Inspectors spoke with more than 30 patients and staff from nursing, medical and the mental health team.

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Adrian Childs, director of nursing and therapies at Manchester Mental Health and Social Care Trust, said the trust was "totally committed to delivering the highest standards of clinical and compassionate care".

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Government has to set standards for institutions like nursing homes and hospitals and for homes where people with mental or physical disabilities are kept.

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"We know that there has been an increase in mental health and learning disability places and the number of children's nursing places is set to increase also, " she said.

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According to MedPAC, the independent commission that advises Congress on Medicare, 38 percent have cognitive or mental impairments, 22 percent have multiple physical impairments, and 23 percent live in nursing homes or other institutions.

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The government also said it was trialling a community nursing scheme in four health board areas, where teams would assess children for mental health issues.

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The beneficiaries range from the elderly poor with insufficient funds to pay for their nursing home or in-residence care, to those under 65 who suffer various mental or physical long-term disabilities which require extensive care.

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