Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk Statement of Purpose Mamsey House Nursing Home May 2015 Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk Table of Contents 1 2 3 4 5 6 Philosophy of Care 4 1.1 Statement of Purpose; Aims and Objectives 4 1.2 Philosophy of Care - Our Vision 4 1.3 Our Core Values 5 1.4 How we achieve our Core Values 6 Experience in Care 7 2.1 The Management Team 7 2.2 Home Organisational Structure 7 Staffing and Training 8 3.1 Details of Staff Numbers and Staff Training 8 3.2 Specialist nursing care 8 Accommodation 9 4.1 Residents rooms 9 4.2 Communal Rooms: 9 4.3 Dining; Meals 9 Admission 10 5.1 Admission 10 5.2 Criteria for Admission 10 5.3 Emergency Admissions 10 5.4 Leaving or Temporarily Vacating 10 Financial Arrangements 11 6.1 Financial Arrangements and Fees 11 6.2 Fees – What is included 11 6.3 Fees – What is not included 11 6.4 Insurance 11 7 Activities: 12 8 The Care Plan 14 8.1 Care Plan Review 14 8.2 The Care Plan is reviewed at three levels: 14 9 Individual’s Service Guidance 15 Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 9.1 Privacy and Dignity 15 9.2 Smoking and Alcohol 15 9.3 Fire Safety 15 9.4 Religion (Worship/Attendance at Religious Services) 15 9.5 Contact with Family and Friends 16 9.6 Complaints 16 9.7 Bereavement 16 9.8 Monitoring and Quality 16 9.9 Pets 16 9.10 Medication 17 9.11 Telephone 17 9.12 Important addresses 17 Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 1 Philosophy of Care This Statement of Purpose has been prepared to show that the Proprietors and Management of Mamsey House Nursing Home are following current legislation and adhere to the National Minimum Standards for Nursing Homes for Older People. It is available to be read by residents, their families, friends and advocates. It will be reviewed regularly and we welcome any comments or suggestions you may wish to make. 1.1 Statement of Purpose; Aims and Objectives The proprietor of Mamsey House Nursing Home is Mr Jim Halliday, and it is a familyowned enterprise established in 1994. The management of the Home prides itself in offering a highly professional care service for the elderly, with a personal touch. The Home is a converted Old Rectory on the edge of the village of Williton, and is pleased to accept residents for long and short term stays. When people have worked hard throughout their lives and have been committed to helping others, they deserve extra cherishing. They need a home where individuality is emphasised. Jim Halliday can be contacted at jimhalliday76@yahoo.co.uk 1.2 Philosophy of Care - Our Vision Mamsey House aims to provide its residents with a secure, clean, relaxed, and homely environment in which the care, well-being and comfort of all residents are of prime importance. Carers will use their best endeavours to preserve and maintain the dignity, individuality and privacy of all residents within a warm and caring atmosphere, and will be sensitive to the residents’ changing needs. Such needs may be medical/therapeutic (for physical and mental welfare), cultural, psychological, spiritual, emotional and social, and residents are encouraged to participate in the development of their individualised Care Plans. With prior agreement from residents, their families’ involvement in Care Plan development is also valued greatly. Our Philosophy of Care means that we engage with residents in a professional and dignified way. We respect residents’ dignity, ensuring that individuals are given opportunities to make choices, and “not being done to”. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk Our overall Philosophy of Care is best summarised that we understand that this is our Resident’s home, and we are privileged to work here. Residents’ needs will be met through programmes of activities designed to encourage mental alertness, self- esteem, well-being and social interaction with other residents in recognition of our Core Values of Care which are fundamental to the Philosophy of this Home. 1.3 Our Core Values We place the rights of residents at the forefront of our philosophy of care. This Home recognises our residents’ needs fully and wishes to emphasise the following core values: SAFETY: Providing a safe environment for our residents. PRIVACY: We believe that it is the right of a resident to be left alone and undisturbed whenever s/he wishes, and also respect their confidentiality and personal privacy during procedures. DIGNITY: We believe that everyone should be able to experience a sense of individual worth and personal dignity irrespective of increasing needs. INVOLVEMENT: We enable and empower the resident as far as we are able to make choices through involving them in the selection of their activities. INDEPENDENCE: We encourage residents to maintain their individuality, allowing a resident to take calculated risks, to make his/her own decisions and think and act for him/herself. CHOICE: Our Residents are supported to make choices; Giving a resident the opportunity to select for him/herself from a range of alternative options which may be appropriate to him/her. RIGHTS and EQUALITY We ensure all basic human rights are available to all residents, through respect of their diversity and individual needs, in-line with our adherence to the Equalities Act 2010. RESPONSIVENESS: Our care and service evolves so that we can be responsive to our Resident’s needs; we seek and act on feedback. COMPASSION: We ensure that care is provided with compassion, consideration, patience, and in an unhurried manner. