Care Home: Braunstone Firlands Care Centre

Similar services:

• Trevayler Residential Care Home
• Thornham Grove
• Thistle Hill Hall
• Conifer Lodge
• Westwood Lodge
• Egerton Lodge Care Home
• Alfred Minto House Care Home
• St Matthews Unit

What the care home does well Residents care needs are assessed, documented and a plan of care is put in place. Risk is recognised and planning put in place to lessen risks to people. We saw that they have good access to healthcare services to meet their individual needs, and that people are well cared for in the final stages of their life. There were no missing signatures on the medication administration records (MARR charts). Residents are offered choices such as what to wear, a choice of meals and whether to join in the activities provided. Activities are organised on a daily basis and meals and menus and pastimes are open for people to discuss. Decisions that the Residents make are recorded in the daily notes. There is adequate staffing numbers for the current resident group. There is a nurse on duty at all times, with care, kitchen, domestic and laundry staff. There are plentiful supplies of protective clothing. Staff supervision continues on a regular basis, this is the process where the manager oversees the staff working practices on a one to one basis, and helps toward staffs` personal development and planning training events. Complaints and safeguarding information is available in the home, and staff are aware of how to keep people safe and how the complaints process works. The acting manager is in the process of sending out questionnaires to residents, their relatives and professionals such as Doctors and District Nurses. We looked at how residents monies are handled, and saw accurate records kept of all transactions, and a system that is easily audited. What has improved since the last inspection? There was one requirement at the point of the last visit. This was regarding staffs` knowledge of the adult safeguarding policy and procedures. Staff were aware how and when to involve senior management and if necessary external support if this became an issue. What the care home could do better: The Statement of Purpose and Service User Guide have still to be completed with accurate information and the contact details of the local authority. The heating system must be improved so individual radiators are able to be turned off, this would improve the living conditions of residents. Residents privacy and dignity could be improved by ensuring toilet and bathroom doors close and lock properly. Medication storage was unlocked on our arrival, and must be kept secure at all times. Bulk medicines, or those not stored in blister packs, must be accounted for more regularly. The cold storage of medicines must improve to ensure it is still effective. The person serving the meals records the temperature of food to ensure it is held at a suitable temperature. The dates complaints are made and an outcome reached, could be recorded, which would assist in ensuring a prompt response. Staff must ensure they clean areas properly after personal care, to lessen the possibilities of cross infection or contamination. Toilet, baths and showers must be enabled to lock properly, with an appropriate type of lock. When repairs are completed, it would be useful to record the date , this would assist in the audit and overall safety in the home. Training records could be brought upto date, this would assist in the planning for staff. A file audit would confirm what documents were missing from files, and they could then be brought up to date. The acting manager must ensure accurate information is contained in the documentation of the home. Key inspection report Care homes for older people Name: Address: Braunstone Firlands Care Centre Gooding Avenue Braunstone Leicester LE3 1JS     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Keith Williamson     Date: 2 4 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Braunstone Firlands Care Centre Gooding Avenue Braunstone Leicester LE3 1JS 01162558809 01162558809 firlands@prime-life.co.uk info@prime-life.co.ukwww.prime-life.co.uk Prime Life Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: No person under 55 years of age falling within the categories MD or DE may be admitted into the home except for the named person identified in the registration report of 22 December 2006 Date of last inspection Brief description of the care home Braunstone Firlands Care Centre is a care home providing nursing and personal care for up to twenty-four residents with mental health conditions including dementia. Braunstone Firlands has twenty two rooms, two of which are large enough to be shared should this be a positive choice. The home has a rear courtyard garden, which is accessible to residents. Braunstone Firlands is part of the Prime Life Group and is situated in Braunstone, Leicester. The entrance to the home is opposite Braunstone Park. There is public transport to the City Centre. Accommodation is provided over two Care Homes for Older People Page 4 of 25 Over 65 24 24 14 14 2 5 1 1 2 0 0 9 Brief description of the care home floors with access between the floors being via stairs or a passenger lift. Communal areas are provided on both floors of the home. The fees range from £270 to £543 and may vary in accordance with the assessment of care needs carried out. People who live at the home are responsible for any additional charges such as hairdressing, personal toiletries, and private chiropody. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of the inspection is on outcomes for residents and their views of the service provided. The main method of Inspection used was case tracking which involves selecting a sample number of people and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case three residents were chosen. The term we is used in the report and recognises the Inspector visiting on behalf of the Care Quality Commission. This visit took place over one day, commencing at 9.30am and took seven hours to complete. The Inspector talked with the residents, acting manager and staff, looked around the home, viewed records, policies and care plans. Some of the comments made to the Inspector have been included in this report. A copy of the last Care Quality Commission (CQC) report is available in the home, and copies of this report are available from the acting manager. