Inspection on 17/09/08 for Portland Nursing Home

This inspection was carried out on 17th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Portland Nursing Home 18/08/09

Portland Nursing Home 02/10/07

Portland Nursing Home 24/04/07

Portland Nursing Home 26/04/06

Portland Nursing Home 31/01/06

Portland Nursing Home 01/03/05

Portland Nursing Home 13/12/04

Portland Nursing Home 09/09/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Portland Nursing Home 8 Park Road Buxton Derbyshire SK17 6SG     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Rose Moffatt     Date: 1 7 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: Portland Nursing Home 8 Park Road Buxton Derbyshire SK17 6SG 0129823040 0129823040 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Catherine Mary Fogarty Type of registration: Number of places registered: Mr Joginder Singh Rai care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: No one falling within category OP to be admitted into Portland Nursing Home when there are 40 persons of category OP already accommodated within the home The maximum number of persons to be accommodated within Portland Nursing Home is 40 Date of last inspection Brief description of the care home Portland Nursing Home is situated near to the centre of Buxton where there is a wide range of amenities. The Victorian building has been extended to provide accommodation on three floors, accessed via a lift or staircases. The home is registered to provide personal care with nursing for up to 40 older people. There are a large number of shared bedrooms. None of the bedrooms have en-suite facilities. Three lounges, including dining facilities, are provided on the ground floor. A patio area is provided to the rear of the building, which can be accessed by residents from the larger lounge room. Care Homes for Older People Page 4 of 28 Over 65 40 0 Brief description of the care home Information about the service, including CSCI reports, is available in the main entrance area of the home and on request from the manager or provider. 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The focus of our inspections is on outcomes for people who live in the home and their views on the service provided. The inspection process looks at the providers ability to meet regulatory requirements and national minimum standards. Our inspections also focus on aspects of the service that need further development. The last key inspection of this service was on 2nd October 2007. We looked at all the information that we have received, or asked for, since the last key Care Homes for Older People Page 6 of 28 inspection or annual service review. This included: the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service; surveys returned to us by people using the service and from other people with an interest in the service; information we have about how the service has managed any complaints; what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement; the previous key inspection and the results of any other visits that we have made to the service in the last 12 months; relevant information from other organisations; what other people have told us about the service. We carried out an unannounced inspection visit that took place over six hours on one day. The inspection visit focused on assessing compliance to requirements made at the previous inspection and on assessing all the key standards. There were 27 people accommodated in the home on the day of the inspection visit, all assessed as needing nursing care. People who live in the home, visitors and staff were spoken with during the visit. The manager was available and helpful throughout the inspection visit. Some people were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. Case tracking was used during the inspection visit to look at the quality of care received by people living in the home. Four people were selected and the quality of the care they received was assessed by speaking to them and / or their relatives, observation, reading their records, and talking to staff. The fees at the home range from 489.50 to 620.00 (pounds sterling) per week. This information was provided by the manager on 17th September 2008. 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 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. There was a good assessment process so people were confident their needs could be met at the home. Evidence: Most of the people who returned our surveys and those we spoke with said their needs were always met at the home. People told us, Were well looked after, and Im happy with everything. We looked at the care records for four people. Each person had a pre-admission assessment completed by the homes manager or deputy manager, plus assessment information from social services and/or hospital staff. The staff who returned surveys and those we spoke with said they usually had up to date information about people living in the home. Staff said they had training to help Care Homes for Older People Page 10 of 28 Evidence: them meet peoples needs. They said they had training to meet specific needs, such as caring for people with dementia, or people needing palliative care. Standard 6 did not apply as there were no people receiving intermediate care in the home. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The approach to care planning and review was not robust, consistent or person centred so it was not clear that people received care to meet their needs and preferences. Evidence: Most of the people who returned our surveys, and those we spoke with said their needs were always met at the home, including their medical needs. People told us they always saw their GP when they needed to. People told us they saw other healthcare professionals when necessary, such as the dietician and chiropodist. People told us that staff always listened to them and acted on what they said. People said, The staff are brilliant!, and, staff are patient and kind. People said staff treated them with respect. We observed staff talking to people in a courteous and appropriate way, and knocking on bedroom doors before going in. Staff were well aware of the needs and preferences of people, demonstrated through our discussion with them and observation of the care provided. Care Homes for Older People Page 12 of 28 Evidence: We looked at the care records of four people living in the home. Each had a care plan produced from the assessment information. Three people had care plans for all of their assessed needs. One person did not have a care plan for pressure area care or their nutritional needs. The care plans were mostly brief and lacked details of the action to be taken by staff to ensure peoples needs were met. The care plans also lacked detail of the persons preferences regarding routines and the care and support given. There was one care plan about a persons nutritional needs that had clear and detailed information about how their needs should be met. There were few references in the care plans to how peoples privacy and dignity should be maintained. Each person had assessments of their continence, pressure areas, nutritional needs, and risk of falls. Care plans assessments and assessments had been reviewed. There did not appear to be any consistency about when reviews took place as some care plans and assessments had been reviewed more often than others. There was little evidence of the involvement of the person and/or their representative in care planning and review. Two people had signed assessments for the use of bed rails. We observed that wheelchairs were often used without the footplates in place. The manager said that the footplates had been removed as people had sustained injuries to their legs from the footplates. Also, the lift was too small to accommodate a wheelchair with the footplates on. The manager said that risk assessments had been carried out for some people about using wheelchairs with the footplates removed. Not all people had risk assessments for this. Records were kept of the input of other healthcare professionals, such as GP, dietician, psychologist, and tissue viability nurse. We saw evidence that people were promptly and appropriately referred for specialist help and treatment when needed. There were daily records of the care provided and the content was generally informative. There were some gaps in daily records where staff had not made an entry and so the next member of staff writing in the records had left a space. Medication was stored in a room off the main corridor on the ground floor. We observed that on one occasion during the inspection visit the room door was left open with the keys in the lock, and the medication trolley inside the room was left open and unattended. We looked at medication administration records and records of the receipt and disposal Care Homes for Older People Page 13 of 28 Evidence: of medication. All the records seen were correctly completed and up to date. The care records included a care plan about as required medication. One person had a plan about pain relief medication that was prescribed as required, but there were no details of when this should be given, or what alternatives could be tried first. The same person was prescribed another medication as required and this was not included in the care plan. 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. The range of activities offered and the routines in the home generally met the needs and expectations of people living there. Evidence: People who returned our surveys and those we spoke with said they were satisfied with the activities provided. Four staff had recently started armchair exercises with people. The staff had completed training to enable them to do this. Two people told us they had enjoyed the armchair exercises. One person told us they regularly went out to a local church. Some people regularly went out with their relatives. People told us they enjoyed using the outdoor patio area in good weather. There were photographs displayed of a recent pamper day where people had enjoyed beauty treatments. One person was pleased that they had their fingernails manicured by a volunteer who came to the home every two weeks. One relative told us the person never took part in activities because they had dementia. We found that there were few activities offered to people with dementia. We observed that staff sat and and chatted with people with dementia when time allowed. Care Homes for Older People Page 15 of 28 Evidence: People told us there were usually staff available when needed. People said they could follow the routines they wanted to. One person said their morning routine included breakfast in bed and they liked this. Another person said they liked to spend the afternoon in their bedroom. Visitors told us they could visit at any reasonable time, though they were asked to avoid mealtimes if possible. They said they were always made welcome. One person told us the manager always makes time to talk when they visited. People and their relatives were invited to meetings at the home to bring any concerns, views or ideas. Information about a local advocacy service was available in the main hallway of the home. Each person had a life story in their