Care Home: Notintone House Care Home

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What the care home does well People have their healthcare needs met and are able to have medical support when they need it. A resident told us, "They will get me a doctor if I need one." Staff make sure they see people take their medication. An activities coordinator is employed who oganises group activities and arranges for entertainers to come to the home. A resident said, "I enjoy it when we play bingo, I would like it more often". Visitors are welcome to come and see their friends and relatives in the home and they are able to take people out. Regular church services are held in the home and people can attend a local church if they wish. People are able to make choices about their daily routines and a resident told us, "We say what we want". People are happy with the food they receive and have a choice at each meal. One resident said, "There is nothing to grumble about the food. we enjoy it". The home is kept clean and there are suitable arrangements for the disposal of waste products. A resident told us, "They keep the rooms nice and tidy". Good practices are followed to prevent the spread of any infection. There are sufficient and suitably trained staff on duty who have been through the required recruitment checks. A resident told us about the staff, "They are very good, very patient". There is a suitably qualified and experienced manager in post and people are encouraged to comment on how the home is run in residents` meetings. The required health and safety checks and tests to the building and equipment are carried out. What has improved since the last inspection? Information about services to people with dementia has been included in the Statement of Purpose. Care files provide clear details of what support and care people need and how this should be provided. A resident told us, "I feel properly looked after, I do what I can for myself". The home`s medication policies have been reviewed and updated. Staff wear protective clothing when handling food. What the care home could do better: Pre admission assessments should contain the information needed to show that the home is aware of the persons needs, and how these can be met. Care plans should contain details of people`s ethnic origin and how their cultural needs will be met. They should assess people`s mental capacity and recognise any deprivation of liberty taking place.People are given information about how to complain if they are not happy about anything, but no record is made of when minor complaints have been dealt with. There have been some concerns expressed that the home has not responded correctly to safeguarding issues, however the manager says the correct responses are now known. Some of the home`s policies have not been reviewed recently and the self assessment they complete for us does not have the information we require. Key inspection report Care homes for older people Name: Address: Notintone House Care Home Sneinton Road Sneinton Nottingham NG2 4QL     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: Stephen Benson     Date: 0 4 0 5 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 29 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 29 Information about the care home Name of care home: Address: Notintone House Care Home Sneinton Road Sneinton Nottingham NG2 4QL 01159503788 01159598604 william.robins@salvationarmy.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Salvation Army Name of registered manager (if applicable) Mr William Robins Type of registration: Number of places registered: care home 40 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 who can be accommodated is 40 The registered person may provide the following categories 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 Dementia - Code DE Date of last inspection Brief description of the care home Notintone House is a purpose built care home for older people registered to accommodate 40 service users, including people with dementia. The home is run by the Salvation Army and is situated within the William Booth Memorial complex. This complex includes a day centre, which the home provides with hot meals from the newly refurbished kitchen. The home is situated close to the city centre, with easy Care Homes for Older People Page 4 of 29 Over 65 0 40 40 0 2 3 0 6 2 0 0 9 Brief description of the care home access to local community facilities. The service users are accommodated in single rooms on four floors, which are accessible by a passenger lift, with other aids and adaptations available to promote service user independence. There are car parking spaces at the rear of the property. The manager said that current weekly fee range is £411.00 to £450.00. Care Homes for Older People Page 5 of 29 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 focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2010. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of service users and staff but none of these were returned. The main method of inspection used is called case tracking which involved looking at Care Homes for Older People Page 6 of 29 the quality of the care received by a number of people living at the home. We also used evidence from our observations; we spoke with them about their experience of living at the home; we looked at records and talked with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Pre admission assessments should contain the information needed to show that the home is aware of the persons needs, and how these can be met. Care plans should contain details of peoples ethnic origin and how their cultural needs will be met. They should assess peoples mental capacity and recognise any deprivation of liberty taking place. Care Homes for Older People Page 8 of 29 People are given information about how to complain if they are not happy about anything, but no record is made of when minor complaints have been dealt with. There have been some concerns expressed that the home has not responded correctly to safeguarding issues, however the manager says the correct responses are now known. Some of the homes policies have not been reviewed recently and the self assessment they complete for us does not have the information we require. