Inspection on 23/02/09 for Angel Lodge

This inspection was carried out on 23rd February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Angel Lodge 05/06/07

Angel Lodge 04/10/06

Angel Lodge 19/10/05

Angel Lodge 16/06/05

Angel Lodge 25/05/04

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Townley Road, 2-3

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Tudor Lodge

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Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Angel Lodge 12 Mayfield Road Sanderstead South Croydon Surrey CR2 0BE     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: James OHara     Date: 2 3 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Angel Lodge 12 Mayfield Road Sanderstead South Croydon Surrey CR2 0BE 02086579046 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) : angelodge12@yahoo.co.uk Mrs Rosina Beatrice Annan care home 5 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 5 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: Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home Angel Lodge is registered to support up to five younger adults with a past or present mental illness. The house itself is roomy, well decorated and comfortable. It is situated in a residential street, close to a rail station and within reasonably easy reach of the centre of Croydon and its many community facilities. People who use the service are provided with a single bedroom, and they share a bathroom. They also have use of a large lounge, kitchen and a spacious rear garden. The current fees charged for a placement at the service range between £408.00 and £585.00 per week. Care Homes for Adults (18-65 years) Page 4 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We spent two hours at this site visit and talked with one person who uses the service and the senior health care assistant. Records and documents examined included the care plans, activities, medication, staffing and training and health and safety. Requirements and recommendations from the previous inspection were discussed with the senior health care assistant. A random inspection was carried out at the service on the 16th & 19th September Care Homes for Adults (18-65 years) Page 5 of 30 2008. Some of the findings at the random inspection are included in this report. The registered provider completed an Annual Quality Assurance Assessment (AQAA) to tell us about the service provided, how it makes sure of good outcomes for the people using it and any planned developments. What the care home does well: What has improved since the last inspection? What they could do better: The Statement of Purpose must be reviewed and amended to reflect the current staffing arrangements. In order to develop communication with the staff team an facilitate discussion of the peoples needs the registered provider should supervise staff and arrange for staff meetings to held. The registered provider and staff could complete Croydon Councils Protection Of Vulnerable Adults e learning training programme on safeguarding adults. In general the arrangements for meeting the health care needs of the people are good, however staff must complete training on medication administration and recording needs to improve. We would like to thank the people who use the service, the senior health care assistant Care Homes for Adults (18-65 years) Page 7 of 30 and the registered provider for their comments and support during the inspection process. 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 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission procedure ensures that people would have a thorough assessment of their needs and aspirations before they move in. Evidence: Since the last key inspection the Commission has agreed that the registered provider could increase the number of people living at Angel Lodge from three to five. Two bedrooms have been refurbished and the registered provider has moved out and two new people have recently moved in. The registered provider told us that this was settling in period and that they are getting to know the new people and visa versa. The senior health care assistant told us that both people were able to visit the service prior to deciding whether or not to move in. The admissions procedure is referred to in the Statement of Purpose and indicates that people must have an assessment carried out by a care manager or a care coordinator and are admitted on a months trial basis. Both new peoples files included assessments carried out by their care coordinators. Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: All of the people who use the service have contracts that include terms and conditions, fees and charges, the services responsibilities and their responsibilities. These have been agreed and signed by people and the registered provider. Care Homes for Adults (18-65 years) Page 11 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are having their placements reviewed on an annual basis so that they and their care managers can be sure that the service is meeting their assessed needs. People have care plans that include information on their needs and personal goals. Evidence: In general people like to use the community as they wish and risk assessments have been carried out for going out alone. People have bus passes and keep the address and telephone number of the service on their persons in case of emergencies. One person prefers to spend most of their time at home. At the random inspection the registered provider told us that this person goes to an Art Class on Wednesdays. This person had a self centred plan in place and their placement is kept under review by the service and their care manager. Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: The registered provider told us in the AQAA that one person keeps in touch with their family by telephone another person has friends that visit them and another person visits their family when they wish. Another person goes to a day centre twice a week, visits a nursing home and places of amusement. People are free to use the kitchen, and each has an allocated space in a cupboard where they may keep some of their own provisions. There is also a designated fridge for the people use. It was observed during this visit that people where in the kitchen cooking breakfast for themselves. Those spoken to said that they were quite happy living there. The senior health care assistant told us that one of the new people prefers to eat West African foods. As the current staff team share the same culture they are able to prepare meals to meet his preference. The senior health care assistant told us that there are plans to support this person to improve on their cooking skills so that they can prepare their own meals. The senior health care assistant told us that one new person is being supported by their care coordinator to find a placement at a day service, and the other person is being supported by their care coordinator to find employment. Care Homes for Adults (18-65 years) Page 13 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their social