Inspection on 15/10/08 for Stamford Court

This inspection was carried out on 15th October 2008.

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

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

Other inspections for this house

Stamford Court 21/11/06

Stamford Court 14/12/05

Stamford Court 08/06/05

Stamford Court 08/03/05

Stamford Court 05/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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: Stamford Court Astley Road Stalybridge Tameside SK15 1RA     The quality rating for this care home is:   three star excellent 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: Ann Connolly     Date: 1 5 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Stamford Court Astley Road Stalybridge Tameside SK15 1RA 01613039955 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Christine Evans Type of registration: Number of places registered: Meridian Healthcare Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: A minimum of two registered nurses must be on duty at all times. A suitably qualified person must be employed by the home to undertake the clinical supervision of nursing staff. No more than 7 service users must be accommodated between the ages of 60 and 64. The home is registered for a maximum of 40 service users to include: *up to 40 service users in the category of OP (old age not falling within any other category). *up to 5 service users in the category of PD (Physical disability under 65 years of age). *up to 40 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 10 service users in the category of DE(E) Dementia over 65 years of age) The manager must be supernumary at all times. Date of last inspection Care Homes for Older People Page 4 of 26 Over 65 10 40 40 0 0 5 Brief description of the care home Stamford Court Nursing and Care Centre is a purpose built care home that was first registered with the Commission for Social Care Inspection in May 2004. Tameside Care Limited owns the home which is registered to provide nursing care and personal care to 40 people, primarily to older people with various disabilities. The home is situated in Ashton approximately two miles away from Ashton town centre and the centre of Stalybridge. Local amenities and access to local bus services are readily available. Stamford Park is situated very close to the home. Outside the home, there are car parking facilities and small garden areas. Accommodation is provided over two floors. Each floor accommodates twenty service users. All bedrooms are spacious single rooms providing en-suite facilities. A choice of bathroom or shower is available on each floor. Each floor has lounges and dining areas including kitchen areas to prepare snacks and drinks. Smoking is not allowed in any area of the home. A copy of the home?s last inspection report was available from the main reception of the home. The current weekly fees range from #350.16 to #473.74 dependent on the package of care required. Further details regarding fees are available from the manager. Additional charges are made for hairdressing, newspapers and other personal requirements. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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 was a key inspection that included a site visit to the home. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social care (CSCI) about the service provided at the home since the last inspection. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home, and some relatives and visiting professional. Discussion took place with them to find out what they thought about the home and what they felt about how the staff supported them. A tour of the building took place and residents were asked for their comments and views about the environment. Care Homes for Older People Page 6 of 26 Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using the service. The information provided on this occasion was detailed and comprehensive and showed us that this was an organisation committed to the ongoing development of the service and staff team so that residents in the home benefit from positive outcomes. Surveys were sent out to residents and staff and there was a good response which gave us more information about this service. Since the last inspection visit which took place on 21st November 2006, the Commission have not received any recent complaints about the service. There was evidence during this visit that the manger was handling complaints well and followed correct polices and procedures for manging complaints and safeguarding issues. What the care home does well: What has improved since the last inspection? The home continues to look at performance in the home, and has looked and has improved meal choices for residents. Plans show that there are programmes in place for ongoing improvements for the environment. Care Homes for Older People Page 8 of 26 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 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are assessed prior to admission to the home so they are confident that their needs will be met, and the home can be sure that it can meet individual assessed needs. Evidence: Four care plan files were looked at during this visit. All of these had a comprehensive assessment in place, and the information was used to generate a working care plan. Information from the care managers assessment or nursing assessment was used as part of the information gathering process. From discussion with the manager it was evident that it was usual practice to visit any prospective resident in their own home prior to arranging an admission. Arrangements were in place to visit a prospective resident the following day. Visits to prospective residents ensured that a detailed assessment was completed, and meant that both the home and the resident could feel confident that assessed needs Care Homes for Older People Page 11 of 26 Evidence: could be met. The information in the admission document showed that prospective residents were consulted about their day to day life style preferences. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents care needs are set out in a plan of care which is regularly reviewed. This means that residents can be confident that their care and support needs will be met in a safe way. Medication practices and polcies and procedures ensure that residents receive their medication safely. Evidence: The home provides nursing, care and support across a range of needs. Four care plan files were looked at. The care plans were person centered and focused on individual assessed needs. There was evidence that nutritional screening formed part of the plan, and records showed that residents had access to a wide range of healthcare support services. Any resident who has to attend out patient or hospital appointment is provided with a staff member to escort them and provide appropriate support. Risk assessments were in place, with clear strategies on how to reduce and minimise risks in the home. There was evidence to show that regular evaluations and reviews were taking place on each specified care need. Records showed that needs were monitored Care Homes for Older People Page 13 of 26 Evidence: and that changes were made to care plans as appropriate. Care plans showed that consultations had taken place with appropriate healthcare professionals and support services, and that their recommendations and guidance had been incorporated into the care plans. Daily recordings made by care staff are linked to the care plans and provide evidence of how care needs are met and how residents are supported during the day. One