Inspection on 10/12/08 for Mountside Residential Home

This inspection was carried out on 10th December 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

Mountside Residential Home 15/01/07

Mountside Residential Home 15/12/05

Mountside Residential Home 02/08/05

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Mountside Residential Home 9-11 Laton Road Hastings East Sussex TN34 2ES     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: June Davies     Date: 1 0 1 2 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 © (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 28 Information about the care home Name of care home: Address: Mountside Residential Home 9-11 Laton Road Hastings East Sussex TN34 2ES 01424424144 01424439406 mountside2@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Keith Cyril Pocock Type of registration: Number of places registered: Downlands Care Limited care home 38 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 28. The registered provider 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: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Mountside is registered to accommodate thirty eight older people. The property is situated in a residential area on the outskirts of Hastings, within close proximity to Alexandra park. The location of the home provides easy access to Hastings town centre and public transport links. Resident accommodation is provided on three floors, to which level access is provided by way of two passenger lifts, stair lifts and a series of ramps. Mountside is registered for thirty-eight residents with some shared bedrooms, however all rooms are available as single occupancy only, unless a resident makes an Care Homes for Older People Page 4 of 28 Over 65 38 0 Brief description of the care home express wish to share. Communal facilities include a range of pleasantly furnished lounges and a large dining room. The home also boasts extensive award winning gardens to the front and rear of the property. Parking is available at the front of the home. Information provided by the Manager details that the current range of fees at Mountside is between #322 and #520 per week. Additional charges are payable for hairdressing, toiletries, chiropody and newspapers. More detailed information about the services provided at Mountside can be found in the home?s Statement of Purpose and Service User Guide - copies of these documents, along with the latest CSCI inspection reports can be obtained directly from the home. 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: This key unannounced inspection took place on the 10th December 2008 over a period of five and quarter hours. During this inspection the inspector spoke with the registered manager, residents and staff. Documentation relating to the key standards inspected was viewed. A tour of the home took place with the inspector viewing all the communal accommodation, the laundry room, kitchen and laundry. An short audit was carried out of medication in the home. Some information given in the homes Annual Quality Assurance Assessment was also used. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: There needs to be risk assessments written for individual residents to cover access to the local community, and for those at risk of falls. Care plans needs to detail what personal hygiene tasks have been carried out for individual residents. The complaints policy should be displayed in the home so that relatives and visitors are made aware of the complaint procedure should they need to make a complaint. Staff must receive mandatory training, this should usually occur within the first six Care Homes for Older People Page 7 of 28 months of employment and be updated on a regular basis throughout their employment in the home. 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 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service user move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Evidence: The registered manager carries out pre-admission assessments prior to a new resident being admitted to the Mountside Residential Home. From this pre-admission assessment the manager is able to ascertain, if the home is able to meet the residents care and social needs. The manager also obtains assessments carried out by the Care Manager of the funding local authority where this is relevant. Where a resident is admitted to the home directly from hospital the manager obtains discharge letters from the National Health Service Trust. The home does not offer intermediate care. Care Homes for Older People Page 10 of 28 Care Homes for Older People Page 11 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. The care planning system is good within the home, but some further improvements could be made in the recording of information, to show that the home is meeting the needs of the reisdents. The medication at this home is well managed promoting good health. Personal care is offered in a way to protect residents privacy and dignity and promote independence. Evidence: Care plans viewed showed comprehensive details in relation the each residents, personal, health and social care needs. There is evidence that residents and or their relatives, representatives are able to sign up to the plan of care and care plan reviews. Risk assessment are in place for all residents in relation to mobility and hot water usage. It was noted that risk assessments were not in place for those residents who are able to access the local community on their own. This was discussed with Care Homes for Older People Page 12 of 28 Evidence: registered manager and care leaders, who stated that they