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Inspection on 01/12/08 for 216 Lightwood Road

Also see our care home review for 216 Lightwood Road for more information

This inspection was carried out on 1st December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is very well presented to people wishing to move into the home both in general appearance and in the good sources of information provided to them. The home has very good assessment and care planning procedures in place and the people using the service can be confident that their needs will be understood and met. The plans are devised to assist them to have a full and active life. The staff are seen to have excellent relationships with the people using the service interacting naturally, with empathy and delivering care as the person wishes, achieving a high level of satisfaction and sense of wellbeing amongst them. People who use the service take part in making choices about a wide range of life events such as their meals and staff encourage healthy eating. The home makes sure that the people using the service get routine as well as specialist health care. Staff are recruited and selected in ways that ensure safe skilled individuals are employed and the home demonstrates a good commitment to staff training. The home has good quality assurance systems that inform the continuing development of a quality service.

What has improved since the last inspection?

Since the last key inspection the home has been proactive in addressing the previous recommendations and these are well established.

What the care home could do better:

The home has made good progress in developing the home on its own progressive plan and as such no requirements have been made on this occassion. Two recommendations are offered to provide a wider range of formats for the service user guide making them more accessible to a wider audience. To publish the findings of the quality assurance audits and surveys undertaken, to show how the service is meeting the needs of people who use the service and areas identified for improvement.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 216 Lightwood Road 216 Lightwood Road Dresden Stoke-on-Trent Staffordshire ST3 4JZ     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: Richard Eaves     Date: 0 1 1 2 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.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: 216 Lightwood Road 216 Lightwood Road Dresden Stoke-on-Trent Staffordshire ST3 4JZ 01782598422 01782598422 orchardcareltd@live.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Orchard Care Ltd Name of registered manager (if applicable) Mr Gregory Paul Millar Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: The maximum number of service users to be accommodated is 8 The registered person may provide the following category of service only: Care Home Only (Code PC) the service users of the following gender: Either Whose Primary care needs on admission to the home are within the follwing categories: Learning Disabilties (LD) 8 Physical Disabilities (PD) 6 Sensory Impairment (SI) 2 Date of last inspection Brief description of the care home 216 Lightwood Road is a residential home located in Stoke on Trent, Staffordshire. The home provides a service for adults with a learning disability. The registration category enables the home to provide accommodation for eight service users, which includes 6 individuals who have a physical disability. This home is accessible via public transport Care Homes for Adults (18-65 years) Page 4 of 28 care home 8 Over 65 0 0 0 8 6 2 Brief description of the care home and is in walking distance to local amenities. The large mature two-storey semi detached property provides eight single occupancy bedrooms, having six located on the ground floor and two on the first floor. Ensuite facility are not provided, bedrooms are equipped with a washbasin. Bathrooms and toilets are located in close proximity to bedrooms and communal areas. Appropriate aids and adaptations are in place to meet the needs of service users who have a physical disability, appropriate lifting aids are also provided. On the ground floor are two lounge areas equipped with essential furnishings to provide a comfortable area for relaxation or to socialise. There is a seperate dining area and a domestic style kitchen where people are provided with the necessary support and supervision to assist with the preparation of meals. The staff team are committed in promoting peoples rights and independence and provide a service over the 24 hour period having one awake staff and one sleeping during the night. The fee information given applied at the time of the inspection and is currently shown as £747 to £798 per week, therefore the reader may wish to contact the service directly to obtain more up to date information. 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: The quality rating for this service is two star. This means the people who use the service experience good quality outcomes. We, the Commission did this inspection over one full day. The following information was used to inform the inspection. Reports from the service relating to the conduct of the home, records maintained at the home, the annual quality assurance self assessment and reports from other agencies. The inspection involved looking around the home including some bedrooms, the communal rooms and service areas and provided an opportunity to speak with the people who use the service and the staff. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People wishing to move into the home can be confident that the home can meet their needs and they are invited to visit the home and provided with good sources of information before making a decision. Evidence: The service provides up to date information about the service with the service user guide having some pictures to aid communications. We selected three case files to inspect in detail, a process we call case tracking. We found that each file included a comprehensive assessment of needs and supported by other specialist professionals assessments and guidance. From this information person centred plans are prepared. Particular emphasis is identified in assessing individual communication abilities. No specific diversity needs were identified although consideration is given to same sex support worker allocation and some people have followed their religion with support . Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: While there have been no recent admissions the home being fully occupied for an extended period, there are good procedures for introducing potential new people to the service. The annual quality assurance self assessment, AQAA, identifies that each person who uses the service has a key worker to support them. The service supports people who use the service to access an independant advocacy service, ASSIST should they wish. