Inspection on 10/12/08 for Dolphin Court

This inspection was carried out on 10th December 2008.

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

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

Other inspections for this house

Dolphin Court 22/01/07

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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: Dolphin Court 9 Bulbeck Road Havant Hampshire PO9 1HN     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: Michelle Presdee     Date: 1 0 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Dolphin Court 9 Bulbeck Road Havant Hampshire PO9 1HN 02392451093 02392451093 h4m019redman@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Denise Jane Redman Type of registration: Number of places registered: Royal Mencap Society care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 12. 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 Dolphin Court is a purpose built service registered to accommodate twelve people in the category (YA) younger adults with a learning disability. The service is built around an enclosed courtyard and designed to be managed as three separate but adjoined houses, each with its own front door and separate facilities, all at ground floor level. Each house has a large lounge/dining room, quiet lounge/sensory room, kitchen and laundry room and all bathrooms are en-suite with specialist equipment installed. The home is situated close to Havant town centre, where a variety of shops and local facilities can be found. Dolphin Court is owned by the Royal Mencap Society and the Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 12 Brief description of the care home Registered Manager, who is responsible for the day to day running of the home is Mrs Denise Redman. Current fees are £1700 to £2000 per week. 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: 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 evidence used to write this report has been gained from a range of sources. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, which had detailed information. The home has also sent us incident reports where necessary. The last inspection report has been considered. A visit to the home was undertaken and during this time we were able to observe people and their interactions with care staff. The people using the service have complex needs and many do not use verbal communication. We were able to speak to care staff on duty in each of the three houses and the manager. At this time we looked at all communal areas in each of the houses and each persons bedroom was viewed. Care Homes for Adults (18-65 years) Page 6 of 28 Paperwork including service user plans, menus, staffing records and health and safety checks were seen. All this information has helped form the judgments included in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available to help people decide if this is the right home for them. Assessments are completed to assess peoples needs before they move into the home, reassuring them the home will be able to meet their needs. Evidence: A statement of purpose and service user guide were available in both written and pictorial format with audio availability. A photo album had been produced which included photographs of all the people living in the home showing all areas of the home and the activities they take part in. In the last report a requirement was made stating all people living in the home or their representative should sign the terms and conditions of residency. Evidence was seen that these where possible had been signed, but for two people it has not been possible. The manager explained they were still trying to obtain an advocacy service for these two people. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: The manager reported in the AQAA there are systems in place to ensure people have a full needs assessment before they move into the home. There are currently twelve people living in the home, who all moved into the home when it opened in 2006 and had all previously lived together. The assessments for these people have been inspected on a previous visit and found to be accurate and informative and so were not looked at in detail during this visit. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good care planning and risk assessing ensures people receive the correct support and enables people to be supported to make decisions about their lives. Evidence: The records of three people, each one living in a different house were viewed. It was noted these did not all follow the same format, as the home is moving over to Core Plans, but all were of the same high standard and were written in a person centred way. Information had been gained from families, care managers and other professionals and were all included in the plan of care for each person. Plans had extensive information and it was possible to establish how each person needed support and encouragement in all areas of daily life, including personal care, social activities, communication, challenging behaviour and long term development goals. All plans included pictures, photographs and symbols as the majority of people in the home use non verbal communication. Evidence was seen that all areas of the plan are reviewed monthly. Evidence was seen that plans are reviewed on annual basis, with the person Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: concerned and all relevant parties invited. Staff spoken stated how important the plans were and pleased they were allocated the time to keep them up together. Staff spoken to were aware of the plans and were happy to discuss them. All stated the person who the file was about were aware of the file and would always attend any reviews. Risk assessments were seen in each file and in the AQAA, we were advised, we actively promote trying new things and supporting individual choice by the use of risk assessments. In one persons file thirteen separate risk assessments were seen, all of which had been reviewed on a regular basis. The risk assessment also takes into account what the risks are if the risk is not taken, as well as looking at what could go wrong and how it could be made safer. It was clear from observations on the day people can make choices about their life. One person during the day decided they would like to go for a sleep. Care staff reported this was not their usual pattern but respected the persons choice. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have support to take part in a range of activities, to maintain contact with family and friends and to maintain a healthy diet. Evidence: In the AQAA we were advised we support people with varying degrees on need and support requirements. We support people to access all provisions and professionals they may require in their life. We support community access and social events with peers. We hold social evens and parties. We hold community events and invite local people. We have increased community access with relevant risk assessments and support plans. From evidence seen and from discussion with staff it was clear people are supported in a range of activities. The majority of people attend a local day services where we were Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: advised there is excellent communication between the home and day service. We were advised for the two people who do not attend college this is because this does not meet their needs at the present time. Staff felt they were able to meet their needs in a manner, which was more flexible and suited them. When looking at their activities programme it was noted this was like an on-going assessment and gave a very clear picture. Staff on duty confirmed all people in the home take part in a range of social activities including many in the local community. Staff explained how much they enjoyed being out with people living in the home and would change their working hours to meet their needs. One staff member explained how she would work late so they could all stay in the pub late or go to the cinema and watch the late film. The home has two vehicles to enable people to go out and about. People in the home had just had a Halloween party where they had invited members of the local community. We were advised this had been a great success. One staff member was talking to a resident about the surprise party they had the night before for a member of staff. The manager advised us most people have regular visitors. We were advised they could call at any time and were welcome to have a meal at the house. As stated the manager advised us she is trying to obtain use on an advocacy service for some of the people in the home. Each house develops a different weekly menu with the people of each home. The menu takes into account peoples likes and dislikes and also includes takeaways and meals out. Photographs are used to help choose menus and photographs were displayed on the noticeboard showing the menu of the day. In one house it was noted three staff were sat with one resident all having lunch together in a relaxed manner. In care plans details were recorded on how meals should be presented to enable independence. There was also evidence a dietitian and speech and language therapist had been consulted. 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. Peoples care and health needs are well recorded and met by staff who know what their needs are. Medication procedures usually ensure the safety of people. Evidence: In the AQAA we were told we have good partnerships with all health and care professionals. We work with specialists such as epilepsy, neurology, clinical psychology, speech and language and other health care professionals. Care plans contain details of the personal care support people need and how it should be provided. People are supported to attend a range of health services, including GP, nurse, dentist, psychiatrist and specialist hospital appointments. There are clear guidelines in peoples plans of how staff should care for specific health needs for example, epilepsy and autism. Clear records were maintained of all appointments and the outcome of these visits were recorded. The staff team explained they always receive the training they need to be able to meet peoples need. One person had recently been diagnosed with a mental health condition, which staff had requested and received training on. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Each house has their own medication cabinet in the smaller lounge/sensory room. The medication records and medication was checked for one person in each house. All use the same monitored dosage system. Each cabinet had a drugs procedure and information on the drugs stored. All staff receive training in medication, which all staff stated they had found useful. There had been a recent incident where a new member of staff had administered medication without training and had administered medication to the wrong person. We were advised she had not been asked to do this but thought she was being helpful. The home had taken appropriate action and notified us of the incident. All medication checked on the day matched the records held. All records had appropriately been signed and there was a good procedure for medication that was described take as necessary. 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. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. Evidence: In the AQAA we were advised the home has a pictorial complaints procedure that is meaningful to people who have very limited communication skills. We ensure the team have have undertaken adult protection training. It was noted in each persons file there were details of the complaints process. All staff spoken to stated they were aware of this process and would help the people living in the home with this process if it was necessary. Staff stated they would soon be able to know if a person was unhappy by their behaviour. A complaints procedure was available, which detailed all the necessary information. The manager confirmed no complaints have been received in the last twelve months . The commission has not received any complaints in this time. Policies and procedures are in place regarding the protection of vulnerable adults from abuse. Staff have completed training in safeguarding adults. Staff spoken with demonstrated a good understanding of the action they should take if abuse is Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: witnessed, reported or suspected and felt the training they had received was good in this area. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well designed and provides a clean, comfortable, safe and well maintained environment for people. Evidence: In the AQAA we were advised the home has been purpose built to meet the specific needs of the service users. There are three bungalows all with their own front door, courtyard and garden. Each house is individually decorated and has a large lounge/dining area with an additional quiet lounge/sensory room, well designed kitchen so people have space in the kitchen and well equipped laundry. The lounge/ dining areas are big enough to ensure all people can have visitors and there is plenty of space to accommodate them. Each person has their own large bedroom with en suite bathroom. Some baths have adaptations to meet the persons need. Staff spoken to were well aware of how to use these and details were recorded in the persons plan. All bedrooms were individually furnished and had been personalised by the person. Staff confirmed each person had been involved in the choosing of furnishings and colour schemes for the home. Each house has access to their own all weather courtyard. Each had been furnished with the needs of the people in that house. The manager explained one garden only had edible Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: plants to ensure the safety of people in that house. All areas of the home were clean and no unpleasant smells were detected. Staff stated when an area needs re-decorating or furnishings need replacing, this is reported to the manager who arranges for these to be done. The manager confirmed some internal areas are due to be freshly painted. The home has replaced the solid wooden gate, which use to give access to the home but also cut the home off from the community. The home now has a wrought iron sliding gate, any access is gained through an intercom. The manager advised this has been a big improvement as the home no longer feels it is out of view from the public and is part of the community. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well supported by a competent, well trained staff team who have time to provide care. People are protected by the homes robust recruitment procedure. Evidence: Each of the houses in the service is separately staffed, with a deputy manager responsible for the day to day running of each house. The manager explained there is always a minimum of three people on duty in each house . During the night, each house has one person awake with a sleep in person to provide on call cover across the three houses. The managers hours are in addition to the rota. All staff spoken to in the three houses confirmed there is always adequate staff on duty to meet the peoples needs. Staff still work in each house when people attend the day centre. They explained this gives them the time to do domestic tasks and keep all paperwork up together; which ensures they spend their time with the people when they returned home. Some staff have recently left the home as they have been promoted within the organisation, which has left gaps in the staffing rotas. Staff explained they always between them try and cover any gaps in the rota for the continuity of the people. Some staff spoken to had recently joined the staff team whilst others have been working with the people living in the home for over six years. New members of staff Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: confirmed they had a very extensive induction period. An induction programme based on Skills For Carewas worked through. They felt this had been excellent and equipped them well for working in the home. In the AQAA we were advised learning and development of staff through training and service specific areas allows for a knowledgeable team. All staff confirmed they felt the training programme was excellent. All felt the training was of a good standard and assisted them in their job. Staff stated if there was specific training they wanted, which was not on the core programme the manager would find them a suitable course to attend. In the AQAA we were advised over 50 of staff have achieved a National Vocational Qualification Level 2, two staff have National Vocational Qualification (NVQ) Level 4 Registered Managers Award. One staff member is undertaking this and 14 have or are undertaking NVQ Level 3. In the AQAA we were advised we have a robust recruitment process, retention of staff is high. The manager had a clear process for the recruitment of staff and good records were maintained. The staffing records of the last two members of staff to be employed were viewed. It was found these were well organised and all the necessary checks, references and proof of identification were available. All interview notes were maintained. All staff have terms and conditions. All staff confirmed they receive regular supervision and support. All stated they felt were very supportive of each other. The manager stated keeping up with supervision had been hard to provide as two of the deputy managers in the home had been promoted. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and peoples views are gained to ensure the home continues to do well and meet peoples needs, ensuring health and safety policies and procedures are followed. Evidence: The manager has achieved the Registered Managers Award, NVQ 4 in Care and also attends further training and seminars in order to update her skills and knowledge. All staff spoken to confirmed they felt the manager was approachable and supportive and they all worked together as a team. The manager also reported she had full confidence in every member of the staff team. On the day the manager was very well organised accessing all paperwork including policies and procedures immediately. The AQAA was received from the manager on time and has some very clear and extensive information recorded on it. The home has an effective quality assurance and quality monitoring system. The manager showed us copies of regulation 26 reports, which have been carried out on a Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: monthly basis. The manager also showed us a copy of a continuous improvement plan and an action plan. Questionnaires have been sent to families, the day service, and other professionals. The results had been collated and we were advised the outcome had been very positive, with only one area marked as needing some attention, which the manager stated she was aware of and is taking appropriate action. The home holds money for each person. The manager explained each persons finances go into an individual account in their name. The manager and another member of the management team can withdraw money from the bank for each person. Some money is held for each person in each of the houses in a locked cabinet, so if the person wishes to spend some money staff can access this immediately. The bulk of the money is held in the safe in the main office. Records were checked for one person in the house and the office. All receipts are maintained and each time money is withdrawn or deposited a clear record is maintained. On the day the record in the office did not match the record of what was held in the house. The reason for this was clear, the manager had recently been to the bank and withdrawn some money and recorded this. However the member of staff in the house had not recorded it. The records held by the manager were correct and once this sum had been added to the records held in the house the records would tie up. The manager reported in the Annual Quality Assurance Assessment that the electrical system, portable electrical equipment, hoists, fire detection and fighting equipment and gas system are regularly serviced and maintained. Policies and procedures are available in each of the houses, which staff are given time to read these and keep up to date with them. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!