Inspection on 21/07/09 for 2 Emily Jackson

This is the latest available inspection report for this service, carried out on 21st July 2009.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

2 Emily Jackson 06/12/05

2 Emily Jackson 24/08/05

2 Emily Jackson 21/10/04

2 Emily Jackson 07/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 2 Emily Jackson Eardley Road Sevenoaks Kent TN13 1XT     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Mills     Date: 2 1 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 2 Emily Jackson Eardley Road Sevenoaks Kent TN13 1XT 01732457284 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Emily.Jack2on@theavenuestrust.co.uk Avenues Support Services Name of registered manager (if applicable) Mrs Christine Joan Crees Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD). Date of last inspection Brief description of the care home 2 Emily Jackson Close is a purpose built home providing accommodation for six service users with learning and physical disabilities. The registered provider is The Avenues Trust. The Trust provides services at a number of other care homes and social care services in the South East of England. Accommodation is single storey and consists of six single bedrooms with en-suite shower and toilet facilities. All bedrooms have a TV point. Day space consists of a lounge and separate dining room and there is a sensory room. There is an accessible Care Homes for Adults (18-65 years) Page 4 of 30 care home 6 Over 65 0 6 Brief description of the care home rear garden laid to lawn and a patio area. The home is situated in a quiet residential area within walking distance of Sevenoaks town centre. The railway station and other public transport links are witin walking distance. There is some on site parking to the front of the home. The weekly fees, given at the time of this visit, range between £1015 and £1728 and are based on the assessed needs of the individual. Additional charges are made for items such as hairdressing, toiletries, holidays and transport. Care Homes for Adults (18-65 years) Page 5 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This visit was unannounced and formed part of the regulatory process of the care Quality Commission (CQC) under the Care Standards Act. This report uses evidence we have gathered during this visit and information that we have received prior to the visit such as the results of surveys, the homes Annual Quality Assurance Assessment (AQAA) and notifications that are required under the Act. the evidence gathered will be used to make a judgement about the quality rating for the home. During this visit we made a tour of the home; we communicated verbally and non verbally with all the people who use this service; we spoke to four members of staff, the deputy and the registered manager; and examined important documentation such as care plans, staff files and staff training records. Care Homes for Adults (18-65 years) Page 6 of 30 The people who use this service, their supporters, staff and managers are all thanked for the welcome they gave and their help during this visit. The quality rating for this home is 3 Stars. This means that the outcomes for people using this service are excellent in all aspects of their care. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 Adults (18-65 years) Page 8 of 30 Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 home gives prospective service users and their supporters good information about the home so that they can make an informed decision about moving in. Comprehensive pre-admission assessments are made to ensure that only those people whose needs can be met and who are suited to the home are offered a place there. Evidence: The statement of purpose and service user guide are comprehensive and available in a number of different forms including audio, pictorial and easy read. In addition, rights and responsibilities are explained in easy to understand terms by the registered manager and staff. Supporters of the people who use this service are clear about the rights of their relatives whilst living in the home. The care plans of a newly admitted service user was thoroughly examined. There was a comprehensive assessment of need and a clear plan of action aimed at ensuring the new service user is given all the support needed from local health and community Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: services as well as the home. There are clear pre-admission assessment policies and procedures. Arrangements are made for trial visits by a prospective service user or visits made by relatives on behalf of a prospective service user where appropriate. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 home offers choice in a way that the people they support are helped to develop their ability to choose and make their lives more interesting and meaningful. Evidence: The Avenues Trust has developed a system for determining choice when an individual may not have the capacity to make informed choices for themselves. They run, Opportunity Sessions, at which different choices are offered. For example, one session might involve offering a choice between sweet and savoury; another session might offer a choice of different textures of food; and a further session might offer choice of colours. Records are made and the preferred choices then offered. Opportunity sessions are carried out very frequently and cover all aspects of choice from what to eat to which music to listen to. This means that as much individual choice as possible can be determined. The care plans are comprehensive and record life histories, family backgrounds, known Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: likes and dislikes and cultural and religious needs. A plan of care and support is then drawn up based on the information gathered and the opportunity sessions. Good relationships are maintained with families and their input into care planning is seen as important. Observation during a meal time showed that there was a choice of what to eat and the pace at which food was taken was led by the people who use this service. Those people who are able participate as much as possible in the day to day running of the home. Conversation with the registered manager and staff showed that they have a good understanding of the Mental Capacity Act and how this is likely to apply to the people they support. Risk assessments are in place for individual and environmental risks. They are up-todate and reviewed regularly by the key workers. Trained risk assessors from the Trust oversee this process. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 home promotes appropriate activities to help the people who use this service to reach their full potential. Evidence: All the service users have profound disabilities. This means that any activities organised for them need to be tailored to the individual. All have the necessary equipment to support their independence and to remain in comfortable positions. This includes adapted wheelchairs, arm chairs, hoists and splinting. The staff are very well trained and have worked hard to understand the needs of each individual. They have worked to communicate in a number of ways including verbal Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: prompting, signing, eye contact and touch. There is a wide range of activities both for recreational and therapeutic purposes. Activities include trips out, therapeutic activities such as passive movement and massage and sensory experiences. The home has a lot of sensory equipment such as coloured lights and music. These are used on a regular basis for those people who are not able to participate in other activities. On the day of this visit the people who are supported by this service spent time listening to music and enjoying a bubble machine. One person who lives in this home is keen to move on to supported living and has prepared a presentation with the help of staff so she tell the people who will help her do this all about her needs and wishes. Friends and family are made welcome to the home at all times and relatives told us that they have a very good relationship with the home and are kept informed about progress and health matters. The people this service supports are offered a varied and wholesome diet. Special diets and special feeding needs are catered for. Staff work closely with therapists to ensure that each person is correctly positioned and has the right consistency of food to be able to swallow properly. Opportunity sessions have been used to determine likes and dislikes in respect of food and a choice is offered at mealtimes. We joined the people who live in this home for lunch. They each had their own support worker to help them with their meal and the atmosphere at the table was calm and relaxed so they were able to enjoy their meal. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 home positively promotes the health of the people who use this service in a way that respects their privacy and dignity. Evidence: Three care plans, including that of the most recently admitted person, were examined in detail. Care plans are important documents as they are one of the means by which the person who uses this service and their supporters can know that their needs and wishes have been made clear and will be met in they way they would wish. In addition, they are an important source of reference for staff who need to ensure they provide care and support in a proper and consistent way. Further, the information contained in the care plans can provide a basis for decision making by others for those people who may not have the capacity to make decisions for themselves. The care plans were seen to be up-to-date and in good order. They contain detailed information about health and personal care needs. We found good evidence that the home is proactive in seeking health care advice on behalf of the people who use this service. Each person using this service has a key worker who takes responsibility for Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: ensuring that reviews take place, risk assessments are in place and the needs of that person are put at the centre of everything that is done. All the people who use this service are registered with General Practitioners (GPs) and Dentists. Health care professionals such as Physiotherapists, Occupational Therapists, Speech and Language Therapists and District Nurses visit the home to make assessments and to give advice. Several of the people who use this service need specially adapted furniture and wheelchairs and these were all seen to be well maintained and there are good regimes to ensure equipment is used correctly. Visiting health care professionals made very positive comments about the home and the way it works with them to ensure the people who use this service receive the best possible health and personal care. Observation showed that care is given in a way that respects the privacy and dignity of the people who use this service. There are sound systems for the administration of medicines in the home. Storage is safe and secure and there are sound procedures for the receipt and disposal of medicines. All staff who administer medicines have received training and are regularly checked for competency. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 are sound policies and procedures for managing concerns, complaints and safeguarding. The home listens to the concerns of the people who use this service and their supporters and acts appropriately. Evidence: The registered provider, the Avenues Trust, has sound policies and procedures for managing concerns complaints and safeguarding. This year there have been further improvements in the way the Trust monitors safeguarding alerts and their response. The complaints procedure is available in a variety of forms including easy read, audio tape and CD. The home ensures that relatives are made aware of the procedure. Day to day concerns are dealt with as they arise and there have been no formal complaints since the last inspection. Staff spoken to were aware of the procedure for reporting concerns and said that they would have no hesitation in reporting any suspicions of abuse if they arose. They said that there is a very open and honest atmosphere in the home and that the manager is supportive and listens to concerns and acts upon them. All staff receive safeguarding training every two years. Safeguarding is included in the induction period for staff and in the staff handbook. Care Homes for Adults (18-65 years) Page 19 of 30 Care Homes for Adults (18-65 years) Page 20 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 home is safe, well maintained, clean and the communal areas are spacious. This gives the people who use this service a pleasant and homely place in which to live. Evidence: The home was purpose built in 1995. It is a single story building with wide doorways and corridors that make it easy for wheelchair users to access all areas. There is a good sized lounge and dining room, kitchen and large bathroom. All bedrooms are for single occupancy and each room has an en suite shower room and toilet. Outside there is a flat garden and patio that is also wheelchair accessible. There are sound infection control measures in place. Disposable gloves and hand wash gel are available at all wash hand basins. There are good procedures for managing laundry and staff have received infection control training. All areas of the home were very clean and tidy on the day of this visit. The large bathroom of the home is equipped with all specialist aids needed to assist the people who use this service in bathing. The home lacks sufficient storage space and the bathroom is also used to store the equipment that the people who use this service need to help them maximise their