would put risk assessments in place for accessing the local community. Three residents spoken to said that they have regular visits from health care professionals, district nurses, chiropodists and opticians. They also said that they are able to see their general practitioner as and when required. The inspector did note that while one care plan had a personal hygiene matrix in it, this had not been completed regularly by the staff. It is important that staff do record where they give assistance with personal hygiene, in particular shaving, nail care, hair care and oral care. There was good evidence to show that residents nutrition is screened on a monthly basis and that any concerns are reported directly to the residents general practitioner. Medication in the home is generally well managed, with some minor improvements to be made to ensure that medication is managed well. An audit of medication was carried out and this showed the all Monthly Administration Records were signed off when medication had been given. The Controlled Drugs and Controlled Drugs registered were all in order. Controlled drugs are kept in controlled drugs cupboard that is secured within another cupboard. The registered manager must ensure that when any medication is brought into the home it should be entered onto the Monthly Administration Record, with date received, the quantity of the medication and the initials of the person receiving the medication into the home. All liquid medication, creams, eye drops and ointments should be dated on the bottle, tube on the day of opening. The inspector observed during the course of the inspection that staff respect the residents rights to their privacy and dignity. Staff talk to the residents in a friendly and respectful way and ensure that they place themselves at the residents level when carrying out conversations. Care Homes for Older People Page 13 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. Activities and links with the community are good and support and enrich the residents social lives. Visitors are welcome into the home at any time. The meals in this home are good offering both choice and variety and catering for special diets. Evidence: Residents are able to make choices in respect to their daily lives, and this is reflected in the daily living plan. The home offers a wide variety of internal activities for the residents, and these are arranged by the activities co-ordinator employed by the home. For those residents who do not like joining in with group activities the activities oc-ordinator always makes sure she spends some one to one time with these residents. Each month a newsletter is produced as well as an activities programme. Both the programme and newsletter show that a variety of outside entertainers also come into the home to provide entertainment for the residents. An internal pantomime is being produced in the home, and all the players will be staff employed by the home. Care Homes for Older People Page 14 of 28 Evidence: Residents told the inspector that they are really looking forward to this. Residents also told the inspector that they will also be going to the local theatre to see the Peter Pan pantomime. Residents confirmed that they are able to have visitors at any time and that the staff make their visitors feel welcome. Some of the relatives and visitors, support the home and arrange fund raising activities, to provide extra luxuries for the residents. Recently sufficient monies have been raised to provide a new television in one of the communal lounges. None of the residents manage their own financial affairs, but have made arrangements for solicitors or relatives to act as power of attorney on their behalf. The meals in this home offer residents with a wide variety of choice. From viewing the menus the inspector was able to see that residents are offered a balanced and nutritious diet, with choices at each meal. Three residents said that the food offered in the home was very good and one resident said that sometimes her meal was not very warm when she received it. The cook confirmed that she is able to cater for specialised diets, and at the present time caters for diabetic and vegetarian diets. The inspector observed that the lunchtime meal in the dining room was unhurried, with staff interacting with residents in a respectful and friendly manner. Care Homes for Older People Page 15 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. Residents know their complaints will be listened to and acted on. Some staff have knowledge of Safeguarding Vulnerable Adults, but further training needs to take place to ensure that residents are not abused. Evidence: The complaints policy and procedure is up to date and contains detailed information on how a complaint should be made and the processes that take place in investigating the complaint. Each resident is given a copy of the complaints procedure which is contained within the service user guide when they come to stay in the home. Residents told the inspector that they would know how to complain and they are confident that any complaint will be dealt with fairly by the manager. It was noted that this complaints procedure is not displayed within the home. There have been no written complaints to the home since the last key inspection, but there have been three verbal complaints recorded, with details of the investigation and feed back to residents. The Safeguarding Vulnerable Adults policy and procedure is up to date. There have been no Safeguarding referrrals made to local authority social services since the last key inspection. Recently there has been one safeguarding