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: The Statement of Purpose and Service User Guide have still to be completed with accurate information and the contact details of the local authority. The heating system must be improved so individual radiators are able to be turned off, this would improve the living conditions of residents. Residents privacy and dignity could be improved by ensuring toilet and bathroom doors close and lock properly. Medication storage was unlocked on our arrival, and must be kept secure at all times. Bulk medicines, or those not stored in blister packs, must be accounted for more regularly. The cold storage of medicines must improve to ensure it is still effective. The person serving the meals records the temperature of food to ensure it is held at a suitable temperature. The dates complaints are made and an outcome reached, could be recorded, which Care Homes for Older People Page 8 of 25 would assist in ensuring a prompt response. Staff must ensure they clean areas properly after personal care, to lessen the possibilities of cross infection or contamination. Toilet, baths and showers must be enabled to lock properly, with an appropriate type of lock. When repairs are completed, it would be useful to record the date , this would assist in the audit and overall safety in the home. Training records could be brought upto date, this would assist in the planning for staff. A file audit would confirm what documents were missing from files, and they could then be brought up to date. The acting manager must ensure accurate information is contained in the documentation of the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 25 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 25 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. Prospective residents have full information on the home to enable an informed choice. Evidence: The Statement of Purpose and Service User Guide have still to be completed with information regarding the contact details of the local authority. This would enable people to make complaints direct to their commissioning authority. Prospective residents have their needs assessed before they move into the home this ensures that staff have the experience and numbers to meet peoples needs. All the residents files were found to include an assessment of their needs completed by a social worker or the senior staff member from the home. This home does not offer Intermediate Care. This is a specialist type of care offered following a hospital stay and is for rehabilitation purposes. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Inconsistencies in recording, auditing and storage of medicines has the potential to place people in danger in the home. Evidence: We looked at records kept by staff, which proved that extended health care services such as General Practitioners and community nurses visit on the residents behalf. Care plans are produced from the information gathered at the assessment stage prior to coming the home, and is periodically updated. Some of the information is incorrectly written into care plans. For example one plan indicates the person is continent at night, and requires their continence wear to be changed regularly. This does not give staff the correct information required to care consistently for people. Privacy and dignity is not well recognised with few of the toilet, shower and bath doors that close or lock appropriately. Medication storage is not well organised with the nurses room and medication storage cupboard being unlocked and open on our arrival. These must be kept secure at all Care Homes for Older People Page 12 of 25 Evidence: times, to ensure the safety of people in the home. There were no missing signatures on the medication administration records (MARR charts), and the manager stated audits are carried out to ensure that people are given their medicines as prescribed. However there was an issue with a bulk medicine, where there was more than the amount there should have been. The MARR charts are not accurate where there is no information on medication that is carried forward from one month to another. In this instance there was no way to ascertain if the additional tablet was carried forward or a staff member had forgotten to give it. There were no controlled drugs being used at the time, though past records were seen and were accurate. We looked at the cold storage of medicines, a temperature check on the medication fridge records showed that this was not at a range that was suitable for medicines. Hence there could be a decline in the medicines effectiveness. This issue was complicated with the name label of the resident covering the storage and usage instructions. Staff were not aware of the correct storage needs of the medicine. We looked at the records for someone who recently passed away. They had good care from the staff, with accurate records on their care. This was assisted by specialist nursing staff, undertaking the Liverpool Pathway. This is a clearly defined care process which documents accurately the care and pain relief people should expect to receive. Care Homes for Older People Page 13 of 25 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. Daily life continues to improve, though the temperature of meals still causes concern. Evidence: Activities are organised on a daily basis, though as yet there is little evidence to confirm how many residents are offered these on an individual basis. The staff indicated there were more activities in a morning when residents were more alert, a comment which was backed up by a visiting relative. This person also indicated that they were happy with the visiting arrangements, which were on a very flexible basis. Residents are offered choice on a daily basis. Staff indicated these included when to get up or go to bed, what to wear, a choice of meals and whether to join in the activities provided. These are important as they assist residents retaining some level of control over their lives. The menu system ensures people are offered a choice of meals. These are cooked in central kitchen and transported to the home. The person serving the meals records the temperature of food to ensure it is held at a suitable temperature to ensure peoples safety. However some of the meals served on the ground floor sit in an unheated trolley whilst the staff assist individual residents with eating. Food on the first floor is held in a heated area until served. With a reorganisation of the meal Care Homes for Older People Page 14 of 25 Evidence: system, everyone could be assured of meals at an appropriate temperature, and ensure their health and safety. Special diets and dietary supplements are used where people have a particular need. Care Homes for Older People Page 15 of 25 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. Staff have the appropriate knowledge to protect people from abuse. Evidence: We looked at the complaint recorded since our last visit. This was dealt with appropriately. However it was not dated so we dont know if it was acted on promptly in line with the policy and procedure. Complaints information is available throughout the home, which would allow people to raise concerns about the service. There have been two complaints forwarded to CQC, these have been recorded appropriately and acted on by the staff. Care staff spoken with during the inspection were aware of what to do should they suspect any act of abuse. There has been