Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Summer Lane Care Home Diamond Batch Worle Weston Super Mare North Somerset BS24 7AY The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Melanie Edwards
Date: 1 0 1 1 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. 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. 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 27 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home
Name of care home: Address: Summer Lane Care Home Diamond Batch Worle Weston Super Mare North Somerset BS24 7AY 01934529190 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Summer Lane Care Home Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 90 Number of places (if applicable): Under 65 Over 65 45 45 dementia old age, not falling within any other category Additional conditions: 0 0 May accommodate in the Balmoral Suite up to 45 people in category OP, who require nursing care, of whom up to 5 may be 60 - 64 years of age. May accommodate in the Waverly Suite up to 45 people in category DE(E) who may require nursing care of whom up to 5 may be 60 - 64 years of age. Date of last inspection Brief description of the care home Summer Lane Nursing Home is a purpose-built home that opened in September 2005. The Home is in a residential area close to local facilities and the M5 motorway. Weston-super-Mare town and the seafront are a few miles way. Summer Lane is comprised of two units: Balmoral on the ground floor which caters for older people with general nursing needs, and Waverley on the first floor which caters for people with nursing needs due to their Dementia. Each unit is divided into clusters of bedrooms Care Homes for Older People
Page 4 of 27 Brief description of the care home around smaller lounges and kitchen-diners. A spacious lounge leading off the foyer is used for entertainments and meetings. There is a large central garden. Downstairs bedrooms on the inner side of the square all have French windows facing onto this garden. Downstairs bedrooms on the outer side of the home have French windows leading on to small patio areas and a secure walkway around the outside of the building. There is also a large enclosed garden at the back of a property for use by people on the upstairs wing. This wing has a spacious patio roof garden that is accessible from the activities room. A local GP provides a weekly surgery at the home as well as additional health care support needed. A Consultant Psychiatrist also visits the Waverley wing on a regular basis. Fee levels range between 650 and 800 pounds Fees exclude hairdressing, chiropody, newspapers and toiletries. Care Homes for Older People Page 5 of 27 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We did the inspection was over three days. Sue Fuller who is one our or Pharmacist Inspector assisted with the inspection on one day. We met over fifty two of the residents living at the home. We met the acting manager, five registered nurses, six care assistants and two chefs. We talked to them about roles, responsibilities, training needs, and how they assist residents. We saw the staff assisting residents with their needs on each day of the inspection. Care Homes for Older People
Page 6 of 27 We saw lunch being served on each day of the inspection. We looked at a selection of records relating to the running and management of the home. We read nine residents assessment records and care plans. We saw the majority of the environment and the only areas that we did not check were a small number of bedrooms. We looked again at the AQAA this is a annual quality assessment document that all homes are required to complete. We found that the home was operating within the required conditions of registration set down by the Commission. The conditions of registration detail the type of care and the needs of residents, and the numbers of residents who may stay at the home. 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 27 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 27 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 being well assessed and well met by the home. Prospective residents and their representatives have the information they need to make an informed choice about the home. The home does not provide intermediate care. Evidence: To find out how prospective residents and their representatives are helped to know about the service we looked at a copy of the service users guide and a copy of the statement of purpose. We saw in the statement of purpose and the service users guide a good range of information about the service for residents, the staff qualifications and the accommodation. The philosophy of care and how the service aim to meet residents needs is also written about in both documents. The complaints procedure is in the service users guide so that residents know how to complain about the service. Since
Care Homes for Older People Page 10 of 27 Evidence: the last inspection the statement of purpose has been updated and it now sets out the reason for the use of keypad entry systems on the first floor. This is to explain the reason why residents who have dementia and live on the first floor need this protection. We saw a colour brochure with photographs of the home and other useful information. There is also a website that tells people about the home. We looked in good detail at nine residents assessment records to see how well their needs are being assessed. The registered nurses have written detailed and helpful assessments for each residents range of nursing and social care needs. We saw an assessment for each resident of the risk the person may face of falling. There was also an assessment carried out of the persons skin vulnerability and the risk of the person getting a pressure sore. We saw a moving and handling assessment for each person