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 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 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into the home cannot be certain staff will know about their needs when they move into the home as the assessment process is not thorough enough. Evidence: The Statement of Purpose was on display in the entrance hallway and this had been updated in March 2010. We were told in the assessment they completed that they liaise with prospective resident, family and social worker prior to admission to establish all relevant details for assessment. A sample of two recent assessments were seen and although neither of these were completed in line with the pre admission documentation used, one showed information about the persons needs but the other provided little information. Care Homes for Older People Page 11 of 29 Evidence: The manager said the care managers were responsible for going out to assess prospective new residents and that these had not been completed as he expected. A care manager said she didnt like the format used as it was too time consuming and some of the information difficult to obtain. There were assessments completed by the Local Authority seen for some residents and these had been obtained prior to admission. A recently admitted resident could not recall whether someone came to see her prior to admission so was unable to comment on the admission process, but a relative spoken with said they thought the home had done a brilliant job and her relative had settled much better than she had thought she would. Care Homes for Older People Page 12 of 29 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. Care plans show how the majority of peoples needs are to be met, although peoples mental capacity is not being properly assessed. People receive the healthcare they require and are administered their medication in a safe manner. Evidence: We were told in the assessment they completed they, Promote and provide all necessary health care through comprehensive assessment with monthly review to ensure appropriate care is provided. A sample of care plans were seen and these provided information about areas of need and what assistance is required. These were being regularly reviewed and updated. There were some care practices noted that were not included in the care plans. This included the support being given to help one recently admitted resident to settle. There was not information about peoples capacity to make decisions for themselves. Information included in the assessment they completed stated that the home provides services to people from differing cultures, however there was not sufficient Care Homes for Older People Page 13 of 29 Evidence: information included within care plans about peoples ethnic origin, any cultural needs and how these will be met. The manager said they had worked very hard to get care plans right, and knew they needed to include information about peoples capacity to make decisions as required by the Mental Capacity Act. Care managers are responsible for reviewing care plans which are prepared by keyworkers. One keyworker was seen being given time on shift to write a care plan. A resident told us, I feel properly looked after, I do what I can for myself. A record is made of all healthcare appointments and care plans showed that people with dementia have support from Community Psychiatric Nurses (CPN). Staff were seen providing people with equipment to promote their mobility and care of their skin. A hoist is used when a resident is unable to transfer themself but when they able to staff were observed promoting this in a good humoured and encouraging manner. A resident told us, They will get me a doctor if I need one. Part of the morning medication round was observed and for residents in the dining room staff were seen checking the medication before giving it, watching the person take it and then signing the administration record to show the correct medication had been administered. Residents who were having breakfast in bed had their medication taken up to them with their breakfast and staff said they observe the resident take this then record this. Staff said they have had training on the safe handling, storage and administration of medicines and that the homes medication policy has been updated. The manager said they had not appointed a dignity champion in the home and staff were unaware of this initiative. The manager said he expected all staff to promote peoples dignity however following a discussion agreed there would be benefits within the home through having a dignity champion. A resident told us, I am treated with respect and another said, We have to work together, its mutual cooperation. Care Homes for Older People Page 14 of 29 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. People have opportunities to take part in activities both in and out of the home. There are opportunities for people to exercise choice in their lives and they are provided with a wholesome diet. Evidence: The home has an activities coordinator who is responsible for arranging entertainment, trips out of the home and daily activities. There are regular opportunities for residents to worship both in the home and at the adjoining chapel. Residents were seen taking part in various activities during the visit, ranging from reading, using a typewriter and having their nails done. One person said whilst showing a flower painted on her nail, Ive never had that done before, isnt it lovely. Another resident said, I enjoy it when we play bingo, I would like it more often. One person was seen walking to a local shop with a member of staff to collect a newspaper and there were discussions about a forthcoming boat trip on the river Trent, and a trip to Matlock Bath, which had been suggested in a residents meeting. A relative commented to a resident, You are always out enjoying yourselves you lot. Care Homes for Older People Page 15 of 29 Evidence: We were told in the assessment they completed that, Involving residents in decision making and allowing autonomy and choice to be achieved within individuals capacity. Staff were observed asking people what they thought and wanted to do and staff spoke of providing choices where they can. A resident told us, We say what we want. It was stated in the assessment that there is a choice of meals with a flexible and rotating menu which delivers a well balanced home prepared cooked meal in a conjovial and relaxing atmosphere with support provided as appropriate. Residents were seen eating a choice of meal at lunchtime and some people were provided with support to eat their meals. One resident said, There is nothing to grumble about the food, we enjoy it. Care Homes for Older People Page 16 of 29 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. There are systems in place for people to raise any concerns, but safeguarding procedures have not always been adhered to. Evidence: We were told in the assessment they completed that there have not been any complaints made at the home in the last 12 months and none have been received by us. There is a complaints procedure displayed in the home and a book to record any complaints made, which did not have any recent entries made. Staff were aware of the complaints procedure and knew what to do if they had a complaint made to them. Staff and the manager referred to some minor concerns that have been responded to and resolved, however there has not been a record made of these, so there is not any evidence showing how the home responds when any concerns are expressed. Residents spoken with said they did not have any complaints or grumbles. There have been four safeguarding investigations in the past 12 months, concerning a physical incident between two residents, personal care received by a resident, skin damage and unexplained graze and bruising. The latter is still under investigation. Some