additional training on this subject on a one to one basis, and the acting manager indicated he was trying to source further training for the staff. There has been one safeguarding issue forwarded directly to the Care Quality Commission (CQC). Care Homes for Older People Page 16 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An uncontrollable heating system and areas of possible contamination pose a risk to people. Evidence: We visited the home during a period of warm weather, the heating was problematic at the time and staff were unable to maintain a comfortable temperature in the home. Staff were unable to switch off the heating or isolate the radiators; this made it uncomfortable for people. We looked around the home, and found many of the toilet, bath and shower rooms did not close or lock properly. We found that one of the bathing areas had not been cleaned following its use, and this presents a danger in the home. The laundry is appropriate with walls and surfaces that are cleanable. Staff were aware how laundry is handled, and have plentiful supplies of protective clothing to assist with tasks. Care Homes for Older People Page 17 of 25 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. Staff are recruited safely and in numbers to provide adequate levels of care. Evidence: We looked at staffing numbers and found adequate staffing numbers for the current resident group. There is a nurse on at all times, with care, kitchen, domestic and laundry staff providing cover to the two floors of the home. We looked at the employment and recruitment records of staff employed since our last visit. The files were not all up to date but with some arranging the manager produced all the appropriate documents. Criminal Record Bureau checks (CRB checks) and other information to increase the security of people were in place. Training is ongoing, staff continue to undertake courses run by a variety of trainers from in the home and and external agencies. Training for most is not up to date in certain areas such as Dementia care, but staff did respond appropriately on how people need assisting. This is due to training on an individual basis, using pre printed training material and follow up questionnaires. Care Homes for Older People Page 18 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Poor monitoring of staff practice, places people at risk. Evidence: The current acting manager is a qualified Nurse, but has not yet started the process to become registered with the CQC. There has been no AQAA requested from Braunstone Firlands. This is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with staffing numbers and information about the individual service and trends and patterns in social care. Quality Assurance (QA) is being developed in the home. Quality Assurance which is where the staff seek the views of people who live and others with an interest in the home. The acting manager is in the process of sending out questionnaires to residents, their relatives and professionals such as Doctors and District Nurses. We looked at how residents monies are handled, and saw accurate records kept of all Care Homes for Older People Page 19 of 25 Evidence: transactions, and a system that is easily audited. Staff supervision is regularly undertaken, this assists with staffs personal development and training. We also looked at the health and safety tests performed by staff. These continue to be regularly performed and the outcomes recorded. The overall safety within the home remains adequate, but there is a failure by staff to challenge or question areas that they find deficient. Examples of this are the temperature of the medication fridge, and incorrect information contained in care plans, both of which have been dealt with in detail in the Health and Personal care section of this report. There is also conflicting information in the Fire Risk Assessment and Statement of Purpose, both documents quoting a different numbers of bedrooms in the home. These issues highlight the need for the acting manager to be aware of the documents in the home, and take steps to rectify any shortfalls and mis-information. Care Homes for Older People Page 20 of 25 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 21 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person shall 02/08/2010 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home Medicines should be stored in an environment that ensures that there is not any unnecessary decline in the effectiveness This is to ensure that there is no decline in a persons condition due to the administration of a sub therapeutic medicine. 2 19 12 (4) The registered person 27/07/2010 shall make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users. Care Homes for Older People Page 22 of 25 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 This would ensure people are afforded proper privacy and dignity. 3 26 13 (4) The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. This would assist in the protection of people from cross infection and cross contamination. 4 33 24 At the request of the Commission, the registered person shall supply to it a report, based upon the system referred to in paragraph (1), which describes the extent to which, in the reasonable opinion of the registered person, the care home provides good quality services for service users This is to ensure the home communicates the upto date information to CQC 5 37 17 The registered person shall 02/08/2010 ensure that the records referred to in paragraphs (1) and (2) are kept up to date 02/08/2010 27/07/2010 Care Homes for Older People Page 23 of 25 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 This is to ensure the information and records held are accurate Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 The wording of care plans needs to be reviewed to ensure the correct terminology is used, so staff are given the correct consistent information. Having all the medication charts (MARR charts) start on the same date would be less confusing for staff, and reduce the possibilities of errors. The staff could rearrange the meal system to ensure food stays hot for all the residents. Staff could date any complaint records this would assist in providing information on the response. When the repair and maintenance of equipment is completed, it would assist auditing to record the date of the repair. It is recommended that all heating radiators have accessible shut off valves. This would assist staff in maintaining a comfortable environment in the home. A file audit would confirm what documents were missing from staff files, and they could then be brought up to date. It is recommended that the acting manager has information and experience which would allow him to gain a greater knowledge base of monitoring processes. 2 9 3 4 5 15 16 19 6 25 7 8 29 31 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 25 of 25 - 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!