Care Home: Dovecote Manor

What the care home does well Dovecote Manor provides accommodation of the highest quality. Individual rooms and shared areas are well furnished, clean and comfortable. It has extensive `spa` facilties though these have not yet been brought into use. The home is well managed and has enthusiastic well motivated staff. The menu is varied and gives residents plenty of choice. The chef talks to people about what they like and does his best to provide it. There is always a good choice available and people told us that they enjoy the meals. One person told us `It`s lovely here`; another told us `The staff are kindness itself`. What has improved since the last inspection? This is the first inspection since the home was registered in September 2009. What the care home could do better: There are not many organised activities at the moment but the manager is in the process of appointing an activities organiser to try to improve this situation. There were some minor issues around medication that need to be addressed though medication is administered safely. Key inspection report Care homes for older people Name: Address: Dovecote Manor 13-15 Alexandra Road Southport Merseyside PR9 0NB     The quality rating for this care home is:   two star good 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: Peter Cresswell     Date: 2 0 0 1 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) 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 25 Information about the care home Name of care home: Address: Dovecote Manor 13-15 Alexandra Road Southport Merseyside PR9 0NB 07860159069 01704884110 markgilbert007@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Mark J Gilbert & Mr Luke W Gilbert Name of registered manager (if applicable) Mrs Janet Elizabeth Hunstone Type of registration: Number of places registered: care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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 The maximum number of service users who can be accommodated is 32. Date of last inspection Brief description of the care home Dovecote Manor is a home for up to 32 older people in a quiet area near the centre of Southport. It was first registered in September 2009. The home is close to all of the facilities in the town including transport links to the rest of Merseyside. Everyone has a single room, though married couples or partners can decide to share one of the larger bedrooms if they wish. All of the bedrooms have full ensuite facilities and a small Care Homes for Older People Page 4 of 25 Over 65 32 0 Brief description of the care home number include an individual sitting room. The home has large comfortable lounges, a dining room and a spacious separate coffee lounge. There is a shaft lift that serves most of the home though there are a few internal steps in some areas and three bedrooms have to be reached via a short series of steps. Dovecote Manor shares a huge, attractive garden with the neighbouring nursing home which also has the same owner and manager. The home has extensive spa facilities including a pool, steam room, jacuzzi and gym though these are not yet in full use. There is car parking space at the front and rear of the building as well as on the street. Fees range from £450 to £955 a week, depending on the type of room. 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: 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: The inspection included an expert by experience, a lay person who has direct of the care system for the group of people in question. Our visit lasted all day and nobody at the home was told that we were coming. Before the visit the manager completed an Annual Quality Assurance Assessment (AQAA). The AQAA includes the homes own assessment of how it is meeting the needs of the people who live there and also gives us some useful statistical information. We require every service to complete an AQAA for us once a year. During our visit we spoke to all of the members of staff who were on duty, the registered manager, the owner, many of the people who live in the home and a number of visiting relatives. Both of us went around the home independently and looked at most of the bedrooms, all of the shared areas and the kitchen. We looked at documents including care plans, staff files, medication records and safety records. The expert by experience had lunch with the residents. Care Homes for Older People Page 6 of 25 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 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 7 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 8 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. People are properly assessed before moving in and can therefore be confident that Dovecote Manor can meet their needs. Evidence: There were 15 people in the home when we visited as the home is filling up gradually since it opened in September 2009. Dovecote Manor has a statement of purpose and a service user guide. The statement needs to be amended to include the homes policy on sharing bedrooms. That policy is that people should only share a room if they have made a positive choice to do so (such as married couples or partners). The service user guide needs to be completed and made available to everyone who lives in the home. The existing guide is still in draft form. It states that residents have the right to follow their chosen religious and cultural activities. We looked at the files for residents and they all included signed contracts. People who are thinking about moving into Dovecote Manor