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 1.4 How we achieve our Core Values Our Core Values are realised through providing high-quality person-centred care to meet our resident’s wishes and preferences. Respecting the Individual: Service of the highest quality requires that we remember each individual’s preferences. Whilst considering other residents, we also accept idiosyncrasies and provide help to achieve a sense of purpose and accomplishment. Respecting the Right to Choice: We endeavour to be flexible in accommodating the desires and preferences of residents and relatives. Meal choice, daily rituals and routines are as flexible as we can make them. Personalised and daily-monitored care plans: We ensure that from the arrival of a new resident, we address the resident’s needs with a care team that is clear on a residents preferences, medical and personal history. Involvement & Inclusion: Residents are involved in developing their care plan and daily decisions, and so do not experience activities ‘being done to them’. A Safe Environment: Staff are safely recruited, inducted and trained to deliver the highest standards of care, and to achieve their Care Certificate. Staff have a good understanding of resident’s needs. A continuous staff training ensures that these high standards are maintained in line with the latest developments in Care Practices as may be laid down in appropriate legislation. Dignity with Compassion and Patience: We understand that to provide personfocussed care; residents must not be rushed during their day. o This is achieved through providing sufficient staff to allow for unhurried care in a relaxed and resident-empowering manner. o Our staff are not task-focused, through patience and understanding our residents and their happiness always takes priority. Openness & Responsive: Feedback, review, adjust: We promote a good quality of life through continuous review of our services, achieved by monitoring resident and relative’s feedback, their ideas, praise, complaints and concerns. Mamsey House promotes programmes of activities to encourage, stimulate and assist residents to meet their full physical and mental potential, promoting mental awareness and self-esteem. Mamsey House seeks to achieve our Core Values for the individual in a homely environment, whilst also respecting Health & Safety, Infection Control etc guidance, and that we operate in a communal environment. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 2 Experience in Care 2.1 The Management Team Mamsey House is a family-owned enterprise. Local GP Dr Nigel Halliday opened the business in 1994, and from 2015 his son Jim Halliday has taken on the role of Director. Mamsey House benefits from entrepreneurial spirit supported by experienced nursing care; our organisational structure is highlighted below; Proprietor: Jim Halliday Experience: 13 years of project management experience. Specialisms in Risk, Change, Quality and Project Management, working in a number of highly regulated industries in both the public and private sectors. Qualifications: Business Studies Degree, Computer Science MSc. Address of Proprietor: c/o Mamsey House Priest Street, Williton, TA4 4NJ Web: www.mamseyhouse.o.uk Email: enquiries@mamseyhouse.co.uk Telephone: 01984 633712 Fax: 01984 633712 Head of Home: Beata Witkowska Experience: Qualified nurse: 19 years. Head of Mamsey House; 5 years. Qualifications: RGN I 2.2 Home Organisational Structure Home Owner Manager/Person in Charge Assistant Head of Home Office Manager Office Support Staff Laundry/ Cleaning Team Night Shift Care Supervisor Day Shift Care Supervisor Kitchen Supervisor Night Shift Care Staff Day Shift Care Staff Kitchen Staff Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 3 Staffing and Training 3.1 Details of Staff Numbers and Staff Training The Home employs 22 Care Assistants, 4 Kitchen staff, 2 Office Support staff, 3 Cleaners, and 1 Maintenance staff. The Home’s staff are selected for their qualities of reliability, integrity, skill, friendliness and professionalism. The policy of the home is to not use agency staff where possible. At Mamsey House our care staff are valued highly. The average length of service is 11 years, and their relentless enthusiasm helps to maintain the ‘homeliness’ that we are praised for. All staff are carefully screened through the Disclosure and Barring Service and 2 references are always checked thoroughly. New staff do not enter Mamsey House until both references