Care Home: Fernside Hall

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Staveley Birk Leas Nursing Home
• Carentan House

What has improved since the last inspection? A redecoration and refurbishment programme has been started and the work so far is improving the facilities for people living in the home. What the care home could do better: Make sure that staff make meaningful recordings in the daily records that show what care and support they have given to people. Make sure that staff spend time talking to people and that activities are available every day. Make sure that incidents that happen in the home are reported to the right people. This will make sure things are dealt with properly. Make sure that staff are consistent in their approach with people. This will make sure people using the service always have staff caring for them in a patient manner.Fernside HallDS0000072608.V375412.R01.S.docVersion 5.2Page 7 Key inspection report CARE HOMES FOR OLDER PEOPLE Fernside Hall Stafford Avenue Manor Heath Halifax West Yorkshire HX3 0NR Lead Inspector Paula McCloy Key Unannounced Inspection 18th May 2009 08:45 DS0000072608.V375412.R01.S.do c Version 5.2 Page 1 This report is a review of the 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. 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. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 2 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 Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fernside Hall Address Stafford Avenue Manor Heath Halifax West Yorkshire HX3 0NR 01484 538989 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eldercare (Halifax) Ltd Mrs Jane Alison Hartley Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24), Physical disability (1) of places Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 categories: Old age, not falling within any other category - Code OP, maximum number of places 24 Physical disability - Code PD, maximum number of places 1 The maximum number of service users who can be accommodated is: 24 1st May 2007 2. Date of last inspection Brief Description of the Service: Fernside Hall is a large stone built house, which has been extended for its current use. It is situated at the end of Stafford Avenue, adjacent to the main Halifax / Huddersfield Road. Manor Heath Park, and some local shops are near by. The main Halifax shopping centre is only a short bus ride away. Fernside Hall is a care home. It has the provision to accommodate 24 older people. The building is well maintained, pleasantly decorated and comfortably furnished. The home is surrounded by well stocked and well maintained gardens. There are two lounges and a dining room on the ground floor and a small lounge on the first floor. There is an activities room and hairdressing room on the lower ground floor. There are 20 single bedrooms, 18 of which have en suite facilities and two double bedrooms with en suite facilities. Bedrooms are well decorated and furnished to a good standard. There are three bathrooms, two of which have assisted baths. There are also three separate toilets. There is a passenger lift that serves all floors. The current weekly fees range from £440 - £475 per week. Additional charges are made for hairdressing, chiropody and newspapers. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star – good service. This means the people who use this service experience good quality outcomes. 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 the service 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. We inspected the home in May 2007. New owners took over the service in November 2008. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 7 hours. During the visit we spoke to 4 people living in the home, 5 members of staff, the manager and 4 relatives. We also observed staff delivering care, looked at various records and looked around the home. What the service does well: Fernside Hall is a well managed home that is run in the best interests of the people who live there. Anyone thinking of moving into Fernside Hall can go and look around and get written information about the home, the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that persons needs and arrange a day for admission. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 6 Each person has an individual care plan that sets out what care and support they require from staff. People look well cared for. They told us that the hairdresser visits regularly and that the laundry service is good. Activities are arranged on a regular basis to keep people stimulated. People can follow their own routines and relatives and friends are welcome to visit at any time. Meals at the home are good offering choice and variety. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. The home is clean, tidy, comfortable, and well maintained. There is a redecoration and refurbishment programme in place, which will further improve the accommodation and facilities for the people living there. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. What has improved since the last inspection? What they could do better: Make sure that staff make meaningful recordings in the daily records that show what care and support they have given to people. Make sure that staff spend time talking to people and that activities are available every day. Make sure that incidents that happen in the home are reported to the right people. This will make sure things are dealt with properly. Make sure that staff are consistent in their approach with people. This will make sure people using the service always have staff caring for them in a patient manner. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 7 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. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5. Standard 6 does not apply. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People get written information about the service and can visit to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. EVIDENCE: There is an up to date Service User Guide in place and copies are readily available for people to take away and read. This means that people can get information about the service and what the home has to offer. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 10 People living in the home and their relatives told us that they had been to look around the home. This helped them to decide if the home would be suitable. A member of staff from Fernside Hall will go and assess anyone thinking of moving into the home. There is an assessment document that staff complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. We looked at the files for two people that had moved into the home most recently and found all of the assessment information we would expect, together with a care plan for each. The home does not provide intermediate care this means that standard 6 of the standards does not apply. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 &10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Peoples health and personal care needs are being met. EVIDENCE: We looked at three care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found that the care plans were detailed and easy to follow. All of the necessary risk assessments have been completed and staff are writing down the action they need to take to reduce or eliminate that risk. We did find that the daily records were very repetitive and focussed a lot on what people were eating rather than on how staff were meeting that persons needs. Staff spent Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 12 a long time writing records in the morning, although they were sat in the lounges there was very little interaction with people. We spoke to the manager about this who agreed to look at the homes recording systems. Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are clearly documented in the residents care plan, together with the advice that has been given. People living in the home told us that the chiropodist and hairdresser visit regularly. People living in the home and their relatives told us that they get the care and support that they need and that usually staff are available when they need them. One person told us that sometimes she had to wait longer than she would like to go to the toilet. People we spoke to told us that generally they like the staff but that they find some more patient and understanding than others. People looked well dressed and well cared for. People we spoke to all said that the laundry service at the home is very good. The medication system is well managed. We watched part of a medication round. The carer spent time with each individual, offering encouragement when needed. People are receiving their medication at the prescribed times and records are well maintained. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the 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 activities on offer to keep people stimulated. Relatives are welcome to visit at any time. Meals at the home are good offering choice and variety. EVIDENCE: We spoke to people who prefer to stay in their rooms and take their meals there. Staff respect their preferences and make sure they have what they need in their room. When people move in they are asked specifically about their religious and cultural needs. Religious services are held at the home for those people who wish to attend. An activities organiser provides various activities three days per week. There is a notice board in the hallway that gives details of the activities on offer. On the day of this visit the activities organiser was not working and there was Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 14 very little on offer for people to keep them stimulated. Although there were staff around there was a general lack of interaction with people. We spoke to the manager about this who agreed that the activities programme could be better and that she is considering making changes to provide more stimulation for people. People are asked at residents meetings what trips they would like. This year people want to go to Blackpool for fish and chips and Hollingsworth Lake. Some people have been to the Rex cinema in Elland, recently to see ‘Young Victoria.’ Relatives confirmed that they can visit at any time and that they are made to feel welcome. Any visitors are always offered a drink as soon as they arrive at the home. Relatives also said they can go and make themselves a drink if they want to and this makes them feel very at home. Visits take place in the communal areas or in people’s bedrooms if they want privacy. There is also a small lounge on the first floor that people can use if they want to. Everyone has a telephone in their room where they can make or receive calls in private. People said that the food was good. Meals are served in a number of different rooms. There is a two-week menu and the daily choices are displayed in the hallway. There was a choice at lunchtime and the meal was nicely presented. People living at the home are asked about the meals at the residents’ meetings and any suggestions they have are incorporated into the menus. Staff also write down comments about the meals for the chefs, so that they can see if people have enjoyed the meals or if there are any specific requests. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the 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’s complaints procedure is well publicised and people are confident that that any concerns will be listened to, taken seriously and acted upon. Staff have a good understanding of adult protection issues which means service users are protected from any abuse. EVIDENCE: The complaints procedure is on display and detailed in the service user guide. Complaints that have been received are documented and resolved to the complainants’ satisfaction. People said that if they had any concerns they would feel able to raise these with the registered manager. They were also confidant that they would be listened to and that any concerns would be resolved. We looked at the complaints log and could see that details of complaints had been recorded together with the out come. We did see that one of the people living in the home had reported that money had gone missing. Staff investigated this but did not involve the police or inform us. The money was not found. Any theft or potential theft from the home must be reported to us Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 16 and reported to the police. This will make sure that everyone knows it is being treated seriously and the proper action is being taken. Staff have attended adult protection training or completed this training as part of their National Vocational Training in care. The local adult protection procedures are available. All staff spoken to were able to detail exactly what they would do if they felt any practices in the home were not in the best interest of the people living there. This means that people are being kept safe. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the 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 live in a clean, safe, comfortable, well maintained home. A programme of redecoration and refurbishment is in place that will improve facilities for people living in the home. EVIDENCE: The home is situated at the end of Stafford Avenue in Halifax. Halifax town centre is easily accessible by car or public transport. There is a hairdresser, local shops, and pub within walking distance. The home is well maintained. The attractive garden and patio are accessible and seating is available. People living in the home enjoy the gardens in fine weather and like to sit outside. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 18 The most recent environmental health inspection awarded the kitchen 5* for hygiene. This is the highest award that can be achieved. The home was very clean and there were no unpleasant odours. Everyone using the service said that the home is always clean. The new owners have put a redecoration and refurbishment programme in place. We looked at one bedroom with en suite facilities that had been refurbished recently. This has been done to a high standard and has improved the facilities for the person in that room. The laundry system is good. The laundry assistant puts people’s clothing away. People we spoke to were all highly satisfied with the laundry service. There is a written infection control policy and an infection control information file. There have been no infection control issues at the home. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 & 30 People using the 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 enough staff on duty to meet peoples needs. Staff are well trained and competent to do their job. Staff are properly checked before they start working in the home to make sure they are suitable and safe to work with older people. EVIDENCE: The duty rotas are arranged to provide 4 care staff on duty in the mornings and three care staff on duty in the afternoons and evenings. The manager works in addition to these staffing levels. At night there are two waking night staff and a member of staff sleeping in. Recruitment procedures at the home are good. Staff files confirmed that the necessary checks are being completed to ensure the suitability of new staff. This means that staff are safe to work with older people. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 20 There is a comprehensive induction programme in place for new staff, which meets the national standards. This means that it helps staff to get the knowledge and skills they need to care for people. Staff are well trained and competent to do the job. There are 16 care staff working at the home all of them are qualified to NVQ (National Vocational Qualification) level 2 or 3 in caring for older people. People living in the home told us that they felt some staff were not as patient and understanding as others. We spoke to the manager about this who agreed to look at this issue in staff supervision sessions. We asked staff if they are being offered training. Staff told us that they are given training that is relevant to their role and keeps them up to date with new ways of working. Staff told us they feel well supported by the manager and feel that they have enough experience and knowledge to do their job. The manager has looked at every ones training needs and people have been booked on relevant courses to make sure their training is up to date. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People using the 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 and run in the best interests of the people living there. People are involved in the running of the home and consulted about their care and support. Practices in the home promote the health, safety and welfare of the people living there and staff. EVIDENCE: The registered manager is competent and has completed the registered managers award. She works supernumerary to the rota and feels supported by the new company who own the home. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 22 People are consulted about the running of the home in residents’ meetings, through the quality assurance questionnaires and at the monthly reviews of their care plans. The results of the most recent quality assurance survey that took place in March 2009 will be discussed at the May residents meeting. Residents’ meetings are held every three months and the manager acts on any issues or suggestions they have. For example what trips out they would like. The area manager completes monthly reports on the home. We thought that they were very brief and lacked detail of discussions with people living in the home and staff. The purpose of these reports is to check that the home is being managed properly and that people using the service are satisfied. More detailed reports would help in the ongoing quality monitoring process. The manager does hold money on behalf of residents. The records examined were well maintained and accurate. This means that people are protected from any financial abuse. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. Service certificates for the hoists, passenger lift and electrical installation were available and were up to date. This means that equipment is being maintained in good working order and is safe. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 OP38 Standard Regulation 37 Requirement The home must inform us of any event that happens in the home that is covered by this regulation, including any theft from the home. This will make sure that we can make sure the correct action has been taken. Timescale for action 30/06/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Staff need to make sure that the daily records reflect the care and support that they deliver to people living in the home. This will make sure that a check can be made that care is being delivered as detailed in the care plan. The manager needs to look at a way of delivering activities in a consistent way. The manager needs to make sure that all staff are dealing with people’s care and support in a patient and understanding way. 2 3 OP12 OP18 Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 25 Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Tyne and Wear NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshireandhumberside@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. Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 26 Fernside Hall DS0000072608.V375412.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!