Inspection on 02/06/09 for Shoreline Nursing Home

This inspection was carried out on 2nd June 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shoreline Nursing Home 04/11/08

Shoreline Nursing Home 28/02/08

Shoreline Nursing Home 24/01/07

Shoreline Nursing Home 21/11/05

Shoreline Nursing Home 15/06/05

Shoreline Nursing Home 04/10/04

Shoreline Nursing Home 22/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for older people Name: Address: Shoreline Nursing Home 2A Park Avenue Redcar TS10 3AT     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Katherine Acheson     Date: 0 2 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Shoreline Nursing Home 2A Park Avenue Redcar TS10 3AT 01642488277 F/P01642494582 shorelinenursing@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shoreline Private Home Ltd care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The home can admit 20 service users age 55 . Date of last inspection Brief description of the care home Shoreline Nursing Home is registered to provide personal and nursing care to a maximum number of 44 people. The home is situated on the sea front and is close to Redcar town centre where there are pubs, shops and other local amenities. The home is two storey, modern and purpose built. The ground floor of the home accommodates twenty people; there are eighteen single rooms and one double room. The first floor of the home accommodates twenty-four people; there are twenty single rooms and two double rooms. Thirty five of the bedrooms have en-suite facilities, which comprises of a toilet and hand washbasin, the remainder have a sink. All bedrooms meet the required amount Care Homes for Older People Page 4 of 28 Over 65 44 0 2 1 1 1 2 0 0 8 Brief description of the care home of space. The ground floor of the home has a combined lounge/diner; the first floor of the home has both a lounge and dining room. Toilet and bathing facilities are on each floor. 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 one star. This means that people who use the service experience adequate quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. This unannounced key inspection took place on the 2nd June 2009 and lasted for almost eight hours. A pharmacy inspection of the service also took place on the same day and looked at the homes systems and procedures for receipt, recording, storage, handling, administration and disposal of medicines. Care Homes for Older People Page 6 of 28 The reason for the inspection was to see how good a job the home does in meeting the national minimum standards set by the Government for care homes. Another reason for this inspection was to check the homes progress on requirements and recommendations highlighted at the last key inspection of the service in November 2008. Numerous records were examined including care records of people living at the home, medication records, risk assessments, complaints and staff records. People that use the service and relatives were spoken to during the visit. Discussions took place with the manager and deputy manager of the home. The cost of care at the time of the inspection visit ranged from four hundred and sixty three pounds and eighty pence a week to five hundred and seventy one pounds and eighty pence a week. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? Significant improvements have been made in both care planning and medication systems and practice since last inspection, however there is still need for further improvement. The homes statement of purpose and service user guide has been updated to include the required information. The homes adult protection procedure has been updated to inform staff of action to take if abuse is suspected and staff have received adult protection training. A new manager has been appointed. One person spoken to during the visit said, Things seem to be better since the new manager The homes induction has been developed to meet with the required standard and sixty nine percent of care staff working at the home have achieved a minimum qualification of NVQ level 2 in care. Regular checks now take place with the Nursing Midwifery Council to check the eligibility of nurses working at the home to practice. Water temperatures are now taken and recorded on a weekly basis, which helps to Care Homes for Older People Page 8 of 28 ensure the safety of people that use the service. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. 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. Assessments of people who are to use the service are carried out before they move into the home to ensure all needs can be met. Evidence: Since last inspection of the service the homes statement of purpose/service user guide has been reviewed and updated to contain the information needed so that people have enough information to be able to make an informed choice about Shoreline. Before going into Shoreline people who are to use the service are assessed by a social worker or health care professional. This assessment is forwarded to the home for the manager to look at to determine if the needs of the person can be met. Once this assessment has been reviewed the manager said that she visits the person at home or in hospital to introduce herself, answer any questions about the home and carry out a further assessment on the person. Care Homes for Older People Page 11 of 28 Evidence: The manager said that any person interested or needing to use the service or relatives are encouraged to visit the home to have a look round and meet the staff. Files of people that use the service that were looked at during the visit did contain evidence of assessment. The home does not provide intermediate care. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Significant improvements have been made in both care planning and medication systems and practice since last inspection, however there is still need for further improvement. Care plans need to include more detail, highlight risk and be updated with new treatment to ensure that needs are met. The homes current system for medication ordering does not ensure that there are adequate supplies of medication for people that use the service and as such treatment to their medical condition could be affected. Evidence: The care files of three people that use the service were looked at during the visit. It was evident that following the last inspection of the service the manager and staff at the home have worked extremely hard to improve the standard of care planning. Files contained a detailed assessment of needs for the person, evidence of nutritional screening, moving and handling assessments and a history of the person including school years, family details and other important and useful information. Following assessment of the person plans of care are developed. Care plans showed lots of improvement from last inspection, however there is still room for improvement. One Care Homes for Older People Page 13 of 28 Evidence: plan of care described in detail how to attend to a persons hygiene. This