Inspection on 22/10/08 for Woodgreen Nursing Home

This inspection was carried out on 22nd October 2008.

CSCI found this care home to be providing an Good 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

Woodgreen Nursing Home 19/05/10

Woodgreen Nursing Home 10/03/10

Woodgreen Nursing Home 29/12/09

Woodgreen Nursing Home 03/12/09

Woodgreen Nursing Home 25/02/08

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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: Woodgreen Nursing Home 27 Wood Green Road Wednesbury West Midlands WS10 9AX     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: Linda Elsaleh     Date: 2 2 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 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: Woodgreen Nursing Home 27 Wood Green Road Wednesbury West Midlands WS10 9AX 01215560381 01215052772 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jennifer Weston Type of registration: Number of places registered: Woodgreen Care Home Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 40 The registered person may provide personal care (with nursing) and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 40 Date of last inspection Brief description of the care home Woodgreen Nursing Home is a privately registered care home providing nursing care for up to 40 elderly people. Situated opposite Brunswick Park on a main road between Walsall and the M5 motorway, it is within walking distance of Wednesbury town. There is car parking at the front of the home surrounded by mature garden borders. There are two lounges, a conservatory and a large dining rooms which is split up be a fireplace all on the ground floor. The garden to the rear of the property is pleasantly landscaped with borders, patio and a small lawn. The Home has single and shared bedrooms, located on both ground and first floor, the majority of which have en-suite Care Homes for Older People Page 4 of 27 Over 65 40 0 Brief description of the care home facilities. There is a staff call system throughout the home. There is a small passenger lift that enables people access between the ground and first floor. There are two adapted bathrooms that can be used by dependent people and also a number of toilets throughout the home. The home arranges for the chiropodist, dentist and optician to visit on a regular basis and arrange visits by the GP, as the service users require. Ancillary services of catering, cleaning, laundry and maintenance are provided inhouse. The mobile hairdresser visits regularly and an additional charge is made for this service. For information about fees and what it includes it is advised that the Home Manager is contacted. 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: This unannounced inspection was carried out on 22nd October 2008. The purpose was to assess the homes performance against the key standards in the National Minimum Standards for Care Homes for Older People and report on the progress made to address the requirements made at the previous inspection. Our findings are based on the information received by the Commission for Social Care Inspection (CSCI), examination of relevant records and documents kept at the home, discussions with people who live in the home, members of the management team and staff. The views of relatives of people who use the service were also sought. The atmosphere within the home was relaxed and friendly. Overall the comments received from the people who live at the home were complimentary. Care Homes for Older People Page 6 of 27 Here are two examples of some of the comments we received, I am very happy at Woodgreen Nursing Home. Everyone is very helpful and attentive. I feel well cared for. My relative has always been cared for very well. 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. The home provides people with information about its service to enable them to make an informed choice about where to live. Peoples needs are assessed by the home before moving in and they are provided with confirmation from the home that it is able to meet their individual needs. The home does not provide an intermediate care service. Evidence: We were shown a copy of the homes Statement of Purpose, dated 2007. This provides people with information about the services provided. People who live at the home told us they received good information about the service before moving in and a member of the staff team was available to answer any questions or queries they had. The manager tells us the information is soon to be reviewed to ensure the most up to date Care Homes for Older People Page 10 of 27 Evidence: information is available. The home has a referral and admission procedure. Senior staff members assess the needs of people who wish to come and live at the home. The assessment includes health, personal and social care needs. A letter confirming that the home is able to meet the individuals needs is provided before a placement is agreed. Where applicable, a copy of the assessment carried out by the funding authority is also available on the individuals file. A senior member of staff told us they are provided with training to enable them to update their assessment skills. For example, recent training has included caring for people with dementia and providing palliative care. The home does not provide an intermediate care service. 