Inspection on 05/11/08 for CARE Shangton

This inspection was carried out on 5th November 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

CARE Shangton 16/01/08

CARE Shangton 15/03/07

CARE Shangton 27/01/06

CARE Shangton 15/06/05

CARE Shangton 21/10/04

CARE Shangton 10/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: CARE Shangton Melton Road Shangton Leicester LE8 0PS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Cowley     Date: 0 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: CARE Shangton Melton Road Shangton Leicester LE8 0PS 01858545401 01858545777 Len.walker@care-ltd.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Vivian Ann Smith Type of registration: Number of places registered: CARE (Cottage and Rural Enterprises Ltd) care home 56 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Care Shangton are able to admit a named Service User in category LD/SI (learning disabilities and sensory impairment) subject of variation application number V8014 Care Shangton are able to admit one named Resident in category LD/PD (dual disability) as agreed in correspondence with the previous registration authority dated 8/4/92 Date of last inspection Brief description of the care home CARE Shangton is a care home providing personal care and support for up to 56 service users with learning disabilities. Accommodation is provided within five cottages and three flats that have been adapted and are staffed according to individual needs. There is a lounge, dining room and kitchen available in each of the cottages and flats and all the communal areas provide space in which the service users can spend time together in comfort. Appropriate facilities are available for service users with physical disabilities such as accessible showers and one of the cottages is wheelchair accessible. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 56 Brief description of the care home Although the home is situated in a rural area, service users attend a variety of community facilities and the organisation provides an excellent variety of meaningful day service activities, supported employment opportunities and access to colleges. The fees vary depending on individuals assessed needs and level of support required and are based on local authority charges. Details of what is included in the charges can be found in the Service User Guide (a document which provides relevant information about the home), which is given to all service users on arrival at the home. A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three of the people living at the home by meeting them; talking with the staff who Care Homes for Adults (18-65 years) Page 6 of 29 support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to four other service users, the Registered Manager, Day Services Manager, two Day Services Tutors, the Manager of one of the bungalows, and two Support Workers. Prior to this inspection, a Random Inspection was carried out on 7 May 2008 to follow up concerns raised with CSCI about the way change was being managed at the home. This resulted in one Requirement being made about service user involvement in the running of the home. This has been met. What the care home does well: What has improved since the last inspection? The home has been involved in an anti-bullying initiative in conjunction with community policemen and women. Anti-bullying workshops have been held and awareness raised amongst service users about the effects of bullying and what to do if it happens. One of the flats has been refurbished and improved to make it more accessible to people with limited mobility. In response to service user feedback, the way information about the future is shared Care Homes for Adults (18-65 years) Page 8 of 29 has changed. Large meetings are no longer held as service users said they found these confrontational and stressful, instead they are kept up to date at small group meetings or on a one to one basis. 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 9 of 29 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 10 of 29 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. Quality in this outcome area is good. People who want to come to the home have their needs assessed to ensure it is suitable for them. This judgment has been made using available evidence including a visit to this service. Standards 1 and 2 were inspected. Evidence: People who want to live at CARE Shangton first have a written assessment to see if the home is suitable for them. This takes into account their views, and the views of their families and any significant others. Health and social care staff are also consulted. This helps to ensure that the home will be able to meet a persons needs if they decide to move in. Potential service users are then invited to visit the home as many times as they like, staying overnight if they wish, This helps them to make an informed choice about Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: whether they like CARE Shangton and want to move there. Records showed that people recently admitted to the home had plenty of opportunities to visit. The Manager said that anyone wishing to come to the home is told from the outset that CARE Shangton is re-locating within the next five years. However this is not stated in the Service Users Guide. The Guide, and any other similar documentation, must be updated to include information about the future of CARE Shangton. This will help to ensure that potential service users and their representatives are aware of the planned relocation. Care Homes for Adults (18-65 years) Page 12 of 29 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. Quality in this outcome area is good. Detailed care plans help staff to identify and meet the needs of the people who live in the home. This judgment has been made using available evidence including a visit to this service. Standards 6, 7, and 9 were inspected. Evidence: All the people who live in the home have PCPs (person-centered plans). These help to ensure the care provided fits in with their lifestyles and meets their particular needs. The plans cover the health, personal and social needs of the person in question, and their likes/dislikes and preferred routines. They are evaluated at least once a month to ensure the information in them is up to date. One resident got out his PCP to show the inspector. He went through it, talking to the inspector about each of the sections, and the accompanying pictures and photos. He Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: was familiar with the content and said he liked his PCP and found it useful. Records showed that the people who live in the home were being prepared for the future when those who live at CARE Shangton will be relocated. All had been consulted and their views recorded. One service user told the inspector When we move Id like to live in a group home. This had already been recorded in her PCP in a pictorial format. The people who live in the home are encouraged to make decisions and take responsible risks. For example, all go out frequently and use community facilities, but with different levels of staff supervision depending on their needs. This helps the people who live in the home to increase their independence and decision making skills, while at the same time remaining safe. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. Work, educational, and leisure opportunities enable the people who live in the home to lead full lives and grow in independence. This judgment has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16, and 17 were inspected. Evidence: The people who live at CARE Shangton have access to a wide range of work, educational, and leisure activities both on site and in nearby towns and villages. Of the 56 people who live in the home 28 are working, either as volunteers or on a paid basis. Jobs include work in catering, retail, and packing, and are both on and offsite. This is an excellent outcome for the people who live in the home as it provides Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: them with the opportunity to gain work experience, and in many cases earn a wage and integrate into the wider community. Day services are provided on site for those who prefer a more sheltered environment. For example, the inspector visited the retirement group, attended by service users with dementia. They meet daily to socialize and take part in activities such as arts and crafts. The atmosphere was peaceful and the people taking part appeared to be happy and relaxed, and enjoying what they were doing. Daily routines within the home promote privacy, independence and choice. All service users have keys to their rooms and can choose whether to be alone or join in with others. They are encouraged and supported to cook for themselves, clean and do their own laundry. Support workers ensure privacy by knocking on doors and waiting to be invited in. The people who live at CARE Shangton are encouraged to maintain contact with their family and Friends. Visitors are welcome at the home at any time and have the opportunity to take part in social events and other activities. A healthy balanced diet is provided. The main meal of the day is served in the central dining area which operates like a canteen, and all other meals are prepared and eaten in the individual cottages and flats. Service users are encouraged to plan and prepare their own meals and mealtimes are relaxed, flexible and unrushed. Care Homes for Adults (18-65 years) Page 16 of 29 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. Quality in this outcome area is good. The people who live in the home have their personal and health care needs met in the way they want by staff in the home. This judgment has been made using available evidence including a visit to this service. Standards 18, 19 and 20 were inspected. Evidence: The people who live in the home are encouraged to be as independent as possible and are supported to care for themselves. For those less able, support and guidance is offered in a sensitive and flexible manner. Care plans provide the information staff need to provide appropriate help and support and alert them to individuals likes and dislikes. Records showed that the people who live in the home use healthcare services, for example GPs, opticians and dentists, where necessary. When extra support is needed, specialist healthcare professions, for example community psychiatric and learning disability nurses, are involved. This helps to ensure the people who live in the home Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: get the support they need during times of change or crisis. Since the last inspection the people who live in the home have been issued with Keep Safe cards. These are a NHS and Valuing People (the Governments plan for making the lives of people with learning disabilities, their families and carers better) initiative. The Keep Safe card contains essential information about the person who carries it and is designed for use when they go out and about on their own. The people who live in the home are encouraged to make informed decisions about their medical care. For example, flu jabs were recently provided to everyone who wanted one. However ten residents chose not to have them and their wishes were respected. The people who live in the home are encouraged, as far as possible, to become responsible for their own medication. Records showed that when they do this they are well-supported by staff. Other residents have their medication administered by staff with a view to becoming more independent in the future. Only senior staff give out medication and they have been properly trained to ensure they do this safely. Care Homes for Adults (18-65 years) Page 18 of 29 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. Quality in this outcome area is good. Staff know how to safeguard the people who live in the home and help them express any concerns they might have. This judgment has been made using available evidence including a visit to this service. Standards 22 and 23 were inspected. Evidence: There is a climate of openness at CARE Shangton and the people who live there are encouraged to speak out if there is anything they are unhappy about. Each service user has a circle of support, a group of significant others who support them. This means that more than one person is overseeing their care and helping to keep them safe. A complaints procedure is in place and all service users and their representatives are given a copy. It is produced in a pictorial format to make it more accessible. There has been one complaint about the home since the last inspection. This was dealt with by the Owning Body, with both CSCI and Social Services kept informed of the investigation and its outcome. Since the last inspection the home has been involved in an anti-bullying initiative in Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: conjunction