are assessed by the manager and her assessment is recorded on a standard form. Several residents told us that they had visited the home Care Homes for Older People Page 9 of 25 Evidence: before making a final decision, and nobody who spoke to us had regretted their decision. Some said they had also visited other homes before making a decision. The manager encourages people who are thinking about moving in to visit without making an appointment so they can see the home as it normally operates. She also told us that she encourages people to visit other homes as well so that they can make an informed choice. We looked at one file for a person who was publicly funded and that included an assessment from the funding body. These assessments and procedures make sure that people can be confident that the home can meet their needs if they move in. Dovecote Manor does not provide intermediate care so Standard 6 does not apply. A number of people were enjoying a respite break at the home when we visited. Care Homes for Older People Page 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are care plans in place to ensure that people get the care they want and need. Medication is stored and administered safely though one or two minor changes are needed. Evidence: We looked at the care plans and files for three people living at the home. All had detailed plans which give staff the information they need to care properly for the person in question. The plans included regularly updated assessments of skin care, the risk of falling and nutritional needs. Care plans and assessments are reviewed by senior care staff every month and care staff make daily reports on how the care plan is being put into practice. The manager said that the residents or their representatives were involved in drawing up the care plans but two of them were not signed. People should be involved as much as possible in their care plan and should sign it as evidence of that involvement. There was no record on any of the files we looked at about the persons wishes and attitudes to death and dying. The manager said that many people are (understandably) reluctant to talk about this subject but a record does need to be kept of peoples wishes in this area wherever possible. The manager Care Homes for Older People Page 11 of 25 Evidence: intends to introduce an end of life care plan for all residents. Everyone is registered with a local GP of their choice and has full access to community and specialist health care. Health care appointments and visits are recorded on individual files. One resident told us they tell you everything, not like hospital where they tell you nothing. People told us that staff respect their privacy and dignity when they are helping them. Most peoples medication is kept and administered by staff in the home but one person takes his own medication and this was properly recorded to make sure that it was safe to do so. We checked the medication for three residents. Medication is stored safely in a special room and on the whole it was properly administered and recorded. On a few days there was no signature or other entry to indicate if medication had been given. There was no reason to think that any medication had been missed but it is important that staff make sure that every dose is accounted for. Where medication is prescribed to be taken as required (PRN) there should be a clear note of the circumstances in which the medication is to be given; there were no such notes in the cases we looked at, though the member of staff was in fact aware of when medication should be given. Controlled drugs are properly stored and recorded. There is a special fridge for the storage of medication that needs to be kept at a fixed temperature but the temperature was only checked every month. The temperature needs to be checked every day and a record kept. Care Homes for Older People Page 12 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. Residents need more activities stop them from getting bored. The home provides high quality meals that people look forward to. Evidence: Residents at Dovecote Manor can choose to spend time in a range of comfortable lounges as well as their own rooms. All rooms have television and there is a very large flat screen TV in the main lounge. The manager told us that they are considering buying satellite /cable TV so that people can watch, for instance, sport or a wider range of films. One person told us Its an easy relaxed life. The home has a heated swimming pool, jacuzzi, steam room, gym and pool table but none of these are yet in use. The manager told us that they may try out the (very large) pool when the weather is a bit warmer. She has discussed safety arrangements with the Environmental Health Officer and has access to the action needed as and when the pool is used. The manager is in the process of appointing an activities organiser who will work at the home every weekday afternoon. There were some activities at Christmas - for instance a choir visited the home to sing carols - but there is not an activities programme in place. Several people told us that they would like more activities within the home. The activities people enjoy were recorded on the care plans we looked at but were not always transferred to the care plans. In some cases the Care Homes for Older People Page 13 of 25 Evidence: persons likes and dislikes were inaccurately recorded and great care should be taken to make sure this does not happen. It is important that as the home reaches its full capacity the activities programme