Care Home: Mon Choisy

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well In the returned surveys some of the residents thought in regard to what the home did well; "Kept clean" and that they like the food very much and enjoy the library books provided. Other comments were: "Look after residents and very helpful." And "Enjoys music and listens to the radio." "Likes the social activities and community events. The church picking them up regularly." From information obtained through this inspection the people who use the service can be confident that they will obtain a good standard of care and support. They will also be provided with the opportunity to continue to with their daily lives as they wish. They can be certain that their concerns will be listened to and that they will be protected from possible abuse or harm by the systems in place. The service provides a homely comfortable environment that is able to accommodate their needs and has the necessary equipment to do so. Staff are friendly and have been provided with the training and knowledge to support them well. The service is run in the best interests of the people who live in the home. Information from the whole inspection process shows that the service is managed well and effectively. What has improved since the last inspection? The Registered Manager has ensured that staff have better knowledge to meet residents nutritional needs and have updated their skills for medication administration. Residents have had the opportunity to participate in an improved activity programme. The progress in refurbishment and redecoration of the home has made it a more comfortable and safe environment for residents to live in. What the care home could do better: They should continue with their planned improvements to the environment such as those for the shower and commode pan sanitizer to maintain good standards for infection control. They should also continue with their intended development of the processes for the recruitment of staff. Key inspection report Care homes for older people Name: Address: Mon Choisy 128 Kennington Road Kennington Oxford OX1 5PE     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: Ruth Lough     Date: 0 9 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Mon Choisy 128 Kennington Road Kennington Oxford OX1 5PE 01865739223 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): enquiries@auditcare.com Mrs Ellen Audit Name of registered manager (if applicable) Mrs Ellen Audit Type of registration: Number of places registered: care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 28 The registered person may provide the following category/ies of service only: Care home only (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 (OP) Dementia (DE) Date of last inspection Brief description of the care home The home is located near Oxford in the village of Kennington, close to shops and public transport facilities. It is privately owned and managed, and provides 24-hour personal care and support for a maximum of 28 residents. Mon Choisy is the larger of two homes owned by Mr and Mrs Audit in Kennington and shares a management structure and policies and procedures with its sister home, Kirlena House. The house itself is Care Homes for Older People Page 4 of 27 Over 65 0 0 0 0 Brief description of the care home detached, with a patio area and sloped courtyard garden at the rear that can be accessed via pathways with handrails. Residents rooms are on two floors with stairs and lift access to the first floor. The rear ground floor sun lounge overlooks the garden and there are further communal rooms including a separate dining room-cum-sitting room, a sitting room overlooking the front drive, and a small internal sitting room. The kitchen caters for the residents of both homes. There is a laundry and further utility rooms in outbuildings at the rear of the home. The fees for this home range from £578.00 to £647.00 per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection process generated from the Adequate findings identified at the last assessment of the quality of the service by the commission in July 2009. This inspection process included reviewing information provided by the service in the Annual Quality Assurance Assessment and any returned surveys to the commission before a one-day visit to the home. An annual quality assurance assessment (AQAA) is a self assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA from this service was returned within the required timescales and had been Care Homes for Older People Page 6 of 27 completed with good detail and was informative about what the service provides. The registered manager was present when we visited the service on 9th June 2010, between 11:30 and 16:30. During the day the records for care planning, recruitment, and administration of the service were assessed. At least 5 of people using the service were involved with the inspection process. We met with staff, and a relative who were present in the home. The people who use the service and the staff who provide the support were also consulted about their opinion of what is provided, through surveys. Of the 10 people who are in receipt of support that we contacted, we received 5 responses at the time of writing this report. Staff were also contacted through surveys, of which 5 were returned. From this visit it was found that they have met the deficits identified during the last inspection process and have commenced implementing some of the good practices recommendations that were made. No requirements were made from this visit, a small number of good practice recommendations were given at the time of the inspection and can be found in the body of this report. Care Homes for Older People Page 7 of 27 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 Care Homes for Older People Page 8 of 27 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service have their needs assessed thoroughly before they are offered a place in the home. Evidence: From information given in the returned AQAA and that what was provided by staff during the inspection process it was clear that Mon Choisy provides both short term respite stays and permanent accommodation to people requiring support. They also confirmed that they were often able to help in emergency situations where individuals required care and accommodation at short notice. None of which have occurred without some form of assessment of their needs being carried out either by a referring social services professional or a member of the homes management team. We looked at a sample of 3 care plan records of people who had been living in the home for approximately 6 months or less to identify if sufficient information is obtained to determine if the home will be able to meet individuals needs before they are admitted. Care Homes for Older People Page 11 of 27 Evidence: All 3 records supported that comprehensive information where possible is obtained using that which has been provided by a referral to the home and seeking relevant details and choices from the individual themselves or their families. Additionally prospective residents are able to visit the home before undertaking a trial period of stay before a final decision is made to live there permanently. Comments given by staff and a relative indicated that quite often residents admitted for respite or emergency support decide to remain permanently if they are able. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service can expect that they will receive the support for their personal and health care needs. Evidence: Using information from the services own quality assurance processes, surveys returned to the commission and residents and relatives present during the inspection it was apparent that they all felt that their care and health support needs were being met. The 3 care plans reviewed showed that the individuals key needs that are identified in the assessment process form the focus of their planned care. Additional assessment and monitoring for the persons weight or nutrition, dependency for support, risks to their or others well being are implemented. One record for a person who had been admitted during the last few months had not had a moving and handling risk assessment completed, however a falls assessment had been carried for the individual. Health and needs and any intervention by visiting medical practitioners are Care Homes for Older People Page 13 of 27 Evidence: all recorded in detail. During the last inspection process it was identified that there had been a delay in care staff seeking professional assistance in regard to weight loss for one individual. Since then staff have been provided with specific training for nutrition and from comments made by them it has assisted them with identifying and responding to residents needs and the confidence to act accordingly to support them. The medication records that were reviewed indicated that staff were administering and recording appropriately to ensure that residents received them as prescribed. The medication policy and procedure for staff to follow has been reviewed during the last 12 months and systems were in place to record sample signatures of staff for monitoring purposes. The AQAA submitted stated that staff who undertake medication administration had revisited training to maintain their skills; copies of certificates of their achievements were made available during the inspection visit. A full review of medication practices, storage and administration was not carried out during this inspection. The staff in the home are gradually introducing as part of the initial care planning some consultation where able, about personal choices individuals may have about how they wished to be cared for at the end of their lives. For some who have a significant degree of poor mental health this has not been possible so information from relatives has been requested. Staff have continued to develop and improve the quality of their written records for care planning. One area that they could further expand is the detail of the mental and emotional well being of individuals as to assist with identifying if they are meeting the persons needs. Reviews of care are carried out by the management team either annually or where individuals needs have changed significantly. From the sampled record of where this had occurred, the process is detailed, very informative and included input from the person concerned, their relatives and any health or social care professional involved in their care. Within the care planning records, it was observed that staff are not always ensuring that they have put the name of the resident to whom it applies or placing their signature or date on the document when it had been completed or amended. The Registered Manager was informed of these deficits during the day of the inspection. Care Homes for Older People Page 14 of 27 Evidence: All of the residents who were observed during the inspection visit appeared appropriately dressed and supported with personal grooming. Care Homes for Older People Page 15 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are given the opportunity to exercise choice over their lives and be able to maintain their interests. Meals and menu planning meets their health needs and personal choices and support given when required. Evidence: In the returned surveys some of the residents thought in regard to what the home did well; Kept clean and that they like the food very much and enjoy the library books provided. Other comments were: Look after residents and very helpful. And Enjoys music and listens to the radio. Likes the social activities and community events. The church picking them up regularly. From information given by staff and a relative they felt the provision of activities has gradually improved since the last inspection process. Detail in the AQAA shows that Care Homes for Older People Page 16 of 27 Evidence: residents are able to participate in both regular group activities such as church services, musical concerts and some outings organised by the home and those with their relatives. Personal chosen daily routines are noted in the care planning for each individual and their choices and interests have been identified for staff to encourage them to participate with. During the day of the inspection it could be seen that residents were enabled to feel free to be involved or not in what activities were going on. Some residents did still sit together in the front lounge of the home with little to occupy them other than the television. Others sat in various places in the home reading, talking or observing the activity around them. A small number were participating in a little light exercise moving around the corridors, lounge and dining room and talking with staff. All of the residents appeared to be relaxed and comfortable with the staff and enjoying their company. Through discussion with staff it could be seen that they are very focused on supporting individuals and regularly undertake sometimes in their own time, small tasks to assist them, including clothes shopping and going to the library or post office. Any financial transaction is noted in the records for service users monies, although they could include more information in the persons care records to support what activities they undertake on their behalf. The residents involved in the inspection process confirmed that they like the meals provided. Staff provided information that alternatives to the planned menu can be obtained, individuals likes and dislikes are catered for and any dietary needs met. One relative stated that she was very pleased that the home responded well when a personal preference for a favourite meal was recognised, this is now incorporated in their routine meal planning. Staff expressed that they were recently upgraded to a 4 star award for standards in the kitchen. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service can be confident that their concerns or complaints are listened to and acted upon. The service has systems in place to protect the people living in the home from possible abuse or harm. Evidence: During the last inspection process it was identified that there was not method of monitoring any informal concerns or niggles made to the home. From information given in the AQAA the home has been in receipt of one formal complaint during the last inspection process and they have reviewed and developed the recording methods for concerns and minor complaints. A review of the records for monitoring these supported that staff are beginning to use this process effectively and that appropriate actions are taken when they are raised. Some of the residents indicated in the homes own quality assurance survey carried out last November that they were uncertain of how to make a complaint. We were informed that the method of delivery of this information was under review including a possible residents handbook being provided in each persons bedroom to improve accessibility. The complaints process is included in the current Statement of Purpose and Service User Guide given to new residents on arrival and is on display in the home. Some residents who participated in the survey returned to the commission did state that they would speak to the care manager or any staff if they had any concerns. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home can expect to enjoy a homely environment that is comfortable, pleasant and clean. Evidence: One resident who was involved in the inspection process said that she liked her room very much and stated that it was, quite homely. The home provides residents with a comfortable environment which they appear to enjoy living in. The majority of the bedrooms are for single accommodation, two have the capacity to be shared. The communal areas are prodominently situated at the front of the ground floor, which is where most of the residents like to spend their time. The larger sun lounge at the rear of the building is used regularly by a small number of individuals who prefer a less active environment. During the last inspection visit it was identified that parts of the home were looking shabby and tired. The main areas of concern were the private spaces, bedroom furnishings and fitments. We were informed in the AQAA and during the inspection process that the accommodation has in the majority been improved. This could be seen in a number of the bedrooms where new carpet, redecoration and replacement furniture had been implemented. This certainly has enhanced the quality and feel of Care Homes for Older People Page 19 of 27 Evidence: the bedrooms that were viewed. We were also informed that the programme of renewal and refurbishing the home was still underway and as yet they have to install a bed/commode pan sanitizer and update some of the shower room facilities. Some additional furniture, curtains and carpeting has been put in place in the front lounge. Additional changes have been made to the facilities for managing and providing the services in the home. The long term planned room for sorting and storing the clean linen away from the laundry room has finally been finished and is in use. This now ensures that the strategies for minimising cross infection have improved. Further changes are in the process of completion where the administration office is now situated on the top or second floor of the building which will provide better facilities for staff on the ground floor to store and manage the records for the care provision. The standard of cleanliness around the home was generally good; staff appeared to respond quickly to accidental spills or incidents as they occurred. The identified concerns with the laundry facilities which were found to be unclean and untidy during the last inspection process have been rectified. Furniture and little used equipment have been removed from the rear of the property and laundry. They have acquired linen skips and trolleys to manage soiled clothing and the laundry door is now kept locked. One glass pane on this door had been broken and we were informed that this was in the process of being repaired. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported by a consistent team of trained and experienced care staff who had been through a robust recruitment process. Evidence: Observing the staff with the residents they were communicating with and supporting people well they also appeared friendly and encouraged residents to participate in activities going on in the home. From the information given in the AQAA there have been some changes in the staff team. However, there remains a core number of carers and the management team who have remained consistent between Mon Choisy and its sister home, Kirlena. We were provided with information that the organisation has an ongoing programme of NVQ training that the majority of the care staff have enrolled for or have achieved qualifications in. New staff are registered to commence training as soon as they have completed their induction and probationary period. Some of the staff have sought employment in the home to gain experience to contribute to the current studies to complete NVQ 3 or 4 in health and social care. Figures given in the AQAA show that of the 11 care workers employed in the home 8 have obtained an NVQ 2 or above. Care Homes for Older People Page 21 of 27 Evidence: We looked at the recruitment records for 3 staff who had been employed during the last 2 months. It had been identified previously at the last inspection process that the required information was not always available and open for inspection and there were gaps in the records supporting good recruitment practices. The AQAA submitted states that this deficit had been rectified and that the required information in regard to recruitment and employment of staff across both homes was in place. Information was also given that they intend to develop current practices to formalise English language testing and individuals suitability for the roles they are applying for. All 3 records show that there has been some improvement in the detail requested in the application form for prospective staff, full work history had been recorded and information about individuals work permit status, if relevant, had been obtained. Criminal Records Bureau and Protection of Vulnerable Adults list checks are all carried out before the new member of staff commences employment. Staff provided information that they participated in regular training to enhance their roles. During the last few months this has included nutrition, medication, first aid and safeguarding. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is run in the best interests of the people living there and is managed effectively by a knowledgeable manager and provider. Evidence: From information provided by the service there have not been any changes in the day to day management of the home since the last inspection process, although a business manager has been added to assist with the overall management of the organisation. We looked at the quality assurance processes in place and as previously seen they have formal recorded processes for seeking residents opinion of the services provided. This includes residents meetings and consultation through surveys, the last being in November 2009 where a report and outcomes has been generated and left on display in the home for all to read. The home continues to provide support for some of the residents for safekeeping Care Homes for Older People Page 23 of 27 Evidence: money for any day to day purchases that they may have. This includes hairdressing, chiropody and toiletries. From reviewing the records for 2 individuals it appears that one member of staff usually takes the lead in monitoring and managing these funds and keeps good records of what transactions occur on the residents behalf. During the last inspection process there were some concerns about safe working practices including those relevant to the Control of Substances Hazardous to Health Regulations (COSHH) 1988 and the cleanliness of the laundry facilities. We reviewed these areas during this inspection visit and could see that actions had been implemented to secure the laundry room and any COSSH items used in the home and that the laundry room is now kept clean and tidy. Other records for safe working practices were sampled to see what they carry out to ensure that the environment and practices protect both those living or working in the home. We could see that the gas boiler and bath safety equipment are subject to regularly safety checks and servicing. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!