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. The health, personal and social care needs of people who live in the home are set out in the individual care plans and records are kept of how these are being met. There are policies and procedures for the safe handling and administration of medication. People who live in the home are treated with respect and their right to privacy is upheld. Evidence: Information obtained during the assessment process is used to produce individual plans for meeting peoples health and social care needs. The records show these plans are reviewed each month by staff. Documents entitled All about Me and My Family Tree are available on some of the files we looked at. Staff told us the information they had gathered when completing these with the individual has helped with developing a comprehensive plan of care. This demonstrates the home is working to improving its person-centred approach to care planning and how it is delivered. Care plans are periodically reviewed with the person who lives in the home and, where applicable, Care Homes for Older People Page 12 of 27 Evidence: their relatives and relevant professionals. The manager is advised to ensure the minutes of review meetings include the names of all participants. Risk assessments are undertaken and regularly reviewed. People living in the home and, where applicable, relatives and other professionals are also involved in this process. For example external health care professionals have been involved in assessments for swallowing and peg feeds. Other risk assessments show preventative measures are taken by providing pressure relieving mattresses for people identified as high risk. People we spoke to told us good care is provided by staff to reduce the risk of them developing skin problems. Whilst there are risk assessments in place for the use of equipment such as a wheelchairs, some of these contain blank and/or incomplete sections which should be completed to give a better overview of safe practice. People we spoke to told us they are satisfied with the way the home arranges for their health care needs to be met. One person told us they were pleased to find they could remain registered with their own GP when they moved into the home and had recently received a visit. A sheet for recording visits to or by health and medical professionals are kept on each persons file. However, the discussions held show not all visits have been recorded. For example, two peoples sheets show the last visit they received was from the chiropodist in January. The manager is advised to monitor these records more closely to enable accurate auditing to take place. There are policies and procedures for the administration and safe handling of medication and suitable arrangements are made for storage. Medication is managed and administered by the nurse in charge of the shift. The nurse on duty told us she is waiting to receive her certificate for the update training she had attended recently. She also confirmed that, with the exception of paracetamol, no one is currently prescribed as required medication. We looked at the medication record sheets for four people who live at the home and these appear to have been completed by staff in line with the homes procedures. The local pharmacist carries out regular audits and reports good practices are followed by the home. The induction programme for new staff includes a component on treating people with dignity and respect. Senior staff members carry out observations on individual staff practices. Staff we spoke to provided good examples of how peoples dignity is respected such as encouraging them to make their own choices about what clothes to wear, activities to participate in and the food they wish to eat. People living in the home told us they are referred to by their preferred name and staff knock their door before entering their bedrooms. The home periodically provides surveys to people living in the home for them to comment on the service. The majority of comments were positive. The records show were issues about individual support has been raised these have been addressed to the persons satisfaction. Care Homes for Older People Page 13 of 27 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. People who live in the home receive support staff to enable them to follow their preferred routines and participate in activities of their choice. The homes policies and practices support people to maintain contact with relatives and friends. Meals are well-presented, wholesome and meet peoples dietary needs and personal preferences. Evidence: Staff told us they encourage people living in the home to make their own decisions about the lifestyle they wish to live. One persons care plan has been changed to support her/his preferred morning routine for getting up. The home has a programme of activities that include singalongs and movement to music. Staff told us the programme is produced from the interests people have expressed during group meetings. We were informed two staff had attended a course for planning & delivering activities. A staff member told us this was helping them to introduce more individual activity plans, wherever possible. People living in the home told us the staff team is friendly and share a laugh and a joke with them. They also Care Homes for Older People Page 15 of 27 Evidence: said they enjoy the themed parties and birthday celebrations organised for them. Family and friends are also invited to these events and told us the home puts on a good do. Information provided by the home states it operates an open door policy for people to receive visitors. We observed visitors arriving at different times of day. They told us the atmosphere in the home is always welcoming and a senior member of staff is available to discuss any concerns or queries they may have. The home has received positive comments from relatives and visitors. For example one person wrote, Carers are lovely, very helpful and thoughtful. Some staff has received introductory training on the Mental Capacity Act. They told us this has made them more aware that peoples capacity to make their own decisions may change on a daily basis. The manager said further training is being arranged. Meals are served in the