Inspection on 24/02/09 for 15 Denby Road

This inspection was carried out on 24th February 2009.

CSCI 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

15 Denby Road 25/10/06

15 Denby Road 10/01/06

15 Denby Road 14/09/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 15 Denby Road Inkersall Chesterfield Derbyshire S43 3RR 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: Jill Wells Date: 2 4 0 2 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. 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: 15 Denby Road Inkersall Chesterfield Derbyshire S43 3RR 01246471135 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) : Enable Care & Home Support Limited care home 2 Number of places (if applicable): Under 65 Over 65 2 0 learning disability Additional conditions: The registered person may provide the following categories of service only: Care home only - Code 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- Code LD The maximum number of service users who can be accommodated is: 2 Date of last inspection 2 5 1 0 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home 11 and 15 Denby road are next to each other. Each bungalow has two single bedrooms for residents. Each bungalow has a bathroom. There is a nice area outside to sit in. Care Homes for Adults (18-65 years) Page 5 of 34 Care Homes for Adults (18-65 years) Page 6 of 34 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 Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for the service is three star. This means the people who use the service experience excellent quality outcomes. We stayed at the home for 4 hours. We looked at 11 and 15 Denby Rd on the same day. Care Homes for Adults (18-65 years) Page 8 of 34 We talked to all residents. We looked at care plans and other records. What the care home does well Care Homes for Adults (18-65 years) Page 9 of 34 People are offered choices about how they live. The staff are very caring. People are encouraged to eat healthy food. People are kept very active. Care Homes for Adults (18-65 years) Page 10 of 34 Everyone gets on together. They enjoy going to day centres in the week. They like to go shopping and out for lunch at weekend with support from staff. Care Homes for Adults (18-65 years) Page 11 of 34 People like their bedrooms. The home is very comfortable. The manager is good at her job. Care Homes for Adults (18-65 years) Page 12 of 34 People go on holiday where they choose. What has got better from the last inspection They make sure that the home is regularly redecorated. People living at the home choose the colours. Information about the service could be in easy read formats, especially for new people. Care Homes for Adults (18-65 years) Page 13 of 34 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 Jill Wells Capital Business Park Fulbourn Cambridge 01223 771300 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. Care Homes for Adults (18-65 years) Page 14 of 34 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 15 of 34 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 16 of 34 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 . Peoples needs are fully assessed prior to admission so the individual and the home can be sure the placement is appropriate. Evidence: The annual quality assurance assessment completed by the service said that they provide information about the service in the statement of purpose. They ensure that the home meets service users needs and aspirations. During the inspection visit the statement of purpose was seen. This explained that any new people were invited to visit the home, stay for tea and have at least one overnight stay before deciding if they wished to live at the home. The views of people living at the home were also considered before a final decision was made. A staff member spoken with confirmed that this always takes place. Each person living at the home had their own file of information about the home including the statement of purpose and service user guide. Although there were photographs of the home, these documents were not in easy read formats. This would Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: be particularly important for any new people moving into the home. The manager said that these files were kept in the staff bedroom, but if anyone asked for them they were made available. Residents spoken with were unable to recollect seeing this file, although they had all been at the home for some time. Each person had a detailed assessment of their needs in place, that was regularly reviewed. Each person had a statement of terms and conditions with the home. This stated that hairdressing, personal toiletries and transport were not included in the fees. Care Homes for Adults (18-65 years) Page 18 of 34 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 . People were supported to make life decisions as well as everyday choices and residents were put at the centre of service delivery by the care home. This gave people living at the home the opportunity to live their life as they choose. Evidence: The annual quality assurance assessment completed by the manager said that each service user had an individual care plan developed around their needs, which is reviewed on a regular basis. Everyone had access to an advocacy service, providing advice and support. A key worker system is in place. Reviews were held every 6 months ensuring high standards are maintained. People had access to their care plans and were encouraged and supported in the planning of these. During the inspection visit peoples plans of care were seen. These were very detailed and individualised. There was also a personal planning book that staff and the individual had completed together. It covered areas such as, important people in my life, my life story, how I need to be kept safe, good things about me, and things I like and dont like. One person had written that they dont like loud noises as they Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: scare me and, if I dont understand I will let you know by asking you to repeat what you have said and explain better. People had individual risk assessments in place. One person had risk assessments concerning outings, use of the kitchen and bathing and the need for supervision to keep them safe. Staff spoken with said that individuals are supported to make decisions about every aspect of their daily life. One staff member said, people have a choice about everything, what to wear, what to eat, when to shower and where to go on holiday, its just how we treat people. Another staff member said that they had recently attended a course on Values looking at service users rights and the governments plans for change and improvement. Residents spoken with said that they liked to choose where to go and what to do at the weekend. The manager said that residents would always be asked their preference of colour scheme and involved in the purchase of new furniture etc. Care Homes for Adults (18-65 years) Page 20 of 34 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People were supported