Care Home: Springfield Cottage

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What the care home does well People who used the service said, "my friend helped me choose here" and "I had a look around various homes. I went to St James church and met some nice people - they advised me to come here. They brought me for a look around. I liked it so came here". People were able to make an informed choice to enter the home. The excellent assessment process ensured people who used the service were suitably placed. Plans of care were developed with people who used the service or a family member to ensure their wishes were taken into account. People who used the service said, "my friend gets involved in the care plan" and "you can talk to people about your care ". Plans of care were reviewed on a monthly basis with people who used the service to keep their care needs up to date. One person who used the service said, "the medicines come on time. They are very good". Staff had been trained to administer medicine safely to people who used the service. People who used the service said, "I get to see the doctors on a regular basis" and "I went to the specialists yesterday and can see a doctor when I want to". Plans of care contained further evidence people had access to specialists to help meet their needs. People who used the service said, "they treat me very privately and confidentiality" and "the care they do give me they give privately". Staff were observed treating people with dignity when delivering personal care. One person said, "I can join in the church services. Its the best ever church filled with good friends. The vicar come here regularly and also we have keep fit every Wednesday". There was a good selection of activities and outings to keep people occupied shout they wish to join in. People who used the service said, "there are no problems with visiting" and "the owner is very nice and lets my daughter visit. It is a great joy to me. Visiting is unrestricted". Visitors were welcomed to help people who use the service socially interact. People who used the service said, "The food is very good. We get a good choice" and "the food is good on the whole". Food served at the home met peoples satisfaction. People who used the service said, "If I had problems I would talk to any member of staff they are approachable. I feel very safe" and "I feel I can complain if I want to - I say my piece. People who used the service felt able to voice their concerns and therefore felt safe. People who used the service said, "I have a lovely room - I have some of my own things in my room" and "I love my room its my seventh heaven and I had a choice of room. I say its home sweet home. I do most things for myself. I keep my room clean and tidy and polish it". People were satisfied with the comfort of their personal space. The good facilities, services and staff attitude provided a homely atmosphere for people to live in. People who used the service said, "the staff are very nice. First class. I am happy at this home" and "The staff on the whole are very good. One or two are excellent - born nurses". Staff were much appreciated by people who used the service. Good health and safety systems helped protect the health and welfare of staff and people who used the service. What has improved since the last inspection? There were no areas the home was required to improve in from the last key inspection. What the care home could do better: The registered manager should ensure a form is developed to formally record the interview of prospective staff to demonstrate a commitment to equal opportunities. Key inspection report Care homes for older people Name: Address: Springfield Cottage Preston New Road Blackburn Lancs BB2 6PS     The quality rating for this care home is:   three star excellent 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: Graham Oldham     Date: 2 9 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © 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 25 Information about the care home Name of care home: Address: Springfield Cottage Preston New Road Blackburn Lancs BB2 6PS 01254264704 01254264704 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr David Martin care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The home is registered for a maximum of 26 service users to include: Up to 26 service users in the category of OP (over 65 years of age, not falling into any other category) requiring personal care. 1 service user in the category of PD (physical disability) requiring personal care. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Springfield Cottage is a care home providing 24-hour personal care and accommodation to 26 older people. The registered provider is Mr David Martin, with Mrs Cheryl Weall being the registered manager. The home is a detached property, set in its own well-maintained grounds. Residents may access the garden area at the front, which has a paved patio area. Seating is provided on the patio area at the entrance to the home and in a wooden Care Homes for Older People Page 4 of 25 Over 65 26 0 0 1 Brief description of the care home summerhouse. To the front and side of the building is a car parking area. There is level access from the home to the grounds. The house is on the outskirts of Blackburn in a quiet residential area. There is public transport nearby. Springfield Cottage is approximately one mile from the centre of Blackburn, where most services and facilities are available. Regular bus services pass the home, with routes to both Blackburn and Preston. The home offers 24 single bedrooms, 10 of which provide en-suite facilities and 1 double bedroom, which has its own en-suite. There are 2 lounge areas, both having views over the front garden, and a separate dining room. Bedrooms are situated on the ground and first floor. The weekly charges at the home range between £410.50 and £425.00. Additional charges are made for hairdressing, private chiropody, newspapers and periodicals over and above those provided, tapes, incontinence pads, over and above what is provided via assessment. Information about Springfield Cottage can be obtained from the home in the form of The Statement of Purpose and Service Users Guide. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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 home, took place on the 25th March 2010. Much of the information gained was obtained from talking to people who used the service and staff members. The views of people who used the service were obtained on a variety of topics. Two people 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 of the residents case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment Care Homes for Older People Page 6 of 25 documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. The service returned a self assessment questionnaire which told us of the current and projected standard for the home. Notifications, which are events the home tell us about were also used to influence the inspection. Care Homes for Older People Page 7 of 25 What the care home does well: People who used the service said, my friend helped me choose here and I had a look around various homes. I went to St James church and met some nice people - they advised me to come here. They brought me for a look around. I liked it so came here. People were able to make an informed choice to enter the home. The excellent