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported to make decisions about their own lives including taking risks and a record is kept within their individual plan. Evidence: Three files were selected to check in detail, we call this case tracking, each was found to be person centred in approach and to include risk assessments and risk reduction strategies. Person centred means that the service is tailored to meet each persons needs in an individual way that understands every aspect of their lives. Each person is allocated a keyworker all who have received training to provide person centred active support. The keyworker supports the individual during the six monthly reviews of needs and wishes and ensures that when group decisions are taken, such as at home meetings, the outcomes are reviewed against personal targets. The individual files show that in addition to the support plans a pen picture is provided to give insight to the person, also a personal diary is maintained on a monthly basis Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: providing for the maintenance of routines, new events and planning. In discussion with staff and to some extent the people who use the service it was evident that appropriate emphasis is given to ensuring people are supported to make decisions in their lives, whether these are major decisions such as holiday choices or day to day routines and lifestyle choices. During the inspection one person was observed to be assisting in the kitchen and had prepared his own lunch with support, in conversation he said he liked to do as much for himself as he could. Staff indicated that they had good insight on the levels of support required for each individual. The support plans and risk assessments clearly identified abilities, limitations and control measures required. There was no evidence of any restrictions imposed within the home, risk assessments were implemented, to identify the support required, to ensure that people wh use the service were able to take a controlled risk, within and outside of the home, to live a normal and independent lifestyle. 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. People are supported to achieve meaningful lives through personal development and access to leisure, social and recreational activity. People using the service are provided with healthy food, which they enjoy. Evidence: The service recognises that the opportunity to learn and use practical living skills is an important element in the person centred plan for each person. Currently difficulties are being experienced to find educational opportunities within the local colleges. Over the summer each person took up a holiday of their choice and engaged in a range of activities away from the home. These include swimming and hydrotherapy sessions and attendance at a local centre that provides art and crafts and social events such as discos and visits to places of interests. People are supported to make their Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: own choices in regard to participating in group activities or planning their own daily routines. On the day of inspection two people were out shopping during the morning one was helping in the kitchen while another was involved with room tidying and his laundry. Two later went out for a pub lunch while a trip was planned to Stafford for the afternoon. The service was the overall winner of the 2008 Dignity in Care Challenge, a Local Authority award, recognising the dignity and respect they give in supporting the people who use the service. The home operates a four week menu and a pictorial format is provided. Discussions with people who live at the home confirmed that the meals provided were good and are provided flexibly to accommodate individual activities. There were no special dietary requirements with regards to culture of religion. The records show that advice has been sort from a dietician as appropriate. People who use the service were provided with the necessary aids and adaptation to assist with eating and drinking to promote their independence. 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. The home meets the health and personal care needs of the people using the service through detailed assessments and care planning, respect and privacy and access to health care. Medications are well managed, facilitating the promotion of peoples health. Evidence: The staff induction programme includes a section that addresses the need to promote privacy, dignity and respect in all their interactions with the people who use the service. This was observed over the day and addressed sensitively and in a natural way. The service was overall winners of the Dignity in Care Challenge this year, the certificate saying they support people with dignity and respect. Clear plans identify routines that are flexible to meet the needs and day to day wishes of people such as retiring to bed and rising as they wish. People also choose their own clothing with support interventions only where necessary to avoid clashes and appropriate to weather conditions. Each person has an identified key worker known as the personal carer within the service. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Currently there are no people who use the service that come from an ethnic minority background. During case tracking we saw that each person has a health action plan that provides detailed guidance on how the individual might present any distress. It includes full information about the persons general health issues and any appointments with health services. Individual aids and adaptations are identified and health risks assessed including moving and handling, nutrition and health conditions such as diabetes and epilepsy. The health action plan is reviewed two monthly. The service uses a monitored dosage system for medication administration of most medicines. Support, advice and independent audit is provided by their pharmacy service. The medication records were inspected and seen to be completed thoroughly. There are no people who live at the home assessed as able to self-administered their medicines or prescribed controlled drugs at this time. Staff involved in the administration of medicines receive an accredited form of training. 