Care Home: Westergate Care Home

Similar services:

• The Shelley
• Thorndene
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court

What the care home does well The people who live at Westergate live in a comfortable, clean, well maintained home that has a relaxed atmosphere. There are two activity co-ordinators who provide varied activities and one to one time for residents. Staff interact well with residents, taking the time to talk, listen and offer choices. The meals provided in the home are enjoyed by residents. Snacks and light meals are also available throughout the day. There is a quality assurance system in place that seeks the views of the people who live in the home and relatives. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 People are supported and encouraged to keep in contact with families and friends. What has improved since the last inspection? Since the last inspection a person centred approach has been introduced that recognises individuals` diverse needs and wishes. Several areas of the home have been updated or improved including a new secure patio; the refurbishment of two dining rooms, a lounge and several bedrooms; the upgrading of two bathrooms and the fitting of a lifestyle kitchen. The Service User Guide, Statement of Purpose and Welcome Booklet have been updated. What the care home could do better: Improvements could be made in the lay out of care plans to make them easier to read and understand. The way daily records are recorded could be improved to avoid duplication and save staff time. The home needs to ensure that its procedures regarding the administration of medication are followed by staff to minimise risk to residents. Key inspection report CARE HOMES FOR OLDER PEOPLE Westergate Care Home Denmans Lane Fontwell Arundel West Sussex BN18 0SU Lead Inspector Jo Hartley 15 th Key Unannounced Inspection and 16th July 2009 11:10a Version 5.2 Page 1 DS0000069307.V376633.R01.S.do c This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westergate Care Home Address Denmans Lane Fontwell Arundel West Sussex BN18 0SU 01243 544744 01243 542600 westergate@barchester.com www.barchester.com Barchester Healthcare Homes Ltd Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) David McLaughlan Care Home 76 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Physical disability (PD) 2. Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 76. Date of last inspection 31st July 2008 Brief Description of the Service: Westergate House is registered to provide nursing and residential care for older people and can accommodate up to 76 people. The service is owned and managed by Barchester Healthcare Ltd The current fees for this service range from £650.00 to £900 dependant on the needs of the individual, room size and funding arrangements. The home is a large grade 2 listed building set within well-maintained gardens situated in a residential area of Fontwell near Chichester. Accommodation is arranged on two floors. The home has sixty-five single rooms and four double rooms, all of which have en-suite facilities. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people that use this service experience good quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These include: previous reports of visits to the home, the Annual Quality Assurance Assessment (AQAA) completed by the home, responses to surveys that we sent to health and social care professionals, staff and residents, an unannounced visit to the home which was carried out on the 8th and 9th July 2009 and discussions with staff and residents. The AQAA completed by the home was returned to us within the required time period and gave us detailed information about the running of the home. During the visit we looked at the homes policies and procedures, staff records and residents records. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Care Quality Commission and its predecessor the Commission for Social Care Inspection. The last inspection on this service was completed on the 31st July and 1st August 2007. What the service does well: The people who live at Westergate live in a comfortable, clean, well maintained home that has a relaxed atmosphere. There are two activity co-ordinators who provide varied activities and one to one time for residents. Staff interact well with residents, taking the time to talk, listen and offer choices. The meals provided in the home are enjoyed by residents. Snacks and light meals are also available throughout the day. There is a quality assurance system in place that seeks the views of the people who live in the home and relatives. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 6 People are supported and encouraged to keep in contact with families and friends. 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. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are assessed prior to them moving into the home to ensure the home is able to meet their needs. Westergate does not provide intermediate care therefore Standard Six does not apply to the home. EVIDENCE: In the Annual Quality Assurance Assessment, (AQAA), that we received from the home prior to the visit we were told that following a request for admission, a full and comprehensive pre-admission assessment is carried out by the manager or deputy using Barchester’s pre-admission assessment form. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 9 We looked at the pre-admission assessments for three people who live at the home and saw that detailed assessments had been carried out before they moved in. Where appropriate there were also assessments from health and social services. We received two surveys from health professionals who told us that Westergate always or usually gather accurate information in their assessments. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of residents are met by the home; however their safety was put at risk by a medication trolley being left open and unattended. Care plans are detailed but organised in such a way that could make them difficult to follow. EVIDENCE: We looked at four care plans during the visit. A lot of information was written in the care plans about the needs of the individual resident and how these needs would be met by the home. They also included individuals likes, dislikes and personal preferences. However, the way the information was organised made it difficult to follow. One member of staff said that it takes a long time to read through each care plan and get the essential details. This is a particular Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 11 problem when agency staff are working at the home because time that could be used for caring for residents is taken up with reading the care plans. It is recommended that the home look into this to see how this can be improved. We also noted that some daily records that are completed by staff often contain duplicated information. A member of staff said that this takes a lot of time both to record and to read. Again, this should be looked into to see where improvements could be made. We saw that care plans are reviewed monthly and that residents and relatives are able to be involved if they wish. All residents have a named nurse and a keyworker allocated to them to promote continuity. Risk assessments are in place for tissue viability, nutrition, continence, moving and handling, falls and other individual risks. These are also reviewed monthly. Monthly reports on residents at potential risk of pressure sores or poor nutritional intake are recorded and reported to the manager to ensure that the appropriate action has been taken to address these issues. Staff told us that there is a written and verbal handover at the start of each shift. In the surveys we received from staff three said they are usually given up to date information on peoples’ needs and two said they always are. The home is putting a person centred approach into practice. The manager and deputy manager have completed a course in using this approach with people who have dementia. Staff are in the process of being trained. We saw evidence throughout the time we were at the home that using this approach has positive outcomes for the people who live in the home. For example, people are able to eat their meals at times that suit them, they get up when they wish and join in activities that they like. Two of the residents who returned surveys said that they always receive the care and support they need, two said they usually do. In the AQAA the home told us that link nurses have been identified to act as guidance and support for staff and to aid with referrals to members of the multi-disciplinary teams within the community. Daily records and care notes show that residents receive the support from healthcare professionals such as general practitioners, dentists, tissue viability nurses, dieticians, physiotherapists, opticians, chiropodists and speech therapists that they need to meet their healthcare needs. Three residents said they always receive the medical support they need and one said they usually do. We observed the administration of medication in the two dementia units in the home. While the nurse in one area followed the correct procedures, in the second area we witnessed the medication trolley being left open and unattended while staff took medication to residents. This could have put the Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 12 health and safety of residents at risk. A requirement has been made regarding this. All nurses who administer medication receive annual updates in their training and complete medication competencies with the clinical manager. The homes medication storage was seen and found to be tidy, clearly labelled and with no over stocking. The recording of the administration of medication was accurate with no gaps. Currently there are no residents that self medicate. Westergate House has a ‘privacy and dignity’ policy which is covered with every staff member during their induction. Throughout our time at the home we witnessed staff treating all the residents with privacy, dignity and respect. All the residents we saw appeared well cared for, clean and dressed appropriately. Both the Health and Social Care professionals that we received surveys from said that residents are always treated with dignity and their privacy is respected. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered a variety of activities and enjoy the food provided. Visitors are made welcome. EVIDENCE: Care plans and daily records seen showed that residents experience choice about how they live. For example they get up and go to bed when they choose. A resident told us that she like taking part in one to one activities with the activity co-ordinator but doesn’t like the group activities which she chooses not to attend. Westergate House has two full time activity co-ordinators. We were told in the AQAA that following admission to Westergate each resident is visited by an activities co-ordinator to enable them to carry out an assessment on the persons preferred activities and their level of interest in group or individual participation. A variety of activities are provided by the home. On the day of Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 14 the visit some residents were seen baking bread and playing Scrabble. Other activities available include music and movement, trip out in the mini bus, computer sports and fitness games, coffee mornings reminiscence and one to one time with an activity co-ordinator. One resident told us, “I can go out to the shop sometimes and get sweets.” Each resident’s participation in activities is recorded in their care plan. These are reviewed monthly to enable the home to see which activities each resident prefers and so they can identify if any resident is not participating. During the day staff were seen welcoming guests to the home and offering them refreshments. The entries in the visitor’s book shows that visitors are welcome at all reasonable times. Residents told us that they enjoy the food provided at the home. In the survey responses residents said they always or usually enjoy the food. The menu for the lunchtime meal on the day of the visit was roast lamb with red wine gravy or gammon steaks in a garlic and tomato sauce, both served with fresh vegetables. During the visit we talked with the head chef who told us that there is a light bites menu that is available all day to residents as well as the main meals. Choices on this menu include sandwiches, cheese and biscuits, soup, egg on toast and several other options. There are three dining areas within the home and we were told that residents are able to choose which one they eat in. Residents were seen being asked which of the main meals they preferred at lunch time. For residents who were unable to understand the verbal choice, staff showed them both the options so they could make an informed choice. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents know how to make a complaint if they need to. They are protected from abuse from the homes policies, procedures and staff training. EVIDENCE: The complaints procedure is displayed in the hall of the home and is also printed in the Service User Guide and Statement of Purpose that all residents receive. All the residents who returned the survey we sent out said that they know who to speak to if they are not happy and they know how to make a complaint. Staff and training records confirmed that staff receive training in Adult Protection. The West Sussex Guidance for Safeguarding Adults is available in the office. There are policies and procedures in the home for staff to follow if they suspect abuse. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well maintained environment that is clean and hygienic. EVIDENCE: Westergate is divided into three areas. There are two dementia units and one nursing/residential unit. Westergate provides a homely, clean and comfortable environment for residents. Three of the residents who responded to the survey said that the home is always fresh and clean, one said it usually is. Furnishings and fittings are of a good quality and in good condition. Residents’ bedrooms are personalised with their own belongings. The home has large well tended gardens and patio areas with tables and chairs so residents can enjoy sitting Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 17 outside in fine weather. One of the patios is a secure area so residents with dementia can safely use it. Radiators are covered and windows restricted for safety throughout the home. There are lifts to the upper floor for residents whose rooms are upstairs. Equipment such as ramps, bath seats and rails are situated throughout home where needed. The laundry facilities are situated away from food preparation areas and are easy to clean. In the upstairs dementia unit bathroom doors have been painted red to help residents identify where the bathrooms are. A new bathroom with room for a hoist has been added to the residential area of the home. Staff have received training in infection control, and fire safety. The home carries out checks on water temperature every time a bath is run for residents to ensure that they are protected from scolds. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by well trained, experienced staff who are competent to do their jobs. EVIDENCE: The level of staffing at the home is decided by a six monthly Total Care Assessment that determines the levels of needs of the residents and the staffing hours required to meet the needs. In responses to our survey four staff said there is usually enough staff on duty to meet the needs of the residents and one said there sometimes is. Two residents said there are always staff available when they need them, two said there usually are. Two members of staff that we spoke with during the visit said that they thought that more staff were needed to ensure residents received enough one to one time. On the day of the visit the staffing ratio was one member of care staff or every five residents. As well as care and nursing staff the home employs a chef, domestics, kitchen assistants, two activity co-ordinators and a maintenance man Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 19 The home has an induction for new staff that lasts a minimum of five days. There is a mandatory training programme in place and the manager is identifying other training for staff to meet the individual needs of residents. . Mandatory training includes Adult Protection, Infection Control, Medication Administration and Food Hygiene. Staff confirmed that they receive training that is relevant to their role, keeps them up to date with new ways of working and helps them understand and meet the needs of individual residents. The home has over fifty per cent of staff with a National Vocational Qualification in Care at Level Two or above. We looked at the recruitment records for three members of staff and found them to include all the required documentation including Criminal Records Bureau Checks, two written reference and application forms. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and provides a safe environment for residents. EVIDENCE: The new manager, David McLaughlan, has been in post for six months at Westergate House and was registered with the Care Quality Commission on the 16th July 2009. He has sixteen years post RGN registration experience. For the last six years the manager has gained experience in management by working both in charitable and private healthcare settings, and has achieved the Registered Managers Award. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 21 The home has a quality assurance system in place that seeks the views of residents and their families. The feedback gained is then analysed and displayed throughout the home. The results are also discussed at resident/relatives’ meetings. We were also told in the AQAA that Westergate house has an in-house audit programme which covers monthly nutrition and pressure ulcer reports, Health and Safety, Medication, Documentation, Nutrition and the Dining Experience, Quality and Care, Activities and Person Centred Care. These audits are compiled by the manager or where appropriate the relevant head of department and action plans are completed to address any areas that are identified as needing improvement. We were also told that no monies are held by the home for residents. Residents may manage their own money if they wish. The home has secure facilities for the safe keeping of money and valuables when required. Independent financial advocacy is available to all residents and their representatives. The home has health and safety procedures in place. Any accidents and incidents are recorded and monitored. Reports are made on the frequency, severity and type of incidents occurring to enable the home to identify any trends. Action plans can then be implemented to reduce the risk of injury to residents, visitors and staff. Checks on equipment and services such as hoists, lifts, gas, electricity and fire systems were seen to be up to date. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 4 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement The registered person shall ensure that al parts of the home that service users have access to are so far as reasonably practicable free from avoidable risks. The medication trolley should not be left open and unattended as this poses a risk to service users. Timescale for action 16/07/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 24 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Westergate Care Home DS0000069307.V376633.R01.S.doc Version 5.2 Page 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. 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!