concerns have been raised about the home not following the correct procedures Care Homes for Older People Page 17 of 29 Evidence: during one of the investigations, however this was discussed at the time and the manager said he was now clear about the procedures to be followed. Care Homes for Older People Page 18 of 29 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. Attempts are being made to improve the standard of accommodation and for it to provide an appropriate environment for people with dementia. Evidence: We were told in the assessment they completed there is a, dedicated team of housekeepers ensure the home is kept clean and odour free and to control and prevent the spread of infection. There have been a number of improvements made to the environment recently, including creating a new lounge on the first floor, and new carpets and decoration in the communal areas. There have been some signage to assist people with dementia with orientation, and the manager said he is planning to visit some dementia homes to get more ideas of how to improve the environment. A resident told us, They keep the rooms nice and tidy. There were supplies of protective clothing seen and staff were seen using these as they went about there duties. There were supplies of hand wash located around the building and there were systems in place for washing soiled laundry, and for the disposal of clinical waste. Care Homes for Older People Page 19 of 29 Evidence: There had been an outbreak of norovirus, which was reported to the appropriate authorities, and measures were put into place to contain this. Care Homes for Older People Page 20 of 29 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. There are sufficient staff available to meet peoples needs, and they are being provided with the training they require to do this. People are protected by recruitment practices in the home. Evidence: We were told in the assessment they completed that, Good staffing levels with identified teams of carers, catering and housekeepers specialising in their individual roles and responsibilities. Staff said the current deployment of care staff is sufficient to meet the current needs of the residents and that staffing levels have been adjusted recently due to an increase in the number of residents. A resident told us about the staff, They are very good, very patient. It was also stated on the assessment that 14 of the care staff have got a professional qualification, and one care manager said she had just completed National Vocational Qualification (NVQ) level 4. The manager said there have not been any new staff start work since out last visit, however he was in the process of recruiting some permanent and relief staff at the Care Homes for Older People Page 21 of 29 Evidence: moment, and that the correct recruitment procedures are being followed. The manager said that a member of staff has been trained as a trainer for to provide training on working with people with dementia. There has been recent training provided in basic food hygiene, moving and handling and first aid, and further training is planned in person centred care and tissue viability. Care Homes for Older People Page 22 of 29 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. There are suitable arrangements for the management of the home, but more attention is needed over some administrative duties. Evidence: We were told in the assessment they completed that, Open management encourages resident and staff involvement creating a good atmosphere and team working. The manager has worked in the home for many years and has a managerial qualification. The manager is on duty in addition to the staff on duty to cover the shifts, and takes part in routine training that is provided for staff. The manager said he has not undertaken a recent survey to seek peoples views on the services provided within the home, but copies of resident meeting minutes showed people were able to put forward their views and make suggestions. The assessment we ask the provider to complete and send back to us was returned, Care Homes for Older People Page 23 of 29 Evidence: however the form for younger adults rather than older people had been downloaded from our website, and the information contained in this was brief, and did not give sufficient detail about the service and the views of people living there. A system is in place to help people manage their personal allowances. This requires a record to be made of all transactions, which is witnessed by another person. A check of a sample of records showed this being operated correctly. We were told in the assessment they completed that equipment is serviced or tested as recommended by the manufacturer or other regulatory body. Dates were provided showing this to be the case. There were dates provided when the homes policies and procedures were last updated, and this showed some of these had not been reviewed or updated for a considerable number of years. Staff said they do not have any health and safety concerns, but would like to see a fire plan of the building in the foyer. Care Homes for Older People Page 24 of 29 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 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 Pre admission assessments must contain sufficient information to ensure the home is able to establish if they are able to meet the persons needs. This will ensure that anyone coming to the home will be able to have their needs met there. 01/07/2010 2 7 15 There must be a process in place to assess peoples mental capacity and recognise any deprivation of liberty taking place. This will promote people to retain as much control of their lives as they can. 01/07/2010 3 7 15 Care plans must include details of peoples ethnic origin and how their cultural needs are to be met. 01/07/2010 Care Homes for Older People Page 26 of 29 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This will ensure that people receive care appropriate to their culture. 4 18 12 Staff must ensure the 24/05/2010 safeguarding procedures are followed in the event of any allegation of abuse. This will ensure people are protected if they are at risk of being abused. 5 33 17 The correct Annual Quality Assurance Assessment (AQAA) must be fully completed and include the views of people living in the home. This will ensure that people living in the home are able to contribute to how the home is run. 6 33 17 The homes policies and procedures must be kept under regular review. This will ensure they provide staff with the best and most recent practices in meeting peoples needs. 01/08/2010 01/04/2011 Care Homes for Older People Page 27 of 29 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 10 16 38 Appoint a dignity champion within the home Consider ways of recording concerns and complaints that are not raised as formal complaints. Provide a fire zone plan in the foyer. Care Homes for Older People Page 28 of 29 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 29 of 29 - 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. 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