setting out how best to help them with their mobility. There was also a dietary assessment recording what the persons nutritional needs are and how to help them meet those needs. We found the assessment records to be informative and showed the residents and their families had been asked out about their range of physical, mental and social needs. We could see that the assessment records related clearly to the care plans, and showed a detailed assessment of the persons needs had been carried out and that plans of care had been written based on the initial assessments. There were many comments of satisfaction expressed by residents and relatives about the care they receive and how they feel their needs are being met. Examples of comments made included, the home is excellent for my husband its the best one around, pretty reasonable service from the staff and the staff are pretty good and sometimes there dont seem to be enough staff and at weekends. We looked closely at the staffing levels in the home, which we have written about in the staffing section of the report. These comments were reflective of many comments made and tell us residents, relatives and significant others are satisfied with the service. Residents are not provided with intermediate care at the home. Care Homes for Older People Page 11 of 27 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. Care plans demonstrate well how residents needs are met. Residents are treated in a respectful and polite way by the staff. Medicines are handled safely in the home so that residents health is protected. Evidence: When we talked to residents and relatives they told us the staff are very helpful, kind and caring, when they assist them with their needs. We noticed that the staff were very welcoming warm and friendly to residents and visitors on each day of the inspection. We read nine residents care plans so that we could see how well residents are supported to meet their needs. We found the care plans to be informative and detailed how to meet the care needs of each resident. The care plans stated what actions staff
Care Homes for Older People Page 12 of 27 Evidence: must follow to assist the resident to meet their needs. Care plans included information about each residents physical psychological, social communication and spiritual needs. They had been written from an initial assessment of what the residents needs are and what support and help they need. The home has introduced a new style of care plan that is written in a much more individual and person centered way. We read three of the new style care plans. We found them to be really well written and they reflected the uniqueness of each resident. The care plans we saw had been had been reviewed and updated regularly by registered nurses. This helps to demonstrate residents needs can still be met. The pharmacist inspector visited the home on the third day of the inspection. We found that a doctor visits the home regularly to see residents. Medicines are supplied to the home monthly by a local pharmacy using a monthly blister pack system. At present no-one living in the home is able to look after all their own medicines, although one person looks after their own inhaler and another gives themselves a prescribed injection. The home has a self-medication policy. This should be updated to include a risk assessment so that staff can assess whether someone who wishes to look after their own medicines can do this safely. Two people we spoke to, confirmed that they liked staff to look after their medicines. A homely remedy policy is available so staff can treat minor ailments. To make sure that these are used safely, suitable records need to be kept on each floor of the home. Suitable storage is available for all medicines. A medicines fridge is available on each floor. Medicine trolleys are used to transport medicines safely around the home. Staff carry out an audit of medicines each week to make sure that they have been used safely and this is good practice. The pharmacy provides printed medicines administration record sheets each month for staff to complete. These had been filled in clearly showing that medicines had been given as prescribed. We checked a sample of medicines and found that the administration records agreed with the quantities of medicine missing from the packs. A policy is in place to make sure that medicines prescribed when required are given safely. Staff need to ensure that this policy is followed on both floors of the home and that information about the reason for giving these medicines is available. This is to make sure these medicines are used appropriately. Several people living in the dementia unit have their medicines disguised to make sure that they can take them. We checked three peoples records and saw that each person had a care plan to cover this. The practice had also been agreed with the persons
Care Homes for Older People Page 13 of 27 Evidence: doctor and their relative. Staff told us that one person living on the ground floor unit also needed to have their medicines disguised. We discussed what further action would be needed to make sure that this is done safely. Care Homes for Older People Page 14 of 27 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 offered a varied nutritious and really well cooked diet and a range of social and therapeutic activities that are suitable for their needs. Residents are able to keep close contact with family and friends if they so wish. Evidence: There are three activities coordinators who work with the residents in all parts of the home. As was also applicable at the last inspection we saw the activities co coordinator who works with residents with dementia show a really good sensitivity to the needs of the residents when she talked with them. We saw her engaging residents with limited communication in a range of social as well as therapeutic activities that they looked to be very much enjoying. Residents made remembrance wreaths in honor of Remembrance Sunday. As was also applicable at the last inspection, in the afternoon of the second day of the inspection a local musician entertained residents. We saw residents staff and visitors singing along to the music and looking relaxed and as if they were enjoying the entertainment. We saw the flexible timetables of social activities for residents throughout the home. The timetables help ensure residents know what activities are taking place. We could see residents can do a range of social