assessment process ensured people who used the service were suitably placed. Plans of care were developed with people who used the service or a family member to ensure their wishes were taken into account. People who used the service said, my friend gets involved in the care plan and you can talk to people about your care . Plans of care were reviewed on a monthly basis with people who used the service to keep their care needs up to date. One person who used the service said, the medicines come on time. They are very good. Staff had been trained to administer medicine safely to people who used the service. People who used the service said, I get to see the doctors on a regular basis and I went to the specialists yesterday and can see a doctor when I want to. Plans of care contained further evidence people had access to specialists to help meet their needs. People who used the service said, they treat me very privately and confidentiality and the care they do give me they give privately. Staff were observed treating people with dignity when delivering personal care. One person said, I can join in the church services. Its the best ever church filled with good friends. The vicar come here regularly and also we have keep fit every Wednesday. There was a good selection of activities and outings to keep people occupied shout they wish to join in. People who used the service said, there are no problems with visiting and the owner is very nice and lets my daughter visit. It is a great joy to me. Visiting is unrestricted. Visitors were welcomed to help people who use the service socially interact. People who used the service said, The food is very good. We get a good choice and the food is good on the whole. Food served at the home met peoples satisfaction. People who used the service said, If I had problems I would talk to any member of staff they are approachable. I feel very safe and I feel I can complain if I want to - I say my piece. People who used the service felt able to voice their concerns and therefore felt safe. People who used the service said, I have a lovely room - I have some of my own things in my room and I love my room its my seventh heaven and I had a choice of room. I say its home sweet home. I do most things for myself. I keep my room clean and tidy and polish it. People were satisfied with the comfort of their personal space. Care Homes for Older People Page 8 of 25 The good facilities, services and staff attitude provided a homely atmosphere for people to live in. People who used the service said, the staff are very nice. First class. I am happy at this home and The staff on the whole are very good. One or two are excellent - born nurses. Staff were much appreciated by people who used the service. Good health and safety systems helped protect the health and welfare of staff and people who used the service. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The very good assessment process ensured the needs of each person could be met at this care service. Evidence: Two people who used the service had their documentation examined under the case tracking process. A suitably qualified member of staff had undertaken a very comprehensive assessment to ensure people were suitably placed. Information was obtained from people who used the service, their family members if appropriate and other professionals to ensure as much information was obtained prior to admission. This care service did not provide intermediate care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The excellent plans of care gave a detailed account of each persons needs. People who used the service had access to specialists to help meet their medical needs. The good administration of medication was safe for people who used the service. The professional attitude of staff helped protect the privacy and dignity of people who used the service. Evidence: Two plans of care were examined during the case tracking process. The information was then matched with what staff knew and what people who used the service said to obtain evidence that their needs were being met. Plans of care had been developed and reviewed monthly with the assistance of people who used the service to fully take account of their wishes. Staff were aware of the very detailed plans of care and gave an accurate description of what care they gave to the people case tracked. This gave people who used the service the care they needed. Care Homes for Older People Page 12 of 25 Evidence: Plans of care were in a good format for staff and other professionals to readily obtain and review each persons changing needs. People who used the service had access to professionals such as opticians or chiropodists and assisted to attend hospital appointments to see specialists. This helped keep their health care treatment up to date. There were policies and procedures for the administration of medication for staff to follow good practice. Each person had a medication administration record. This was filled in correctly and showed people received their medication when it was needed. Staff had been suitably trained, had access to the local pharmacist for advice and further medication publications to supplement their knowledge. Medication was stored and disposed of safely. Staff were observed giving personal care and going about their daily routine. Care was given with light hearted banter, yet sympathetically to help each person who used the service be comfortable with the assistance they required. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The leisure activities provided at the care home helped keep people who used the service stimulated with suitable interests. Visiting was unrestricted to help keep people who used the service in touch with their family and friends. People who used the service were offered choice to help maximise their independence. The food served at the care service met the nutritional and tastes of people who used the service. Evidence: Plans of care contained evidence that the social and leisure needs of each person had been taken into account to provide interests and hobbies. People who used the service could go on trips, play games such as bingo, watch television or take a newspaper to help keep them occupied. Trips to musical events or the theatre provided entertainment. Entertainers were brought into the home to sing for the people who could not or did not wish to go out. Churches of different denominations came to the home to meet the spiritual needs of people who used the service. A physiotherapist held a group session once a week to help with the mobility and dexterity needs of people who used the service. The registered manager said visiting was unrestricted. People who used the service Care Homes for Older People Page 14 of 25 Evidence: confirmed this was the case and staff were welcoming. This helped people who used the service be socially active. Plans of care contained evidence which helped demonstrate people who used the service were allowed choice within the routines of the home and for personal preferences. People who used the service said they had choice in what they wore or ate, times of getting up and going to bed or what they did during the day. This helped people who used the service to feel contented at the care service. The kitchen was clean and tidy. The cook undertook necessary environmental health checks to help keep people safe. The cook said she regularly asked people about their preferences and adjusted the menu accordingly to provide a satisfying diet. The meal served on the day of the inspection was hot, tasty and nutritionally balanced. Dining was undertaken in a social and relaxing manner for people to enjoy the occasion. The dining room was set with tablecloths, condiments and flowers to provide a pleasant atmosphere. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accessible complaints procedure allowed people who used the service to voice any concerns they may have. The good safeguarding system helped protect people from harm. Evidence: There have not been any complaints made to the Care Commission Commission (CQC) since the last key inspection. Each person who used the service had a copy of the complaints procedure with a further copy in the lobby to inform family or friends of how to proceed should they have any concerns. There were many cards and letters expressing the satisfaction and gratitude of family members at the way the home had looked after people who used the service. There were policies and procedures for the protection of adults for staff to follow good practice. There was a copy of the Blackburn with Darwen adult abuse procedures to follow a local initiative.Staff had been trained in safeguarding issues to help keep people safe. Staff had access to the No Secrets publication and a whistle blowing policy. These documents gave staff further information on how to report any untoward incidents. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care home was suitably furnished and decorated to provide a homely atmosphere for people who used the service. The facilities and services met the environmental needs of people who used the service. Policies and procedures for the control of infection helped reduce the risk of cross contamination. Evidence: A tour of the building was conducted on the day of the inspection. All of the communal areas and several bedrooms were checked for their suitability for people who used the service. Outside space was accessible, attractive and provided both seating and shelter for people to use should the weather permit. The home was observed to be clean, warm and had no offensive odours to provide a pleasant atmosphere for people to enjoy. Communal areas were suitably decorated and contained good levels of domestic type furnishings for people to sit in comfort. There was a lift to access all floors and disability equipment provided such as hand rails or mechanically assisted bathing to help people with mobility problems. Care Homes for Older People Page 17 of 25 Evidence: Bedrooms visited had been personalised and contained sufficient equipment to allow people who used the service to remain in their rooms in comfort if they wished. Each person had a safe-box and lockable bedroom door to help retain their privacy if they wished. Windows had a device to restrict opening, radiators were guarded and hot water outlets regulated to help prevent accidents. There was a system for planned and emergency maintenance to keep equipment in good working order. There were policies and procedures for the control of infection for staff to follow good practice. There was a suitable laundry system to keep people who used the services clothes clean. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There were good numbers of suitably qualified staff to help meet the needs of people who used the service. The good recruitment procedures helped keep people who used the service safe from possible abuse. Staff induction and training helped give staff the knowledge to care for the people accommodated at the care service. Evidence: There was a good complement of staff on duty on the day of the inspection to help meet the needs of people who used the service. The off duty demonstrated that this was normal for this service. All staff had completed NVQ2 or better qualifications in care and had completed mandatory training in health and safety related topics to help meet the needs of the people accommodated at the care service. Two staff files were examined during the case tracking process. Staff files contained evidence that suitable checks were made such as for a criminal record, written references and proof of identity. Each applicant had a written application form to check past employment histories but the service did not formally record the interview which decided selection. In general the selection process ensured suitable staff were employed at the care service. New staff were given a four day supervised induction to help them understand the basics needed to care for people. Care Homes for Older People Page 19 of 25 Evidence: Most staff had been employed for a number of years, which helped provide stability and understanding of people who used the service. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was a suitably qualified and experienced person to manage the care home. The quality assurance systems helped gain the views and react to the needs of people who use the service. The safe system for handling money helped protect people from financial abuse. Health and safety policies, procedures and the maintenance of equipment helped protect the welfare of staff and people who used the service. Evidence: The registered manager was not on duty on the day of the inspection. The person in charge said the registered manager had completed the relevant training for the role performed and regularly updated her knowledge. The manager is registered with the CQC to meet current requirements. There were regular staff meetings and monthly meetings with people who used the service to help respond to their needs. The person in charge said the manager had sent out quality assurance questionnaires to gain the views of people who used the service. The person in charge said they would complete a summary for interested Care Homes for Older People Page 21 of 25 Evidence: parties when the survey forms had been analysed. This helps demonstrate a responsive service. The service did not handle the monies of any resident. They do retain the pocket money of several residents. Each persons money is handled individually and a running total is kept of the amount deposited. A double signature is required to take any money out and receipts were obtained for any purchases. The system for handling the pocket money of people who use the service was safe. There was a health and safety policy and procedures for staff to follow good practice. Staff had received health and safety type training such as moving and handling, infection control, food hygiene, first aid and fire awareness to be aware of safety issues. Equipment was maintained and documentation was provided to show all necessary safety checks were up to date. The person in charge was aware of current health and safety legislation and had access to the internet to gain further advice. Fire prevention systems were checked regularly to ensure they would work when required. The health and safety systems helped keep staff and people who used the service safe. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 29 The registered manager should look at devising a form to demonstrate an equal opportunities interview has been undertaken when recruiting staff to show each person has been given the same chance of employment. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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