Care Home: Olive House

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The assessment process ensured residents who were admitted to the home had their needs met. A relative said. We chose here. We did some research, had a look round and looked at reports. We came here and liked it. Residents case tracked said, I chose here because I had two friends who did the research and had access to the open air and I have only been here a few days and am here because I was knocked down. I came here because of that. I agreed to come in here. People who used the service were able to make a choice to enter the home. One person who used the service said, When I came here staff talked to me about my care. They told me what they did and what I can do. Mainly I look after myself. A family member said, we as a family are impressed with the home because they are very communicative and keep us and each other informed. They discussed her needs when she came in. Very extensive. We are aware of the care plan but the care is good so we do not feel we need to be involved. Staff kept families and people who used the service informed of their care needs. A family member said, the nicest thing anyone said to me was help yourself to a brew. Its the ethos of the home. The staff are marvelous. From the minute she came in we have been confident they are looking after her. The staff are all nice. Residents case tracked said, the staff are very nice. We have a laugh and the staff are are very pleasant. I get the care I need when I need it. The people spoken to were very happy with the care and the good attitude of staff. People who used the service said, the food is good I like the food and food is all right but unexciting. There is always enough. I go out for a meal at least once a week. A relative informed us that the food is wonderful. The menu is always displayed. Mother has put weight on. They get the same food as for the residential unit. The food served at the care home was appreciated by people who used the service. One relative said, I think she gets enough entertainment and activities. One person case tracked said, I like to get out and there are lovely grounds here. I can take a walk. I can still join in with the amateur dramatics. Getting there is more difficult because I cannot drive now. People who used the service were able to join in suitable activities of their preference. One visitor said, I am treated fabulously and made to feel welcome. As a family we talk and we are here seven days a week and have found no faults. Both people case tracked said visiting was unrestricted. Visiting was open for the benefit of people who used the service. Residents case tracked said, I am treated all right and it is a good place. I have a nice room. I am happy enough here and The services I use such as the laundry and cleaning and is done well. The staff are are very pleasant. I get the care I need when I need it. I am reasonably happy here. I have my own things and my room is nice. The general atmosphere is very pleasant. I feel safe here. All in all it is very nice. Onerelative said, I could complain if we had to. I think my mother is safe. I would recommend here to anyone. The open and friendly atmosphere was appreciated by families and people who used the service. The well decorated and furnished home gave people who used the service a nice environment to live in. Outdoor space was especially pleasant for days out when the weather permitted. Safeguarding and recruitment procedures protected people who used the service from possible abuse. What has improved since the last inspection? An up to date statement of purpose informed relevant parties of the services and facilities provided at the care home. Medication policies and procedures had been improved. Risk assessments for people who self administered medication, accurate time dispensing and good record keeping ensured errors were minimised. The dementia unit carpet had been replaced for the benefit of the people who used the service. What the care home could do better: The registration certificate had been amended but due to an error did not reflect the numbers of beds available for people who used the service therefore giving a misleading impression. Staffing must be based on need not policy to ensure their are sufficient numbers of well trained staff on duty at all times. The plans of care need some amendment to ensure the needs of all people who use the service are taken into account. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Olive House New Line Bacup Lancashire OL13 0BT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Graham Oldham     Date: 2 1 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Olive House New Line Bacup Lancashire OL13 0BT 01706874048 01706877667 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lancashire County Care Services Name of registered manager (if applicable) Mrs Kathleen Clements Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places - 22) Dementia - Code DE (maximum number of places - 16) Physical disability - Code PD (maximum number of places - 6) The maximum number of service users who can be accommodated is: 44 Date of last inspection Brief description of the care home Olive House is a large detached building set in it?s own grounds. It is part of Lancashire County Care Services and is registered to provide care and accommodation for up to 44 older people. It is located on New Line Road close to local shops, a library Care Homes for Older People Page 4 of 26 care home 44 Over 65 0 22 0 16 0 6 Brief description of the care home and other amenities in the town centre of Bacup. It is situated on a main bus route that offers transport to all towns in the Rosendale area. There are 4 separate living units that have different functions and provide different levels of care. A fairly new building extension provides service users with a spacious dining area, lounge, conservatory, and modern garden decking that overlooks the local bowling green. Many bedrooms are en suite and there are assisted bathrooms, shower rooms and toilets for service users throughout the home. The service also operates a rehabilitation unit for 6 service users and this is separately staffed. A well-attended day care service is situated in the building. Prospective service users receive a copy of the homes service user guide and have access to the Statement of Purpose. At the time of this visit, the fees ranged from £366 - £433 per week. There are extra costs for hairdressing, newspapers and toiletries. The registered manager is Doric Davies. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 unannounced key inspection, which included a visit to the service, took place on the st January 2009. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Three residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care needs of the residents case tracked. Some of the views have been reported collectively with specific comments contained Care Homes for Older People Page 6 of 26 within the body of the report. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. The care service provided a lot of information to us in a form called the Annual Quality Assurance Assessment or AQAA. What the care home does well: The assessment process ensured residents who were admitted to the home had their needs met. A relative said. We chose here. We did some research, had a look round and looked at reports. We came here and liked it. Residents case tracked said, I chose here because I had two friends who did the research and had access to the open air and I have only been here a few days and am here because I was knocked down. I came here because of that. I agreed to come in here. People who used the service were able to make a choice to enter the home. One person who used the service said, When I came here staff talked to me about my care. They told me what they did and what I can do. Mainly I look after myself. A family member said, we as a family are impressed with the home because they are very communicative and keep us and each other informed. They discussed her needs when she came in. Very extensive. We are aware of the care plan but the care is good so we do not feel we need to be involved. Staff kept families and people who used the service informed of their care needs. A family member said, the nicest thing anyone said to me was help yourself to a brew. Its the ethos of the home. The staff are marvelous. From the minute she came in we have been confident they are looking after her. The staff are all nice. Residents case tracked said, the staff are very nice. We have a laugh and the staff are are very pleasant. I get the care I need when I need it. The people spoken to were very happy with the care and the good attitude of staff. People who used the service said, the food is good I like the food and food is all right but unexciting. There is always enough. I go out for a meal at least once a week. A relative informed us that the food is wonderful. The menu is always displayed. Mother has put weight on. They get the same food as for the residential unit. The food served at the care home was appreciated by people who used the service. One relative said, I think she gets enough entertainment and activities. One person case tracked said, I like to get out and there are lovely grounds here. I can take a walk. I can still join in with the amateur dramatics. Getting there is more difficult because I cannot drive now. People who used the service were able to join in suitable activities of their preference. One visitor said, I am treated fabulously and made to feel welcome. As a family we talk and we are here seven days a week and have found no faults. Both people case tracked said visiting was unrestricted. Visiting was open for the benefit of people who used the service. Residents case tracked said, I am treated all right and it is a good place. I have a nice room. I am happy enough here and The services I use such as the laundry and cleaning and is done well. The staff are are very pleasant. I get the care I need when I need it. I am reasonably happy here. I have my own things and my room is nice. The general atmosphere is very pleasant. I feel safe here. All in all it is very nice. One Care Homes for Older People Page 8 of 26 relative said, I could complain if we had to. I think my mother is safe. I would recommend here to anyone. The open and friendly atmosphere was appreciated by families and people who used the service. The well decorated and furnished home gave people who used the service a nice environment to live in. Outdoor space was especially pleasant for days out when the weather permitted. Safeguarding and recruitment procedures protected people who used the service from possible abuse. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The good assessment of people who used the service ensured their needs were met at the care home. Evidence: The service did not provide intermediate care. The statement of purpose had been amended to fully inform people who used the service of the facilities and services provided. Three plans of care were examined during the case tracking process. Plans of care contained an assessment undertaken by a member of staff. Plans of care also contained an assessment by the local hospital trust or social serevices. Staff were flexible and visited people who used the service at home or hospital. The assessment process ensured staff gained sufficient knowledge to develop a plan of care. Care Homes for Older People Page 11 of 26 Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Plans of care contained sufficient detail to help staff meet the needs of residents. People who used the service had access to health care specialists to keep treatments and advice up to date. Medication administration was safe for people who used the service. The professional way staff treated people who used the service ensured their privacy and dignity was maintained. Evidence: During the case tracking process three plans of care and associated documentation were examined. For people who used the service on the residential and dementia units there was a plan of care which highlighted their needs. People case tracked said the care was what they needed and staff were good. Staff questioned were able to give a good account of the care they gave to these residents. Although the plans of care had been reviewed with the people concerned the initial document did not show signs of service user or family involvement. This demonstrates that plans of care may not have been fully developed with the assistance of people who used the service but they did have the ability to add their wishes at review. Care Homes for Older People Page 13 of 26 Evidence: On the rehabilitation unit the plans of care tended towards daily notes, albeit good ones and the input of professionals. It was recommended that to meet this standard the plans of care available are completed for each person who used the service. Evidence was observed in plans of care that people who used the service had access to specialists such as physiotherapists, opticians, dentists, podiatrists, their doctor and district nurses. Risk assessments for tissue viability, nutrition and falls had been completed to protect the health and welfare of people who used the service. People who used the service had access to specialists to gain advice or medical help. There were medication policies and procedures for staff to follow safe practice. All staff who administered medication had been trained appropriately. There was a controlled drug cupboard and a register which had been completed correctly. The drug administration records were examined and did not contain any errors. There was a fridge to store medications and a record maintained of temperatures to ensure it was working. Staff training and the use of current policies and procedures helped staff administer medication and prevent errors. The inspection was conducted for the most part in a communal area. Staff were observed to treat residents in a polite and friendly manner to give personal care in a manner suitable for people who used the service. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who used the service were able to make choices within the routine of the home to help promote their independence. Leisure activities were varied and enabled people who used the service to lead fulfilling lives. Visiting was unrestricted to encourage visitors to the home. The food served at the home was nutritious and met people who used the service tastes. Evidence: Plans of care examined during the case tracking process showed information had been obtained for each person of their choices within the daily routine and hobbies. This helped demonstrate that the needs of each individual were taken into account. The person in charge gave an account of the weekly program for activities. She said this included trips out to venues or shopping, pamper sessions, bingo, arts and crafts, film shows and events tied to special calendar dates such as Halloween. One resident case tracked visited her own hairdresser and went out with friends. There was a monthly newsletter to inform people who used the service of the events and activities on offer. People who used the service could add items or get involved in producing the newsletter. People who used the service were able to attend suitable activities. Care Homes for Older People Page 15 of 26 Evidence: One visitor and two residents case tracked were able to say staff encouraged visitors to the home to help them maintain contact with family and friends. On the day of the inspection a member of staff was observed asking what people wanted for the next days meals and a choice was offered at each serving. The cook said people who used the service were consulted about the menus to gain their preferences. The cook had carried out the necessary environmental health checks and the kitchen was clean and tidy. The meal served on the day of the inspection was hot, nutritious and liked by people who used the service who commented it was nice. One person was observed to be fed in an individual and dignified manner. One relative said the food was good and her relative had put weight on since entering the home. The meals served at this care home were appreciated by those who ate them. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure was available for people who used the service to voice any concerns they may have. Safeguarding training, policies and procedures protected residents from possible abuse. Evidence: There was an accessible complaints procedure which meets current guidelines. There had not been any complaints made to the Commission for Social Care Inspection since the last key inspection and the two complaints made to the service had been answered appropriately. Compliments and concerns were treated seriously by management to provide a good service. No adult abuse issues had been raised since the last key inspection. The service used the Lancashire County Council adult abuse procedures to follow a local initiative. Documents to support staff with safeguarding issues included the No Secrets advice and a whistle blowing policy. Staff interviewed during the case tracking process were aware of safeguarding issues and had been trained adequately to look for the signs of abuse. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The nice and homely atmosphere at this care home provided good facilities for people who used the service. Evidence: A tour of the building was conducted on the day of the inspection with several lounges and all communal areas visited. Health and safety system such as the control of water temperatures, window opening restriction and safe radiators helped protect people who used the service from harm. All the communal rooms visited were bright and contained good levels of equipment for the comfort of people who used the service. Bedrooms visited had been personalised, were clean, well decorated and equipped to provide good private space for each person. Outside space was exceptional with views over a local park and a bowling green to interest people who used the service. Outside space was accessible and contained furniture people to sit on. There was disability equipment which enabled less mobile people the chance to bathe Care Homes for Older People Page 18 of 26 Evidence: and get around the home. People involved in the case tracking process were satisfied with the environment. In general there was a homely atmosphere for people who used the service to enjoy. The laundry was sited away from the kitchen. It was well equipped with two washers, two dryers, a rotary and steam iron. There were policies and procedures for the control of infection. There was a sluice with a bedpan disposal system and hand washing facilities in all the main clinical areas. The infection control measures at the home helped protect the health and welfare of staff and people who use the service. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was a robust recruitment procedure to ensure new staff did not pose a threat to people who used the service. There was a well trained staff team to help meet the needs of people who used the service. Evidence: During the inspection the staffing numbers were discussed with several members of staff on duty. Staff were worried that a directive was to be issued and some staff made redundant on the night shift. Since the inspection was completed eight members of staff have reacted to the directive and complained to the Commission for Social Care Inspection saying the needs of people who use the service are not taken into account for night staffing. The local authority must be aware that staffing levels are dictated to by the needs of people who use the service and not by policy. On the day of the inspection information gained from staff and the examination of the rota demonstrated there were sufficient staff to meet the needs of people who use the service at this time. Two staff files examined during the inspection demonstrated sufficient information was obtained prior to employment to meet current guidelines. Two staff files contained evidence all mandatory training, including an induction course Care Homes for Older People Page 20 of 26 Evidence: had been completed and the person in charge said more than 90 had completed NVQ2 training or better to provide a well trained staff team. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality assurance systems were sufficient to gain the views of those connected with the home and react accordingly to their changing needs. The financial system was safe for people who used the service. Health and safety policies, procedures and staff training helped protect the health and welfare of staff and people who used the service. Evidence: The manager held suitable qualifications and experience to manage the service and had updated her knowledge to help guide staff. The management team held regular surveys to gain the preferences of people who used the service. Meetings with staff and people who used the service were recorded and gave staff information upon how to provide a better service. The financial administrator demonstrated the system for handling residents pocket Care Homes for Older People Page 22 of 26 Evidence: monies. This service did not handle the finances of residents. All accounts are held in a ledger with clear in and out transactions recorded. Two staff sign for giving out money and receipts were observed attached to each individual account. There was a health and safety policy for staff to refer to. The electrical and gas equipment had been serviced to ensure good functionality. The certificate for the electrical installation was either out of date or missing. Certification was also observed for the fire and lighting system. The person in charge was aware of current health and safety legislation and aware of the reporting of accidents and protecting staff from hazardous chemicals. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 27 18 The registered provider must provide sufficient staff to meet the assessed needs of people who use the service. Staff are being made redundant and complaining there will not be enough staff. Not staffed on need 17/03/2009 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 7 The registered manager should ensure that where possible plans of care are signed and dated by people who use the service to show their wishes have been taken into account. The registered person should ensure that the rehabilitation unit develops more holistic plans of care to take account fully the needs of the people who use this service. The registered person should ensure proof of the maintenance of electrical, gas or fire equipment is provided and up to date. Insurance cover may not be valid if equipment is not maintained. 2 7 3 38 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!