recorded that the person could wash their own hands and face, but needed help to wash the rest of their body. The plan of care also detailed how the person liked to have their nails painted. One person had a plan of care /risk assessment for ensuring safety this plan of care stated, Needs full assistance to be safe within and outside of the home. This plan of care did not highlight areas of risk or describe what is meant by full assistance. One file looked at was that of a person who was prescribed a food supplement. The deputy manager said that this person had been prescribed the food supplements mid May, however the plan of care had not been updated to reflect this. People who use the service looked well cared for and staff whilst attending to people showed respect in their actions and in the way they spoke. There is clear evidence of the involvement of GPs, District Nurses and other health care professionals such as chiropodists. People living at the home confirmed that if they were feeling unwell, the GP would be called. A number of people that use the service and relatives were spoken to during the visit. People in general were happy with care received, however three relatives did state that nurses working at the home do not communicate well with families and often gave conflicting information. Comments made included, Mum is well looked after and appears happy enough The communication between nurses is not very good and in particular day and night staff. Staff dont always follow through with what they promise. One nurse promised to do something yesterday, but it has still not been done Communication is not good. One nurse will say something and another will say something else. One said he/she had a chest infection the other said he/she had a urine infection I think the staff are very nice. If you treat people nicely then they treat you nicely People spoken to confirmed that their privacy and dignity was respected. During the inspection arrangements for receiving, storing, administering, recording and disposing of medication were observed and examined. Care Homes for Older People Page 14 of 28 Evidence: Examination of medication records and observation of a medication round highlighted that significant progress has been made since last inspection of the service. Medication policies and procedures have been updated and key staff are aware of safe procedures to follow. Some work still needs to be done to bring policies and procedures in line with current practice. Appropriate records of medication coming into the home and that destructed are kept. Staff are recording the amount of medication carried over from one month to the next. Medication audits are carried out by senior staff working at the home. People who were responsible for administering their own medication had a risk assessment completed within their plan of care. Improvement is needed when recording on Medicine Administration Records. An audit of current medication in stock and records showed that some medication had been signed for but not given and there were some gaps on Medication Administration Records. The first floor medicines room was too warm and records showed that the temperature of the medication fridge was too warm. There was a stock of medicines , which have a limited life once opened. These medications were not always marked with a date of opening. Some nutritional supplements, which were out of date and unlabelled were found in the first floor medicine room. Medication Administration charts for several people showed that medication had not been given because medication had been out of stock. The manager was asked to take immediate action to address the situation. The day after the inspection the manager contacted the Care Quality Commission to advise that she had carried out an audit of all people who use the service to ensure that Medication Administration Charts were correct, that medication was in stock and that monthly orders had been corrected to ensure that enough medication would be received into the home each month. Care Homes for Older People Page 15 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. Appropriate and enjoyable activities do take place. Food provided is varied and enjoyed by people who use the service and as such promotes wellbeing. Evidence: The manager said that the home employs and activity co-ordinator to work twelve to fourteen hours a week and sometimes more. Activities taking place on a daily basis include, cards, dominoes and sing a longs. When the weather is warm people that use the service enjoy walks along the sea front with staff. On the day of the inspection the home were having a clothes party. People that use the service were able to try on the clothes and purchase them in the comfort of the home. A motivation company come into the home on a monthly basis to do games and gentle exercises . The manager advised that on the weekend before the inspection an organist had come into the home to entertain people and that some people had recently been to the local church to listen to an opera singer. The activity co-ordinator was busy planning for the homes summer fete. The home employs a hairdresser. No charge is made form cutting hair, sets and blow drys. A charge is made for a perm. One person spoken to during the visit said, Hair Care Homes for Older People Page 16 of 28 Evidence: is free of charge, which is great Families and friends are made to feel welcome, however are asked to avoid visiting at meal times. One relative spoken to during the inspection said, The staff always make me feel welcome and I can stay for as long as I like. The manager said that she is in the process of arranging a churches together meeting once a month. She that this is where people from all denominations come together and prayer. She said that two people in the home are currently visited by representatives from the Roman Catholic Church. The home has a four week menu plan. On the day of the inspection the lunchtime menu of the day was steak pie, chips and mixed vegetables or fish cake and chips. The lunchtime of people that use the service was observed. Lunchtime was generally relaxed with people enjoying the food provided. Those people who wanted were given juice or water with their meal and a cup of tea after they had eaten. Those people that needed help at mealtime where given the assistance that they needed. Comments made in respect of the food provided included, You get a good square meal and they encourage her to eat The food is quite nice Mum enjoys the food that is provided, she has a good appetite 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. People who use the service are encouraged and supported to make any complaint they feel necessary. Adult protection procedures are in place which helps to protect people from abuse. Evidence: The home has a complaint procedure, which informs people of who to contact and timescales for action. People spoken to during the inspection said that they would have no hesitation in approaching the manager or any member of staff to raise any concern that they may have. The home have received 3 complaints in the last twelve months. The home has an adult protection procedure which informs staff of who to contact if abuse is suspected. The manager said that staff receive adult protection training when they start working at the home and on a regular basis there after. Records were available to confirm that staff had received recent adult protection training. 