Care Home: Canadia

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The home continues to provide care in a relaxed and informal way. People who are able are helped to access local amenities and the staff support this. The home makes sure people are seen regularly by their GP and some people are able to visit their GPs independently for appointments. The people who live at the home and staff have a good relationship and we saw that they were comfortable in each others company, the interaction was respectful and the peoples preferred form address was used. The home continues to provide people with an acceptable standard of food. What has improved since the last inspection? The proper checks are now being done for all staff before they start working at the home. This means that people are not exposed to staff who may not be fit to care for vulnerable people. All the staff have had all of the mandatory training that needs to be completed to make sure people are safe and looked after properly. This includes training about lifting and handling, health and safety, basic food hygiene, first aid and fire training. This means that people are cared for by staff who are properly trained and able to meet their needs safely. There has been a lot of improvement to the environment and the bathrooms are being up graded to make sure people can use them safely. The opinions of the people who live at the home, their relatives and staff are now taken into consideration about the running of the home. This means that the owners take the views of these people seriously and action is taken to put right any problems which they may have. This is called a Quality Assurance (QA) system and it helps the owners make changes and improvements to the service offered at the home. What the care home could do better: Detailed records have to be kept about the needs of the people who live at the home, this makes sure the staff know what people`s needs are and can meet them properly. It is important that these records are up dated on a regular basis at least monthly or sooner if the person`s needs change. The home looks after all of the medication which is prescribed by the GP for the people who live at the home. This medication must be given by the staff as instructed by the GP and proper accurate records must be kept. this will make sure people are not put at risk of receiving the wrong dosage of medication. Some of the people who live at the home have dementia. Activities should be provided for those people who have dementia which is suitable and keeps them occupied. The home should expand the QA system to include the opinions of any visiting health care professionals like doctors and nurses. Key inspection report Care homes for older people Name: Address: Canadia 41 Pearson Park Hull East Yorkshire HU5 2TG     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: George Skinn     Date: 0 1 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Canadia 41 Pearson Park Hull East Yorkshire HU5 2TG 01482341434 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Nicola Jayne Owens,Mrs Heather Feeney care home 16 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 who can be accommodated is: 16 The registered person may provide the following category of service only: Care Home only - Code PC, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 16 Date of last inspection Brief description of the care home The Canadia is a three story semi-detached building situated in Pearson Park close to the centre of Hull. It is a period property and the front of the house still gives that impression. The home is on a bus route to the city centre and a short walk from Newland Avenue shopping area. People who live at the home can access a small area to the front garden in warmer months and there is parking space to the side of this for two cars. The home can care for sixteen (16) older people this is mostly in double rooms; 7 of Care Homes for Older People Page 4 of 26 Over 65 16 0 0 7 0 4 2 0 0 9 Brief description of the care home the 9 rooms are double accommodation. Only one bedroom has en-suite facilities of a toilet and a shower. Two lounges offer a pleasant environment in each. The dining room is extremely small, resulting in some people having to eat at tables in the lounges and others finding it difficult to get into their places at table. The laundry is sited in a wooden garage at the side of the house. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. The key inspection has used information from different sources to provide evidence, these sources include; reviewing information that has been received about the home since the last inspection and information provided by the registered person on an Annual Quality Assurance Assessment (AQAA). We visited the home and the visit lasted for 6 hours. During the visit we spoke with the people who live at the home, their relatives and staff. We looked at records relating to the people who live at the home, staff and the management activities of the home. During the visit we looked at care practices where possible and time was also spent watching the general activity within the home. Care Homes for Older People Page 6 of 26 We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. Date of last inspection 7 April 2009 The administrator and one of the owners were available to assist throughout the day. The current weekly charges are 298.50 GBP no top charge is made. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Detailed records have to be kept about the needs of the people who live at the home, this makes sure the staff know what peoples needs are and can meet them properly. It is important that these records are up dated on a regular basis at least monthly or sooner if the persons needs change. The home looks after all of the medication which is prescribed by the GP for the people who live at the home. This medication must be given by the staff as instructed by the GP and proper accurate records must be kept. this will make sure people are not put at risk of receiving the wrong dosage of medication. Some of the people who live at the home have dementia. Activities should be provided for those people who have dementia which is suitable and keeps them occupied. The home should expand the QA system to include the opinions of any visiting health care professionals like doctors and nurses. Care Homes for Older People Page 8 of 26 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 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed prior to moving into the home. Evidence: We looked at a sample of files which belong to the people who live at the home. We saw that these contained copies of assessments undertaken by the placing local authority and an assessment carried out by the home. This assessment information is then used to write a care or support plan describing what staff need to do to look after each person. The home does not provide intermediate care which is a specialist service aimed at maximising peoples independence and return home after a hospital admission. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Everyone has a plan of care but these are not always up to date. People are not protected by the way medication is handled by the staff and this could put them at risk. People are treated with respect and their dignity is up held. Evidence: We looked at a sample of peoples care plans during the site visit. We saw assessments undertaken by the placing local authority and an assessment undertaken by the home. The homes assessments were generic and identified areas of strengths and those areas where people needed assistance. From these a plan of care was formulated. Risk assessments are undertaken around falls, daily living tasks, mental health, and nutrition, we saw that the updating of these risk assessments and care plans continues to be variable and inconsistent. One risk assessment had last been updated in May 2009, one had last been updated in July 2009 and one had last been updated in August 2009. This is an outstanding recommendation from previous inspections, it has now been made a requirement. The failure of the home to keep care plans and Care Homes for Older People Page 12 of 26 Evidence: risk assessments updated puts the person at risk due to staff not being aware of any changes in the persons needs and how this may impact on the persons wellbeing. The daily notes continue to be detailed but there continues to be no direct link with the care plans. People who live at the home continue to have access to health care professionals like doctors and nurses, some people visit their own GP independently others are supported by the home. We looked at the way medication is being administered by the staff and found that there were some major discrepancies. For example one person has been prescribed medication to be taken on alternate days. When we looked at the records we found the staff had recorded and signed for the giving of the medication correctly but the medication left in the Monitored Dosage System MDS did not collate with what had been recorded as given. This meant we could not gain true picture of what had been signed for and what had been given. This is poor practice and means that the person is at risk of receiving the wrong dosage of medication and a clear audit trail cannot be followed. A referral has been made to the pharmacist inspector to undertake a random inspection. We saw that the staff treat people with dignity and respect. Conversations were relaxed and respectful and people seemed to be used to this interaction responding appropriately to the staff. One of the people who live at the home has been deaf from birth and we saw that staff were communicating with him very well. staff have told us that he does not use British Sign Language but communicated his needs very clearly to them. He has been provided with aids in his room to enable him to know when some one is at his bedroom door and when the fire alarms are being activated. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not always get the opportunity to participate in activities within the local community. Those people with dementia are not always adequately stimulated. Visitors are made welcome to the home. People are provided with food which is of an acceptable standard. Evidence: We saw that staff continue to have good relationships with the people who live at the home and interaction was informal and relaxed. We saw staff sitting and talking with people and engaging those who have dementia well. The people who live at the home who are more able and independent continue to engage well with the staff and were able to go about their daily lives and exercise choice. There continues to be a lack of opportunity for those people who are more dependent on staff to access the local community and this is reliant on staff availability and good will. Staff told us that they take people out on their days off to the local shops. The people who are able to leave the building independently are supported to do this and people go out with relatives on a regular basis. Some activities are available to people on a daily basis, this ranges from craft Care Homes for Older People Page 14 of 26 Evidence: afternoons to sing alongs using a Karaoke machine. Staff continue to undertake this as part of their caring duties as the owners have been unsuccessful in recruiting an activities coordinator. There have been visiting entertainers to the home and people told us they had enjoyed this. At previous inspections it has been noted that there are no activities specifically designed for those people with dementia, this is still the case. The owner told us that dementia training has been organised for the staff and that a specialist team are visit the home to undertake dementia care mapping. This is an exercise in which the team will look closely at what is provided for people with dementia within the home and how the staff care for people with dementia. They are hoping this will give them a clearer picture of how to provide appropriate activities for people who have dementia. Training for the staff about types of dementia has been booked and it is hoped this will further enhance the staffs skills. We saw that peoples records continue to indicate their interests. Some records indicated that some people do not what to join in activities, as this is their choice it is respected by the staff. The home continues to encourage contact with relatives and friends and relatives spoken with during the site visit confirmed that they are warmly welcomed and can visit at any reasonable time. We saw that the food continues to be of an acceptable standard. There was no cook on duty during the site visit and the home had ordered fish, chips and mushy peas from the local chip shop. People told us they enjoyed this and saw it as special treat. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the homes complaint procedure and staff have received training on how to protect vulnerable adults. Evidence: There is a clear complaints procedure this is included in the Service User Guide and it is also displayed around the home. We saw that there continues to be a record of all the complaints received at the home, how the complaint was investigated, the outcome of the complaint and whether the complainant was satisfied with this. No concerns have been received by the CQC since the last inspection, one safeguarding adults referral has been made to the Local Authority since the last inspection. This is now resolved and the person has moved due the home no longer being able to meet their needs. When we spoke with staff they told us that they knew there was a complaint procedure and what this entailed, they also told us that they knew what to do if they suspected any abuse was occurring at the home. We saw certificates on staff files which indicated that they had been on training about Safe Guarding Adults. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which is generally clean and tidy. People do not have easy access to all parts of the building. Evidence: Some bedrooms have been redecorated, some lounge furniture has been replaced and bathrooms have been refurbished since the last inspection. People who live at the home have access to the garden to the front of the building this is used as a smoking area for people and staff. The garden continues to be generally tidy. The home has enough toilets and bathrooms, however due to some of the peoples needs not all are used or are easily accessible. This has been identified by the owners as a priority area. We saw that there is an ongoing refurbishment programme and records seen indicated that plans are in place with time scales set. The home was generally clean and tidy, laundry facilities are located outside of the building in a wooden shed. Staff were seen to be using protective clothing when entering the kitchen and dealing with the needs of the people who live at the home. Care Homes for Older People Page 17 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by staff who have been recruited properly, are provided in enough numbers and receive training to meet peoples physical needs, however there needs to be enough staff on duty to also meet peoples social needs. Evidence: There continues to be enough staff on duty to meet the current physical needs of the people who live at the home, however there is not enough staff on duty to meet people social needs as staff told us that they meet these on their days off. Since the last inspection the training staff receive has improved and all staffs mandatory training has been up dated. This includes lifting and handling, fire safety, health and safety, basic food hygiene and first aid. The staff have also attended more specific training about the needs of the people who live at the home and this includes diabetes, mental capacity and how to care for people who have had a stroke. Staff have been enrolled on further training about dementia and peoples eating difficulties following a stroke. At the last inspection a requirement was made about the recruitment of staff and the need to ensure this was done properly to protect the people who live at the home. We looked at staff files and we saw that these were all up to date and newly recruited staff had all the proper check in place before they started working at the home Care Homes for Older People Page 18 of 26 Evidence: including a Criminal record Bureau (CRB) check and a reference from their previous employer. Care Homes for Older People Page 19 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which is adequately managed, however failure to meet requirements and the lack of accurate record keeping means that the home is not always run in their best interests. Evidence: The home no longer has a registered manager the owners are now in day to day control since closing another home which they ran. Both the owners have provided evidence to us in the past that they are qualified to manage a care home. One of the owners is now going through the process of application to become registered as the manager. The AQAA was sent back when we asked for it and this contained lots of information about areas which had been identified for improvement. At the last inspection it was noted that a limited QA system had been developed within the home. We saw that further development had been made. A meeting has been held with relatives and the people who live at the home. This was recorded and action plans put in to place to Care Homes for Older People Page 20 of 26 Evidence: rectify those areas which had been identified as where the service was failing. The QA system still does not include the opinions of visiting health care professionals like doctors and nurses. We saw that the safety certificates continue to be up to date and equipment was being serviced and repaired at regular intervals. At the last inspection it was noted that the staff had not received regular mandatory training. We saw that this has now been addressed and the staff have received, or had up dated, all mandatory training. Some recommendations from previous inspection have been made requirements due to a failure to comply fully and the risk posed to people, record keeping is less than adequate especially with regard to care plans, risk assessments and the accurate recording of medication. Care Homes for Older People Page 21 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Risk assessment must be up 13/01/2010 dated to reflect the changing need of the person. This will ensure people are safe and put at risk of harm. 2 7 15 Peoples care plans must be 13/01/2010 updated regularly and refelect the chaging needs of the person. This will ensure the staf have acurate and up to date informtion about the person. 3 9 13 People must receive medication as prescribed by their GP. This will ensure people receive medication at the right intervals and in the right dosage. 07/12/2009 Care Homes for Older People Page 23 of 26 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 4 12 16 People with dementia must be provided with specific activities which are appropriate to meet their needs. This will ensure they are appropriately stimulated and occupied. 13/01/2010 5 19 23 People should have easy access to all areas of the building this includes bathrooms and toilets. This will ensure everyone can move around the building safely 13/01/2010 6 27 18 People must have access to enough staff to ensure their social needs are met and this is not dependent on staff good will. This will ensure people have access to local community facilities when they want and not be dependent on staff numbers. 31/12/2009 7 31 17 Peoples records including 31/12/2009 care plans, risk assessments and medication administration must be accurate and kept up to date. Care Homes for Older People Page 24 of 26 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 will ensure records pertaining to peoples needs 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 2 3 12 31 33 All of the people who live at the home should have access to the local community. The application for registration of manager should be submitted to the CQC completed in good time. The QA system should include the opinions of visiting health care professionals like doctors and nurses. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!