develops; the manager said that this will be the job of the new activities organiser. Peoples religious views and practices (if any) are recorded on the care plan and residents told us that a Catholic priest visits the home. They told us that similar arrangements were in train for ministers of other religions. One of us had lunch with the residents. The tables were nicely laid with cutlery, cruet, napkins, a tumbler and a small vase of flowers. Residents told us that they enjoyed the food and felt they had enough to eat. Breakfast is served in peoples rooms and they can choose from a full menu including a full cooked breakfast. For lunch (served at around 12.15) there was one hot main course but a wide choice from the light bites menu that included soups, sandwiches, baked potatoes and scampi and chips. There was also a range of sweets. When we visited, the meal was chicken in a cream sauce with potatoes and mixed vegetables followed by chocolate sponge with cream. Tea was served in individual pots. The meal was well cooked and appetising. The home has a full time chef and deputy and when they are off a cook from the neighbouring nursing home does the cooking. The chef or deputies always talk to the residents about what they have enjoyed and what alternatives they might like. There is a varied four week menu. At tea time there is again a wide range of dishes on offer and a main meal can be provided if someone wants one. The evening meal is prepared by the chef or a cook. Tea , coffee or juice is served in mid morning and the evening but people told us they can have a drink whenever they want one. Pots of tea and coffee are always served to visitors. The manager told us that it was planned to have menus in peoples own rooms to help them choose in advance. Care Homes for Older People Page 14 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. Residents interests are protected by the homes policies, practices and staff training. Evidence: Dovecote Manor has policies to deal with complaints and to safeguard the people who live in the home. Staff have been trained in safeguarding adults and further training is in the pipeline. No complaints have been received since the home opened. Care Homes for Older People Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Dovecote Manor is exceptionally well furnished and spacious, providing a safe, comfortable, welcoming environment for the people who live there. Evidence: Everyone has a spacious single room with comfortable, high quality furnishings and full en suite facilities, including a bath and shower. There is a mobile hoist to allow people with mobility problems to use their en suite facilities as well as separate bathrooms. The rooms vary in size and are priced accordingly. Four rooms are potentially big enough to share should people such as married couples or partners make a positive choice to do so. Three rooms on the top floor cannot be reached via the shaft lift so people who use those rooms have to be able to use the small number of stairs leading to their room. We looked at most of the rooms and all were attractively and comfortably furnished; some had items of furniture the resident had brought in with them and all were individualised to reflect the tastes and personality of the person living there. The lounge area is split into two, with chairs and occasional tables arranged in small groups. There is a large flat screen TV in the main lounge. The dining room is an extension to the main lounge, creating a large L shape. All of the communal areas are exceptionally well furnished, carpeted and decorated. There is also a separate spacious coffee lounge which is not yet well used but will no doubt be better used as the home fills up. It is planned to arrange events and coffee mornings there. The home has a huge, very well maintained, attractive garden that is Care Homes for Older People Page 16 of 25 Evidence: shared with the nursing home next door. In the past there have been summer fairs in the garden. There is car parking at the front and side of the building, as well as in the street. The building has an effective heating system but it would be helpful if the radiator covers in bedrooms could be adjusted to allow people to control the temperature themselves. Some people did say that they were sometimes too hot at night. There are handrails on the stairs but it may be helpful to fit a second handrail in some places, especially to the area which is not serviced by the lift. The spa area (large pool, jacuzzi, steam room) is not yet in use; nor is the gym. Domestic staff are employed to clean the building which was spotless and odour free when we visited. Laundry is collected each day and is washed in the laundry in the neighbouring nursing home. Staff and the residents told us that there are no problems with items of clothing going missing. 