Inspection on 04/09/08 for Mayfield House

This inspection was carried out on 4th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mayfield House 03/09/07

Mayfield House 23/05/06

Mayfield House 16/11/05

Mayfield House 16/05/05

Mayfield House 19/10/04

Mayfield House 11/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Mayfield House Mayfield House 29 Mayfield Road Walton-on-thames Surrey KT12 5PL     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: Mavis Clahar     Date: 0 4 0 9 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: Mayfield House 29 Mayfield Road Mayfield House Walton-on-thames Surrey KT12 5PL 01932229390 Telephone number: Fax number: Email address: Provider web address: Mayfieldmanager@overlinebroadband.co.uk Name of registered provider(s): Name of registered manager (if applicable) Manager post vacant Type of registration: Number of places registered: Mr Colin Catton 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 to be accommodated is 34. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Mayfield House is a long established, privately owned care home situated in Walton On Thames. The home provides care and accommodation for up to 34 older people who need personal care and assistance. Accommodation is provided on two floors, there is access to the first floor via a lift and stairs. The home offers accommodation in single and double rooms. There are two large sitting rooms, a large dining room and a Care Homes for Older People Page 4 of 28 Over 65 0 34 3 0 Brief description of the care home conservatory. There is a small well maintained garden. There is limited parking on site, however parking is available in the adjacent pay and display car park. The home is close to the mainline railway station of Walton On Thames and the local bus route. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Fees are in the range of 600 pounds to 750 pounds per week and does not cover cost of hairdressing, chiropody and personal toiletries. The last key inspection for this service was carried out on 3rd September 2007. This unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs. Mavis Clahar on the 4thSeptember 2008 and lasted for seven hours and thirty minutes; Care Homes for Older People Page 6 of 28 commencing at 08:30 hours and concluding at 16:00 hours. The CSCI Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service provider, which includes information about the service from a variety of sources. This initially helps CSCI (us/we) to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by us in good time and is referred to throughout this report. The newly appointed manager of the home assisted with the inspection on this visit. The majority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from speaking with service users, visitors to the home on the day of the visit, from observations made by the inspector, speaking with the manager, senior care workers and care workers. Further information was gathered from records kept at the home and from completed Pre inspection questionnaires completed by service users, staff, visitors to the home and from professionals visiting the home. The first part of the visit was spent touring the home as the manager was not yet on duty. This was followed by discussion with the manager and agreeing the inspection process. Time was spent in discussion with service users, the Chef, the handyman and senior care workers. The manager and staff are aware of the Laws regarding equality and diversity and this was reflected in the staff mix. All service users in this home are Caucasians and reflect the population of the area in which the home is situated. All records sampled were up to date with care plans being signed by the service users or by relatives. One requirement regarding recording of Control Drug was made on this visit. The final part of the visit was spent giving feedback about the findings of the visit to the manager. We would like to thank all the service users, visitors and care staff who spent time speaking with us for making the visit so productive and pleasant on the day. 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 28 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. Good information was obtained from prospective service users prior to them being admitted to the home. This allowed for carers and service users to make informed decision regarding the planning and delivery of care. Evidence: We were told the manager assess all service users prior to them being admitted into the home. This was verified when reviewing the random sample of service users files and in discussion with service users and relatives. The manager also encourages prospective service users to visit the home for a day or two to assess the home and staff to make sure this is the home they want to come into. In cases of emergency admission, an assessment is made within twenty four hours of the admission of the service user. Generally the home encourages prospective service users and their relatives to visit the home as often as they like prior to making the final decision. This home does not provide for intermediate care. Care Homes for Older People Page 11 of 28 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. People living at the home receive personal and health care support using a person centred approach with support provided based on the individuals rights of dignity, equality, fairness, autonomy and respect. Personal health care needs including specialist health, nursing and dietary requirements are clearly recorded in each persons care plan. Evidence: Three service users were cased tracked and we observed that each service user had a plan of care drawn up from the assessment detailing their care needs and social needs and how these would be met. Care plans were reviewed regularly, were clear and easy to follow, identifying risks to service users and how these would be managed. The daily work sheet along with discussion with service users demonstrated that service users care needs are met according to the agreed care plans. The health care needs of the service users are met by their General Practitioner (GP). The district nurses, dentist and chiropodist visits on a regular basis and these visits are Care Homes for Older People Page 13 of 28 Evidence: recorded in the service users files. Administration of medicines to service users from the Medicine Administration Record sheet is done in accordance with the homes policy on administering medication and records of this were suitable maintained. Medication records for Control drugs administered were not accurately documented and a requirement was made to rectify this with suitable training. No service user at the home was risk assessed as capable to self administer their medication. A list of care workers considered competent to administer medication was kept with their names and signatures in the medicine trolley which is kept in a locked cupboard. It was noted that all service users had a recent colour photograph included in their medicine folder and in their personal files. There were a number of visitors to the home on the day of the inspection and we were able to speak with three visitors who all told us they were very contented with the care and support their relative are receiving at the home. They commented on the friendliness of the staff and how easy it is to approach and speak with the manager. Service users spoken to rate the service they receive as very good. Service users consistently said they are treated with respect. They said the staff team are friendly and they attend appointments either with staff or if their relative decided to accompany them. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and are provided with a balanced diet in pleasant surroundings and in an unhurried way. Evidence: The home does not employ an activities coordinator. There is a programme of activities and copies of this are posted all around the home. in discussion with service users some told us they were not interested in any activities, that they much prefer to stay on their own with their TV and radio. Others said the sing-a-long sessions were enjoyable but on a whole the programme was the same week in week out and was not stimulating enough for their liking so they did not attend. During discussion we were told that the service users do not have social outings and some mentioned they would rather like to go out sometimes. This was discussed with the manager and she promised to look into hiring suitable transport depending on how many service user show an interest. Care Homes for Older People Page 15 of 28 Evidence: The AQAA informs us that the home has outside visiting entertainers to the home to provide extra activities for the service users. We were also told the home has good contact with religious denominations and Holy Communion is provided for all service users who would like to participate. In discussion with service users we were told the home respects the decision of those service users who choose not to participate in an activity on any given day. Service users and visitors to the home told us visiting is open, and that visitors are free to enter service users bedroom if the service user wish to entertain their guest in the privacy of their bedroom, or in the spacious communal areas of the home. We observed that a variety of fresh fruit was made available for service users and visitors were welcome to prepare fruit for the service user. Six of the service users spoken to told us they had choice in their clothing and sometimes they receive help from their key worker. On the day of the visit all service users were dressed appropriately for the weather. We observed the weeks menu displayed at various places all over the home; and we were told the Chef who has been at the home for a long time operates from a four week menu and there is always a choice of three hot meals per day at mid day. One service user told us there is always choice and one can make their own choice if items on the menu does not appeal to them. We were also told the Chef is very good and she comes around every day to make sure we are satisfied with our food. There is always a choice of two hot dishes for the evening meal, or we can choose to have sandwiches filled with our own choice. Morning coffee and afternoon tea is served daily and our visitors are also served the same as us. We observed jugs of fruit juices and squash with glasses were placed in the sitting rooms and lounges whilst service users were present so that they can help themselves, and staff was seen offering drinks to service users. There were ample amount of fresh fruit available in the home in the lounges and dining room so that service users could help themselves if they wished. We did not sample the lunch, but service users said the food was very good tasty and the right amount. We observed service users were served a variety of drinks prior to their lunch which includes sherry, wine, whiskey, various fruit juices and squash. We observed the presentation of the food was done in a way to stimulate appetite. All meals are served in the beautifully decorated dining room with tables laid for two with linen and napkins unless a service user requested to have their meals in their bedroom. One service user commented this is just like a good restaurant. On the day of the visit we observed lunch was a three course meal followed by a good cheese board, followed by coffee or tea as desired by the service users. We also observed that lunch time was a very social occasion and the care workers were seen to be interacting Care Homes for Older People Page 16 of 28 Evidence: in a friendly but dignified manner with the service users during lunch time, being present in the dining room, but just politely far enough not to crowd the service users but to be able to offer assistance should the need arise. 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. The home has a satisfactory complaints policy and procedure, and have instigated training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding policy and procedures are in place to protect the service users from abuse. Evidence: CSCI received no complaints about the home. We have received one concern regarding Safeguarding Adults and this was forwarded to Surrey Safeguarding Adults Team who dealt with the concern. The manager told us she is in daily contact with the service users and that issues raised are dealt with immediately and this reduces the need for service users to complain. The AQAA informs us the home has received one complaint which was dealt with within the homes timeframe for dealing with complaints. This complaint was not upheld. This was verified by reviewing the homes complaint record folder. in discussion with service users we were told that they had no cause to complain as they are able to discuss everything with the manager. We viewed the homes complaints policy and procedure and formed the opinion that this is being adhered to. The care workers told us they are aware of the homes policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing policy the manager and Owner of the home would support Care Homes for Older People Page 18 of 28 Evidence: them. We observed the homes Complaints policy and procedure along with their statement of purpose and service user guide which were left on a table in reception for the use of service users and visitors to the home. We also viewed a number of complimentary letters and cards the home received from relatives of service users complimenting the home and staff in a positive way about the care their relatives received whilst living at the home. A random sample of care workers training record demonstrated that care workers are booked on the Surrey Safeguarding Adults course to be held on 24th September 2008. The manager informed us that she was also booked to attend the course and that she has other dates booked for other staff to attend this training. She expects all staff to complete this training by the end of the year. 