issue that the registered manager is in the process of reporting to East Sussex County Council, Safeguarding Care Homes for Older People Page 16 of 28 Evidence: Vulnerable Adults team. Only five staff have undertaken Safeguarding Vulnerable Adults Training and this will be referred to under staff training. From viewing staff personnel files, these show that staff are appropriately vetted prior to taking up employment in the home. The staffs contract of employment includes the homes policy and procedure in regard to accepting presents from the residents and being involved in the will making process, so that staff are made clearly aware of what is expected of them. Care Homes for Older People Page 17 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. Improvements to the home are ongoing, and provide residents with a homely, comfortable and safe environment in which to live. Infection control procedures in the home are good and help to prevent cross infection. Evidence: Mountside residential care home is a pleasant home, on the day of this key inspection it was warm and comfortable, with light airy communal areas for the residents to enjoy if they wish. The bedrooms had all been personalised with residents own belongings, to include small items of furniture, pictures, photographs and ornaments. All areas of the home are well maintained and in good decorative order. All residents spoken to said that they liked their bedrooms. Communal toilets, bathrooms and shower rooms were all clean and tidy, and in good decorative condition, and all domestic in style, and supplied with aids to assist staff in bathing frail elderly residents. All these areas were supplied with liquid soap and paper hand towels. The kitchen was clean and tidy and meets the standards required by the local Environmental Health Officer. Care Homes for Older People Page 18 of 28 Evidence: The laundry room is supplied with two industrial washing machines, and one industrial tumble drier. On the day of this inspection the laundry room was clean and tidy. If there is any foul laundry this is placed by staff directly into red alginate bags, which in turn are placed directly into the washing machine. All staff are provided with white plastic aprons and disposable gloves to use for personal hygiene. When staff are working in the kitchen or dealing with food blue plastic aprons are provided. Fifteen of the staff have received infection control training. There are no offensive odours in the home. Care Homes for Older People Page 19 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. Staffing levels are good and there are sufficient staff on duty to meet the needs of the residents. These staffing levels are kept under review to ensure the changing needs of the residents are met. Many of the staff have obtained a social care qualification. Recruitment policies in the home are good and ensure that staff are appropriately vetted to ensure that residents are not placed at risk. The mandatory training of staff needs to improve to ensure that they have the skills and knowledge to ensure that the health and safety of residents is not compromised. Evidence: The staffing levels in the home are sufficient to meet the present needs of the residents. The registered manager said that he keeps staffing levels under regular review to ensure that there are sufficient staff on duty to meet the changing needs of the residents in the home. Sixty per cent of the care staff have achieved their NVQ level 2 or above, and the two care leaders have just completed their NVQ level 3 and are awaiting certification. Care Homes for Older People Page 20 of 28 Evidence: Staff recruitment practices are good at the present time. The inspector viewed four staff personnel files and found them to be comprehensive. From the staff personnel files the inspector found that two staff have been employed by the home since the early 1990s and therefore did not have Protection of Vulnerable Adult Registered check, or two written references. For two members of staff who have been employed recently, there was evidence that Protection of Vulnerable Adult Register checks had been carried out, and that two references had been sought. On viewing the Criminal Records Bureau checks, all staff employed in the home have a current Criminal Records Bureau declaration. The inspector viewed the staff training matrix, and while it is commendable that many staff have undertaken job related training. It was found that not all staff have completed mandatory training in Moving and Handling, Fire Safety, First Aid, Food Hygiene, Infection Control, Safeguarding Vulnerable Adults and Medication. Therefore a requirement is being made that all staff receive all their mandatory training, to ensure the health and safety of the residents. Evidence was available to show that all staff undergo initial induction and that newly recruited care staff also complete the Skills for Care Induction modules. All newly recruited staff are also given the General Social Care Council Code of Conduct and the registered manager also carries out his own training relating to the Code of Conduct. Care Homes for Older People Page 21 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 a good understanding of areas in which the home needs to improve. The quality assurance system in the home is in the process of being developed to ensure that the home is offering a good quality of care to its residents. Residents personal monies are well managed by the home which ensures that residents money is safe at all times. Staff in the home receive regular supervision to ensure they have the skills to meet residents