Inspection on 22/01/09 for Littlemoor House

This inspection was carried out on 22nd January 2009.

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

Littlemoor House 26/01/07

Littlemoor House 21/11/05

Littlemoor House 16/02/05

Littlemoor House 15/09/04

Littlemoor House 22/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Littlemoor House 70 Littlemoor Newbold Chesterfield Derbyshire S41 8QQ 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: Brian Marks Date: 2 2 0 1 2 0 0 9 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 31 Information about the care home Name of care home: Address: Littlemoor House 70 Littlemoor Newbold Chesterfield Derbyshire S41 8QQ (01246)563150 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Hilary Inkles Name of registered manager (if applicable) Mrs Hilary Inkles Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: Date of last inspection A bit about the care home The Home can look after 5 people. Care Homes for Adults (18-65 years) Page 4 of 31 Chesterfield X2 Littlemoor is near Chesterfield town centre. The Home has bathroom and toilet facilities on both floors and is run on domestic lines. People are encouraged to use community facilities, including day centres. Care Homes for Adults (18-65 years) Page 5 of 31 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 Care Homes for Adults (18-65 years) Page 6 of 31 How we did our inspection: X This is what the inspector did when they were at the care home We came to the home without telling the manager before we came and spent part of a day there. We had received a lot of information about the home from the manager, the staff and people living at the home before we came. The information we received before we came helped us plan what we would do when we arrived. At the home we spoke to the manager who told how things had changed since we last came. We looked at a lot of papers and documents in the office that told us about the home. We spoke to the staff who was working during the time we were at the home. X1 We spoke to two people who live at the home about their rooms and how much they enjoy living there Care Homes for Adults (18-65 years) Page 7 of 31 X2 We walked around the home and saw how it had been improved. This is the first inspection of this home since 26 January 2007 - two years ago. What the care home does well 1 The people in charge of Littlemoor are making it better for everybody and a new person has recently come to live there. The people in charge of Littlemoor are always listening to the people who live there and have changed things in the ways that they want. People from outside, such as doctors, nurses and social workers, are regular visitors to the home and they have helped staff at the home to look after people properly and to be healthy. Staff at the home work well to give people a good life and they get regular training to help them do things even better. Staff look after people properly and treat them with respect. The manager at the home does a good Care Homes for Adults (18-65 years) Page 8 of 31 job. The home has been made a nicer place to live in by improvements to bedrooms and redecoration of the areas that everybody uses. People living at the home have said what they want changed about the building. What has got better from the last inspection What the care home could do better One statutory requirement have been made as a result of this inspection which help make sure that everybody is safe. Everything is going well at the home and Care Homes for Adults (18-65 years) Page 9 of 31 the people who run it dont have to do too much more to improve things. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Brian Marks Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 01223 771300 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 10 of 31 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 11 of 31 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 support and care needs of individuals are properly identified before they move to the home, to ensure that the home is right for them and that their aspirations are properly planned for. Evidence: In the AQAA we were told how a full needs assessment is carried out before anybody moves to the home and this is done with any professionals involved, the persons family and particularly the person themselves. People are encouraged to visit before any decisions are made and this helps the homes staff to assess whether everybody is going to get on well together. Since the last inspection one new person has come to live at the home and from looking at his care records we are able to confirm that detailed assessments of need and capability were carried out by staff from Adult Social Services as part of the referral process. He also came to visit and after an overnight stay decided that Littlemoor was the place for him. Because he was moving on from a larger Social Services home, a lot of information was available about his background, interests and Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: preferences, and a number of different professionals contributed to the moving-on process; their written assessments are also retained on file. The care records of somebody who has lived at the home for some years was also looked at and these also contained documents that indicated detailed assessments being carried out before he moved in. Each of the files looked at held a record that indicated that they had been monitored by the manager every three months to indicate that actions and interventions are based on up to date information. Care Homes for Adults (18-65 years) Page 13 of 31 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 . Residents care needs have been assessed, risk factors identified and care planned in ways that reflect their individual preferences and abilities. Evidence: In the AQAA we were told that all the people living at the home have comprehensive care plans that detail each persons care routines and that these are designed to promote independence and choice. We were also told that these also include any health care needs that the person may have. The care records of the two people we looked at in detail had actions planned in all the required key areas, such as housing, personal assistance, leisure, health and domestic, as well as records of the involvement of outside professionals. The care records also included a personal support plan for daily activities and individual routines. A range of risk assessments is in place to support safe