main dining areas. Some people choose to take their meal in one of the lounges or their bedroom. Catering staff prepares meals from an eight-week rolling menu that includes three options. The cook holds a National Vocational Qualification (NVQ) in Catering and Hospitality. She has also attended a course in special diets. Snacks and drinks are provided throughout the day. There has been little progress in the development of the homes pictorial menu since our last visit. We joined three people for the mid-day meal. They told us they enjoyed their meals and were happy with the menu. The home continues to provide well-prepared food for people who have specific dietary needs. Plate guards and adapted cutlery are available to support people to maintain their independence at mealtimes. Alternative meals are provided on request, wherever possible. Records are kept of meals to enable any concerns to be identified and addressed promptly. Basic food hygiene courses are provided and 60 of the staff team have attended a special dietary workshop. 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. People who live in the home and relatives know how to raise concerns and are confident these will be listened to and acted upon. Staff are trained in protecting peoples rights and safeguarding them from abuse. Evidence: Information about how to make a complaint is provided in the homes Service User Guide and is on display in reception. People living in the home and relatives we spoke to told us they were aware of this procedure. However, they had not felt it necessary to make a complaint. The records show the one complaint received by the home during the last twelve months was dealt with to the complainants satisfaction. Information is available from the home about independent advocacy services and support is given by the home to access this service if required. The records show the home is pro-active in supporting people to register their right to vote. A number of people exercise this right by using the postal vote service. No adult protections issues have been reported to the Commission for Social Care Inspection (CSCI) and the manager confirmed no issues of concern had been brought to the homes attention. Staff demonstrated they were familiar with these procedures and said they were confident any concerns raised with the manager and senior staff Care Homes for Older People Page 17 of 27 Evidence: would be dealt with appropriately. Three staff told us they had received adult protection training. We looked at their training records. There was no entry for this training on two of these records. The manager is advised to make arrangements for these records to be updated. Another member of staff said training was being arranged for her. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The implementation of a redecoration and refurbishment programme has improved the environment for the people who live in the home. Suitable procedures and training is provided to staff to ensure the home is kept clean, pleasant and hygienic. Evidence: The home is clean and tidy. A redecoration and refurbishment programme has been implemented. For example, the reception area, lounges and 8 bedrooms have been redecorated. New televisions have been purchased for the lounges and armchairs have been replaced. The manager and staff informed us the people living at the home and relatives were consulted about the choice of carpet for the dining room and this is due to be fitted soon. New dining room tables and chairs have already been purchased. People we spoke to said the dining chairs were very comfortable. Relatives commented positively on the work being carried out to improve the environment. Two of the comments we received were The decoration in the home has improved and We are pleased with the improvements the new owner has made. There is a range of aids and adaptations, such as grab rails and hoists to support people to maximise their independence. A passenger lift is available for accessing the first floor and staff call systems are fitted throughout the home. Care Homes for Older People Page 19 of 27 Evidence: People we spoke to expressed satisfaction with their bedrooms and told us they brought some small pieces of furniture with them when they moved in. The bedrooms are personalised with family photographs and ornaments. One person told us they choose to remain in their room reading or watching television, but different members of staff pop in for a chat throughout the day. The bedrooms are fitted with en-suite facilities that include a toilet and wash hand basin and some also have a bath. However, staff told us the space in the en-suite facilities with a bath is limited, therefore the majority of these are not used. There is a walk-in shower on the first floor with shower chair and a fully assisted bathroom on the ground floor. The manager informed us a review of the homes bathing facilities is included in its plans for extending the building. Catering staff told us the oven has been replaced and all appliances and equipment are in good working order. Suitable records are kept of catering activities, such as the preparation of food, stock rotation and storage temperatures. Cleaning schedules are in place to ensure good standards of cleanliness are maintained. There is a private and pleasant garden at the rear of the premises with shrubs, ornaments and a patio area. The garden can be easily accessed via the conservatory or lounge. The laundry facilities are located on the ground floor. The home has procedures to ensure good standards of hygiene are maintained. The staff team are provided with protective clothing and hand wash signs are displayed in high-risk areas. Cleaning materials are stored in a locked cupboard and information is available on the Control of Substances Hazardous to Health (COSHH). The records show training, such as health and safety and infection control, has been provided for staff. 