Inspection on 11/11/08 for Kemp Lodge

This inspection was carried out on 11th November 2008.

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

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

Other inspections for this house

Similar services:

SignHealth

Mere Hall View

Beechfield Lodge

Christopher Grange (Rhona House)

Sense

Auden House

Deafway

Sign, 100 Bowfell Road

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kemp Lodge 74 Park Road West Prenton Birkenhead CH43 8SF     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: Ingerbritt Moynihan     Date: 1 1 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 © (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 29 Information about the care home Name of care home: Address: Kemp Lodge 74 Park Road West Prenton Birkenhead CH43 8SF 01516524620 Telephone number: Fax number: Email address: Provider web address: davies4705@hotmail.com Name of registered provider(s): Name of registered manager (if applicable) Mr Noel Davies Type of registration: Number of places registered: Voyage Ltd care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia physical disability sensory impairment Additional conditions: The registered person may provide the following category of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: People with mental disorder, not including a learning disability or dementia - MD (maximum number of places: 7) Adults with Physical Disabilities - Code PD (maximum number of places: 2) Adults with Sensory Impairment - Code SI (maximum number of places: 7) The maximum number of service users who can be accommodated is 7 Date of last inspection Brief description of the care home Kemp Lodge is a residential care home providing 24-hour care and accommodation to seven people who have an acquired brain injury. The home is owned and managed by Voyage. More information about the organisation can be found on their website at Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 0 7 2 7 Brief description of the care home www.voyagecare.com The home is located in Claughton Village, near to shops, pubs, a post office and other amenities. A bus service to Birkenhead town centre and Liverpool is close by. The home is a large converted Victorian house which is in keeping with the local community. There is a large well-established and secluded garden at the back of the home and free roadside parking at the front. Kemp Lodge is furnished and decorated to a high standard and provides a comfortable and homely environment for service users to live. Bedrooms are on the ground and first floor. All bedrooms have ensuite facilities which include a toilet, wash basin and walk-in shower. There is sufficient communal space for the number of people living at the home. This comprises of a kitchen, lounge, dining room, games room, quiet room and gym. There is a disabled toilet on the ground floor. 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: 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: Information about the home was obtained through discussion with the service users, manager and members of the staff team. Policies, procedures and supporting documentation were also looked at along with a selection of service users case files. We also obtained information from the Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment document that is filled in once a year by all providers. It is one of the ways that we get information from providers about how they are meeting outcomes for people using the service. A part of the inspection process includes sending surveys to service users, staff and health care professionals to obtain their view of the standard of the service. Comments made in these surveys are included in the report and contribute to the basis of any Care Homes for Adults (18-65 years) Page 6 of 29 judgments made. Fees What the care home does well: Service users care needs are assessed before they move into the home. Service users confirmed they are involved in the assessment to ensure their views are taken into account and they know the staff can meet their needs. Service users spoke highly of the staff team and said their care needs are fully met by a supportive and experienced staff group. One service user said the staff are marvellous, they are all very good. Details about the way service users are supported is recorded in a care plan and service users are supported to take risks as part of living an independent lifestyle. Service users confirmed they are encouraged to make decisions in all parts of their lives although sometimes staff will help them so they are guided to make positive choices for their own development. One service users said the staff always encourage me to be independent and make my own decisions. Service users are involved in a range of leisure activities both inside and outside the home and they are encouraged to pursue their own interests and hobbies. Service users confirmed they are happy with the homes routines. One service user said I am more than happy with the homes routines which I would describe as having structure without rigidity. Mealtimes are flexible and service users are involved in the menu planning. A varied diet is provided to ensure service users good health and interest. One service user said the food is very good and there is always a good variety. Service users are encouraged to keep healthy and staff are available to support them with any health care needs they may have. The health care professional surveys returned to us indicated the service always seeks advice and acts upon it to manage and improve service users health care needs. Staff help service users with their medication if they are unable to do this themselves. Systems are in place to ensure service users complaints are dealt with correctly. Systems are in place to ensure service users are protected from abuse, neglect and self harm. The service users said the staff are always polite and they have never experienced any form of abuse. One service user said the staff are always thoughtful and caring and have a very good manner. Service users live in a homely, comfortable and safe environment. All of the service users said they liked the home. One service user said I cant tell the difference between here and a five-star hotel. Service users are supported by an effective and efficient staff team. They are provided with a range of training to support them in the role. The staff have a positive attitude to their work. They said they enjoy their work and feel well supported by the manager and senior staff. The home is well managed and focused on the service users needs. One service user Care Homes for Adults (18-65 years) Page 8 of 29 said Noel (the manager) is the right man for the job. One of the health care professional surveys returned to us noted the team is well-managed and the staff have a good understanding and approach to service users with a brain injury..... I have to say this is the best community service I have dealt with by a long way. 