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. Dovecote Manor has trained staff in sufficient numbers to meet the needs of the residents. Evidence: Dovecote Manor is adequately staffed, with one of the two deputy managers always on duty with care assistants and ancillary staff. In addition the owner and members of his family are in the home most days. The manager is on duty from 8 until 5 on weekdays but is also in charge of the nursing home next door. Her management time is divided between the two homes and this is compensated for by the arrangements for having deputies on duty all the time. At night there are two staff on duty; they do not sleep in and are on waking duty all night. As numbers in the home build up the manager and the owner are keeping staffing under review and will increase it as necessary to meet the needs of the residents. Six of the 14 care staff have relevant NVQ qualifications and five others are studying for qualifications. Staff have done induction training to the right standard and are continuing to receive other training. Some of the training, such as the initial safeguarding training, is done using DVDs and whilst this has its place it is important in areas like that to have face to face training, with the opportunity to ask questions and explore issues. The manager has arranged such training in safeguarding with the local authority. We spoke to most of the staff who were on duty and they all said they enjoyed their Care Homes for Older People Page 18 of 25 Evidence: jobs. The residents we spoke to said they felt that the staff were helpful; and competent. One told us The staff are kindness itself. Some did feel that some of the younger staff were perhaps a little less patient and didnt always understand the value of the minor pleasantries. In discussion with the manager she felt that this was something which developed with experience and training, especially in a relatively new staff group. We observed a good, relaxed relationship between staff and residents. Staff are interviewed and fully checked before they are employed. We examined the records of three staff at random and all of the necessary checks had been carried out. This guards against the employment of unsuitable people. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, helping to ensure the safety of residents and the quality of the service provided at Dovecote Manor. Evidence: The manager is also registered to manage the nursing home next door, which is under the same ownership and shares the garden. She is a qualified nurse (though she cannot of course practice in Dovecote Manor which is not registered for nursing) and has long experience in managing care homes. She is generally based in Dovecote Manor but divides her management time between both homes. The owner is also very active in the home and visits several times a week. Staff and residents who talked to us spoke well of the manager. More than one person commented on her good memory - if she promises something it gets done. There are regular staff meetings and they are minuted. Staff receive regular one to one supervision where they can discuss training, personal development and any other issues that concern them. At the moment this is done by the manager though it may be a good idea in the longer term to share this work with the deputy managers, one of whom is currently studying for Care Homes for Older People Page 20 of 25 Evidence: her NVQ4 (management level qualification). The manager seeks the views of the people living in the home and their relatives through a customer satisfaction survey. Comments made in the first survey included made a difficult transition for mum easier and staff always available to talk to. Some negative comments were made about laundry but this did not appear to be an issue by the time we visited. People were also keen to make better use of the large garden and this is an issue that can be addressed as the weather gets warmer. All of the issues raised in the survey were added to the homes action plan. The home has not sought a nationally recognised quality assurance award such as Investors In People but has paid for a report from a care consultant. A member of the owners family carries out monthly checks including the views of the residents. Safety records, including fire safety checks were properly maintained. The owner had obtained a fire safety assessment from a consultant and this had been approved by the local fire safety officer. Kitchen and food safety is monitored using the Safer Food, Better Business programme but it did not appear to be completed in the absence of the chef. This programme, which includes fridge safety checks, needs to be completed every day. Care Homes for Older People Page 21 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 22 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 1 9 13 The registered person must 01/03/2010 make suitable arrangements for the recording of medicines received into the home, therefore each medication episode must be recorded. It is essential to keep a precise record of medication to avoid any errors and safeguard residents welfare. 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 1 The statement of purpose needs to include the homes policy on sharing, i.e. people will only share a bedroom if they have made a positive choice to do so (usually partners or a married couple). The service user guide needs to be completed and given to all residents and people who are considering moving in. Where medication is to be administered as required (PRN) there should be written guidance as to the circumstances in which it is to be given. The temperature of the medication fridge should be checked and recorded Page 23 of 25 2 3 1 9 Care Homes for Older People 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 every day. 4 5 6 11 12 25 Peoples wishes around death and dying should be recorded. The home should provide a full range of activities for the residents. It would be helpful if the radiator covers in bedrooms could be adjusted to allow residents to adjust them for themselves. 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. 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 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!