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. The physical design and layout of the home enables service users to live in a safe, well maintained and comfortable environment, which encourages independence and protect their privacy and dignity. Evidence: The management and staff told us they encourage service users to view the home as their own home. It presents as a comfortable attractive home, which has all the specialist equipment and adaptations needed to meet the service users needs. It was noted that call bells were left within reach of each service user and service users told us the bells are answered promptly. We were told that in the good weather hats are provided for service users who wish to use the garden and that service users are asked to take a call bell with them for use in emergency. The home has attractive gardens which are well maintained and there is good access to the gardens from various parts of the home. Some service users told us that they try to go out into the garden daily when the weather is good. It was observed that service users are able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. the AQAA supported this by informing us that service users are encouraged to bring treasured items with them. Care Homes for Older People Page 20 of 28 Evidence: Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated that they have had training in infection control and this was evident in the storage of waste. The AQAA informs us that staff are trained in the safe disposal of clinical waste and are provided with protective clothing to minimise the risk of spreading infection. We observed staff wearing disposable gloves and aprons whilst undertaking tasks during the visit. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home in meeting the assessed needs of the service users. Evidence: The staff rota demonstrated suitable numbers and grade of staff on duty to provide care and attention to service user for any twenty four hour period over the month was suitable to meet the assessed needs of the service users. The home has a programme of planned training in place and all care workers have an individual training record. Over 50 of care workers have attained the National Vocation Qualification (NVQ) at Level (L) 2 or above. Currently over 25 of care workers are working toward NVQ L2 or above. This number includes two permanent agency staff. Care workers are encouraged to undertake developmental training as well as the mandatory training. All newly appointed care staff undertakes the Skills for Care Common Induction programme as evidenced during tracking of newly appointed care staff. The home now ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfill their duties. This was evidenced through discussion with the manager, with care workers and review of care workers training records. Care Homes for Older People Page 22 of 28 Evidence: The AQAA informs us that staff turn over at the home is very low and in the last year this was due to mainly retirement of staff. Evidence was provided by the manager to show all care workers are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment as evidenced by reviewing their randomly selected files, which with the exception of one file, contained the information required under Care Homes Regulation 2001 Schedule 2. Full discussion ensued about the necessity of obtaining full employment history of all new care workers and we agreed that the manager would rectify this with the care worker involved and then phone through to CSCI with the information that this part of the application form was duly completed. This was done on 09/09/08. We were told that supervision records were up to date and this was verified during random sampling of care workers files. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought. Service users financial interests are safeguarded and the health, safety and welfare of service users and staff are protected and promoted by the homes policies and procedures. Evidence: The AQAA informs us that the manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet service users identified needs. There are clear lines of accountability within the home, each Care Homes for Older People Page 24 of 28 Evidence: member of staff spoken to on the day of the visit aware of their role and responsibilities. We were told that the majority of the service users are capable to be fully involved in the running of the home, and their relatives are encouraged to be as involved as their time allows them to be. We were told the service users of the home are treated as part of a large family and meetings are held at regular intervals to allow service users, their relatives, carers and the manager to discuss issues pertaining to the smooth running of the home. Everyone is then able to contribute to the running of the home, whether it is to change the four weekly menus or to replace large items in the home. The manager told us this approach is preferable by all concern parties as any occurrence in the home affects us all. The home has a policy in place for the management of service users money. Small amount of service users spending money is kept by the home and good records and receipts are kept for any expenditure on behalf or by the service user. Review of documented records demonstrated that health and safety checks are routinely carried out by the home. All equipment examined on the day of the visit was properly maintained. The AQAA informs that fire drills, fire alarms and water temperature were regularly checked and records kept verifying this. Random sample of care workers training files demonstrated that up to date and relevant training were carried out by care workers to protect service users health, welfare and safety. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the service users. in discussion with care workers it was evident they were confident in delivering high quality outcomes for service users in the areas of age, sexuality,gender, disability and belief. Although the care workers spoken to were knowledgeable about issues relating to race and equality and diversity, they were not able to put this knowledge into practice, as the current service users are all Caucasians. 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 1 9 12 The Responsible Individual 06/10/2008 must ensure all Control Drugs are recorded correctly in the Control drug register by making sure staff have the appropriate training. To maintain health and safety of service users and to ensure medication records can be checked. 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!