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 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. Service users care needs are assessed so they know the service can provide the right level of care. Evidence: A full assessment of service users care needs is carried out prior to them moving into the home. Service users confirmed that they are involved in the assessment to ensure their views are taken into account and they know the staff will be able to meet their needs. Admissions only take place if the manager is sure the staff have the right skills and experience to support the service users properly. Issues relating to equality and diversity such as service users disability, gender, age and religion are addressed to ensure their full care needs are met. The staff surveys return to us indicated they are always given up to date information about the service users they support. One survey noted we have regular team meetings and communicate very well, especially regarding the service users. Service users spoke highly of the staff team and said their care needs are fully met by Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: a supportive and experienced staff group. One service user said the staff are marvelous, they are all very good. If a service user has any specialist health care needs, then staff will contact the relevant health care professional for advice and information. This means service users will receive care and support that is specific to their individual needs. Each service user is issued with a contract which provides information about the services they are paying for. 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. Service users assessed and changing needs are reflected in their individual care plan. Evidence: Details about the way service users are supported is recorded in a care plan. This provides staff with the information they need on how to provide the correct level of care. Issues relating to equality and diversity are addressed to ensure service users full care needs are met. The health care professional surveys returned to us indicated that staff always respond to service users different needs. One survey noted staff are very adaptable and supportive, flexibility is within the structure. Service users are supported to take risks as part of living an independent lifestyle. Each care plan includes a range of risk assessments which are regularly reviewed to ensure service users safety and welfare. Where limitations are identified a decision is made with the service user on how this should be managed. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Staff understand that service users have the right to take control of their lives and to make their own decisions and choices. The service users confirmed they are encouraged to make decisions in all parts of their lives although sometimes staff will help them so they are guided to make positive choices for their own personal development. One service user said the staff always encourage me to be independent and make my own decisions. Information about service users is handled and stored securely in order to maintain their confidentiality. 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 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 encouraged to be a part of the local community so they have opportunity for personal development. Evidence: Staff support service users to develop their social, emotional and independent living skills. Where service users have complex needs, advice from health care professionals is sought. Service users said staff are always available for support. One service user said the staff are very good, they have a very good attitude and are well trained. Service users are involved in a range of leisure activities both inside and outside the home which reflect their individual interests and needs. Service users confirmed they are encouraged to pursue their own interests and hobbies and are fully involved in the planning of any activities. These activities include attending college, voluntary work, Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: going to the cinema and having a take-away meal on a Saturday night etc. Staff are always available to work with service users on an individual basis. The health care professional surveys return to us indicated staff usually support service users to live the life they choose. One survey noted staff provide advice and support to facilitate appropriate decision-making. Service users confirmed they are happy with the homes routines. One service user said I am happy with the homes routines which I would describe as structured but not rigid. Meal times are flexible and service users are involved in the planning of menus. A varied diet is provided to ensure service users good health and interest. Diets based around service users medical, religious and cultural needs are provided when necessary. Although service users tend to have their lunch when they want, they are encouraged to come together as a group for their evening meal. This provides an opportunity for service users to get to know each other and create some social interaction. The service users spoken to during the visit said they enjoyed the food and always had plenty to eat and drink. One service user said the food is very good and there is always a good variety. Another service user said the food is very good and I can help myself to drinks when I want. 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. Service users receive support in the way they prefer and their physical and emotional health care needs are met. Evidence: Personal care is always provided in private and by a person of the same gender to ensure service users privacy is respected. The health care professional surveys return to is indicated staff always respect service users privacy and dignity. Service users are encouraged to keep themselves healthy and well. They have access to a range of health care professionals to ensure their physical and emotional health care needs are met. They receive regular health care checks to ensure any problems are identified and dealt with promptly. Two of the health care professional surveys returned to us indicated the staff always seek advice and act upon it to manage and improve service users health care needs. One survey noted the staff ask our views and then complete an action plan to achieve things for the client, a very productive approach. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Systems are in place for the administration of medication. Most staff have received training in this area of care so they are aware of their responsibilities and know how to work safely. Policies and procedures are also in place to support staff in their role. Service users confirmed they always receive the medication on time and as prescribed by their GP. 