Care Homes for Older People Page 15 of 27 Evidence: activities as well arts and craft classes and regular trips out into the local community. There is also an activities room used for a range of arts and crafts and social activities. As was also applicable at the last inspection, there are a few residents have their own cats that live with them at the home. It was obvious to us that the residents who have cats at the home very much appreciated this. We saw the hairdresser service taking place during the inspection and a number of residents have their hair attended to on a regular basis. The residents who we asked told us that yes they are able to choose what time they get up and what time they go to bed. Residents said they are asked about the meal options and their likes and dislikes. The acting manager also told us that there are residents meetings held in the home. These are good way for residents to exercise choices and have some autonomy in their daily lives. To find out about the quality of food provided a portion of both lunchtime meal choices were tasted on each day of the inspection. As we had also found at the last inspection the meal choices on each day were very tasty very well cooked and well presented. We saw a choice of homemade puddings, fresh fruit salad, or yoghurts for dessert. Residents can also choices other options if they do not like the two main meals choices and several residents were observed having different meals. Special diets are also well catered for. We also observed how residents who need to eat a soft diet are given food that is well presented on the plate. We looked at the residents menu and we saw a really good range of meal choices that are really well balanced and varied. Care Homes for Older People Page 16 of 27 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. Quality in this outcome area is good. Residents are well supported to make complaints about the service. There is good training and in house procedures in place to help to protect residents from the risk of abuse. Evidence: We saw an up to date copy of the complaints procedure on display in the reception area. The procedure includes our details for anyone who wishes to contact us directly. The contact details of the registered providers of the home are included if residents or representatives wish to contact them to complain. Residents knew who to complain to if they were unhappy. We talked to the staff about how they support residents with dementia if they thought they were unsatisfied or unhappy by the service. The staff demonstrated a good understating of their role in representing the views of residents who may not be able to directly express them. We looked at the record of complaints received to see how the home responds when complaints are made. There had been five complaints received since the last Key inspection relating to care practices. We saw written information to show the acting
Care Homes for Older People Page 17 of 27 Evidence: manager and the previous acting manager are responding thoroughly to address the complaints. We have been told that there are residents meetings held. This is a good opportunity for residents to complain if they need to. There is a procedure in place relating to the issue of protection of vulnerable adults from abuse. The procedure now makes reference to the need to contact and be guided by the North Somerset Adult Protection team in the event of an allegation of abuse. This had been a recommendation at the last key inspection. We saw a copy of the homes whistle blowing policy for staff to be supported and to feel confident to raise allegations of poor practise. All staff are given a copy of the policy to ensure they know their rights and are protected if they do raise legitimate concerns. Since we did a Random Inspection in July this year in response to a complaint we had received the staff have had training in the use of the whistle blowing policy and how to report alleged bad practise. Care Homes for Older People Page 18 of 27 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. Quality in this outcome area is excellent. Residents live in a home that is safe and well maintained. The environment is also very suitable for the needs of the residents who live there. Evidence: We have quoted parts of this section of the report from the last Key Inspection report we did as the information still applies: Summer Lane Care Home is run as two units. Balmoral Unit is on the ground floor. This Unit is run to provide care and support for older people with general nursing needs. Waverley Unit is on the first floor that caters for older people who have dementia. Bedrooms and communal rooms are spacious and the standard of fixtures and fittings are of a very high standard. The Home was very clean in all of the areas that were seen. There are a variety of communal rooms. These include an activities room, a hairdressing salon and a spacious function room. We saw residents sitting in the communal areas looking very relaxed and comfortable in their surroundings. Bedrooms on the ground floor have French windows onto either the large central garden or a small garden by the entrance.
