Inspection on 15/05/09 for 56-58 Carlton Road

This is the latest available inspection report for this service, carried out on 15th May 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

56-58 Carlton Road 19/12/05

56-58 Carlton Road 15/06/05

56-58 Carlton Road 03/12/04

56-58 Carlton Road 14/06/04

56-58 Carlton Road 18/11/03

Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Carlton Road (56-58) Carlton Road (56-58) Small Heath Birmingham West Midlands B9 5EB     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: Kulwant Ghuman     Date: 1 5 0 5 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: Carlton Road (56-58) Carlton Road (56-58) Small Heath Birmingham West Midlands B9 5EB 01217724078 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : ash786@btinternet.com Mr Arshad Mahmood care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Residents must be aged under 65 years Date of last inspection Brief description of the care home 3 56 - 58 Carlton Road is a care home registered with the Commission for Social Care Inspection to provide accommodation and personal care for a maximum of three people with Learning Disabilities. The home is situated in the Small Heath area of Birmingham. It is close to local amenities and there are good transport links into the city. The home is staffed 24 hours a day including a waking member of staff during the night. Individuals would be admitted to the home following a full assessment that would determine the level of support they require. A full range of medical services, leisure and social activities are provided for the people living in the home. People living in the home have their own rooms situated on the first floor and communal rooms on the ground floor include two sitting areas, a dining area, a wet room and a kitchen. The laundry is also on the ground floor. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home The people living in the home are encouraged and supported to maintain links with their families and the local community. The care needs of the people living in the home are monitored and reviewed and action is taken to address any concerns. The current fees charged by the home range from five hundred and seventy pounds to one thousand and ninety one pounds a week. 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 inspection was carried out over one day during May 2009. The home did not know that we were going to visit. The last key inspection for this home was carried out on 22nd May 2006. Annual Service Reviews have been carried out since then but we did not feel the need to bring forward the key inspection as we felt that the home continued to provide a good service to the people living there. The focus of inspections we, the Commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, standards of practice and focuses on aspects of service provision that need further development. Care Homes for Adults (18-65 years) Page 6 of 30 Prior to the visit taking place we looked at all the information that we have received, or asked for, since the last annual service review. This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law, and an Annual Quality Assurance Assessment. (AQAA). This is a document that provides information about the home and how they think that it meets the needs of people living there. Two of the people living in the home were case tracked. This involves establishing individuals experiences of living in the care home by meeting them, observing the care they receive, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We looked around some areas of the home. A sample of care, staff and health and safety records were looked at. Due to the communication needs of the people living in the home it was not possible to ask them for their views on the home, so time was spent observing care practices and staff interaction. We did not send any questionnaires to the people living in the home due to their limited ability to complete the forms but we spoke to a representative of each of the people living in the home. What the care home does well: What has improved since the last inspection? What they could do better: Some aspects of the care plans could include more detail for example, communication needs of the individuals. This would ensure that the staff would respond in a consistent way to the people living in the home. The home should ensure records are kept of how individuals are assisted to make choices regarding activities and meals. This will show that people are enabled to make choices in everyday tasks. The homes record for attendance at medical appointments should make it easy to track whether appointments have been attended and record the outcomes. The manager should discuss the need for the specific medication to be kept in the home and if it is found that it is needed staff need to receive updated training for its use. this will ensure that the people living in the home have their needs met safely. Care Homes for Adults (18-65 years) Page 8 of 30 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 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. People moving into the home and their representatives are provided with information about the home to help them decide if the hme is suitable for them. A pre admission assessment process involves professionals involved in peoples care and takes place over a period of time during which stays at the home are carried out. This ensures the people moving into the home can be assured that their needs can be met. Evidence: People considering if the home would be suitable for them, or their relatives, have access to information that would tell them about the services they would receive and the admission process. The information is set out so that it is easy to understand. The people living in the home are given a tenancy agreement that tells them which room they will occupy. There is also a contract between the home and the local authority that individuals acting on behalf of the people living in the home would need to consider. The service user guide included information about how any concerns could be raised. It stated that the complaints procedure was available on audio tape on Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: request. The three people living in the home had been living there for several years so that the admission process was not evidenced. However, the service user guide indicated that the manager was very clear about the process and the purpose of the admission procedure was to determine that the needs of any individuals moving into the home could be met. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans were person centred and enabled the people living in the home to retain as much independence as possible. Risk assessments and management plans were in place ensuring that the staff responded in a consistent manner. Evidence: There were care plans in place for the three people living in the home. They were person centred covering areas such as personal care and dressing, dental care, clothes, health needs, food and eating and, sleeping. The care plans included information about how the staff were to support the individuals and what tasks they could do for themselves. This ensured that they could maintain as much independence as possible. For example, staff are to encourage x to use soap which is using hand over and verbal prompts and praise, put shampoo in palm of hand and ask X to wash hair. The care plans could include more detailed information about the communication needs of the people living in the home. This Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: would ensure that everyone involved in their care would be clear about how to communicate with the individuals. The care plans also indicated ways in which the individuals could be involved in the day to day running of the home, for example, can choose food from different boxes and can be asked to set the table. The home had started to incorporate photographs to help individuals carry out simple tasks such as make a cup of tea or make the beds. The people living in the home were unable to be involved in the development of their care plans but where possible there was involvement from relatives and other professionals. The people were encouraged to make day to day choices regarding what to wear and how much assistance they were given with personal care. None of the individuals were able to manage their own monies. We were told that the home bought things that they needed and then asked for the money from relatives or solicitors acting on their behalf. Risk assessments were in place regarding any health problems, activities and challenging behaviours. It was noted that the front door was kept locked for the safety of the people living in the home. The home needed to make sure that the rationale for this was clearly recorded in individual files and reviewed on a regular basis. This would ensure that the people could be assured that any restrictions in place were reviewed on a regular basis and the need confirmed on an ongoing basis. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peope living in the home are supported and given choice and control over their daily routines. Appropriate activities are offered, and family relationships are maintained. Dietary needs are well catered for with a balanced and varied diet on offer. Evidence: None of the people living in the home attended day centres or college. This was discussed with the staff who stated that day centres had been tried for some of them but their behaviours had prevented them from continuing. Two of the relatives spoken to confirmed that this was the case. The people living in the home were encouraged to retain as much responsibility for their personal care as possible. They were encouraged to make choices about the clothes they wore. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: On the day of the inspection two of the individuals were wearing the same clothes. When this was queried it was clarified that on a shopping expedition they had both chosen the same items of clothing. No other items of clothing were the same in their wardrobes. This showed that the people were able to make choices. We were told that the people living in the home generally went out together in the minibus which had been provided by the home and for the use of which no charges were made. They used local community facilities such as swimming pools, amusements centres such as star city, libraries and local parks. There were some individual interests catered for such as gardening but it was recommended that the home finds out what the specific interests of the individuals are and try to arrange activities in line with these. This would ensure that individual social and emotional needs were being met. There was the opportunity for individuals to follow any spiritual or religious needs. The AQAA told us that short breaks to Dove Dale, Blackpool and the Malvern Hills had been arranged for the people living in the home. There were activities available in the home such as aromatherapy, games, television, films, foot spas and baking sessions. Specialist channels were available on the televisions to meet cultural needs. The people living in the home were able to have visitors to the home at times that suited them. We were told that one person visited their family home on a regular basis and enjoyed these visits. The family told us that the home worked well with them letting them know if there was any reason why they shouldnt visit and that visits to the home were welcomed. Another person told us that their relative had not visited them at their home but that they would have liked this to be arranged. The AQAA told us that the people living in the home were helped to send celebratory cards at the appropriate times. There was evidence that the kitchen was accessible to the people living in the home at all times for drinks and snacks. Fruit was readily available and there were a variety of meals available. Special cultural meals were available for individuals and the people living in the home ate out quite regularly. The people living in the home were encouraged to live a healthy lifestyle by having regular walks in local parks. There were picture cards of a variety of meals available in the home. We were told Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: that each individual took a turn in choosing what meal they should have. There was no record of who had chosen the meals but we were told that this information was passed on between staff at hand overs. It was recommended that this was recorded to ensure that each person was given the opportunity to choose meals. People did not always eat the same meals. There was a set menu that could be followed if people did not choose what they wanted. Weight records were kept for individuals to ensure that they were not losing or gaining weight unexpectedly. Care Homes for Adults (18-65 years) Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home received support with their personal and health care needs in a person centred way. Evidence: The people living in the home were assisted with their personal care in an individualised way ensuring that any cultural needs were met. They were encouraged to undertake as much of their personl hygiene needs as possible. Gender specific care was available for the people living in the home. The people living in the home all had a Health Action Plan in place. It recorded how often the individuals were to be seen by District Nurses, GPs, Dentists, CPNs and so on. We were told that when individuals had attended appointments the letters were discarded. It was not always clearly documented when appointments had been attended or what the outcomes were. The staff needed to ensure that this information was recorded and could be easily tracked. There was close liaison with health professionals. One person had commented that the Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: reduction in challenging behaviours shown by one individual living in the home was due largely to the emotional support provided by the home. The home used a weekly blister pack system for the management of medicines in the home. The system was well managed ensuring that the people living in the home received their medicines as prescribed. There were some medicines that could be used by staff in an emergency. They had not been used for some time. It is advised that the need for them is discussed with the GP as the staff need to be regularly trained in their use if they are to be available for use in the home. Care Homes for Adults (18-65 years) Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home appeared to well cared for and no concerns had been raised about their welfare. Evidence: We have not received any complaints about the service since the last key inspection. There was a complaints procedure in place and this was also available in audio tape format. This meant that the people living in the home had access to information about raising any issues if they wanted to. There have been no adult protection concerns raised about the people living in the home. The staff in the home have all had training in Adult Abuse. The people living in the home were unable to say whether they felt safe due to their limited verbal communication but they appeared to be happy and families spoken to felt that they were being well looked after and had no concerns. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a warm, comfortable and homely environment for the people living in the home. Evidence: The home was found to be warm, comfortable and homely. The recent refurbishment had ensured that the people living in the home were provided with a comfortable environment in which to live. There were adequate bathing facilities consisting of a bath with shower on the first floor and a wet room on the ground floor. There was sufficient communal space on on the ground floor for the people living in the home to sit in and they could watch different programmes on the televisions in the two sitting areas. The garden area was not looked at during this inspection. The home is accessible to people with good mobility as there is no equipment to assist individuals to the first floor. This will mean that over time the home may become unsuitable for individuals currently living there as their mobility decreases. All the bedrooms are located on the first floor and were found to be very comfortable and Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: suited to the needs of the people living there. The radiator in the front lounge was found to be hot to touch and could pose a potential burning risk to the people living in the home especially as they were growing older and more frail. This issue has been raised at the previous inspection when it had been risk assessed and found not to pose a risk. We were told that other radiators had been changed to low temperature radiators and the advise given would be taken into consideration. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff with the skills and knowledge to care for the people living in the home. Evidence: The staffing rota showed that throughout the day there were two care staff and the manager on duty and during the night there was one person on waking duty. This showed that there were sufficient staff on duty to meet the needs of the people living in the home. One staff file was looked at and all the appropriate checks were in place. The staff took on a multi tasking role and provided both care and domestic support to the people living in the home. The people living in the home were unable to express themselves verbally but the staff knew the people living in the home very well and were able to meet their needs in a person centred way. The interactions between the staff and the people living in the home were seen to be Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: friendly and professional. The staff were able to meet the cultural needs of the people living in the home and were seen assisting one person in particular, with prayers during the day. The training matrix showed that the staff had received training to be able to carry out their roles safely. One staff member was able to tell us that she had had recent training regarding the mental capacity act and deprivation of liberty. The training matrix did not give any information about training in the specific needs of the people living in the home, for example any mental health issues or health needs such as epilepsy. The training programme should be expanded to include information about these issues. Care Homes for Adults (18-65 years) Page 24 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 in order to meet the needs of the people living in the home. Health and safety is managed well ensuring the safety of the people living and working in the home. Evidence: The home is run in the best interests of the people living in the home, for example, the manager provides transport for individuals via a minibus but no charges are made in respect of this. The Manager is extremely competent and supports his staff team very well. Formal supervision of staff takes place regularly. The AQAA shows us that the manager has used guidance provided by regulatory bodies to improve and measure the homes service against. The manager was not present during this inspection but it was clear that he managed Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: the home in an open and inclusive way ensuring that the staff in the home knew where to access the information required during inspection. The homes policies and procedures are regularly reviewed and updated to reflect the service provided, and to protect the service users rights and best interests. The Manager carries out regular Health & Safety audits and risk assessments on the home, and staff have received training on Health & Safety issues. This means that the people living in the home and staff working there are safe. Care Homes for Adults (18-65 years) Page 26 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 27 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 1 6 The care plans could include more detailed information about the communication needs of the people living in the home. This would ensure that everyone involved in their care would be clear about how to communicate with the individuals. A reason should be recorded for any limitations imposed on the people living in the home and this should be regularly reviewed. This will ensure that limitations are only placed on people where absolutely necessary. The people living in the home should be supported and encouraged to pursue their own interests and hobbies. A record should be kept of the meals chosen by individuals. This will ensure that everyone gets the opportunity to choose the meals. Staff should ensure that it is easy to track which appointments have been attended and what the outcomes were. This will evidence that the health care needs of individuals were being met. The manager should discuss the need for rectal diazepam to be kept in the home as it is not required on a regular basis. If it is to be kept in the home staff must receive Page 28 of 30 2 9 3 4 14 17 5 19 6 20 Care Homes for Adults (18-65 years) regular training in its use. This will ensure the safety of the people living in the home. 7 36 The training matrix should reflect the training provided in the specific needs of the people living in the home. This will ensure that the staff are working in line with current good practice and knowledge. 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!