Inspection on 13/10/08 for 1 & 2 Hunts Lane

This inspection was carried out on 13th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 & 2 Hunts Lane 29/10/07

1 & 2 Hunts Lane 16/01/07

1 & 2 Hunts Lane 13/12/05

1 & 2 Hunts Lane 10/05/05

1 & 2 Hunts Lane 16/12/04

1 & 2 Hunts Lane 03/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 & 2 Hunts Lane Wellington Hill Horfield Bristol BS7 8UW     The quality rating for this care home is:   two star good 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: Kath Houson     Date: 1 3 1 0 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. the things that people have said are important to them: They reflect 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 28 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 28 Information about the care home Name of care home: Address: 1 & 2 Hunts Lane Wellington Hill Horfield Bristol BS7 8UW 01179354310 01179699000 dee.smart@brandontrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Dolores May Smart Type of registration: Number of places registered: The Brandon Trust care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is 10 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Physical disability (Code PD) Date of last inspection Brief description of the care home 1 & 2 Hunts Lane is two purpose built bungalows that are are joined by a link corridor. This provides accommodation for ten adults with a learning and physical disability. The home has ten bedrooms five on each side. The communal area consisits of a large lounge and dinning area, both houses has kitchens, large bathrooms which are suitable for the use of specialist equipment and adapations which assisit nursing care. The home can be found in the residential area of Horfiled in Bristol; in close proximity to Gloucester Road and its local facilities. The area has to offer a number of pubs, a Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 10 10 Brief description of the care home sports complex, shops, a variety of parks resturants and a local supermarket can be found close by. The building is leased to Brandon Trust who provides and manages the care. Western Challenge are responsible for all the repairs and decor within the home and owns the building. The fees charged for each placement and is based on needs assessment £455.00-£1529. There are additional charges for extra activities such as hairdressing, music sessions and mini bus hire. Care Homes for Adults (18-65 years) Page 5 of 28 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 peterchart Poor Adequate Good Excellent How we did our inspection: During the visit we: Looked at the information about people who use the service and how well their needs are being met. Looked at the homes documents such as the policies and procedures, health and safety checks, staff training files and certificates, dairies and communication book. Discussed with the staff team and to assess whether they could meet peoples needs. Undertook a telephone interview with the members of the Community Learning Care Homes for Adults (18-65 years) Page 6 of 28 Disabilities Team (CLDT). A discussion with the speech therapist took place during the inspection. Undertook a tour of the premises to assess that the home is clean, safe, homely and comfortable. Undertook discussions with the manager and the deputy manager throughout the time of the inspection. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from having access to information from the Statement of Purpose to help make an informed choice about the place they live. Evidence: The homes Statement of Purpose(SOP) contains the relevant information people need to make an informed choice about where they wish to live. The SOP was found to be detailed in content and was recently updated in July 2008. In addition to the SOP there is the Brandon Trust admissions policy which had been updated by the manager of the home in September 2008. This policy includes information for unplanned admissions; which would consists of home closure, floods or legal reasons. There have been no new admissions into the home since the last inspection. The home is expecting a new admission and is completing an assessment which ensures that their needs could be met. No records for the potential admission were seen as the process is still at its initial stages. Care Homes for Adults (18-65 years) Page 10 of 28 Care Homes for Adults (18-65 years) Page 11 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from care plans that are well documented and regularly reviewed. However people cannot always be confident that care plans are followed which could jeopardise improvement to their health. Evidence: Three selected care files were assessed and found to contain good information about peoples needs. The care plans were found to be person centred and are written in textual and pictorial formats. All the care plans were reviewed and some changes to peoples health care needs were documented. However one document failed to show changes to a persons needs. It is important for the staff team to document any changes to a persons care needs in order for improvements to be maintained. In the homes Annual Quality Assurance Assessment form the service is described as providing specific nursing care. This consists of catheter care, pressure sore care and Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: medical and clinical assisting care. The home maintains regular contact with other health professionals which ensures that residents individual needs are met. Evidence shows that multi disciplinary inputs are maintained and regular. However, one of the care plans showed that guidelines were not being followed. This was confirmed during a discussion with a health care professional visiting the home at the time of the inspection. All staff at the home must take on board the importance of following guidelines that are being written for the best interest of the people who have specialist health needs. Since the last inspection the manager has started to provide the use of advocates for all people who live at the home. The main objective is to assist people with their decision making to enable them to enhance their lives. So far people are given assistance based on risk assessments and help from their key workers. On the whole the health care team said the general care provided is good and the residents are cared for well. However improvements could be made when assisting people to make decisions about their lives. One relative when asked Are individuals health needs met by the care staff?The relative responded always in the survey. Care Homes for Adults (18-65 years) Page 13 of 28 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. Peoples independence is promoted by good community links. People enjoy a wide and varied menu which caters to their specialist dietary needs. Evidence: People are encouraged to take part in activities of their interests. On the day of the inspection it was observed that many of the people were out and were