have been checked, and do not start unsupervised operations until relevant Induction has completed. During induction, all care staff are trained in all 15 modules to achieve their Care Certificate within 12 weeks of commencing employment. The Home also sends selected staff on external training courses for such topics as DOLs, Dementia, Food Hygiene, Manual Handling, Care of the Elderly, First Aid, Drugs Practice etc. Regular Staff Supervisions and Annual Staff Appraisals take place. The Home actively encourages all Care Assistants to achieve Care NVQ Level 2, as a minimum, and has historically endorsed and funded degree level training. When required and where possible, the Home supports our staff in their personal lives through financial, professional, legal and practical support. 3.2 Specialist nursing care Two Creative Activities Therapists; At Mamsey we benefit from two onsite Qualified Creative Activities Therapists (CAT), one of which is an RGN Dental domiciliary support. (incurs an additional charge) Specialist podiatry care (may incur a charge) SLT, CPN, G.P, and Palliative care nurse Audiologist (not domiciliary). (incurs an additional charge) Food rated 5/5 by H&S under the Food Hygiene Rating System Gold Standards Framework end of life care Counselling. (incurs an additional charge) Weekly Doctor visits Personal equipment, as identified in the individual care plan Needs Analysis, and where possible, provided by the Local Authority. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 4 Accommodation 4.1 Residents rooms The Home has 33 bedrooms, comprising single rooms, all but one with en-suite facilities. All rooms comply with the regulatory requirements, and offer every comfort and are tastefully decorated. All en-suite facilities have thermostatically controlled heating. All bedrooms have specialist electric and pro-foam residential beds, with pressure alleviating mattresses (if required). A nurse call system and T.V socket are connected to each room. Our staff are divided into three teams in order to ensure a prompt response to residents requiring assistance. Residents are encouraged to personalise their rooms with pictures, ornaments, and small items of furniture. Items must meet Fire and Health & Safety regulations. Televisions are provided in some rooms, or if preferred the resident can supply their own. Many residents are attached to their pets and every effort is made to accommodate these. Although primarily a nursing home we can also offer residential care, if appropriate for the resident. 4.2 Communal Rooms: There is a large lounge on the ground floor overlooking adjoining fields. There is also a large sun lounge café area overlooking the gardens, which can some relatives and residents prefer to use as an area to meet and relax. All Social rooms have central heating. Residents are encouraged to use these public rooms; however, residents who choose to stay in their own rooms may do so. We have Shop service for provisions and toiletries. 4.3 Dining; Meals There are 2 separate dining rooms, however residents may choose to dine in their private rooms. Menus are varied and favourite dishes and special diets can be catered for. Our food is home cooked, making good use of excellent fresh produce available in the area. The cook will discuss special diets, likes and dislikes with residents to ensure that their individual needs are catered for. In our 2014 Environmental Health Inspection we were rated 5 (very good) under the Food Hygiene Rating System. There is a choice of two dishes each lunchtime, along with a choice of puddings from the trolley. Two hot meals can be chosen each day, along with a cooked breakfast. Menus are distributed to residents each day, for them to indicate their choices for the following day. Tea, coffee and other hot drinks are served and squashes (orange, blackcurrant, lemon) are available 24 hours a day. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 5 Admission 5.1 Admission Residents interested in living at the Home are encouraged to visit and sample the atmosphere and level of service prior to admission. A month’s trial period is always given before residency becomes permanent. This is provided for in the Standard Resident’s Contract included with the Service User’s Guide. We understand that moving house can be traumatic. We encourage existing residents to partner with and support new residents, and limit the number of carers handling new admissions where possible so as to limit the number on new faces. 