Inspection on 03/03/09 for Cameron House

This inspection was carried out on 3rd March 2009.

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

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

Other inspections for this house

Cameron House 09/05/07

Cameron House 30/01/06

Cameron House 27/06/05

Cameron House 30/11/04

Cameron House 20/04/04

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Hillview Farm

Dalewood Respite Care

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Fairways

Treloar College

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cameron House Cameron Road Chesham Buckinghamshire HP5 3BP     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: Joan Browne     Date: 0 3 0 3 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 03000 616161 (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.cqc.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: Cameron House Cameron Road Chesham Buckinghamshire HP5 3BP 01494793290 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Fremantle Trust The registered provider is responsible for running the service care home 10 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 10 The maximum number of service users to be accommodated is 10. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Cameron House is a two-storey home, owned by The Fremantle Trust, and is home to ten adults with learning disabilities. The home provides single room accommodation and all rooms have been decorated and personalised for each individual. The home is situated in a residential area approximately two miles from Chesham town centre. It is close to local amenities which include shops, pubs, restaurants, library and cinema. Service users have access to the local leisure centres and swimming pool. The home supports service users to access local transport such as taxis and buses. Care Homes for Adults (18-65 years) Page 4 of 28 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: This unannounced site visit which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection (CSCI) was undertaken by Joan Browne on 3 March 2009 and lasted for approximately seven hours. The last key inspection on this service was completed on 9 May 2007. The CSCI Inspecting for Better Lives (IBL) involves an annual quality assurance assessment (AQAA) to be completed by the service, which includes information from a variety of sources. This initially helps us to prioritise the order of the inspection process and is referred to in the report. The information contained in this report was gathered mainly from records kept at the service and information contained within the AQAA. We also looked at care plan documentation, staff recruitment files, training records, medication documentation, Care Homes for Adults (18-65 years) Page 6 of 28 health and safety records, discussions with staff and service users and observed staff practice. A tour of the premises was conducted. One requirement and five recommendations of good practice were issued on this visit. Please see outcome areas for individual needs and choices, personal and health care support and conduct and management of the home for full disclosure. Feedback was given to the manager and service manager at the end of the inspection. We (The Commission) would like to thank all staff and service users who made the visit so productive and pleasant on the day. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –03000 616161. 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. The home ensures that prospective service users diverse needs are assessed prior to providing a service. Evidence: Work was in progress for the homes service users guide and the statement of purpose to be reviewed. The documents were written in part picture format and part text. The manager stated that some of the pictures in the documents were of individuals living in the home who were happy to have their pictures taken. Since the last key inspection the home has had one admission. Evidence seen in the individuals care plan documentation demonstrated that the homes staff had undertaken a pre-admission assessment and copies of the care service order and care management assessment were obtained. Questions about race, age, gender and religion were included on the homes assessment form. The annual quality assurance assessment (AQAA) outlined the homes procedure on pre-admission assessments and stated that prospective people to use the service were given the opportunity to spend time at the home. The home Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: ensures that a member of staff is allocated to spend time with individuals to help them to feel welcome and provide the opportunity to ask questions about the service delivery. 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. Service users are involved in the decisions about their lives and are enabled by staff to take risks and to maintain their independence. Evidence: The care plan documentation for the three service users whose care was case tracked was examined. The plans contained information on how individuals expressed him or herself, their likes and dislikes, the level of assistance and support required to promote independence and information on their daily activity inside and outside of the home. In addition each person had an action plan known as PATH (positive alternative tomorrow with hope) detailing their goals and aspirations. We were told that work was in progress for all the care plans to be reviewed to a personalised format, which should ensure that staff unfamiliar with individuals needs can support them and provide continuity of care. We noted that the care plan for one particular service user had been completed to the new format and was written in a personalised and picture format. None of the care plans were signed by individuals to Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: demonstrate their involvement in their development. A recommendation is made to ensure that where ever possible care plans are signed by service users or their representatives to confirm their involvement in the process. We saw evidence of review meetings taking place yearly with service users, key workers and staff from the resource centre. Consideration should be made to ensure that the care plans are reviewed every six months and any agreed changes are recorded and actioned. Service users who responded to the Commissions survey said that they always or usually make decisions about what to do daily. Individuals spoken to during the site visit said that they were involved in making decisions and this was evidenced by information recorded in care plans and minutes of monthly service users meetings. Some service users had been issued with keys for their bedrooms and the front door. Staff spoken to were able to demonstrate how service users were making choices. For example, two service users were self-administering their medication with minimum support from staff and the appropriate risk assessments in place. Individuals have the opportunity to meet prospective staff members at the interview process and give an opinion. Their views are also taken into consideration on how the home is run on a daily basis. Service users were being supported by staff to manage their own money where possible. Each person has a cash box which is kept in their room. Written records of all transactions are maintained. We checked the cash box for one particular person and the record and cash in box did not correspond. However, since the inspection the manager has notified the Commission that the 23 pence missing was found in the individuals wallet. The three care plan documentation examined contained risk assessments based on individuals diverse needs. We noted that the risk assessment for one particular service user had not been reviewed for sometime. The manager confirmed that she was in the process of reviewing the individuals risk assessment. A recommendation is made to ensure that risk assessments are kept under regular review. 