returning later on in the day for their tea. The service currently provides in house activities such as music, and play equipment. Many day trips and holidays are also arranged. It was evidenced that some people had been on a recent holiday some were also due to go on holiday very soon. Positive links exist with the community which enable people to be part of the area in which they live and enjoy what their community has to offer. Some people attend day centres such as Lanercost where they participate in arts and crafts. Many of the art work and paintings made by people can be seen around the home Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: which adds to the homely feel of Hunts Lane. One staff member spoken with said the residents are kept very busy and taken out a lot more. This is an improvement from the last inspection and the requirement has been met in this instance. In addition, the peoples activity chart was displayed in the staff office and it was clearly documented to show days of the week people take part in their activities and hobbies. It was mentioned during the previous inspection that the home would be placing some sensory equipment in peoples bedrooms. This has been followed thru, and the sensory equipment was in peoples bedrooms, the corridors and in a designated room. People are given support to maintain and develop relationships with their family and friends. This was evident in their care notes and the homes daily dairies. The home provides a wide and varied menu with assistance from the dietitian. Meals are planned well balanced and made to peoples preference. During the time of the inspection the staff team were making vegetable sausages for tea. Care Homes for Adults (18-65 years) Page 15 of 28 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. People have access to health care services which ensures that their physical, emotional and health care needs are met. The service has an efficient medication procedure which promotes the wellbeing of the people at the home. Evidence: Personal support is responsive, flexible and varied which caters to peoples needs. This was evident in peoples care plans, dairies and medical notes which were made available during the inspection. Peoples specialist health needs and nursing needs are recorded well and give a good overview of what is required. People were spoken to respectfully by the staff team. The Speech therapist was assessing a person to identify any changes in their needs which was then shared with the staff team. Dignity and privacy is maintained and dealt with immediately. People have regular access to health care services. The Community Learning Disabilities Team (CLDT) has frequent contact with people to monitor their progress. The CLDT said we have no concerns about the care of the residents and we had some recent epilepsy training which was well attended by the staff. People who use this Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: service have the aids and equipment they need to maintain their independent daily living. The service has an efficient medication policy which supports their procedures and practices. There has been no medication errors noted since the last inspection. All the peoples medication records were assessed and found to be in good order and up to date with recent photographs in place. This ensures that the correct medicines are given to the right person. Care Homes for Adults (18-65 years) Page 17 of 28 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 are encouraged to access and benefit, from a complaints procedure where they can openly express their views. People are protected by abuse and neglect by the homes safeguarding procedures. Evidence: The home has a complaints procedures which is accessible to all. People and their visitors are encouraged to make complaints. The homes complaints log was unavailable at the time of the inspection and therefore it was difficult to assess if the service deals with complaints in a timely manner. However, the manager has purchased a new book which is to be used as a comments book for relatives and visitors to write into during their time at the home. A relative comment made in a recent survey states any worries I may have are addressed immediately. Staff spoken with understand protection issues and how this relates to the protection and safeguarding of people at the home. There have been safeguarding measures put in place which protects people from bullying and unwanted attention. These measures are written clearly and are well monitored by staff. Care Homes for Adults (18-65 years) Page 18 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some improvements to the home have resulted in the environment being more homely for the people living there, however the physical environment is yet to fully meet their needs. Evidence: Hunts Lane is a two five bedded bungalow linked by a central corridor. Nursing care is provided at this service. The home can be found in a residential area of Horfield in Bristol. There are regular bus routes into the town centre of Bristol and the Mall in Cribbs Causeway. The home is located close to Gloucester Road which has many facilities to offer such as the local community centre where a number of church groups can be found. A sports centre, bars and shops form part of this busy community and is in easy access for people. The home is purpose built and has access within the house for wheelchair users. For instance the house has large doorways and corridors to accommodate wheelchairs and specialist equipment such as hoists. There are five bedrooms in each bungalow. The communal areas consists of a large lounge/dining room. Both bungalows have a well stocked kitchen, large bathrooms with hi and lo bath tubs. There are sluice rooms in each house. A laundry room caters for both bungalows. There is a parking area for Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: several cars and the home has its own vehicle for peoples use. The garden is large and laid to lawn. Grounds and Gardens maintain the garden. There are plans to move the shed in order to block the view of the neighbours garden and their outside toilet. The many issues about the environment have been raised in the previous inspection have been addressed such as: many of the cracks in the walls have been mended; the rooms have been redecorated and are now more personalised with photographs of peoples family, sensory items and art works are displayed throughout the home. The drainage problem in the wheel-in shower room has been addressed. A fence has been built to the upper house of the garden. However the fence is not built high enough and the view of their neighbours garden and their outside toilet is still an issue. This results in peoples privacy and boundaries being compromised. The windows now have curtains hung in the lounge and bedrooms thus enhancing their privacy. The house on the whole is more homely compared to the previous findings. However although the home is purpose built and has undergone