Inspection on 19/08/08 for Woodrow Cottage

This is the latest available inspection report for this service, carried out on 19th August 2008.

CSCI found this care home to be providing an Good 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

Woodrow Cottage 24/04/06

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Woodrow Cottage Hills Close Fair Oak Hampshire SO50 7HD two star good service The quality rating for this care home is: 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: Patricia Trim Date: 1 9 0 8 2 0 0 8 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. They reflect the things that people have said are important to them: 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 © (2008) 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.csci.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: Woodrow Cottage Hills Close Fair Oak Hampshire SO50 7HD 02380 693957 02380 695057 woodrow@iliace.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Iliace Ltd Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 0 care home 7 learning disability Additional conditions: 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: Learning disability (LD). The maximum number of service users to be accommodated is 7. Date of last inspection 1 9 0 8 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Woodrow Cottage is registered to provide care and accommodation to seven people between the ages of 18 and 65 who have a learning disability. Each person has a single bedroom, with either en-suite facilities or the use of an adjacent bathroom. People share the use of a main lounge, dining room, kitchen and quiet lounge. There is an enclosed garden to the side and rear of the home that people are able to access. The home is situated approximately half a mile out of Fair Oak, which has local shops, pubs and public transport. The home has a car that people are able to use when there is a staff member on duty who is registered to drive. The range of fees at the home is from £1290 to £1537 per week, depending on assessed needs. 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: two star good 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The information used to write this report was obtained in the following ways. We looked to see if we had received any complaints about the home and saw that we had not. We also looked at any information the home had given us about what might have happened since we visited. We used some of the information the provider gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who have used the service the care that they want. We also used information we received from surveys. We sent surveys to two people who use the service to ask what they thought about it. We received two surveys back. We received a survey from a care manager. We sent four staff surveys to the home and asked them to give them to staff. We received four surveys back. A three-hour visit was made to the home by one inspector to carry out a key unannounced inspection. People in the home have limited verbal communication, so time was spent observing staff practice Care Homes for Adults (18-65 years) Page 7 of 30 and the interactions between people who use the service and staff. There was also an opportunity to get the views of three members of staff who worked in the home. Time was also spent discussing the provider’s plans for the home and looking at the environment. A random selection of documents was viewed. Two people who use the service were case tracked. This means their records were looked at to see how the provider identified their needs and made sure they were met. What the care home does well People who use the service have the opportunity to be involved in what happens in the home. They are given information in a variety of ways that makes sure they understand so they can complain about things if they are not happy. Comprehensive pre admission assessments make sure the home has detailed information about anyone wishing to move in. They are also encouraged to make several visits to the home, including an overnight stay. This makes sure the registered manager is able to assess whether the home is the right place for the person and that they will get on with those already living there. People who use the service tell us they Care Homes for Adults (18-65 years) Page 8 of 30 like living there and think they are able to make choices about how they spend their time. Comments included: I always have a choice and I like seeing the fish and seeing my Mum. The staff are funny. One care manager thought the home provided a good service and his response to What the home does well was builds a service to meet peoples needs. What has got better from the last inspection Some people in the home have medication that can be given in varying doses, depending on the need of the person at the time. Staff now have a clear plan to follow so everyone know when tablets should be given and how much at a time. Some of the people living in the home now need more support than they previously did. The number of staff working in the home in the morning has been increased to help give the support they need. Care Homes for Adults (18-65 years) Page 9 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Patricia Trim The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 01622724950 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. Care Homes for Adults (18-65 years) Page 10 of 30 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries.southeast@csci.gsi.gov.uk or by telephoning our order line - Care Homes for Adults (18-65 years) Page 11 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 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The pre admission procedure includes a comprehensive assessment of need and visits to the home. This means the person using the service can be confident they will only be offered a place if the service can meet their needs. Evidence: The organisation has a thorough process for helping people who use the service to experience what it is like to live in Woodrow Cottage before they move in. This includes completing a detailed assessment of need and giving them the opportunity to make several visits to the home, including overnight stays. One new person had moved to the home since the last inspection. The person had been able to visit on several occasions, had been visited by staff and had a detailed assessment completed, that identified what they could do and what help they needed. They were also given information about the home in a format that met their needs. One care manager commented that the homes admission procedure made sure detailed and accurate information was always obtained before someone moved in. Care Homes for Adults (18-65 years) Page 13 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 . Person centred plans reflect the diverse needs of the people who use the service and ensure they consistently receive the support they need to live as they wish. Risk assessment is used to identify and minimise any risks involved in activities people who use the service may wish to take part in. Evidence: Care plans were very individual and gave detailed information about what each person could do for themselves and whether prompting or physical help was needed. Each person had a daily planner in their room in a pictorial format