5.2 Criteria for Admission The Home operates an equal opportunities policy in all its operations and does not discriminate against any residents or potential residents on the grounds of sex, race, religion, disability, ethnicity or in any other way at all. However, the Home does not accept any resident unless and until his/her needs have been assessed by a suitably qualified or suitably trained person and a copy of the assessment has been received by the Registered Provider or Registered Manager of the Home. Also, before admission, the potential resident, or his/her representative, will consult with the Registered Manager regarding the residents Care Plan. We liaise with local Health Support Services where appropriate. We have a weekly GP round. All residents have to be re-registered with Williton Surgery practice if not already registered, as other practices are outside their catchment area. With the resident’s permission, The Care Plan is discussed with family and GP input, and the residents personal history (My Story) is discussed with Care Staff. 5.3 Emergency Admissions Occasions do arise where emergency admissions are required and when it may not be possible to comply with the above criteria either wholly or partly. In such instances, the Home will use its best endeavours to complete all aspects of the above criteria within 24 hours of any emergency admission. 5.4 Leaving or Temporarily Vacating If a resident wishes to be discharged from the Home, then 4 weeks’ notice must be given of this intention, or 4 weeks’ fees paid in lieu of notice. These conditions are waived during the 4 week trial period. If a resident moves out of the Home temporarily - e.g. to receive hospital treatment - the bed is retained for a period of 4 weeks, provided 80% of the normal fee is paid. In the case of local authority funded residents, this retention period may differ. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 6 Financial Arrangements 6.1 Financial Arrangements and Fees The Home is committed to providing value for money within the setting of a comprehensive and caring service. The fees charged are dependent on: 1. 2. the type of facility required, and the type of care package and needs of the individual resident Depending on the personal financial situation, a resident can pay the fees either privately or receive contributions from their local authority and / or the NHS Social Services. It is important to mention however that a resident who is ineligible for financial support from their local authority may find that, after a while, their financial circumstances have been reduced to a point where funding from the local authority may be possible. The Home cannot accept any responsibility at all for non-recognition of any resident’s financial circumstances changing in this respect. The current rules can be complicated and specialist advice may be arranged where appropriate. FAQs helping to explain financing options are available on our website. 6.2 6.3 6.4 Fees – What is included Call System with Fully trained staff in 24 hour attendance Good Home Cooking & Provision for Special Diets Laundry Service Weekly GP visits Full Central Heating Activities/Entertainment, as well as Outings, unless otherwise stated Basic podiatry Fees – What is not included Dry cleaning Weekly visits from the hairdresser to the home Private phone installation and calls Aromatherapy Daily newspaper Private podiatry service Taxi service Insurance Please note that our current insurance policy covers residents’ personal belongings up to £500 per item. (This covers loss, theft and accidental damage). We would therefore recommend that if residents have any items worth more than this, then they should organise their own individual insurance cover. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 7 Activities: Mamsey House promotes programmes of activities to encourage, stimulate and assist residents to meet their full physical and mental potential, promoting mental awareness and self-esteem. Entertainment: We are visited by entertainers who provide sing-a-long activity, and prove to be very popular. o Music workshops, Music for Health, and recitals, keep residents entertained and mentally stimulated. o We are frequently visited by a local company called Story Well, which provides engaging and moving presentations of fiction. Animals: We understand the therapeutic value of animals; o Some residents enjoy a daily walk around the garden to check to see if our chickens have laid eggs. o Frequently carers and staff will bring in their pets for the residents to meet and stroke. o Previous entertainment has included a local company called Sharandysbirdsofprey.com , which allows residents to pet owls. Outings: We own a large minibus and coach outings are also arranged for those who enjoy getting out and about. Recent examples of Day Trips include trips to Weston-Super-Mare; Donniford Farm, and a visit to Minehead to see the Red Arrows. Seasonal Celebrations: As well as these regular events, we make a special effort to enable residents to join in the local seasonal celebrations by bringing groups into the home for workshops, musical and theatrical performances. o Christmas: We observe traditions such as carol singing – not to mention a grand pudding-making day which marks the start of the Christmas period. o At Christmas there is a Christmas party at a local venue, wine and chees afternoons, usually a local pantomime and Christmas Tree decorating, and Santa always visits on Christmas Day. o Easter: At Easter we have Easter egg decorating competitions, our Easter raffle and we watch the lambing in the surrounding fields. Community engagement: Wherever it is possible we try to keep people engaged with the local community and what is going on in the local area. Spiritual activity: We will also help people continue any religious or spiritual needs they may have and we will work closely with the local amenities to make sure everyone has access to all that is available. o Two local churches frequently visit the Home to provide spiritual support. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk Hobbies: Staff encourage and, in certain instances, assist residents to pursue hobbies and interests. Our resident’s choice: Participation is encouraged, but we respect a resident’s decision to not participate in activities. o It is hoped that at whatever level the resident wishes to get involved there will be something to suit their individual needs. The Home’s policy on “Therapeutic Activities” takes into account the resident’s interests, skills, experiences, personalities and medical condition. The Home offers a wide range of activities designed to encourage the resident to keep mobile and, most importantly, take an interest in life. Additional Services: Afternoon manicures help to ‘treat’ our residents in the lounge, which supplements the podiatry and chiropody care provided, and we have a weekly visit by a hairdresser in our dedicated salon area. We have reminiscence afternoons where we discuss topics and shared experiences. Games: We enjoy a variety of games – run by staff; Bingo, Floor Darts and various indoor games. o Residents can also choose to play specially adapted games designed for those with fading sight; such as cards, draughts, or reading from a large selection of large-type books. Library areas: We also have a number of reading areas where residents might choose to spend time quietly with friends or relatives. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 8 The Care Plan 8.1 Care Plan Review Once developed, the Care Plan will be reviewed regularly to ensure that the resident is responding in a satisfactory manner. Adverse reaction to the Care Plan by the resident will result in an immediate review of the Care Plan by the named Carer, Manager, Senior Carer and other members of care staff as necessary, jointly with the resident and, where appropriate, a member of the resident’s family. Family and relatives will be encouraged to participate in the resident’s daily routine, as far as is practicable to formal reviews. Residents and their relatives are always welcome to chat with a member of the Care Staff if they have any concerns. Care is provided in 3 teams. Each team is focussed on a small number of residents and understands their Care Plans and the individuals’ Life History. 8.2 The Care Plan is reviewed at three levels: 1. Daily on a shift-to-shift basis. At staff shift changeover, the resident’s daily care notes are handed by the out-going shift to staff of the in-coming shift and the resident’s responses and activity patterns discussed as needed. Changes to the Care Plan may be proposed at this point. 2. At the end of the four week settling-in period. 3. After that, a formal review is held with Care Staff on a monthly basis. The resident, or resident’s representative, will have unrestricted access to the Care Plan at all times, depending on issues of mental capacity. All amendments to the Care Plan will require the authorisation of the Home Manager or Senior Carer; Certain amendments may require the authorisation of the resident’s GP. All amendments to the Care Plan are recorded in full. Any revision of the Care Plan will be notified to the resident as soon as practicable after the revision has been made. All risk assessments are evaluated at least once a month and care is planned according to the result of each evaluation. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 9 Individual’s Service Guidance 9.1 Privacy and Dignity Staff are trained to endeavour to preserve and maintain the dignity, individuality and privacy, of all residents within a warm and caring atmosphere, and will be sensitive to any resident’s changing needs. 9.2 Smoking and Alcohol The Home has a no smoking policy indoors but residents and visitors may smoke outside. With regard to alcohol, residents will normally make their own arrangements, but may require to be supervised – the same may apply to smoking. 