with community policemen and women. Anti-bullying workshops have been held and awareness raised amongst service users about the effects of bullying and what to do if it happens. Up to date policies and procedures are in place to help staff safeguard the people who live in the home. In discussions staff knew what to do if they became concerned about the well being of any of the people who live there. Care Homes for Adults (18-65 years) Page 20 of 29 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. Quality in this outcome area is good. The home is community-based, comfortable, and well maintained. This judgment has been made using available evidence including a visit to this service. Standards 24 and 30 were inspected. Evidence: The people who live at CARE Shangton are accommodated in one of five cottages, or three flats. This enables them to live in small family groups, or on their own, if they prefer this. During the inspection we looked round one of the cottages. The environment was homely with a large, comfortable lounge/dining room at its centre. Bedrooms were individually decorated and personalized, reflecting the hobbies and interests of the occupants. The Manager told us that as the service users are locating to new accommodation within the next five years, no substantial changes or improvements to the premises are being planned. However ongoing maintenance and redecoration will continue to ensure the accommodation remains of a good standard while people are still living there. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Since the last inspection one of the flats has been refurbished and improved to make it more accessible to people with limited mobility. All the areas we inspected were clean, tidy and well-maintained. Care Homes for Adults (18-65 years) Page 22 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. The people who live in the home have their needs met by friendly and professional staff. This judgement has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. Evidence: Staff have excellent relationships with the people who live in the home. They were observed interacting with service users in a warm and positive manner, taking an interest in them, and showing genuine appreciation of them as unique individuals. Every member of staff we met was enthusiastic about working at the home and knowledgeable about the service users they care for. The home is well staffed and this helps to ensure the people who live there have the care and attention they need. The Manager told us that in addition to the core staff team, two extra full-time members of staff are employed on a floating basis to provide cover where it is needed. This minimizes the use of agency staff and helps to ensure that service users are only cared for by people they already know. A thorough Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: recruitment procedure is in place, application forms are completed, references are collected and CRBs (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) checks obtained. The people who live in the home are involved when new staff are recruited, and their views are taken into account. Staff receive good training opportunities. A comprehensive induction followed by NVQs (National Vocational Qualifications) and short courses provide staff with the skills and knowledge they need to care effectively for the people who live in the home. Regular staff meetings and supervision sessions help to ensure that staff have the support they need to carryout their duties. One staff member told us,The management are very approachable and I feel supported in my role. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. The people who live in the home have their needs met by friendly and professional staff. This judgment has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. Evidence: The homes Registered Manager is well-qualified and has substantial experience in care. Since the last inspection she has taken on the role of Regional Manager for the company who owns CARE Shangton. Although busy, she continues to stay in touch with the people who live int home and ensure their interests are put first. She maintains an open door policy and during the inspection a number of service users dropped into her office for a chat and to see what was going on. The focus in the home at the moment is on change and planning for the future when the people who live at CARE Shangton will be relocated. The Manager told us that in Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: response to service user feedback the way information is shared has been changed. Large meetings are no longer held as service users said they found these confrontational and stressful, instead they are kept up to date at small group meetings or on a one to one basis. People First, an advocacy group for people with learning disabilities, come to the home once a month to liaise with the people who live there and represent them where necessary. A steering group has been set up to oversee the future of CARE Shangton and service users, their relatives and representatives, and other interested parties attend meetings every two months to look at the sort of accommodation the people who live in the home would like to move into when CARE Shangton disperses. Service users general views about the home are collected annually when a pictorial survey is issued to them. They fill this in themselves, or with the assistance of someone from their circle of support. This helps to ensure they have the help they need to get their views across. Policies and procedures for the health, safety and welfare of the residents are in place and all support workers are made aware of these during the induction process. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 8 12(2) `The registered person shall, 09/05/2008 so far as practicable, enable service users to make decisions with respect to the care they are to receive and their health and welfare.? The people who live in the home must be involved, where possible, when decisions are made about their futures. Care Homes for Adults (18-65 years) Page 27 of 29 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 1 1 4 The Statement of 05/12/2008 Purpose/Service Users Guide must be updated to include information about the planned relocation of the home. This will help potential service users to make an informed choice about coming to the home. 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!