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 using the service and their supporters can be confident that their views will be listened to and acted upon. Staff are taught how to uphold the welfare of the people using the service. Evidence: A clear and concise Complaints Procedure is displayed in the main hallway, which includes reference to the commission together with contact details. The procedure is produced in formats appropriate to the persons who use the service such as large print and pictorial. No complaints have been received during the past year. The service identifies that they provide opportunity and support for people who use the service to raise concerns or complaints at regular individual and group meetings and one person was able to tell us that he is asked if he is happy by staff. The annual quality assurance self assessment identifies that the service has a system for the safe keeping, monitoring and recording of peoples finances. The service has a protection of vulnerable adults policy and staff receive training in adult protection from abuse, values and attitudes. Safeguarding training is updated annually. A whistleblower policy is available and they have a copy of the local multi agency policy for responding to abuse, and the Department of Health No Secrets document. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The staff we spoke with said they were confident that they know what constitutes abuse and that they would respond to any signs that they may observe. There have not been any safeguarding referrals during the past year. As part of the service protection procedures all new staff are checked by the Criminal Records Bureau. Care Homes for Adults (18-65 years) Page 19 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 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 live in a comfortable home that offers them a life style suited to their needs. Specialist equipment, consistent with the needs of the people at the home is available to facilitate the provision of care. Evidence: People using the service live in a well-maintained, detached property in a residential area close to shops and local community facilities. Accommodation is provided on the ground and first floor, which is accessed by stairs. This limits the use of the two first floor bedrooms for people with mobility difficulties to the ground floor. We looked around the home and no major issues were identified, a planned programme of refurbishment is ongoing. The spacious kitchen has been refitted and can accommodate the people who use the sevice to participate in the preparation of meals. The home was clean and there were no offensive odours. We were invited to view a number of bedrooms and found them to be individually decorated to a good standard and reflecting the individuality and choices of the person. There are no ensuite facilities but toilets and bathrooms are located close to the bedrooms. A formal cleaning schedule is in place with details of tasks to be completed. We saw that Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: the home is being kept clean and hygienic and that staff receive infection control training. The laundry is modern and risk assessments are individually undertaken for people to do their own laundry with support. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are enthusiastic, sufficient in numbers, well trained and committed to maximising the quality of lives of the people using the service. The recruitment practices, staff training and supervisions contribute to ensuring the needs of the people using the service are met. Evidence: An inspection of the rotas confirmed that staff numbers across the 24 hour period are appropriate to the needs of the people using the service and past evidence supports the fact that numbers are adjusted according to their presenting needs. In addition to the senior, 3 staff are allocated for the morning, 2 for the afternoon and evening, 1 waking overnight with a second sleeping in. The current level of National Vocational Qualification is 50 with further undertaking. A sample of two staff files were viewed to check the thoroughness of the recruitment process for recently employed staff. The files show these to be completed to a very good standard with all appropriate pre-employment checks being undertaken such as Criminal records Bureau and Protection Of Vulnerable Adults. This ensures that the people using the service are supported by the right people. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Supervision is well established, including observed practice and records of these kept on file, those files viewed were up to date and relevant in content. In conversation staff said the level of support was very good. The commitment to training is good providing staff with good development opportunities to meet the needs of people. Included is the Learning Disability Qualification LDQ and Person Centered Active Support. An inspection of the training shows mandatory training is up to date including fire safety, first aid, moving and handling, basic food hygiene and infection control. All staff involved in the administration of medication have completed accredited training with Edexcell. Protection of vulnerable adults is given appropriate priority. 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. The management systems in the home are open, positive and protect the people using the service. Evidence: The proprietor manager of the home is well qualified and experienced and is well supported by his senior staff. The service formally audits quality on a regular basis using managers from other homes within the group to provide a level of independence. Surveys are undertaken as part of the quality assurance process and this year the views of families have been sought and a survey of people who use the service and stakeholders is currently ongoing. Health and Safety is given appropriate priority with a broad range of monitoring and maintenance in place with all staff receiving health and safety training at induction and on annual mandatory up dates. During the tour of the building it was observed that all Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: corridors were clear of obstructions and the premises are kept in a safe condition. Appropriate arrangements are in place for the monitoring, recording and reporting of accidents. An inspection of the service and inspection certificates identified these to be up to date. Documentation also show that staff working at the home hold up to date certificates in health and safety, first aid, manual handling, food hygiene and fire safety. 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 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 It is recommended that important information documents should be provided in a variety of formats including audio, large print and easy read pictures. It is recommended that a report be written and published of the results from the quality audits and surveys and made available to the people who use the service, their relatives and other interested stakeholders. 2 39 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 © (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 28 of 28 - 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!