so they knew what was happening each day and could tell staff if they wanted to do the planned activity. The last regulation 26 visit recorded that all care plans had now been reviewed and updated. The AQAA stated that care plans were reviewed every two months. Plans seen evidenced these reviews had been completed. Risk assessment is used to enable people to do the things they like whilst minimising the risks. For example, one risk assessment showed staff how to support someone Care Homes for Adults (18-65 years) Page 14 of 30 safely so they could go trampolining. Another showed how someone could be supported to access the community safely. Care Homes for Adults (18-65 years) Page 15 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 . People who use the service are able to make choices about their lifestyle and are supported to develop their life skills. Social, educational, cultural and recreational activities are offered that provide stimulation and that people enjoy. Evidence: Feedback surveys completed by two people who use the service indicated that one thought they could make choices about all aspects of their daily lives, whilst one said Sometimes I cant do the things I want, but also felt they always have a choice. Feedback from 4 staff surveys also indicated that, sometimes, planned activities did not go ahead because there were not enough staff to meet individual needs. The acting manager said recent changes to staffing levels meant there was now four staff on duty during the morning, which gave more opportunities for people to do the activities of their choice. Staff confirmed the increase meant they were more able to do all the planned activities. Care Homes for Adults (18-65 years) Page 16 of 30 The AQAA recorded that the objective was to continue with the extensive activity programme that was personal to each of the people who use the service. Each person has a daily planner with photographs of the various activities on it so they can see exactly what has been planned for each day. The programmes are run through the Adult Continuing Education (ACE) scheme, which is operated by the organisation. People using the service were supported to take part in a wide range of activities, including trampolining, swimming, horse riding, cookery, rambling and attending a day centre. Feedback from the surveys received and from comments made by the people who use the service showed they enjoyed the variety of activities offered. Three people were seen going out to go swimming and some people left to go on a ramble. In house activities are also offered, based on what individual people like to do. For example, one person chose to listen to their music in their room during the morning, whilst another was dancing to music of their choice in the lounge. Some people also like helping with daily activities such as hoovering and this is recorded in their care plan. The acting manager said many of the people who use the service like to have structure to their day and this is what the organisation provides. The majority of people who use the service have limited verbal communication. Staff were seen giving them information through the use of non-verbal communication such as signing, using objects of reference and the photo boards. Initial assessments record family relationships and friendships. Daily records showed that people who use the service are supported to maintain contact with people who are important to them. Staff said the home had a four-week menu plan. Records were kept to show that people who use the service are able to choose alternatives. A photo board is used to help people see what is available and to make choices about what they eat. The acting manager said people are able to be involved in planning and preparing meals if they want to. 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 health and personal care that people receive is based upon their individual needs and personal preferences. Care is given in a way that upholds the principles of respect, dignity and privacy. Clear policies, procedures and training ensure people who use the service have their medication managed safely by staff. Evidence: Each person has a detailed daily routine and personal care plan, which records their individual preferences. It also records what they can do for themselves and what support they need. For example, one person prefers to have a bath rather than a shower. The person needs support to run the bath and prompting to wash, but then likes some time alone to play with activity items. Staff spoken with were aware of these personal preferences. There was evidence that people who use the service have access to a wide range of health care services. One care manager stated that the home always meets the health care needs of people. Daily records showed people were supported to see their doctor, optician and dentist when they needed to. The acting manager said a referral had recently been made to the learning disability community team for support and advice in respect of one person whose health needs were increasing. Contact had also been made with adult services to have this persons assessment reviewed as it was felt they Care Homes for Adults (18-65 years) Page 18 of 30 needed increased one to one support to meet their changing needs. The AQAA stated that every service user is supported with their medication and every member of staff is trained in Safe Handling of Medication. Certificates were seen that evidenced staff had medication training. The acting manager said further training was being provided. Medication, the majority of which is supplied in a monitored dosage system, was stored in a metal cupboard and kept securely locked. A record was kept of medication received into the home and any returned unused to the pharmacist. A record was also kept of any medication given to a person who uses the service. One record was viewed and found to have been completed correctly. The AQAA recorded that a requirement made following the last inspection had been met. This was that staff had clear guidance about giving someone a variable dose of medication. There was now a protocol for staff to follow so they know how much and when to give the medication. 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 . People who use the service know about the complaints procedure and can be confident any issues they raise will be taken seriously and investigated. Staff have information and training about safeguarding so the risk of abuse is minimised. Evidence: Two people who use services completed a survey form in which they said they knew how to make a complaint and were confident the management of the home would listen to their concerns. The AQAA stated the complaints procedure was available in a range of formats that met the needs of the people using the service and the pictorial version was displayed in the home. A record was kept of any complaints made and the action taken to resolve them. The home had recently received one complaint that was being dealt with. The commission had not received any complaints since the last inspection. The organisation had a policy and procedure for safeguarding adults. Three staff spoken with knew about the whistle blowing policy and their responsibility to report any allegations of abuse. Two had attended a training course; one had not. The