Inspection on 26/11/08 for Kenilworth (Banstead)

This inspection was carried out on 26th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kenilworth (Banstead) 30/11/07

Kenilworth (Banstead) 17/08/06

Kenilworth (Banstead) 10/11/05

Kenilworth (Banstead) 26/04/05

Kenilworth (Banstead) 17/12/04

Kenilworth (Banstead) 27/07/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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: Kenilworth (Banstead) Kenilworth (Banstead) 74 Diceland Road Banstead Surrey SM7 2ET     The quality rating for this care home is:   one star adequate 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: Lisa Johnson     Date: 2 6 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: Kenilworth (Banstead) 74 Diceland Road Kenilworth (Banstead) Banstead Surrey SM7 2ET 01737361858 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Gamini Wijewardena,Mrs Balapuwaduge Wijewardena care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number to be accommodated is 3 The registered person may provide the following categories of service only: Care home only (PC) to service users of the following gender: Either whose primar care needs on admission to the home are within the following category Learning disabilty (LD) Date of last inspection Brief description of the care home Kenilworth is owned and run by Mr and Mrs Wijewardena. It is a detached property within walking distance of the village of Banstead Surrey. The accommodation covers two floors and provides care and services to three service users (residents) with learning disabilities. Each resident has his or her own single bedroom one of which has an ensuite facility. There are two lounge areas, a dining/kitchen area and an office on the ground floor. There is a private secluded garden with patio area and carport to the rear of the garden. There are local amenities nearby. The home also provides transport to the residents if they do not choose to use public transport. Fees range #980.00 to #1,050.00 Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 3 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This visit was part of a key inspection which took place over five hours and twenty minutes commencing at 8:30am and finishing at 1:50pm. Mrs. L Johnson Regulation Inspector carried out this visit. Mrs. B Wijewardena Registered Manager represented the service . Information was provided to us by the service prior to this visit in the Annual Quality Assurance Assessment ( AQAA). This is a self assessment that focuses on how well outcomes are being met for people using the service. reference is made to this document throughout this report. During this visit we spoke to two people who use the service. We received surveys Care Homes for Adults (18-65 years) Page 6 of 29 from two people who live in the service who had been assisted by staff to complete them. During this visit we conducted a full tour of the premises, looked at care plans, risk assessments, medication practices , staff personnel , training records and policies and procedures. The inspector would like to thank the people living in the service, manager and staff for their time, assistance and hospitality during this inspection. The registered manager has made improvements to the service. However until these improvements including staff recruitment procedures are fully embedded into practice and demonstrate sustainability people using this service may not be fully protected from harm. Therefore the quality rating is a reflection of this. 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. Care Homes for Adults (18-65 years) Page 8 of 29 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. The home is able to demonstrate that pre- admission assessments are conducted prior to any person being admitted to the home Evidence: There have been no new admissions to the home since our previous visit. There is currently one vacancy. The home has an admission policy policy in place. We were informed that pre admission assessments would be conducted prior to any person moving in to the home. During this visit we viewed the pre- admission format that would be used. People and their representatives would have the opportunity to visit the home, stay for meals and overnight stays Care Homes for Adults (18-65 years) Page 11 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. Each person is provided with a plan of care, people are supported to make decisions about their life and they are supported to take risks as part of an independent lifestyle. Evidence: Each person has a completed care plan in place. Two care plans seen during this visit demonstrated that they had had been implemented in consultation with people, which was confirmed by two people spoken with. People had signed their care plans to confirm their agreement. Care plans covered health, personal, social and cultural and religious needs. Information seen in the care plans demonstrated that these are regularly reviewed. Clear objectives and goals were recorded and detailed the staff support to be provided. People told us that the home holds monthly meetings where they have the opportunity to discuss matters that are important to them such as preferred holidays. We were told that one person likes to choose holidays from a brochure. People had requested Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: that they would like to go on a day trip to France which took place in July .Both people living in the service require some support in managing their monies which was recorded in their care plan. Care plans demonstrated that staff support people to maintain their Independence and develop their skills. Where there were limitations these were clearly identified in detailed and comprehensive risk assessments which included management strategies to reduce risk. Assessments sampled, included, bathing, smoking, road safety, traveling in vehicles and missing persons. Care Homes for Adults (18-65 years) Page 13 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. People are supported to to access a range of recreational and leisure activities which meets their needs and preferences. People are supported to maintain links with the local community, family and friends and they are provided with varied and well balanced meals. Evidence: The home supports people to take part in appropriate work, recreational and social activities which are part of the local community.The home also has their own vehicle. One person told us that they work in the kitchen of a local day service for older people which he attends independently. This person also told us about their preferred activities which includes going shopping in the near by town centre or Epsom when they want to and visiting the cinema. This person uses local transport independently and has obtained a bus pass. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Another person told us that they attend day services, they like going to the pub with staff and attended an Abba tribute show at Epsom. Good records are maintained of all activities that people have participated in. Both people told us that they went on holiday to Spain this year. People maintain links with their family and friends. One person told us that they go to visit their family every weekend . People living in the service are fully involved in household and domestic activities. One person was seen putting the dishes away after breakfast and was being supported by staff to be dusting in the sitting room. People are supported to clean their bedrooms and do their laundry. One person told us he likes to cook eggs. During this visit good interaction was observed between people and staff who sat together to each lunch. All areas of the home were accessible with no restrictions. The home has a four weekly menu in place,which is based on peoples preferences and choices. Both people spoken with said that the food is good. The menu was varied and well balanced. The lunch time meal was well presented and fruit bowls were seen for people to help themselves to. Care Homes for Adults (18-65 years) Page 15 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. Peoples personal and health needs are met and they receive the support in the way they refer.The homes medication policy needs strengthening ensuring that the home supports them in a safe way Evidence: Peoples health and personal needs are clearly documented in their care plan, which also includes information about their preferred routines. Each person has a health action plan in place which is comprehensive, detailed and up to date. The manager had good awareness of peoples health needs and the support they require. Information seen in peoples health action plans demonstrated that people are supported by a range of health care specialists and written records were maintained of all health specialist consultations and appointments Information seen in one persons care plan stated that they require support due a foot problem which includes support with their calipers and rthey require egular chiropody appointments. Care notes demonstrated that this person is supported to attend Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: regularly for this treatment. Information provided also confirmed that this person has received an annual health check, appointments at the dentist and optician . Another person also receives regular monitoring due to a medical problem is supported by a General practitioner and dietitian with regard to their diet. This person also told us they receive regular visits from a community nurse. During this visit staff were observed to aware of peoples right to privacy and gained permission permission from them before entering their rooms. People have keys to their bedrooms which they both confirmed to us. One person had a support plan in place to assist the person to maintain their privacy. The homes medication practices were examined. medication was stored, locked and fixed to the wall in a metal cupboard. Currently only one person receives regular medication. A list was maintained of all staff trained to administer medication and the staff training schedule indicated that staff had received up dated medication training. Systems are in place for the receipt and disposal of medication. Procedures were in place for the administration of As required medication and homely remedies. The home has a copy of the Royal Pharmaceutical guidance which is being followed, however this is was observed to be now out of date and the home does not have their own local medication administration policy in place. So that all staff handle medicines in a clear and consistent way for the safety of people living in the service there should be written procedures which are specific to this service on how to handle medicines. These should be based on the latest guidance from the Royal Pharmaceutical Society and the Commission for Social Care Inspection. Care Homes for Adults (18-65 years) Page 17 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints procedure in place. Safeguarding Policies and procedures are in place but staff recruitment needs strengthening to protect peoples safety. Evidence: The home has complaints procedure in place which was seen on display in the home. The procedure is also contained in the homes service user guide which is provided to each person. The home maintains a complaints,compliments and suggestions book, which was viewed during this visit . No complaints have been received by the home since our previous visit. One concern had been bought to the attention of the Commission. The manager stated in the AQQA that the home encourages people or their representatives to raise any complaints and their views will be taken seriously. Two people spoken with during this visit were clear who they would speak to if they were unhappy and responses included the manager and staff. Both people told us that they were very happy living in the home . One person said, The manager is a very nice lady. The home has implemented a safeguarding vulnerable adults from abuse and whistle blowing policy which makes reference to the local authority procedures, however it was recommended that the update version of this policy is obtained. Policies and procedures are in place to protect peoples finances. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Since our previous visit there have been no matters referred following the local authority safeguarding vulnerable adults from abuse procedures. One recruitment matter was identified for improvement . (see standard 34) During this visit the staff training schedule was examined which indicated that two members of staff had received up to date safeguarding training this year which included the registered manager. There was also a number of staff that have not attended training for a number of years and two people that have not completed this training. The manager provided information to us to demonstrate that staff have been booked on training in January next year. Care Homes for Adults (18-65 years) Page 19 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. People live in a home that is in the main generally , maintained, safe, comfortable and clean. Evidence: The service is an older style property situated in a residential area and is within walking distance of Banstead Village. The home was generally well maintained and furnished providing a homely environment. There is kitchen /dining room,which was modern, bright and well maintained. A comfortable sitting room is provided which contained an aquarium and a smaller sitting room which is a designated smoking area which is used by people who live in the home that smoke. There is an accessible garden to the rear of the property , although this would benefit from being tidied up. The patio area needs attention in particular the paving slabs. The manager told us that this work is being planned for next spring. Two people showed us their bedrooms which were personalised to their preference and interests and contained televisions music centres. One bedroom was provided with en suite facilities. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: The home was clean and hygienic. Carpets were clean and suitable and handwashing facilities were available. We were informed that staff receive infection control training through the health and safety course. All items hazardous to health were locked away securely. Care Homes for Adults (18-65 years) Page 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Further improvement is needed to ensure that people living in the service are supported by enough, competent and trained staff. People are in the main protected by the homes recruitment practices, although one matter was identified for further improvement. People are supported by staff that are are supervised Evidence: People living in the service benefit from a stable staff team who have worked at the home for a long time and know people very well. Currently the home employs six staff plus the registered manager and responsible individual. Currently there are two people residing in the service. The duty rota was sampled which indicated that there are two members of staff available.during the day. At night time people are supported by a sleep in member of staff. However it was observed that the duty rota was not dated, therefore it was unclear what what week or month the rosta was and the manager was advised to complete this information. We were informed that staff work fixed shifts and any changes are recorded in the homes communication book During discussion with the manager we were informed that while people are at work or day services staff on occasions leave the house to go shopping or carry out home related tasks. We were also informed that a member of staff is always contactable Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: should either person wish to return to the home. One person who lives in the service has a mobile and will contact staff if he wishes to return . This person confirmed this arrangement and said that staff are always present in the home when he arrives. Day services are aware of the arrangements for the other person who lives in the home. However it is that these arrangements be reviewed ensuring that at all times there are sufficient staff available in the home to meet peoples needs. We were informed that two members of staff hold National Vocational Qualifications (Level 2 ) or above. Another member of staff holds a nursing qualification. New staff receive induction , although it is recommended that this is run in line with the Skills for Care core induction standards. The staff training schedule was sampled. further improvement is needed in ensuring that staff receive up to date statutory training including health and safety food hygiene, first aid, fire training and moving and handling and some occasions where staff have not received training at all in some areas. Since our previous visit improvement was seen in the staff recruitment practices. No new staff have been employed since our last inspection. Weakness identified at the previous visit have been addressed such as ensuring that staff have two written references and obtaining Criminal Record Bureau checks (CRB) , although information seen on one persons file demonstrated that they had a CRB but this had been completed by their previous employer. It is required that this CRB is updated to ensure that people living in the home are protected. The home has made significant improvement in ensuring that staff now receive regular formal supervision which was demonstrated by information seen during this visit. Care Homes for Adults (18-65 years) Page 23 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. There is an experienced registered manager in post and peoples views are listened to. Further improvement is needed to ensure that the health, welfare and safety of people is fully protected. Evidence: The home is owned by Mr and Mrs Wijewardena . Mrs Wijewardana is also the registered manager and is a qualified learning disability nurse who has had a number of years experience working with people with a learning disability. The manager also holds a National Vocational Qualification (Level) in management and the Registered Managers Award. The home holds regular staff meetings where minutes are maintained. Since our previous visit the home has now conducted quality assurance feedback surveys which have been provided to people living in the service and their representatives. These were viewed during this visit. The home is advised to maintain Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: the results with their service user guide. The home also holds regular meetings with people living in the service to gain their views and suggestions. The home conducts quarterly health and safety audits which were available to view during this visit. Water temperatures are monitored and recorded on a regular basis. Information seen during this visit demonstrated that regular servicing and maintenance of equipment takes place. The implementation of policies and procedures in relation to staff recruitment and training need to be fully implemented to ensure that people living in the service are protected. During a tour of the home it was observed that radiator protectors are not provided. Therefore it is required that a risk assessment is carried out in consultation with the local environmental health office ensuring the safety and wellbeing of people living in the service. Care Homes for Adults (18-65 years) Page 25 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 26 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 1 33 18 The registered person must ensure that there are staff are available in the home at all times. This is to ensure that the staffing levels are sufficient to meet the needs of people 01/01/2009 2 34 19 The registered person must ensure that an up to date CRB is conducted for a specified member of staff This is ensures that people living in the service are protected 01/01/2009 3 35 18 The registered person must ensure that all staff recieve statutory training that is up to date This is to ensure that peoples health, welfare and safety is protected by trained and competent staff 02/03/2009 Care Homes for Adults (18-65 years) Page 27 of 29 4 41 13 The registered person must ensure that that staff recruitment and training policies are adhered to This is to ensure the health, welfare and safety of people living in the service. 01/12/2009 5 42 17 The registered person must ensure that risks assessments are completed about the uncovered radiators through the home in consultation with the environmental health office, This is to ensure the health, welfare and safety of people living in the service 01/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 23 It is recommended that the registered person obtains the updated Local authority safeguarding vulnerable adults from abuse procedure It is recommended that the staff induction programme follows the Skills for Care core induction standards. 2 32 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. 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!