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 standard of the environment is good providing people that live there with an attractive, homely and comfortable place to live. Evidence: Shoreline is a two storey, modern purpose built facility that is situated on the sea front in Redcar. The home provides personal and nursing care to a maximum number of forty four people. There are thirty eight single bedrooms and eight double bedrooms. The Inspector walked round the home with the manager. Communal areas are nicely decorated and contain furniture that is of a good standard. Since last inspection the dining room on the first floor has been decorated. Some of the bedrooms have been re-decorated and fitted with new carpet. Two relatives spoken to during the visit stated that they felt that the bedroom of the person that used the service needed decorating. This was pointed out to the manager at the time of the visit. Bedrooms looked at on the day of the visit were personalised and contained appropriate furniture. Many of the communal areas and bedrooms have beautiful views of the sea front. Care Homes for Older People Page 19 of 28 Evidence: On the day of the inspection the home was clean and tidy. Appropriate laundry facilities were in place. 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. The homes recruitment procedure is good, which helps to ensure that people are protected. Mandatory training and other training relevant to the job staff do is provided ensuring that staff are knowledgeable and experienced to meet the needs of people using the service. Evidence: At the time of the inspection visit there were thirty two people using the service. Sixteen people were receiving nursing care and sixteen people were receiving personal care. Duty rotas looked at during the visit showed that there were five care staff and two nurses working from 8am until 8pm. On night duty there were four care staff and one nurse. The manager of the home works five days a week, three of which are supernumerary. Sixty nine percent of care staff working at the home have achieved a minimum qualification of NVQ level 2 in care. Records were available to confirm that good recruitment procedures are followed. Three files of staff working at the home were examined. Appropriate references were on file as was evidence of Criminal Record Bureau checks. Records were available to confirm that staff working at the home receive induction training. The manager said that the homes induction has been developed to meet with Care Homes for Older People Page 21 of 28 Evidence: the standard set by Skills for Care. Staff files examined during the visit contained certificates to confirm that staff had recently attended training in moving and handling, fire, food hygiene, emergency aid and adult protection. The manager said that when a nurse is employed she checks that they are eligible to practice with the Nursing Midwifery Council and then on a regular basis thereafter. 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. Regular testing of water temperatures, the fire alarm system and appliances helps to ensure that health, safety and welfare of all is promoted and protected. Evidence: Since last inspection of the service a new manager has been appointed. The manager is a Registered General Nurse who has many years of experience of working in care homes and training. The manager is working towards achieving and NVQ level 4 in Management which she hopes to achieve by September 2009. The manager is aware of the need to apply for registration with the Care Quality Commission. The manager advised that she is to send surveys out to people that use the service and relatives in the next few weeks to make sure that people are happy with the home and the care that is received. She said that she had intended to send out earlier Care Homes for Older People Page 23 of 28 Evidence: but felt that people had filled in enough forms as they had needed to complete surveys when the home had been inspected and audited after Christmas by the council. The manager said that since she took up post she has had one meeting for people that use the service and their representatives. She said that she is to hold another in the very near future. The home looks after small amounts of money for some people that use the service. Appropriate systems were in place for dealing with money with records of transactions being kept. A sample of health and safety records were examined. Records were available to confirm that the homes fire alarm, fire extinguishers and gas boilers had been serviced in the last twelve months. Maintenance records for the home showed that water temperatures of baths/showers were taken on average weekly and that weekly tests of the fire alarm system take place to make sure that it is in safe working order. 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 9 13 Medication must be stored securely and safely at the correct temperature recommended by the manufacturer. A system must be in place to check expiry dates of medicines and add the date of opening when necessary This makes sure that medicine is safe to administer when needed 30/06/2009 2 9 12 Arrangements must be 20/06/2009 made to ensure that an effective system is in place to request, obtain and retain adequate supplies of prescribed medicines for people living in the home So that they can be given them when prescribed and treatment to their medical condition is not affected 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 The registered person should ensure that care plans for people that use the service are developed and updated to include more detail. Care plans should highlight areas of risk and clearly describe action taken to minimise the risk. Care plans should be updated to detail new treatment prescribed by the doctor to ensure that needs are met. The medicine policy should be updated in line with current guidance so that staff understand how to handle and administer medicines safely. The manager should achieve an NVQ level 4 in management or equivalent. The manager should forward her application for registration of manager to the Care Quality Commission. This will enable the Care Quality Commission to determine fitness and register. The registered person should carry out a quality assurance on a yearly basis based on the view of people who use the service. This will help to ensure that the home is run in the best interests of those using it 2 9 3 4 31 31 5 33 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC 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!