Inspection on 23/10/08 for Langdon Foundation Clore House, 11 Norwood

This inspection was carried out on 23rd October 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

Langdon Foundation Clore House,... 11/10/07

Langdon Foundation Clore House,... 04/12/06

Langdon Foundation Clore House,... 25/01/06

Langdon Foundation Clore House,... 07/09/05

Langdon Foundation Clore House,... 03/02/05

Langdon Foundation Clore House,... 06/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Langdon Foundation Clore House, 11 Norwood Langdon Community Clore House 11 Norwood Prestwich Manchester M25 9WA     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: Julie Bodell     Date: 2 3 1 0 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Langdon Foundation Clore House, 11 Norwood Clore House Langdon Community 11 Norwood Prestwich Manchester M25 9WA 01617733015 01617737730 a.page@langdoncommunity.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Langdon Foundation care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code 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 - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home Clore House is part of The Langdon Foundation, a charitable organisation that was established to promote opportunities for young Jewish adults with learning disabilities. The home provides twenty four hour support for up to 5 young Jewish female service users, most of whom will eventually move on to a more independent setting. Clore House is a large detached home, similar to other properties in the area and it is not distinguishable as a care home. All the bedrooms are single. One resident is accommodated in a self-contained flatlet within the building. Facilities in the home are domestic in style and provide a homely living environment. Residents have use of a lounge, dining room, and kitchen. Outside there are gardens at the front and side of Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 5 Brief description of the care home the house. The house is situated in a quiet residential area of Prestwich, approximately three quarters of a mile from the village centre. It is within walking distance of bus routes, shops, and other local amenities. As the Prestwich area houses a large Jewish community, there is easy access to synagogues and kosher food shops. 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 quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The visit took place over five and a half hours. We (the commission) talked with the registered manager, two support workers and four people who live at the home. As well as watching what went on, we looked around most of the house and at some key records. Information (an Annual Quality Assurance Assessment) requested before the visit was received by us. We also received three returned surveys from people who live at the home and three from support workers. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 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. A thorough assessment is completed and people are able to visit the home before they agree to move in to ensure that it is the right place for them and that their needs can be met. Evidence: People who live at Clore House are former students from Langdon College. They come to live at the home once their studies are completed. Both Langdon College and Langdon Community fall within the organisation known as Langdon Foundation. Since our last visit the statement of purpose has been reviewed and revised to reflect changes in the organisation. In three returned surveys people who lived at the home stated that they were asked if they wanted to move into the home and they had enough information to help decide if it was the right place for them. One person has recently left the home and moved into their own flat to live more independently. This was said to have been a successful move. One person has recently Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: moved into the house. A thorough assessment of their needs was undertaken and the person spent time visiting and getting to know support workers before moving in. The persons family was very involved in the move to the home. Because they already knew some of the other people living at the house from college it helped the person to settle in. We had no concerns that peoples needs could not be met by the current staff team. None of the people living at the home were intending to move back to the London area but knew that there would be an opportunity to do so if they wanted to. Langdon Community is currently putting information together to submit an application to register the service with us. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have support plans and risk assessments in place to ensure that support workers are clear about how to support people safely and in the way that people want. Evidence: We looked at the records of two people living at the home. Support plans and up to date risk assessments were in place to ensure that support workers have relevant information and guidelines they need so that they know how they are to support people. Risk assessments included going out into the local community, using public transport, cooking and making drinks etc. Discussion with the registered manager and support workers demonstrated that they have a good knowledge and understanding of individual likes, dislikes, wishes, and goals. Everyone has a key worker. There were key worker discussion forms in place, which were signed by the person and their keyworker and reviewed by the registered manager. Daily records are completed that show what people had done each day. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: There is also a daily tasks list that gave clear instruction to support workers about what tasks need to be done on a daily basis. Support workers must sign to confirm when they have completed the task or state why they have not been able to do so. These forms are monitored by the manager. In returned surveys support workers confirmed that they always had access to up to date information about people. The inspector talked with two people living at the home and two other people briefly, throughout the day. It was clear that they felt that it was their home and they had a lot of say about what happened in the home and in their day to day lives. They enjoyed the fact that they had their independence and freedom. Observation showed that the support workers were very attentive whilst supporting people discreetly. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to take part in meaningful activities, be involved in the local community and lead fulfilling lifestyles. Practices at the home value peoples rights to privacy, independence and choice and ensure that cultural and religious needs are respected. Evidence: Clore House is a very busy household. It was clear from discussions, observations, and records that people are encouraged to participate in fulfilling activities. All the people living at the home are involved in work placements for example working at a nearby older persons complex, at local shops and at the offices of a national bank in Manchester city centre and a local MP. Langdon Community has an employment officer who supports people to look for suitable work opportunities. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Support was available within the organisation to help people access education and one person was at college and also goes to a local centre to do gardening. Another person enjoys flower arranging. The amount of support people need to access activities is arranged around individual needs. Some people require no support, others need support to travel only and sometimes people require full support to carry out activities. People are involved in household tasks within the house such as keeping their bedrooms clean and tidy, washing and ironing etc, working towards increasing their independence. One person has recently moved into a flat to live more independently. People have their own leisure interests and particularly liked watching TV, Sky and DVDs and enjoyed listening to music. People also have access to a computer. In returned surveys people said that they were able to do what they wanted. People living at the home have regular contact with family and friends. They can make contact on a daily basis by phone or email through the homes computer and a web cam. People also make frequent trips home to London, with support where necessary and some also go on regular holidays with family. People have lots of friends locally through their connections with Langdon College. Many of the group have long standing friendships or personal relationships. Cultural and religious needs are respected. For example kosher meals were prepared, and Shabbat, and Jewish festivals were observed and celebrated. People have different levels of observance. Shabbat is respected as a time for rest and contemplation. People said that they liked the manager and the support workers. They said that they were happy living at the house and that it was good fun. There was a relaxed and friendly atmosphere throughout the visit and a good rapport was observed between the people living at the home and the staff team. People were satisfied that their privacy was respected, for example staff knocked on their bedroom doors. Locks were fitted to bedroom doors. Mail was given to them unopened. Meals are planned to meet the cultural and individual needs and preferences of the group. People were seen to access the kitchen freely. There is a kashrut kitchen. The support workers complete Safer Food Better Business documentation. Individual arrangements are in place for the provision of meals. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of people are promoted to help ensure their wellbeing, good health and safety. Evidence: People living at the home are fully able to express their wishes about the way they were supported and are encouraged by support workers to be as independent as possible in maintaining their personal needs. Discussions with people living at the home and the registered manager, as well as the examination of records indicated that people use community healthcare services such as dentists and GPs. Support workers usually accompanied people to attend healthcare appointments. A number of people have specific healthcare needs. Records showed that the home has requested assistance from specialist health workers where needed. The registered manager has good knowledge and understanding of peoples needs and is aware of the balance that needs to be maintained between their duty of care, keeping people safe as well as taking their wishes into account. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: The inspector looked at the arrangements for people receiving medication. A medication signature list was in place and information about peoples medication was available for them to read. Records were generally seen to be in good order but handwritten entries on the MAR sheets need to be double signed to ensure that they are accurate. 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. People living at the home were confident that if they had any problems or concerns they could approach the manager who would listen to them and take action. Training in new local safeguarding procedures is planned so that staff members are clear about what action to take in the event of a suspicion or allegation of abuse. Evidence: The home has a written complaints procedure. A record of complaints is maintained. There have been no complaints received by us since our last visit. There is a complaints book available for people to use in the kitchen. People living at the home said that they would speak with the manager if they had any concerns and they were confident that she would listen and sort out any problems they had. Meetings are held that also give people an opportunity to raise any issues that they have. There are written procedures covering adult protection. There have been no reported allegations of abuse to us since our last visit. The home has a copy of the new local authority safeguarding procedures to help protect people from abuse. Training is in the process of being planned for the staff team through the Bury Adult Care Training Partnership. We were very concerned at out last visit about the lack of scrutiny around recruitment documentation. This is the first basic safeguard in the protecting the vulnerable people who use the service to ensure that those working in their home and supporting them are fit to do so. Improvements have been made in this area. Care Homes for Adults (18-65 years) Page 18 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clore House provides a clean, homely, well maintained and safe environment for the people living there. Evidence: Clore House is a large detached house that is similar to other properties in the area. It is not identifiable as a care home. All bedrooms are single. One person lives in a self contained flatlet within the building. The home is situated in a residential area of Prestwich, about three quarters of a mile from the village centre. It is close to bus routes, kosher shops, synagogues, and other local amenities. The communal areas of the home and two bedrooms were looked at. These areas were age appropriate, comfortable, homely, and well maintained. The home was furnished with domestic style furnishings and equipment. Bedrooms were individually decorated and furnished, and highly personalised. Two