ability. Care Homes for Adults (18-65 years) Page 21 of 30 Care Homes for Adults (18-65 years) Page 22 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Staffing levels, staff training, staff morale and recruitment procedures are all excellent. This means that the people who use this service are supported by an cheerful, carefully vetted and skilled staff team. Evidence: Staffing levels are sufficient to meet the needs of the people who use this service. There are between three and four staff members on each of the day shifts and one wake night staff member. Currently the home is recruiting to two vacancies. These hours are being filled by bank staff at present. Staffing is flexible. Extra staff are rostered on duty should there be an outing, a need for someone to attend a hospital appointment or other similar event. There is a good range of skills, ethnicity and experience amongst the staff. This means that the different backgrounds and lives of the staff enhance those of the people they support. The ages and gender of the staff team reflect those of the people they support. As all the people who use this service are female, they have decided that an all female staff is more appropriate. Observation showed that the staff on duty at the time of this visit worked well together Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: and focused on the needs of the people who use this service. All staff are issued with a staff handbook that gives them clear information about key areas of their work such as safeguarding vulnerable people. This handbook also includes the code of conduct for staff working in social care. Four members of staff were spoken to during the course of this visit, two of them in private. Staff were very positive about the way the home is managed and the training that the Trust provides. One said, The training is second to none. When I started all the training was booked. Its all very relevant and helped me understand the complex needs of the people we support. The Avenues Trust has its own training division called, The Avenues Academy. Following a training needs analysis and identification of training needs during supervision sessions, the courses required are booked with the Academy. Staff are expected to complete thirteen training sessions within their first six months of employment. Training includes both statutory training such as health and safety and moving and handling, and specialist training, such as managing epilepsy, de-escalation of challenging behaviour and diabetes. All staff receive training in empathic support and equality and diversity. Since the last inspection the number of staff holding the National Vocational Qualification (NVQ) in care at level two or above has increased. Three staff hold the NVQ III, and five have the NVQ II. Two staff members are currently working toward the NVQ III. Staff said that they work well together as a team and that there is a very supportive environment in the home. One said, No one makes you feel as if you are asking a silly question, no matter how many times I have to ask something, they (the manager and other staff) are alway patient and prepared to explain things. Recruitment has also improved since the last inspection. We were told that the response to the most advertisement has been encouraging. The Trust checks all prospective employees from a central base to ensure consistency in this important part of the recruitment process. All staff working at the home have been subject to Criminal Records Bureau (CRB) and safeguarding Vulnerable Adults (POVA First) checks. At least two written references are on file and a work history and health check are also sought. The home has worked hard to involve the people who use this service more in the recruitment process. Prospective employees are invited to make an informal visit to the home and interact with the people who use the service and it is hoped to hold Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: formal interviews at the home in future. Examination of staff records showed that all appropriate checks had been made and that staff undertake a high level of training to ensure they have the knowledge and skills to do their jobs. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 home is well managed. The views of the people who use this service and their supporters are listened to and acted upon so that the home is run in the best interests of those people who live there. Evidence: Since the last inspection there have been some changes in the management arrangements both within the Trust and the home. The Trust has reorganised into three divisions, with one division being specifically for residential care. The home has appointed a deputy manager. This means that there is still clear leadership when the registered manager be absent from the home. The registered manager is well qualifies and experienced for the post. She has many year experience of working in a number of residential care settings. She holds the National Vocational Qualification (NVQ) in care at level four and the Registered Manager Award (RMA). In addition she is a qualified assessor for NVQ and Train the trainer. Prior to coming to manager this home the registered manager managed other Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: homes within The Avenues Trust. There are excellent quality assurance systems in place within the Trust. The views of the people who use the service are sought in a number of ways including the use of advocates, opportunity sessions and observation. The views of relatives and other stakeholders are sought by an annual questionnaire and on other occasions such as formal and informal meetings. Every year the Trust carries out a service audit that focuses on a different aspect of care each time. The last audit focused on healthy lifestyles and this year it will look at community participation. The homes Annual Quality Assurance Assessment (AQAA) confirmed that all necessary health and safety checks for the home are in place. It told us that safety certificates such as electrical safety, are in place and in date. There are daily, weekly and monthly health and safety checks carried out and recorded by the staff at the home and a representative for the Trust visits at least monthly to carry out a quality check in accordance with regulations. In depth discussion was held with the deputy manager and the area manager during this visit. From these conversations it is clear that both have an excellent understanding of the care needs of the people they support and of the managerial tasks that are necessary to ensure the smooth running of the home. All documentation requested during this visit was readily supplied and in good order. Care Homes for Adults (18-65 years) Page 27 of 30 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 Adults (18-65 years) Page 28 of 30 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!