to maintain personal and family relationships, and take part in leisure activities of their choice so that they live the life that they choose. Evidence: The annual quality assurance assessment completed by the manager said that they promote peoples individuals rights and lifestyle preferences. People are given the opportunity to prepare food and drink for themselves, mealtimes are flexible and people are encouraged in meal planning. Residents enjoy shopping for food and personal items. During the inspection visit all residents were spoken with. They described how they lead a full life. Each person attended a day centre which they enjoyed very much. One person said, I went birdwatching today. It was good. Another person described how they enjoyed knitting, the cinema, setting the table, and going on trips. They were looking forward to a boat trip planned for the summer. Two residents were going to Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: Blackpool supported by staff. This had been their choice as they had been before and enjoyed it very much. They chose the staff that went with them. When asked what they did at the weekend they said that, we go out, because that is what we like to do. They enjoyed shopping and meals out. The service had a seven seater people carrier available. Staff spoken with described how they would talk to each person in the morning about what they wanted to eat when they returned from the day centre. One person had expressed a wish to lose weight and staff were helping them follow a healthy eating plan. A resident spoken with said that they were having pancakes that day as they knew that it was pancake day. Some people enjoyed helping with the food preparation or washing the dishes. Staff said that residents enjoyed choosing the menu and shopping for food with staff. One person was going to Gateway Club that evening. They said that they like to go to meet their friends. One person attended Faith and Light once a month where various churches were visited. One person was a Jehovahs Witness and staff supported them to follow their faith. The manager and staff said that they supported to residents to keep in close contact with their families. A resident said that they regularly talked to their father on the phone. There was evidence in peoples file is that they had been asked if they wanted a lock on their bedroom door and this was provided if they requested one. People living at the home were encouraged to get involved with housekeeping tasks, relevant to their own abilities and supported by staff. Care Homes for Adults (18-65 years) Page 22 of 34 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 . Peoples health and support needs are met and the principles of respect, dignity and privacy are put into practice. Evidence: The annual quality assurance assessment completed by the manager said that they provide sensitive and flexible personal support and maintain peoples privacy, dignity and independence. They have a good rapport with the district nurse and close links with GPs. During the inspection visit peoples health records were seen. This showed that peoples health needs were regularly reviewed and contact was made with GPs and other health professionals as required. The staff and manager described how personal support was provided in an individual way. For example one person needed staff to be present the whole time as they were bathing, whilst a second person only needed minimal assistance and then preferred to be left for a while. Personal plans described how staff should support people to be independent for example washing and dressing themselves as much as they are able, with staff supporting only when necessary. Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: Resident spoken with were very proud of the things that they could do for themselves. One person described how they liked to choose what clothes to wear each day. There was a key worker system at the home and written guidance on the role of the key worker. However the manager and staff explained that as the home was very small, residents tended to go to whoever was on duty, although they knew who their key worker was. Staff spoken with were very aware of the importance of respecting peoples privacy and dignity. One person said, we treat people how we would want to be treated. Medication was safely stored and there was a good system for receipt and return of medication. The medication administration records were in good order, although the handwritten records had not been initialled by the person completing them. The manager said that this was always her. The manager and all staff had attended medication training. Care Homes for Adults (18-65 years) Page 24 of 34 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 are able to express their concerns and are protected from abuse. Evidence: The annual quality assurance assessment completed by the manager said that there was a complaints procedure in place and each person has a copy. The home has an adult protection procedure including whistle blowing. All staff receive adult protection training and have a good understanding of safeguarding adults issues which protects service users from abuse. During the inspection visit the complaints leaflet was seen in each persons file. This was in an easy read format.The manager said that there had been no complaints since the last inspection visit.She explained that they would always attempt to resolve problems at an early stage.We have received no complaints about the service. Staff had attended training in safeguarding adults. One staff member spoken with was clear about their responsibilities under the whistle blowing policy and procedure. Residents were spoken with about whether they knew what to do if they had a complaint or concern. They said that they would go to the manager but they never needed to. Care Homes for Adults (18-65 years) Page 25 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in a safe, homely, well-maintained and comfortable environment, helping residents feel like it is their home. Evidence: The annual quality assurance assessment completed by the manager said that the home was attractive, homely and a safe environment. The garden was an important part of the premises, where people can enjoy the patio and lawn areas. Peoples rooms were personalised and they were involved in choosing colour schemes, furniture etc. Each bungalow has a weekly cleaning rota and residents participate in the weekly cleaning of their rooms, taking into account their abilities. People spoken with during the inspection visit felt that this was their home. They were very happy with all the areas, particularly their bedrooms. They could spend as much time as they wanted to in their bedroom. There was a combined lounge and dining room area and a separate kitchen. The bungalow had a bathroom with an overhead shower and handrails to the side. The present residents were able to manage in a domestic bath, although one person used a bath board to assist them. The outside area was shared between the two