care records with details of their family, work and social history. Relatives were asked to provide as much detail as possible where the person was unable to do this. People told us they liked the meals at the home. Three people who returned our surveys said they always liked the meals, and one person said they usually did. One person spoken with was pleased that there were fresh vegetables every day. One person clearly enjoyed their lunch on the day of the inspection visit and was offered a second helping. People were served breakfast in their bedrooms. At other mealtimes people used the dining area in the large lounge, or ate in the smaller lounges. Menus were displayed in the dining area of the large lounge and in the main hallway. The menus were for the whole week, rather than for each day, and were not available in large type. The menus were not at a suitable height for someone in a wheelchair to be able to read. We observed that staff gave apropriate help to people to eat and drink. The lunchtime on the day of the inspection visit was unhurried and there were enough staff available to give the help needed. Care Homes for Older People Page 16 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. There were satisfactory policies in place and good staff awareness so that people were protected and their concerns were taken seriously. Evidence: All the people who returned our surveys and those we spoke with said they knew how to make a complaint and who to speak to if they were unhappy about anything. One person told us about an issue they had taken to the manager. They were satisfied with the action taken. No complaints about the home had been made directly to CSCI. The AQAA said that no complaints had been made to the home. We found that a complaint had been made by a relative on behalf of a person living in the home. The complaint and the action taken was documented, though not in the complaints records. The outcome of the complaint was not recorded, though the manager said the complainant was satisfied with the outcome. There were policies and procedures in place for safeguarding vulnerable adults. The procedures had recently been updated to include new information about the local multi-agency procedures. All staff had received training about safeguarding vulnerable adults. Staff were aware of abuse issues and the procedures to follow if abuse was suspected or alleged. Care Homes for Older People Page 17 of 28 Care Homes for Older People Page 18 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 home was clean, well maintained and suitably equipped to ensure a safe and pleasant environment that met the needs and expectations of people living there. Evidence: All the people who returned our surveys and those we spoke with told us the home was always fresh and clean. People told us they were happy with their bedrooms. One person was pleased they had been able to move into a larger bedroom. Another person was pleased that their bedroom was always kept clean and the bedding changed regularly. Improvements had been made to the home since the last inspection. Three bathrooms had been refurbished to provide two baths with hoists and a shower room with a shower accessible to people with limited mobility. New bedroom furniture, bed linen and curtains had been provided. Most of the bedrooms had been provided with adjustable height profiling beds with special mattresses to help with pressure area care. The security of the home had been improved by fitting a key code lock to the front door and ensuring that the door was always closed so that visitors could only get into the home if admitted by staff. An additional handrail had been fitted to the ramp from Care Homes for Older People Page 19 of 28 Evidence: the large lounge onto the patio area. The manager said that further improvements were planned, including new carpets to the bedrooms and new chairs in the lounges. Staff were pleased with the refurbishments and with the providers commitment to further improvements. Staff had received training about the control of infection. The home had established links with an infection control nurse for advice and support. We observed staff using disposable gloves and aprons appropriately. The home appeared clean throughout and was free from offensive odours on the day of the inspection visit. Care Homes for Older People Page 20 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. There were satisfactory staffing levels, recruitment practices, and induction and training so that people were protected and well supported. Evidence: Three people who responded to our surveys said there were always enough staff available when needed, one person said there usually were. People we spoke with said there were usually enough staff around when needed. One person told us that when they used the call buzzer at night, staff always responded quickly. Staff told us there were usually enough staff to meet peoples individual needs. We observed that there appeared to be enough staff at busy times to ensure peoples needs were met. We looked at the current staff rotas and found that staffing at weekends had been improved since the last inspection as there was an additional care assistant on duty. The AQAA said that 11 out of 25 care assistants had already acheived National Vocational Qualification (NVQ) Level 2 or above, and that another 5 care assistants were working towards the qualification. The home had almost reached the 50 of care assistants with NVQ Level 2 or above required to meet the National Minimum Standard. Care Homes for Older People Page 21 of 28 Evidence: We looked at the records