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. The home ensures that service users lifestyle is promoted and they are supported by staff to participate in a range of social activities in the local community based on their interests and abilities. Evidence: The AQAA indicated that service users were encouraged to live an ordinary and meaningful life, enjoying all the rights and responsibilities of being part of the wider community as well as within their own home. We found this information to be accurate. Some service users were being supported by staff to take up further education in communication, information technology, literacy and numeracy. One particular service user was in paid employment one day a week. Staff provided service users with opportunities to take part in age appropriate activities and to make use of services, facilities and activities in the local community. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: For example, visiting the local shops, library, cinema, pubs leisure centre and places of worship. We were told that most service users had bus passes and were able to access dial a ride taxis. Staff support service users to maintain family links and friendships. Family members were able to visit whenever they wish to and there was no restriction on visiting. One service user spoken to was looking forward to going on holiday with a relative. The daily routines and house rules promoted independence. There were no restrictions to individuals choice and freedom of movement. Service users had unrestricted access to the home and grounds. They were able to choose when to be alone or in company, and when not to join an activity. Service users were encouraged by staff to see the home as their own home. Staff ensure that service users open their own mail. Individuals were responsible for keeping their bedrooms tidy and for some housekeeping tasks for example, cooking, cleaning and laundry. A number of of service users were assessed as capable to prepare their own breakfast and snacks and would assist staff to prepare meals and to take some responsibility for food shopping. On the day of the visit several service users were involved in preparing the evening meal supervised by a staff member. The AQAA stated that individuals were given time to eat their meals at their own pace and in their own way. The home aims to create a relaxed and unhurried atmosphere where people can enjoy and finish their meal comfortably. 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 ensures that staff support service users with their personal and health care needs in a sensitive manner and in the way they prefer. Improvement is needed in staffs practice in the safe administration and recording of medication. Evidence: Care plans examined provided a good description of service users personal support needs and what they were able to undertake for themselves. All service users were registered with a general practitioner in the area. Evidence was seen in care plans demonstrating that individuals have dental, optical and chiropody treatment as and when required. The annual quality assurance assessment (AQAA) reflected that policies and procedures regarding medication were in place and regular audits are carried out. The medication administration record (MAR) sheets were examined and there were a number of occasions when there were gaps on the MAR sheets for medicines prescribed to be given regularly. This means that it was not possible to tell if service users got their medicines on these occasions. There was no record kept of the actual dose given when a variable dose of medicine is prescribed, such as one or two tablets. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: This means that it was not possible to tell how much medication people were receiving. We noted that a handwritten entry on the MAR sheet was not checked by a second staff member to minimise the risk of error when transcribing. Two persons were looking after their medication on the day of the inspection with the appropriate risk assessments in place. All medicines were stored securely in service users bedrooms in a locked cupboard. No one was in receipt of controlled medication on the day of the site visit. It is pleasing to report that since the inspection the manager has notified the Commission what action she had taken to address the weaknesses in the homes medication practice and training for all staff has been arranged. 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. The home has a complaints and safeguarding policy in place to ensure that people are able to express their concerns and are protected from abuse and have their rights protected. Evidence: The annual quality assurance assessment reflected that since the last key inspection the home had received one complaint and one compliment. The complaints record folder was examined and evidence seen indicated that the complaint was appropriately investigated with a satisfactory outcome and within the agreed timescale. People who responded to the Commissions survey said that they knew how to make a complaint. The Commission has received no information relating to complaints about the service. The staff were aware of what constitutes abuse and the action that should be taken if they suspected or witnessed an incident of abuse. Training records examined confirmed that staff had undertaken training in the safeguarding and protection of vulnerable adults. Information in the AQAA demonstrated that staff were also trained in the non aggressive positive physical intervention (NAPPI). Care Homes for Adults (18-65 years) Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users live in a home that is comfortable and well maintained to meet and promote their diverse needs. Evidence: Cameron house is situated over two floors. The ground floor is comprised of the entrance hall, lounge, kitchen and dining area, bedrooms, laundry, office, bathroom and W.C. Stairs lead to the first floor where there are bedrooms. There is a garden where people can sit, meet with friends and family or take part in hobbies and other activities. The staff encourage individuals to see the home as their own home. At the time of the inspection individuals did not require any special aids and adaptation to promote independence. However, the toilets and bathrooms were fitted with handrails and there is a hoist for the bath. All the bedrooms are single occupancy with two having an en-suite facility. Service users if they wish to, are provided with keys for their bedrooms and the front door. Rooms seen were personalised reflecting the characters of individuals. The annual quality assurance assessment (AQAA) indicated that the kitchen, dining area and the lounge were recently refurbished and the floor coverings in toilets and bathrooms replaced with the non-slip type. We found these areas to be well presented and homely. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: On the day of the site visit the home was clean hygienic and free from offensive odours. The laundry room is sited so that soiled laundry and linen are not carried through areas where food is stored, prepared, cooked or eaten. Service users who are able to were being supported by staff to do their personal laundry. Individuals who responded to the Commissions survey said that the home was always fresh and clean. Care Homes for Adults (18-65 years) Page 20 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. The home ensures that service users are supported by a staff team who are appropriately trained and supervised to respond to individuals diverse needs and human rights. Evidence: The home aims to ensure that two members of staff are rostered to work on each shift to meet service users needs. There is one sleep in person at nights. The staff team consists of a mixed gender to meet the needs of service users living in the home. There is a system in place to ensure that sickness and annual leave are covered by permanent staff to avoid the use of agency staff and to ensure continuity of care. The annual quality assurance assessment (AQAA) reflected that the staff team has a wide variety of experience and knowledge and were actively working towards understanding the needs and requirements of the service users to deliver a quality service. Staff were observed having a a laugh and a joke with service users in a kind and respectful manner. Individuals looked comfortable and relaxed in staffs company. Staff spoken to were very proud of the high standard of care they were providing to service users. Staff training records examined reflected that two staff members had achieved the national vocational qualification (NVQ) in level 2 at direct care. A further two staff members were in the process of achieving NVQ 3 in direct care. The training records Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: seen confirmed that mandatory training for staff was updated as and when required. We noted that four staff were due to undertake updated training in moving and handling. Staff meetings were held regularly and minutes recorded and circulated to ensure that all staff are kept informed of any changes. Staff spoken to confirmed that they receive regular one to one supervision. Examination of the recruitment records for the two staff employed since the last inspection reflected that thorough recruitment processes had been followed with all necessary checks undertaken and original documentation available at the organisations human resource office. We noted that there were no recent photographs in the two staffs files examined to confirm proof of the individuals identity. The manager has since contacted the Commission to confirm that work had started to ensure that all staffs files contain photographs. Care Homes for Adults (18-65 years) Page 22 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 home is run and managed appropriately which should ensure that health and safety practices are adhered to and service users and staffs safety is promoted. Evidence: The home is managed by an experienced manager who has been working in the care sector for thirty-five years. Twenty of these years have been in learning disability and six in management. She holds the registered managers award (RMA) qualification and NVQ 4 in care. The manager demonstrated a sound knowledge of the homes budgetary system and planning which she uses to ensure good outcomes for service users. The home has monitoring systems in place to ensure that it aims, objectives and statement of purpose were being achieved. Evidence was seen of reports from monthly regulation 26 monitoring visits undertaken by the service manager. In addition yearly monitoring of the homes practice is carried out by senior personnel from the organisation to ensure that the home is run efficiently. Staff in the home were also asked to complete a wellbeing survey with questions relating specifically to Cameron Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: House. The manager said that the response was satisfactory and reassuring. We saw evidence of daily food and fridge and freezer temperatures being maintained. We noted that some opened packets of food and sauces in the refrigerator were not labelled. To comply with food handling guidelines all opened packets of food should be labelled and dated to ensure that they are not used beyond their used by date. The fire panel record indicated that weekly checks were taking place. The record reflected that a fire drill was undertaken in February 2009. To comply with best practice fire guidelines consideration should be made to ensure that the names of staff participating in fire drills are recorded. The AQAA stated that there have not been any preventable accidents sustained by individuals, which should indicate that the working practices in the home were safe. The AQAA contained information about changes that the home has made and the areas that improvements were needed and how it was going to implement the improvement. Care Homes for Adults (18-65 years) Page 24 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 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 Staffs practice in the 11/04/2009 recording, handling and safe administration of medicines in the home must be consistent. This is to ensure that service users health and welfare is not compromised. 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 6 Consideration should be made to ensure that care plans are reviewed every six months and any agreed changes are recorded and actioned. Wherever possible care plans should be signed by service users or their representative to demonstrate their involvement in their development. Consideration should be made to ensure that risk assessments are kept under regular review. Consideration should be made to ensure that the names of staff participating in fire drills are recorded. To comply with food handling guidelines opened packets of Page 26 of 28 2 6 3 4 5 9 42 42 Care Homes for Adults (18-65 years) food and sauces should be labelled and dated. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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. 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