resident spoke to us about a specific medical problem, and was highly complimentary about how the staff supported her. Her care plan provided detailed assessments of this medical problem, and there was a treatment plan in place that gave staff information on how to meet these specific care needs. On another care plan, weight loss had been identified. The plan provided clear instructions for staff on how to manage this and support the resident to maintain healthy body weight. There was documentary evidence to show that the manager and senior staff carry out regular audits of care plans. This helps to ensure that information is relevant and kept up to date with accurate recordings. Care plans are also reviewed periodically by the area clinical manager. Residents and their relatives were spoken to during this visit. All of these people provided positive feedback about how the staff in the home supported them. Comments from residents included They are all so kind here, Its very good here. The staff here are very friendly and they usually come very quickly to help me, One relative said that she had nothing but praise for the staff and the manager. She said that she felt confident in contacting them at any time and that they were very good at keeping her informed. Comments included The girls (staff) are excellent. The nurses are wonderful and they have always got time for me. The standards are very high here. Medication is stored appropriately. Systems are in place to monitor the receipt, disposal and storage of medication in the home. The medication file contained appropriate documentation, for example a photograph of each resident on the medication administration record (MAR) for identification purposes. A copy of specimen signatures of all staff who are responsible for the administration of medication. There was a copy of the company policy for the safe administration of medication, which provides staff with a quick reference tool. Controlled medication records were looked at. There were in order and the stock levels balanced with the records. One visiting pharmacist spoke highly of the staff and the support they provided to residents. She added that the home were good at following instructions. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to maintain contact with their family and friends and to live a life that suits their individual lifestyle choices and preferences. Residents are offered a choice of meals which offer a well balanced nutritious diet. Evidence: Residents in the home told us that they enjoyed the lifestyle available to them in the home. They said they were able to receive visitors from family and friends at any time and that their visitors were always made to feel welcome. There were mixed views about the level of activities offered in the home. Some residents said they would like more activities to be made available, but added that Staff do their best. One resident said, Staff are friendly and nice and usually come and help me quickly. We used to have keep fit activities on a Thursday afternoon but we dont have this anymore, I used to enjoy this. I would like more activities. The meals are always very nice. Staff in the home said they tried to give residents one to one time but sometimes found it difficult to do so because of the high dependency levels of some of the residents. An activities organiser used to be employed by the home. This post is no longer Care Homes for Older People Page 15 of 26 Evidence: available. However, the manager said that there were plans to provide additional staff hours so that more time could be spent coordinating age appropriate activities on a one to one basis, which she said she felt would be of more benefit to some of the residents in the home. A suggestions box is located in the reception area of the home and residents and their relatives are encouraged to give feedback about the quality of services in the home and give suggestions on how to improve any aspect of the service including leisure activities. Daily records are maintained to show that residents have been involved in activities during the day. Weekly visits are made by representatives from the local church and there was evidence to show that the manager and staff support residents to attend religious services as a regular arrangement and for special occasions and events. There was a letter from a visitor which recognised the work done by the home to support residents to maintain links with the local church. The letter stated, The work done by this home demonstrates the high standard of personal and spiritual care shown to residents. Residents and their families confirmed that routines in the home were flexible and fitted into the lifestyle preferences of each individual. Meals served in the home were well presented and appetizing, providing a well balanced and nutritious meal. Some residents were given meals which suited their needs at the time, for example if they felt unwell and had asked for something they fancy. This was done to encourage their diet intake and tempt them to maintain a good healthy diet. Residents told us that choices were always available. comments from residents included The meals are lovely, The food is lovely, but I have not always been well enough to enjoy it. This individual approach to residents and listening to their likes and dislikes extended to an individual approach used by the cook. She told us that she regularly consults with residents about what they like and what they would like included on the menu. She confirmed that when people were unwell she would resource preferred choices from local suppliers at short notice. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents rights are protected by robust polices and procedures and there is an open, transparent approach to managing complaints. Evidence: The home has a comprehensive complaints procedure, which is made available to existing and prospective residents and their representatives. The complaints procedure is displayed in a prominent position in the reception area of the home. There have been no complaints made to the home recently and the Commission has not received any recent complaints about this service. During discussions with the manager, there was evidence of an open and transparent approach to any complaint and concern. The manager said the staff were pro active in responding quickly to concerns raised by residents and their families. This meant that issues of concern could be managed and addressed quickly and efficiently, so that positive outcomes were experienced by any complainant. There was evidence in documentation and in the information provided by the manager in the AQAA document, that safeguarding and adult abuse issues were reinforced to staff in supervision sessions and staff meetings. The training programme included the protection of vulnerable adults. Every month there is a themed training focus and staff said that this was helpful for them in consolidating the formal training they received. Themed training included safeguarding adults where good practice and approapraite polcies and procedures were reinforced. Care Homes for Older People Page 17 of 26 Evidence: All of the staff who were spoken to had a good understanding of issues around abuse and what to do in the event of an allegation of abuse. They had a sound knowledge that social services must be informed and take the lead in allegations of abuse and that the Commission must be informed. Residents and relatives who were spoken to expressed confidence in raising any concerns to the manager or staff team. Relatives said that the staff were very open and responsive when a concern was highlighted to them. They said that staff were always prepared to listen and said that they always knew that any issue would be addressed promptly. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides residents with a safe and hygienic environment which is maintained to a good standard. Evidence: The home provides residents with a safe, hygienic and pleasant environment. All areas of the home were maintained to a good standard, and the manager said there were plans to continue with an ongoing programme of redecoration. There were plenty of lounge and small pleasant areas for residents and their families to enjoy. All residents who were spoken to expressed satisfaction with their bedrooms, and many had taken the opportunity to personalise them with their own small items of furniture, ornaments and pictures. There was a high standard of hygiene and cleanliness throughout the building and all areas were tidy. Infection control policies were in place and liquid soap and paper towels were provided in most bathroom and toilet areas. A group of residents said they loved the outdoor space and said they really liked being outdoors in the nice weather. The Kitchen facilities were looked at and there was evidence of a high standard of cleanliness in this part of the building. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust recruitment and training programmes were in place. Residents using the service can be confident that staff receive appropriate support and training to ensure that they have the right skills to help them to meet the needs of the people they provide care and support to. Evidence: During this visit, there were sufficient staff on duty to meet the needs of the residents in the home. Staff were observed engaging in meaningful conversations and responded quickly to any resident asking for support. One resident said, Mostly staff come quickly to help me. Information provided in the annual quality assurance assessment and statistics for staff training showed that nearly all staff have NVQ level 2, or above, in care, or are enrolled on this course. Staff who were spoken to confirmed that they had access to training and development opportunities. Three staff files were examined and contained the appropriate paperwork and documentation as required by regulation. Files examined contained two written references and Criminal Record Bureau (CRB) checks and pin numbers where appropriate. The files were well organised and there was evidence to show that all staff files were regularly audited to ensure that all documentation was in place and up to date. Care Homes for Older People Page 20 of 26 Evidence: During discussions with staff it was evident that there were good opportunities for training and development. All staff had a good understanding of adult safeguarding. Staff in the home said they felt that they worked well as a team. All staff said they felt well supported with training and development opportunities. One member of staff said that she had worked in the home for over two years, and recalled that her induction was very detailed and consisted of a series of workbooks that were regularly assessed to check her competency levels and approach to her work. She confirmed that she had completed NVQ Level 2 and was currently undertaking in house senior carer development training. She confirmed that the organisation and the manager supported staff to access training and to continue with their individual personal development. Other staff said that training was mostly interesting and relevant to their role, for example in addition to mandatory training they were encouraged to do distance learning, and recent training by this method included equality and diversity and dementia training. Staff said that the manager was very supportive with all aspects of their training. Some staff said that they found the themed training very useful. This is where every month there is a theme for staff to consider, for example care planning, safeguarding etc. Supervision was used to reinforce the chosen theme and small training groups were organised so that staff had the opportunity to discuss the topic and participate in a series of learning tasks. One of these training events was taking place during this visit. The training session was well attended and from discussion with staff, there was evidence of a well motivated staff team who were keen to develop their knowledge and skills base. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This service is run in the best interests of the residents, and the management ensure that the safety and welfare of residents and staff is promoted. Evidence: Residents and staff expressed confidence with the way in which the home was managed. All people spoken to said that the manager was always approachable. One of the relatives spoken to during this visit said that she had found the manager very responsive to any problems, and that she was approachable and quick to respond to any complaints. One relative said, I visit the home often and I have got nothing but praise for the staff and the manager. The manager is very approachable and I can contact her at any time. They are very honest and keep me informed. They have been a huge support to me and my father. There was documentary evidence of regular staff and residents meetings. The meetings were used as a forum to exchange views and to seek the views of residents about how the service could be developed. Information in the AQAA stated that quality monitoring systems were in place. There Care Homes for Older People Page 22 of 26 Evidence: were examples seen during this visit of good practice in monitoring a number of practices in the home, for example, care plans, medication, staff training and supervision. Staff were very positive about the way in which the home was managed and about the support they received from the manager. All staff said they were regularly supervised and could approach the manager about anything. One member of staff said, We get supervision at least once a month and this gives us an opportunity to talk about how we are developing. The manager is very approachable and we can approach her at any time about a concern. If we are unsure about anything we get the support we need and the manager will spend time with us to retrain us. Information in the AQAA provided evidence that good standards were maintained for the maintenance of equipment for health and safety including fire prevention equipment. Records were in place which confirmed that all health and safety checks relating to fire equipment and these were up to date. The manager had documentation to show that she regularly attended training courses and distance learning to continue with professional development. She told us that the service was at completion stage to be accredited for the Gold Standard Framework. This enables the home to work with healthcare professional to support residents who are nearing the end of their life to stay and be cared for in the home if this is their preferred choice. There was evidence of quality assurance reports which showed what consultations had taken place with anyone interested in the development of the service in the home. The information collected during this process is put into a report which is made available to residents in the home and any other interested party. An action plan is generated following the findings so that residents can see that the home listens and responds to their views and suggestions. The home does not manage any of the residents finances. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!