bedrooms have en suite toilets, washbasins and walk in showers. A number of improvements have been since our last visit. A new bathroom had been fitted including a shower. Two bedrooms have recently been redecorated and had new bedroom furniture. There is a new shed and garden tools and a new tumble dryer. A Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: carpet cleaning contract is in place. Plans are in place to decorate the hall, stairs and landing, the dining room and a bedroom, in the near future. There is ramp access to the house for people with limited mobility to use. We identified one health and safety concern as we looked around the house. It was found that people had a lot of electrical equipment in their bedrooms and plug extension sockets were being used. Portable electrical appliance testing had not taken place. The registered manager addressed this problem by immediately arranging for the equipment to be tested and said that she would make arrangements for extra sockets to be fitted in bedrooms. The home was clean and tidy throughout at the time of the visit. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team are well motivated and enthusiastic about their roles and have access to the training they need to ensure that peoples individual needs are well met. Evidence: People were happy with the support they received from the staff team. It was observed that they had no hesitation in approaching the registered manager if they needed to. People said in returned surveys that they felt that the staff team were approachable and that they listened to them. There have been a number of changes in the staff team recently but the registered manager was now confident that there was a settled staff team in place. New job descriptions are in place. The manager said that all staff have now completed the induction programme or part of the induction programme with one new worker doing Skills for Care. A support worker stated on a returned survey that My manager ensured that I understood the induction process and it was delivered and assessed in the required time. Three out of the five support workers currently working at the house hold an NVQ qualification with a fourth enrolled on NVQ Level 2 and another enrolled on NVQ Level 3. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The registered manager has undertaken a skills audit for the home. In the main most training has been undertaken and evidence shows that new staff members are receiving training on a gradual basis. We discussed again with the registered manager the possibility of contacting Bury Adult Care Partnership to check out whether it is a suitable option for the staff team to attend Skills for Care training through the partnership arrangements. This would also be a means of keeping the registered manager updated in new training initiatives and an opportunity to network with other organisations. We were told that the quality assurance manager for the organisation is in the process of making an application. Staff recruitment records were looked at to check that they contained all the information required by law. We were concerned at the previous visits to the home that information received by the organisation did not stand up to scrutiny around the authenticity of references. We checked two support workers files at this visit and found them to be in good order. The registered manager confirmed that agency staff were rarely used and if needed the same person came from the agency who knew the people who lived at the home well to ensure continuity. The registered manager confirmed that support workers from Langdon Community were still not used as this service is not registered with us. The registered manager meets with members of the staff team regularly for formal supervision sessions and staff meetings are also held. In a returned survey a support worker stated that the service Takes care of creating good relationships between residents and staff, you can feel real team work. And, I would like to say that I am a new support worker and I am feeling absolutely great as part of the team. 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. People living at the home benefit from the open management approach and were confident in expressing their wishes and opinions about the service. The health and safety of people is promoted. Evidence: The registered manager has worked at Clore House for two years. She has many years experience working in residential care settings and holds the Registered Managers Award. Discussion with the registered manager confirmed that she has ensured her continuous professional development by attending Obsessive Compulsive Disorder training, challenging behaviour training, Strategic Planning and Business Planning and refresher training in the Jewish ethos. To strengthen the management arrangements a well qualified deputy manager is due to start work at the home in the near future. Both people living at the home and support workers said that the manager was always approachable and very supportive. Since our last visit Clore House as part of Langdon Community has acheived an Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Investor In People award. Regulation 26 visits are carried out by the organisations quality assurance manager. People have been involved in a quality review of the service and a report produced. From this an action plan for July 2008 to July 2009 has been developed that is monitored by the quality assurance manager that includes a team plan and ongoing action plan. This evidences attention to detail and planning. Before our visit we asked the manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. Health and safety records were checked. These included the gas safety report, servicing of the fire alarm and extinguishers. The registered manager has produced a house file, which helps support workers to locate meters etc and contact numbers for maintenance contractors. There is a fire risk assessment and also an environmental risk assessment in place. There is a copy of a valid insurance document displayed at the home. 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 1 2 20 23 Handwritten entries on the MAR sheets need to be double signed to ensure that they are accurate. The planned training in new local safeguarding procedures must be undertaken to ensure that all the staff team are clear about what action to take in the event of a suspicion or allegation of abuse. To ensure that people using the service are in safe and competent hands the service needs to ensure that new support workers have received all the mandatory training they need. 3 35 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 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!