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. People living in the home are cared for by a stable and qualified staff team that is sufficient in numbers and have a mix of experience and skills to meet their individual needs. Recruitment and selection processes are in place to protect the people who live in the home. The home provides staff with regular training to ensure they have the knowledge and skills to carry out the duties required of them. Evidence: The staff complement for the home is appropriate in numbers and skill mix to meet the needs of the people living in the home. Discussions held with staff members shows they are familiar with peoples individual care plans and personal preferences. Information provided by the home shows 90 of the staff team hold an National Vocational Qualification (NVQ) Level 2 or above. Staff we spoke to confirmed they held this qualification. One member of staff said she is looking forward to commencing NVQ Level 3 soon. Care Homes for Older People Page 21 of 27 Evidence: The home reported no new nursing or care staff appointments have been made during the last two years. The last appointment was for an auxiliary post. The recruitment records include a completed application form, copies of qualifications obtained, safety checks and interview record. Information is also available of the induction programme carried out with the newly appointed person. The manager is advised to record the verification of written references. Staff stated they feel supported to carry out their duties and are given good training opportunities. They told us training had included caring for people with dementia and personal care such as oral health and foot hygiene. The manager is advised to keep individual staff training records up to date to assist with the planning of future and update training programmes. 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. People benefit from living in a home that is well run. There is a clear management structure and staff members are aware of their roles and responsibilities. People who live in the home and their relatives are regularly consulted about the service. However, there are some shortfalls in the homes quality assurance system for monitoring its own performance. Evidence: The home continues to be run by a qualified and experienced manager who is supported by a stable and committed staff group. She attends periodic training to update her knowledge and skills. People living in the home and relatives tell us the manager is available to discuss any concerns they may have. The members of staff we spoke to feel they receive good support from the manager and other senior members of the team. Supervision records for staff show discussions take place about care practices and individual personal development. Care Homes for Older People Page 23 of 27 Evidence: The responsible individual is a regular visitor to the home and produces reports on his findings on the homes performance. As part of the homes quality assurance system surveys are periodically given to people living in the home and their relatives. Comments about the service are mainly complimentary and there is evidence to show the home responds positively to the comments made. The managers evaluation of the homes performance is based on a scoring system. However, it is unclear how the scores for different aspects of the service have been reached. An annual development plan for the future of the service was not available. This should be produced and made available to interested parties. The home does not act as appointee or handle money belonging to the people who live here. Relatives, or the local authority appointee-ship unit, manage the finances of people who do not look after their own money. Arrangements are made with the person responsible for paying for additional services, such as the hairdresser. Details of such arrangements should be included in the individuals records. The home has a health and safety policy to ensure safe working practices are followed and there is a range of risk assessments. Health and safety training for staff include first aid, food hygiene and moving and handling. An officer from the West Midlands Fire Service visited the home in July 2008. The manager confirmed action has been taken to address issues identified in the report. The random sample of service and maintenance records seen for appliances and equipment were found to be up to date. 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 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 1 8 The homes system for recording a persons contact with health and medical professionals should be kept up to date for monitoring purposes. Risk assessments, where equipment such as wheelchairs are used, should be fully completed to give a better overview of safe practice. The homes system for recording contact with health and medical professionals in respect of people who live in the home should be kept up to date. Confirmation should be recorded of the verification written references for staff further demonstrate the safety and well being of people living in the home is fully protected. Staff training records should be kept up to date to enable effective planning of training programmes. The quality assurance system should clearly show the homes process for monitoring its own performance. An annual development plan for the service should be produced and made available to interested parties. Arrangements made for additional services to be paid to the home on behalf of a person living here should be included on her/his records. 2 8 3 8 4 29 5 6 30 33 7 35 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!