9.3 9.4 Fire Safety The Home has a modern Fire Alarm System fitted, with “Fire Exit Notices” and “Fire Emergency Instruction Notices” displayed at strategic points throughout, as advised by the local Fire Officer. Staff are instructed during induction training with regard to the Fire Prevention/Drills Policy; this includes use of the Home’s fire appliances, evacuation, muster points, raising the alarm, etc. Residents are informed of the emergency procedures during admission. A fire alarm test is carried out weekly; this ensures all staff and residents have a comprehensive understanding of the alarm sound. A full fire drill and training is conducted periodically, which simulates evacuation of the Home. All fire systems and emergency lighting are tested monthly by staff. The Local Fire Station is situated in Williton. All firefighting equipment is checked annually by a qualified fire extinguisher maintenance engineer. Where possible, furniture, fixtures and fittings are made of fire-resistant and/or fireretardant fabrics and materials. Any personal furniture (fittings) provided by residents must adhere to fire regulations. Religion (Worship/Attendance at Religious Services) Residents may attend religious services, either within or outside the Home as they desire. If services are outside the Home, the resident, if necessary and where possible, should arrange for transport and to be accompanied by friends or relatives. In the event of this not being possible, Care Staff may accompany residents on specific occasions, if staffing levels permit. Residents have the right to meet clergy of their chosen denomination at any time. If required, a private room will be made available at the Home for such meetings. Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk 9.5 Contact with Family and Friends The Resident’s family, relatives and friends are encouraged to visit regularly and to maintain contact by letter, telephone or use of our WIFI, when visiting is not possible. In these cases, staff will offer to assist the resident to respond where help may be needed. Visitors will be welcomed at all reasonable times and are asked for Security and Fire Safety reasons, that they must sign the visitor’s book on each occasion. The resident has the right to refuse to see any visitor and this right will be respected and upheld by the Person-In-Charge, who will inform the visitor/s of the resident’s wishes, if necessary. 9.6 Complaints If a resident, relative or visitor, feels that there is cause for complaint, this should be discussed with the Person in Charge. If the matter is serious, or if the Resident remains dissatisfied, the Home’s Complaints Procedure (a copy of which is included in the Service User’s Guide) will be implemented. 9.7 Bereavement In the unfortunate event of bereavement, the resident’s family can expect every possible support and consolation from staff. Whereas funeral arrangements are usually made by the next of kin, the Home’s staff can be relied upon to assist and explain what is required. Where there is no next of kin, the staff will attend to the necessary arrangements. 9.8 Monitoring and Quality Our Quality Assurance Plan is based on the Mulberry Quality Assurance Audit, in a people-oriented fashion. Within the Home, there are various systems which ensure that close monitoring is maintained on all of the Home’s services and procedures. Attention to the smallest detail is pivotal to everything. An important part of the Home’s quality programme is to involve the residents and their relatives; with feedback on the Home, the staff and services provided being sought regularly. We ensure that our Quality Standards mirror those of the Somerset County Council’s Contract monitoring and Quality Improvement Framework. 9.9 Pets While it is acknowledged that many people have pets for company during their lifetime and that they may wish to bring one with them when they move, the Management has a responsibility to all the residents regarding Health and Safety and their choice to have Mamsey House Nursing Home Web: http://www.mamseyhouse.co.uk Email: enquiries @mamseyhouse.co.uk pets within the Home. Pets may be permitted but each case will be treated on its merits in the absolute discretion of Management. 9.10 Medication If a resident wants to self-medicate and is safe to do so, then all help and advice is given. Otherwise, all drugs will be managed by the staff and dispensed and ordered under the instructions of the GP. Any resident may request to see a GP in private, if wished. All “controlled” medications will be administered by the nurse in charge following the homes procedures. 9.11 Telephone The Home has a telephone, which can be used by the residents for incoming calls in the privacy of their own rooms. It can also be used for outgoing calls at a nominal fee. Residents may have their own private line through British Telecom at the going rate. Mobile reception is not always reliable in all areas of the home, but now residents are encouraged to have mobile phones if wanted. 9.12 Important addresses a) Care Quality Commission, South West Citygate Gallowgate Newcastle Upon Tyne / NE1 4PA Tel: 03000 616161 / Fax: 03000 616171 b) County Council Social Services:Social Services Department Somerset County Council County Hall TAUNTON Somerset. TA1 4DY Tel: 01823 355455 / Fax: 01823 355156 c) Local Health Authority:Dorset and Somerset Health Authority Charter House, Bartec 4 Watercombe Lane Lynx West Trading Estate YEOVIL . Somerset / BA20 2SU Tel: 01935 384000 / Fax: 01935 384079