Care Homes for Older People Page 19 of 27 Evidence: Each Unit has been split into groups of a dozen bedrooms There is a lounge and a dining room as part of each group. All bedrooms are for single occupancy and are spacious with en suite toilet facilities. A number of bedrooms have an internal connecting door that allows them to be used as a double bedroom with private lounge by couples that wish to share. A number of residents told us how they very much like their bedrooms. Each bedroom has a television and telephone lines are in many of the rooms. There are call bells fitted in each bedroom so that residents can call staff for help if they need to. The building is easily accessible for people with reduced mobility. There are two passenger lifts so that people can get to the first floor easily. There are adaptations in place throughout the home to help residents and visitors who are disabled. There is a full time maintenance worker employed to do general maintenance they were seen carrying out their duties during the inspection. We checked the service records for the fire fighting equipment, the lift, and electronic equipment. The records showed that an external contractor had serviced equipment in the last twelve months. This helps demonstrate that the Home is safe and well maintained. Care Homes for Older People Page 20 of 27 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. Residents are cared for by enough staff who are trained and competent to support residents to meet their needs. Evidence: The acting manager has a daily meeting with senior staff and unit managers. This daily meeting is to improve communication and working relationships among the staff team. This shows good management in the home. There are full time catering domestic and laundry staff also employed although the number of these staff was not reviewed at the inspection. The staff team do a range of training in and outside of the home. There are also outside speakers who come to the home and talk to staff about a range of clinical and general issues relevant to residents needs and the running of the home. The acting manager run a health and safety training course for staff dung the inspection. This is to keep them up to date in their health and safety knowledge. We talked to registered nurses and care staff. We could see they have a good understanding and awareness of residents range of needs. Staff also spoke very positively about the commendable range of training and development opportunities that they can do. The training records of three registered nurses and three care assistants were
Care Homes for Older People Page 21 of 27 Evidence: reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. There is a high number of staff in the Home who have obtained National Vocational Qualifications. A National Vocational Qualification in care trainer was having a tutored with care staff on the third day of the inspection. Catering staff and ancillary staff have completed NVQ qualifications in subjects relevant to the work that they do. On all of the days of our inspection we saw that the staff on duty helped residents in a patient, kind and friendly way. We saw good communication skills being used by the staff to support residents who have dementia. We saw the staff show skill and considerable patience when helping the residents. The staff were observed on all days of the inspection assisting residents with their care needs. We could see that staff were warm and friendly in manner and residents have built up good and warm relationships with them. Care Homes for Older People Page 22 of 27 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. Resident benefit from the acting managers ability to run the home very well. Residents are protected by the health and safety systems and procedures in place in the home. The staff team are being appropriately supervised in the work they do. Evidence: Ms Skipper is the acting manager and is applying to be registered with us as manager. She has previously been a registered manager in a care home in another part of the country. Ms Skipper has worked at Summer Lane for two months. Ms Skipper demonstrated she is a competent manager who is committed to improving the overall standards even more. When we did our last inspection we had also met the previous acting manager who was temporarily running the home before Ms Skipper started work. The previous acting manager also works for the same company and runs a home in another area. They also demonstrated to us good management and leadership when running the home.
Care Homes for Older People Page 23 of 27 Evidence: The senior staff in the home have daily meetings with the manager to maintain good communication among a very large staff team. Ms Skipper has met with residents relatives and significant others to talk to her about any concerns and problems they have with the home. We checked the finance records of two residents. The home hold a number of residents money for safekeeping for them. We checked the records and cash of several residents. We found that the records were confusing and hard to audit. This could be due to the home using at least three books to record different money held in the home. We spoke by telephone to a financial manager who works for the owners of the home and is based in another of their care homes. They explained to us that they would come to the home and put in place a workable system that is easy to follow and audit. The staff told us that they get good support and supervision to help them in the work they do and in understanding residents needs. We saw written evidence that demonstrated staff have regular supervision sessions and meet with senior staff to discuss work matters and their own work performance on a regular basis. We saw that there are health and safety policies and procedures in place for staff to follow to ensure the safety of residents is maintained. We also saw good evidence that health and safety practices in the Home are also addressed at regular staff training days. The manager and the maintenance manager take responsibility for health and safety matters in the home. They do regular health and safety checks of the environment to ensure it is safe throughout. Care Homes for Older People Page 24 of 27 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 27 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 1 35 16 There must be a safe system 10/12/2009 in place for the handling, and recording of residents money that is looked after by the home. Financial protection for the residents. 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 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!