and leisure needs are met because they are supported with a varied programme of activities that reflects their individual interests. Evidence: In general people like to use the community as they wish and risk assessments have been carried out for going out alone. One person prefers to spend most of their time at home. At the random inspection the registered provider told us that this person goes to an Art Class on Wednesdays. This person had a self centred plan in place and their placement is kept under review by the service and their care manager. People are free to use the kitchen, and each has an allocated space in a cupboard Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: where they may keep some of their own provisions. There is also a designated fridge for the people use. People were seen in the kitchen cooking their breakfast. Those people spoken to said they were happy living at the home. The senior health care assistant told us that one of the new people prefers to eat West African foods. As the current staff team share the same culture they are able to prepare meals to meet their preference. The senior health care assistant told us that there are plans to support this person to improve on their cooking skills so that they can prepare their own meals. The senior health care assistant told us that one new person is being supported by their care coordinator to find a placement at a day service, and the other person is being supported by their care coordinator to find employment. Care Homes for Adults (18-65 years) Page 15 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In general the arrangements for meeting the health care needs of the people who use the service are good, however staff training on medication administration recording needs to improve. Evidence: The current group of people living at Angel Lodge are capable individuals, and able to make most decisions independently. Most need minimal support and none require support with personal care. All of the people who use the service are registered with a General Practitioner. People have access to chiropdists, dentists and optitians and health care appointments are recorded in their personal files. It was recommended at the last key inspection that the registered provider complete risk assessments for people that self medicate. At the randon inspection the register privider produced the completed risk assessments. It was recommended that the home develop an appropriate record system for monitoring and supporting people to self medicate. At the random inspection the Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: registered provider produced a recording book for monitoring and supporting people to self medicate. They told us that they monitor peoples self medication by checking when they obtain medication and asking them on a regular basis how things are. It was also recommended that medication is stored in a locked cupboard that is accessible for inspection. Medication is now stored in a locked cupboard in the office. The senior health care assistant told us that the two new people are reminded to attend regular appointments at a health clinic to receive a receive presribed medication. This is monitored by communicating with the care coordinator. If the person does not attend the appointment then the care coordinator advises the staff team. The registered provider told us in the AQAA that people review their medication with their General Practitioners on an annual basis. People are able to make their own health care appointments and collect their medication from the pharmacist. Medication administration records for one new person were examined. On two occasions medication had not been signed as administered and on one occasion the member of staff responsible for administering medication had used Tippex fluid to remove some initials, the use of Tippex is not acceptable. The senior health care assistant told us that the medication had been administered but that the person responsible for administering the medication had not signed to say that they had administered it. The senior health care assistant could not explain the use of Tippex on the medication administration record. They told us that they had been trained by the registered provider to administer medication. The record also indicated that one of the medications had finished between the morning of the 19th and the evening 21st of February. The record indicated that the person resumed taking this medication on the evening of the 21st of February. The senior health care assistant told us that the person had not been able to collect their medication from the pharmacist during this period. When the needs of people mean that staff must administer medicines, training in safe handling of medicines is crucial. The service should provide a training package that will meet both the needs of staff and the people they care for. The registered provider must ensure that all staff attend training from an accredited body on the administration of medication. The registered provider should contact Skills for Care to identify a suitable training organisation. Although the medication administration record included a code for non administration Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: of medication i.e. R for refused, F for finished and H for hospital there was no place on the record to record the reason and under what circumstances medication was not administered. The registered provider must ensure that staff sign medication records when they administer medication and that the reason and circumstances that medication is not administered must be recorded. The registered provider must also discourage staff from using Tippex fluid on medication administration records. The registered provider keeps a record receipts and returns of medication. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their complaints and concerns are listened to because there is a complaints procedure that that they can understand. People can be sure that they are protected from harm and abuse because policies are in place for safeguarding adults and staff has completed training on adult protection. Evidence: The senior health care assistant told us that there have been no complaints since the last inspection. There is a complaints procedure that people can understand. There is a copy of Croydon Councils Protection Of Vulnerable Adults Policy. The registered provider attended training on adult protection with Croydon Council on the 27th of February 2007. The senior health care assistant told us that they had completed Croydon Councils Protection Of Vulnerable Adults E learning training programme on their website last year but was unable to print of the certificate. The senior health care assistant told us that the other member of staff attended safeguarding adults training in July 2008. It is recommended that all of the staff including the registered provider complete Croydon Councils Protection Of Vulnerable Adults e learning training programme on Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: safeguarding adults, print off copies of the certificates and place these on staff training files. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Angel Lodge is comfortable and very well decorated and peoples bedrooms reflect their individual taste. Evidence: Angel Lodge is roomy, well decorated and comfortable. People have a bedroom that reflects their individual taste. They also have use of a large lounge, a large kitchen and a spacious rear garden. The premises were free of odours, clean and hygienic. Care Homes for Adults (18-65 years) Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that they are safe because there are competent well trained staff on duty at all times. They can have confidence in the staff because checks have been done to make sure that they are suitable to care for them. Evidence: A requirement was set at the last key inspection that the registered provider must attend training or refresher training on first aid, food hygiene, fire safety, moving and handling and health and safety. A full time member of staff has been employed since the last key inspection. This persons personnel file was examined at the random inspection. The file included a Criminal Record Check, a copy of their passport, proof of identification, two written references, and a completed application form with a full employment history and health declaration. The file also included their qualifications, NVQ level 2 and 3, and previous training certificates. The member of staff had completed NVQ level 4. At the random inspection the registered provider told us that they had applied to a training organisation for training on first aid, food hygiene, fire safety, moving and handling and health and safety. They told us that they had attended training on food Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: hygiene and moving and handling however the training on fire safety, health and safety and first aid had been cancelled. The registered provider then contacted another training organisation and purchased a DVD training package on fire safety and health and safety. The registered provider produced evidence that they and the other member of staff had completed a DVD training package on fire safety and health and safety. Since then the registered provider and a member of staff have completed a DVD training package first aid. The registered provider told us in the AQAA that the current staffing levels are being reviewed. We looked at the Statement of Purpose. The Statement of Purpose stated that there were four staff and two bank staff. The Statement of Purpose also indicated that the staffing structure of the service included a registered manager in this case the registered provider, a deputy manager, a senior health care assistant and health care assistants. The senior health care assistant told us that they were also the deputy manager as they managed the service when the registered provider was off. The staffing roster indicated that there was only three staff. The senior health care assistant told us that another member of staff had been recruited but had yet to start work because they were waiting for a Criminal Record Check. They could not give us a date when this person would commence employment. The senior health care assistant told us that they were currently in the process of recruiting bank staff. The senior health care assistant told us that the Statement of Purpose was developed considering what the staffing arrangements would be once the service was fully occupied and agreed that it did not reflect the current staffing arrangements. The Statement of Purpose must be reviewed and amended to reflect the current staffing arrangements. The senior health care assistant told us that the registered provider had not supervised them and the other member of staff and that there were no team meetings. They told us that currently the team was small and they discussed issues when they met at handovers. As the team is small the registered provider could consider a group supervision at team meetings, however if and when more staff are recruited then staff should receive formal recorded supervision at least six times each year. In order to develop communication with the staff team an facilitate discussion of the people who use the services needs it is recommended that the registered provider supervise all members of staff at least six times a year and arrange for staff meetings to held on a Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: bi monthly basis. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their needs are met and wishes are taken into consideration because the service is well managed. Evidence: The registered provider, formally a Registered Nurse, completed the Registered Managers Award at Bromley College in 2006. It was recommended at the last key inspection that residents questionnaires be completed on an annual basis and dated when completed. At the random inspection the registered provider showed us questionnaires completed by people who use the service. The registered provider produced evidence that the homes fire alarm system is checked on a regular weekly basis. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The senior health care assistant produced a portable appliance test certificate for February 2009, a Landlords Gas Safety certificate for January 2009 and a legionellas test certificate for January 2009. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 17 The registered provider must ensure that staff signs medication records when they administer medication and that the reason and circumstances that medication is not administered must be recorded. The registered provider must also discourage staff from using tippex solution on medication administration records. To ensure that an accurate record of medication administered to people who use the service is kept at the service. 31/03/2009 2 20 13 The registered provider must ensure that all staff attends training from an accredited body on the administration of medication. To ensure that people who 30/04/2009 Care Homes for Adults (18-65 years) Page 28 of 30 use the service are supported in a safe manner to take their prescribed medications. 3 32 4 The Statement of Purpose 31/03/2009 must be reviewed and amended to reflect the current staffing arrangements at the service. So that people planning to use the service can make an informed decision on whether the service can meet their needs. 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 23 It is recommended that all of the staff including the registered provider complete Croydon Councils Protection Of Vulnerable Adults e learning training programme on safeguarding adults, print off copies of the certificates and place these on staff training files. In order to develop communication with the staff team an facilitate discussion of the people who use the services needs it is recommended that the registered provider supervise all members of staff at least six times a year and arrange for staff meetings to held on a bi monthly basis. 2 36 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!