the results being made available within the service users guide. The required regulation 26 visits are maintained by the registered provider and the AQAA was completed to a good standard and used as a quality monitoring tool. The home holds a small amount of money on behalf of each resident and this is used to pay for personal items, chiropody and hairdressing. This money is supplied by the residents representative or via Social services as the personal allowance. These small accounts are held by the administrator and she records the amount spent in the homes shop and retains receipts for any services or external purchases. A procedure has been put in place to ensure the necessary receipts are used when any transaction is made. The home provides safe storage for residents valuables and money not held on account, a record is made of any such deposits. In general, there is evidence that the home is managed in a way that ensures as far as is reasonably practicable the health, safety and welfare of residents and staff. The home has a system for the monitoring of hazards and servicing equipment. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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 26 of 26 - 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!