needs. Health and Safety in the home is well managed ensuring the residents live and staff work in a safe environment. Care Homes for Older People Page 22 of 28 Evidence: The registered manager has obtained his Registered Managers Award and is in the process of completing the last module of his NVQ level 4 Social Care Qualification. From viewing the registered managers training file there was evidence that the manager has completed many training courses this year relating to management and social care. He has experience of managing a residential care unit. A throughout the inspection demonstrated that he operates an open door policy for residents and staff. Staff spoken to said that the manager was professional, fair and accessible. The quality assurance system in the home is still being developed, and it is envisaged by the end of this year, there will be a good quality assurance system in place. The inspector was able to view the residents views on the care that the home provides. The registered manager, has regular residents and staff meetings which are all recorded, with issues being addressed in a timely manner. While the registered manager does carry out monitoring of systems used in the home, these are not at the present time recorded, but will be in future. Health and safety and fire safety checks are carried out throughout the building on a regular basis. Regulation 26 visit reports were viewed and are carried out every month by the registered providers. The manager still has to seek the views of the relatives, visitors and professional visitors to the home. Residents personal allowances are managed well in the home. Personal monies are usually brought into the home by residents relatives. This money is entered onto a seperate finance for each resident. Where expenditure is made on the residents behalf, receipts are obtained and kept with the relevant finance sheet. Where a resident requests an amount of money, they sign their finance sheet to say that they have been given this money. All money is put into seperate wallets for each resident and kept securely in the home. The inspector was able to view evidence of regular staff supervision taking place. The registered manager said that he also uses staff meetings as a form of supervision. During staff supervision training areas are identified, and areas in regard to care of residents and the philosophies of the home are discussed and clarified. Health and safety practices in the home are good. The Annual Quality Assurance Assessments gave details of regular maintenance of equipment used in the home. Evidence was available that fire call points and hot water outlets are checked regularly by the maintenance person. A certificate was available to show that annual Legonionella checks take place. All windows in the home are fitted with window opening restrictors. The premises is secure and fitted with number locks to all external doors. The home has up to date policies and procedures in place for maintaining safe working practices. Care Homes for Older People Page 23 of 28 Evidence: The inspector viewed the accident book for residents and found that accidents are well recorded. One resident in particular falls regularly and it was suggested that the registered manager receives help and advice from the Falls Clinic. Care Homes for Older People Page 24 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 25 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 30 18 The registered person shall, 23/02/2009 having regard to the size of the care home, the statement of purpose and the number and needs of the service users ensure that at all times suitable qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. Ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform including structured induction training. All staff must complete their mandatory training within the first six months of their employment. Mandatory training includes, moving and handling, first aid, fire Care Homes for Older People Page 26 of 28 safety, food hygiene, infection control, Safeguarding Vulnerable Adults, and Medication if appropriate. This is to ensure that the the health and welfare of the residents is met in a safe and appropriate manner. 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 7 It is good practice to ensure that risk assessments for individaul residents are in place, especially for those residents who are able to access the local community on their own. All personal hygiene tasks should be recorded in detail to show that, shaving, nail care, hair and oral care has taken place. All professional health care visits should be recorded within the care plan, this to include, chiropodist, district nurse, optician, continence nurse, optician and detist visits are recorded. The complaints policy and procedure should be clearly displayed within the home to ensure that relatives and visitors to the home know how to complain and what the processes the complaint will follow. The registered manager to continue developing the Quality Assurance System in the home to ensure that that views are sought from relatives, visitors and professional visitors to the home, and that monitoring of systems used in the home is recorded and used as part of the end of year quality assurance report. It would be good practice for the registered manager to contact the Falls Clinic in respect of a resident who falls regularly. 2 8 3 16 4 33 5 38 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 © (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 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. 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