organisation had a rolling programme of training that included safeguarding. Staff training was being reviewed to make sure all staff had completed mandatory training such as safeguarding. The organisation had demonstrated its understanding of safeguarding issues by making an appropriate referral to adult services. They had worked with adult services and other health care professionals to minimise the risk to people who use the service. Care Homes for Adults (18-65 years) Page 20 of 30 Staff spoken with were able to describe how they used the guidance in care plans to manage challenging behaviour. They were clear that only staff who had completed restraint training could carry this out and that it would only be used as a last resort, if distraction techniques had failed to minimise the risk. Care Homes for Adults (18-65 years) Page 21 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 is well maintained and provides a clean, comfortable and safe environment for people to live in. Evidence: Feedback from two people who use the service indicated they thought the home was generally kept clean. Staff had a cleaning rota to follow and the condition of the home was regularly audited through a monthly health and safety check. The home has a maintenance person who comes in to carry out any minor repairs and renovations. The manager said the home is shortly to have the communal areas redecorated. The home is designed to meet the needs of the people who use the service. Everything has words and symbols on it so everyone can find their way round. For example, the dirty washing basket is marked so people know where to put their dirty laundry. There is a large lounge, dining room and smaller lounge so people can spend time wherever they choose. Everyone has their own room. The AQAA recorded that people are encouraged to choose the colour of their room. The transition plan for one person moving into the home included asking them what colour they would like their room painted and had been done. There is a large garden that staff said people liked using. Staff have been helping people plant up their own individual flower pots and everyone was waiting to see whose plants were best. Care Homes for Adults (18-65 years) Page 22 of 30 The manager said some of the people who use the service had been helping clear a garden wall of weeds and brambles. A trellis was being made to make the wall higher and the garden area more attractive. The laundry is located next to the kitchen. There is a policy in place to make sure staff do not carry dirty laundry through the kitchen when food is being prepared. They were seen following this procedure. Staff have access to gloves and aprons and bags are provided to carry dirty linen through the home. The AQAA recorded that 10 staff have completed infection control training. Care Homes for Adults (18-65 years) Page 23 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 . Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The home operates a robust staff recruitment procedure that protects people who live in the home. Evidence: Four staff completed survey forms. They felt there was sometimes insufficient staff on duty to help people who use the service to do everything they wanted to. The manager said that staffing levels had recently been reviewed and four staff now worked in the home during the morning to provide more support. Staff confirmed this and four were on duty at the time of the visit. The manager said that due to the increased needs of one person, adult services had been approached for increased funding to enable him to provide more one to one support. The AQAA recorded that many of the staff have worked in the home for a long time and know the people who use the service well. Staff were seen working with people who use the service at their own pace and a good relationship between the people who used the service and staff was observed. Feedback from staff surveys showed they felt the recruitment process was thorough and fair. All stated they had been required to complete a Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check before starting work at the home. Care Homes for Adults (18-65 years) Page 24 of 30 The file for one new member of staff was viewed. This demonstrated the recruitment procedure had been followed. The person had completed an application form and provided a full employment history. They had a CRB and POVA check and two references had been obtained before they started work. The manager said staff induction and development was based on Skills for Care Induction standards and included completing the Learning Disability Qualification. Comments from a care manager showed he felt staff always had sufficient training and skills to meet the needs of people who used the service. Staff said they had good training opportunities. The manager had a training matrix to enable him to monitor staff training needs and the organisation has a rolling programme of training so staff can access refresher training when required. Recent training had included managing challenging behaviour and infection control. The manager had a supervision plan for staff and staff said they had regular supervision. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management and administration of the home is based on openness and respect and has effective quality assurance systems developed by the service providers. Evidence: The home has a new manager who had been in post for one week. He was able to work alongside the previous manager so there was a smooth transition and had previously worked as a deputy manager in one of the organisations other homes. He also has experience of working with other organisations as part of the management team. He has already completed a National Vocational Qualification (NVQ) 4 and is about to start the Registered Managers Award. He confirmed he would be applying to the commission to register as manager for the home. The organisation has good systems in place to monitor service provision, such as a monthly health and safety check. People who use the service, their families and staff are invited to give their views on the care provided through questionnaires and review meetings. A representative of the organisation visits the home on a monthly basis and a written report is left with the manager, detailing any actions that are required. The home also has an annual service review. Care Homes for Adults (18-65 years) Page 26 of 30 The AQAA recorded that the majority of staff had completed mandatory training such as food hygiene and infection control. The manager is able to monitor staff training and arrange for them to attend refresher training as and when it is required. The AQAA gave information about how the organisation monitors and maintains equipment in the home. A range of certificates was seen that evidenced the health and safety of people who use the service and staff are protected by a maintenance programme. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  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 Description 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 Description 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: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.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 © (2008) 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!