extensive refurbishment there are still a number of issues that were highlighted in the previous inspection. The physical environment does not fully meet the residents needs. The garden is large and has potential to be made into a useful area for peoples use. However, the garden is still not accessible to the people who live at the home and is not wheelchair friendly. For instance, the pathway into the garden stops at the lawn section of the garden which then becomes challenging to wheelchair users. The outside of the building is also not wheelchair friendly. This is peoples escape route if there were a fire, the steps leading into the car park with wheelchairs users would be difficult to both staff and people in a case of an emergency. The sluice room next to peoples bedrooms with the doors backing out into the corridors is of concern. This restricts peoples freedom of movement in their own home. The alterations to the home still fail to meet peoples needs based on the findings from the previous report and the recent discussion which took place during the inspection. There has been some improvements made however there are still a number of issues that still need attention for this home to fully meet the needs of the people who live at Hunts Lane. People have the use of their own specialist equipment which was found to be clean and regularly checked for safety thus promoting their independence. At the time of the inspection the home was found to be clean and fresh with no Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: offensive smells. Care Homes for Adults (18-65 years) Page 21 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by an efficient trained staff team. However, there are a number of communication difficulties which can impact on peoples well being. People benefit from recruitment procedures which keep them free from harm. Evidence: The staff team were found to be effective in meeting the needs of the residents. For instance the staff training needs have been met. The homes training matrix show that staff have regular up dates and specialist training to meet the needs of the people in the home. Such training include; Understanding Autism, understanding epilepsy, food safety, epilepsy awareness. This is in addition to the mandatory training which staff have to take such as manual handling, health and safety and fire training. the staff rota also shows that there are enough staff to cover the shifts which further meets residents needs. Comments from the CLDT states communication between ourselves and the staff at the home has improved but can still be a little erratic. The Community Learning Disabilities team commented during a telephone interview at the time of the inspection; they would be happy to arrange some in house training on any specialist subjects which help to enhance the working partnership between CLDT and the staff Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: team at the home. This would address any flaws in the communication pathway and ensure that peoples needs continue to be met. The recruitment of staff is mainly conducted by the head quarters in Olympus House. This is where Brandon Trust holds much of the personal information for its employees. Staff files were assessed during the inspection and found to be in order. For instance the Trust complies with the requirements and selection processes which would maintain peoples safety. Currently there are many changes going on in the Trust and some staff are currently being redeployed. There are recent discussions taking place about the need to change the shift patterns which is targeted at meeting specific needs of the people with specialist health care needs. The homes Annual Quality Assurance Assessment form (AQAA) states that the reason for the change in shift patterns is to increase the number of in house and external activities for the people who use the service. Care Homes for Adults (18-65 years) Page 23 of 28 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. Effective use of policies and procedures demonstrate clear understanding of how the service meet peoples needs. Overall people live in a home that is managed well where they are cared for and safe. Evidence: The current manager has the required qualifications and is competent to manage the home with several years experience in the care industry. The manager is currently applying to become the registered manager of Hunts Lane and is making an application to the Regional Registration Team in the very near future. During a recent discussion with a social worker who said the current manager is very proactive in bringing the service forward and feels comfortable in placing another resident at Hunts Lane. Many of the staff team spoken with said the manager was approachable and supportive to staff and the needs of the residents. The manager was able to show evidence of monitoring their own practice. For instance, the service took part in a recent audit with the School of Health and Social Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Care. The audit demonstrated that the service were able to make a valuable contribution to the education and training of the students during their placement. One of the statements written in the audit was based on students findings for example, practice experience is service user centered. The service average scores from the audit was three meaning that the standard has been fully achieved. The manager recognised that the home is often chosen as a placement for learning and does work towards providing a good standard of care. The home has a consistent record of achieving health and safety measures. Regular fire safety checks are documented and practiced based on the in house policies and procedures which shows that people live in a safe and secure environment. The records are good and routinely completed with staff training also maintained. The manager was also able to share regular minutes of their recent meetings this shows that any issues which needs to be addressed are done so frequently and that the staff have an opportunity to share their views in regards to peoples welfare. The agenda consists of gender issues and how the service deals with diversity; the peoples equipment, monitoring people during the night, allocated jobs, tasks, activities and days out. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 1 6 15 The registered person shall keep a written plan which shows how the peoples needs in respect of their health and welfare are to be met and to maintain under review and revise with up to date information. Written care plans in respect to residents specialist health needs are to be followed which would improve their status of health and help to monitor residents progress. Any changes to care plans must be clearly documented to avoid room for error when proving care. 13/01/2009 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 27 of 28 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. 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