bungalows and was very pleasant, with table and seating areas. The bungalow had central heating and double glazing and domestic lighting. There were fitted wardrobes in each bedroom. All areas were very clean. The manager said that staff prided themselves in keeping the home clean. Care Homes for Adults (18-65 years) Page 26 of 34 Evidence: The manager said that a programme of redecoration was in place. There were no outstanding maintenance or repair issues. Resident spoken with confirmed that they were asked what colours they would like the rooms. They had also been asked if they wanted blinds to the windows rather than net curtains, and this had been agreed. Staff member spoken with said that coming to work feels like coming to the residents own home. Care Homes for Adults (18-65 years) Page 27 of 34 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 . People living at the home received good quality care and were protected by competent, experienced staff. Evidence: The annual quality assurance assessment completed by the manager said that they ensure there are sufficient staff on duty to meet service users needs. All staff have copies of their job description. They continually look at staff development and staff attend all mandatory courses. Service users are involved in choosing new members of staff. During the inspection visit staff spoken with confirmed that there was always a minimum of one staff on duty in each bungalow. At night there was one staff member on duty between the two bungalows. There was an intercom system for individuals to call for assistance and the manager was confident that people were able to use this. Record showed and staff confirmed that supervision was taking place on a regular basis as well as annual appraisals of staff performance. A staff member said, we do have regular supervision and staff meetings, but we tend to deal with things straight away Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: A resident spoken with said that, staff are very kind. I like it better here than where I was before. A staff member spoken with said, its lovely working here, I enjoy doing things with residents and the staff team work fantastic together, I dont think you could get a better staff team anywhere, and this benefit residents. A staff member wrote in our survey that they, promote independent living and provide a warm, happy and safe environment where high standards are maintained. The care manager completing our survey said that, the service liaises well with professionals, reviews are regular, the service is small and can therefore be personal. Staff training records showed that staff had undertaken the mandatory training. Some staff were reluctant to do additional training including NVQ 2 Care as they had worked within this or similar services for 25 plus years, and were due to retire.There was no concern about their knowledge and skills. It was evident from observation that staff knew each resident well and had a good relationship with them. They were seen chatting, laughing and joking and residents were clearly at ease with staff. Care Homes for Adults (18-65 years) Page 29 of 34 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 very well managed, with effective procedures in place suitable for the size of the home, to ensure that people living at the home are listened to and involved in all aspects of life in the home. Evidence: The annual quality assurance assessment completed by the manager said that the home was run in an open and positive way and promoted good working relationships. Systems were in place for the recording and reporting a accidents and incidents. Each service user is supported to complete a quality of service questionnaire. The manager said that they, aim for service users to achieve their full capabilities. The staff and residents were spoken with about the managers approach.Staff described her as very supportive, very caring to residents and fair with staff. One worker said that the manager was very easy to get on with and will listen to ideas. If she thinks an idea is good she will let you try them. A resident said that Jackie (the manager) is lovely. Staff meetings were held on a two monthly basis. Minutes of these showed that the Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: manager gave staff regular reminders of good working practices and supported staff to work in the best interests of people living at the home. She was keen to ensure that all staff had relevant training. Although residents meetings were not held, the manager said that she read the staff meeting minutes to residents and asked if there was anything that they wished to add, although this was not recorded. Each persons file showed a satisfaction questionnaire completed with support from staff. The manager said that they encourage people to voice ideas and concerns but these rarely came up in questionnaires. The manager was seen to be very organised and had good systems in place to ensure that things were not forgotten for example servicing. It was evident from discussions that she managed the service with the interests of residents her first concern. Records required by regulation were maintained and up to date. CSCI were notified of any issues as required. The manager said that individuals regularly asked what staff were writing in their records and staff would read the record to them. There were relevant fire checks taking place, including a six monthly fire evacuation, involving residents. A sample of servicing certificates were seen and found to be in order. Several peoples personal money records were seen. A recent audit of these records had been done and the report found them completed to a high standard. There was a record of one person purchasing their own pillows. The manager said that other people had purchased bedding and curtains. This was later discussed with the provider who explained that these items should have come from the housekeeping budget provided to the home. The service manager responsible for the service visited the home and completed monthly reports. These reports showed that they spend time with residents, staff and the manager, checked records, the environment and recorded any action that was needed. Care Homes for Adults (18-65 years) Page 31 of 34 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 32 of 34 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 1 1 Information provided about the service (service user guide) for prospective and new people should be in an easy read format and they should be provided with a copy. This is to help them understand the services provided. Items for bedrooms such as curtains, bedding and pillows should be purchased by the provider not by the service user to ensure that there is compliance with the terms and conditions between the provider and the service user. 2 37 Care Homes for Adults (18-65 years) Page 33 of 34 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 © (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 34 of 34 - 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!