of four members of staff. All the records included the required documents and information, such as a Criminal Records Bureau (CRB) disclosure and two written references. New staff had an induction programme that met Skills For Care standards. Staff had recieved training in all the required areas, such as manual handling and fire safety. Staff had also received training about caring for people with dementia. Training was booked for staff to receive information about the Mental Capacity Act 2005. Care Homes for Older People Page 22 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 home was well managed and there were satisfactory systems in place so that the health, safety and welfare of people was promoted and protected. Evidence: The manager was suitably qualified and experienced to run the home. She was working towards the Registered Managers Award and hoped to complete this by November 2008. The manager and deputy manager worked closely together to ensure compliance with regulations and National Minimum Standards. People told us the manager was very approachable, and they said they were happy to go to her with any concerns. Staff told us the manager was easy to get on with. One member of staff said, I have an excellent working relationship with my manager. Staff told us the home was a friendly, happy place, and, the atmosphere at work is good. Staff told us that communication in the home was usually good. Care Homes for Older People Page 23 of 28 Evidence: The quality assurance system included an annual audit using a specialist tool to ensure compliance with regulations and National Minimum Standards. There were meetings approximately every three months for people living in the home and / or their representatives. The manager said these meetings were not always well attended as people said they preferred to come directly to her with any issues or concerns. There were satisfaction questionnaires given out to people in the home and / or their representatives. There was no report produced to show the action taken as a result of the analysis of the questionnaires. The provider made regular visits to the home and produced a monthly report that included the comments of people living in the home and staff. The AQAA was completed by the manager and returned by the date requested. The self-assessment section gave a reasonable picture of the current situation in the home. There were areas where more supporting evidence would have been useful to show what the home had achieved in the last year and how they planned to improve. The data section was fully completed. We looked at the records of personal money held for people living in the home. The records were up to date and the money was securely kept. The AQAA showed that maintenance and servicing of equipment was up to date. Staff training records showed that staff had received the required training, such as manual handling and fire safety. The accident records seen were satisfactory. As noted in the Health and Personal Care section of this report, wheelchairs were used without footplates and not all people had appropriate risk assessments in place. 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 7 15 For the identified person, there must be a care plan that includes all of their assessed needs, specifically, their pressure area care and nutritional needs. This will ensure that the persons needs are fully met. 30/11/2008 2 8 13 There must be a risk 30/11/2008 assessment in place for each person using a wheelchair without the footplates in place. This will ensure that any risks to people are identified and minimised or eliminated. 3 9 13 Medication must be kept securely at all times. When the medication trolley is open and in use it must not be left unattended. This will ensure that risks to people are minimised. 30/11/2008 Care Homes for Older People Page 26 of 28 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 Daily records should be completed each day with no gaps left. This will ensure that records are contemporaneous and will help to protect people. Care plans should be reviewed every month, or more often if there are changes in the persons needs and abilities. This will help to ensure that peoples needs are consistently monitored and fully met. People living in the home, and/or their representatives, should be actively involved in care planning and review. This will help to ensure peoples needs are met in the way they expect and prefer. Where medication is prescribed as required, the persons care plan should have full details of the circumstances in which the medication should be administered. There should be details of any alternative action staff should try before using the medication. This will ensure that people are protected and are given medication as prescribed. The home should employ an activities coordinator with relevant skills and experience, and the range of activities should be developed to ensure that the needs of all people in the home are met. The menu for each day should be made available in large print and should be displayed where people in wheelchairs can see it. This will provide people with information to make choices. The outcome of complaints should always be recorded to ensure a fully robust complaints system. There should be a report produced from the analysis of quality assurance measures. The report should detail the issues raised and the action taken to address them. This would ensure that peoples views and opinions are taken seriously and used to make improvements in the home. 2 7 3 7 4 9 5 12 6 15 7 8 16 33 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!