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. Systems are in place to ensure service users are safeguarded from abuse and harm. Evidence: Service users know who to speak to if they are unhappy and want to make a complaint, this was also indicated in the service user surveys returned to us. Staff are clear on the action they should take in the event of them receiving a complaint and a procedure is in place to ensure all complaints are managed correctly. We have not received any complaints about the service. Staff are provided the training on how to ensure service users are protected from abuse, neglect and self harm. During discussion they demonstrated a basic understanding of the different types of abuse that can occur and what they should do if they know or suspect abuse is taking place. The manager is in the process of obtaining a copy of the Wirral adult protection procedures so he knows how to ensure allegations of abuse are managed correctly. The homes own adult protection procedures need to be a little more detailed so that staff are clear on the action they must take in the event of an allegation of abuse being made. The service users spoken to during the visit said the staff are always polite and they have never experienced any form of abuse. One service user said the staff are always thoughtful and caring and have a very good manner. Care Homes for Adults (18-65 years) Page 19 of 29 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. The premises are well maintained and provide a comfortable and homely environment for service users to live. Evidence: Service users live in a homely, comfortable and safe environment. The premises are secure, bright and airy. The home is in keeping with the local community and transport links to other parts of the Wirral are near by. The furnishings and fittings are a good quality and domestic in style. All of the service users said they like the home. One service users said I cant tell the difference between here and a five-star hotel. Service users have their own bedroom which has en suite facilities including a toilet, hand wash basin and walk-in shower. Specialist equipment is provided when necessary. Service users can personalise their bedrooms with their own belongings and they have a key to their room to ensure their privacy. All of the service users said they have everything they need in their bedroom. There is a disabled toilet on the ground floor. The shared space in the home includes a lounge, kitchen, dining room, games room, Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: gym and quiet room. The service users living the home do not have a physical disability therefore minimal specialist equipment is provided. However the necessary adaptations will be made if necessary in order to maintain service users independence. The home is clean, tidy and comfortably warm. Systems are in place to prevent the spread of infection and staff have completed training in this area. 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 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 supported by an effective and efficient staff team. Evidence: Staff are issued with a clearly defined job description so they understand their role and know what is expected of them. Staff are clear on the aims and values of the home which means the service remains focused on the service users needs. There is an ongoing staff training programme which covers a range of issues relating to the running of the home and the care and support of the service users. Staff surveys indicated they are given training which is relevant to their role and keeps them up to date with new ways of working. A lot of the staff training is completed on line and while staff have an opportunity to discuss this training with a senior member of staff, the manager should consider more group training which allows staff to talk about their experiences and to learn from each other. This is particularly pertinent in training such as first aid, safeguarding adults from abuse and medication administration. The manager said staff are provided in sufficient numbers to ensure the day to day running of the home and the support and care of the service users. More staff are Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: provided when it has been identified that service users require additional support. Staff said the communication in the team is good and regular staff meetings take place. This means service users are supported by an efficient staff team and their needs are always met. The health care professional surveys returned to us indicated the staff have the right skills and experience to support service users social and health care needs. One survey noted I have been extremely impressed with the skills of the staff who it is evident have a good understanding of a very difficult client group and how to successfully support them. The staff recruitment and selection procedures ensure suitably qualified and competent staff are employed. These procedures are based on equal opportunities which means prospective applicants are recruited on a fair and equal basis. All of the necessary security checks are completed prior to staff being employed. Newly appointed staff are provided with training when they are first employed. Staff surveys indicated this training covered everything they needed to know to do their job. The manager agreed to develop individual training plans for staff so they are clear on how they can develop in their role and provide the best quality of care. The service users said the staff are very professional and knowledgeable. One service users said I believe the staff are very well trained. The staff spoken to had a positive attitude to their work. They said they enjoy their work and feel well supported in their role. Staff surveys return to us indicated they always have the right support to meet the service users different needs. Staff meet regularly with the manager or senior member of staff so can discuss any issues or concerns relating to their work. This is in line with good practice and means staff have an opportunity to develop in their 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 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 for the benefit of the service users. Evidence: Mr Noel Murphy, the registered manager, is qualified, competent and experienced to run the home. Both staff and service users spoke very highly of Mr Murphy saying he is always available for support and advice. His management approach creates an open and positive atmosphere which gives staff a clear sense of direction and leadership. One service user said Noel is the right man for the job. A member of staff said Noel is an excellent manager. He encourages staff and always gives good advice. A health care professional survey returned to us noted The team is well managed, they have a very good understanding and approach to service users with a brain injury....... I have to say this is the best community service I have dealt with by a long way. Quality assurance systems are in place to ensure the ongoing monitoring and improvement of the service. The quality assurance systems include supervising and monitoring staff, reviewing administrative systems and ensuring service users are Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: happy with the standard of care they receive. A range of policies and procedures are in place to support staff in their role and to ensure they are clear on their responsibilities and know what is expected of them. These policies and procedures are reviewed annually so that staff are kept up to date with changing care practices and the home fulfills its purpose and objectives, and meets the needs of the people who live there. The health, safety and welfare of service users and staff is promoted through the provision of policies and procedures and regular staff training. Regular health and safety checks are carried out around the building including fire safety, water temperatures and food hygiene etc. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 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 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 © (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 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. 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