working, along with a number of daily records. Some of these documents are handwritten and did not present in a very professional style. All of the records contained documentation that there had been a case review held with a representative of the Adult Social Services Department and Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: that these usually take place annually. As noted above the manager reviews all care records more frequently, usually every three months. Within all of the documents prepared by the homes management there is a strong commitment to help people do want they want to do and lead the lives that they want. There is a varied degree of independence amongst the current group with one person spending his days out of the home, either using town centre facilities or visiting family, whilst others spend time at local day services or other services. The two residents who were at the home during the inspection were relaxed and happy and one of them went out for the afternoon with a longstanding voluntary worker. We were told we all get on well together, were good friends and its like a lovely family home, Im happy here. They were observed interacting well with the homes owners and staff. Care Homes for Adults (18-65 years) Page 15 of 31 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 living at the home have continued to enjoy social and leisure activities of their choice, so that independence and decision-making are encouraged and they enjoy as many opportunities as possible. Evidence: In the AQAA we were told that the home is situated in a local community and the people living there use local facilities and take part in community activities. We were also told how families and friends are encouraged to maintain links, and how some of the residents visit family members on a regular basis. All the people living at the home are given the Residents Charter that identifies rights and choices around preferred lifestyles. Discussion with staff and observations made during the visit confirmed that the daily routines of the home continue to be flexible and residents were seen in the communal rooms and bedrooms during the inspection. Three people spend part of their week at Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: structured day services - one operated by Social Services and another by a voluntary group. As mentioned previously one person spends most days out of the home in the town centre or with family, and the other chooses to spend his time at home in the company of staff or whoever is at home. The particular activities that people enjoy are described in their care plans and outside professionals have, in some cases, been involved in making arrangements. One person is a keen churchgoer but this has been affected recently by his regular church closing and difficulties in transport arrangements. Informal leisure activities are well supported and people have continued to enjoy activities within the wider community with staff support. Visits to local shops, pubs, cinemas and restaurants are regular and we were told about arrangements for celebrating an 88th birthday the following day. The catering arrangements at the home are very domestic in style and we were told by the member of staff on duty that the written menu acts a guide to avoid repetition and that meals can be changed if the group decides. The feedback received was positive about the standard of meals provided and we were told how we have what we want and theres always plenty to choose from. The member of staff described healthy eating as the principle they try to work to, and fresh fruit and vegetables were seen in store. One of the proprietors does a weekly shop at the local supermarket and people living at the home usually help out with this. Overall food stocks seen in the kitchen and storage areas were satisfactory. In the AQAA we were told how meetings with the people living at the home help with decisions around menu planning and mealtimes. Care Homes for Adults (18-65 years) Page 17 of 31 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 needs of people at the home are dealt with in a satisfactory way, and they continue to receive good support from outside professionals, so that they have access to local services like everybody else. Evidence: In the AQAA we were told how people enjoy support from outside agencies and that they have a choice of GP, dentist or chiropodist. We were told that physical, emotional and dietary needs are identified in care plans and that each person chooses a member of staff to take the lead in supporting and managing issues and problems. Since the last inspection one person has moved on because of failing ill health and the need for intensive support, and the management of the home are clear about the boundaries of need they can be responsible for. Because the oldest person living at the home has experienced increasing frailty, he has been able to move him to a ground floor bedroom which he told us he is very happy with. Other people require varying degrees of support with personal needs and these are identified in care plans. As reported before they are encouraged to do as much for themselves as they can and this is reflected in the personal plans we looked at. These confirmed the involvement of local Learning Disability professionals and these have included Psychiatrist, speech Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: and language therapist and specialist nurse. People also have routine access to general healthcare services and we were told by one that he had been unwell recently, I had an infection but I saw the doctor and Im much better now. Written risk assessments on care files cover skin integrity, nutritional and any special medication needs, and there were regular monitoring checks taking place on weight, personal care activities, smoking and sleep patterns for individuals where these has been agreed as issues. We saw from written records that everybody receiving prescribed medication require staff help with its management. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these are generally satisfactory and that all entries in the written records had been made properly. Medication is stored securely and the home uses a Monitored Dosage System for the dispensing of most of the medicines in use. Care Homes for Adults (18-65 years) Page 19 of 31 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 are protected by having their rights to complain upheld and by staff who understand their responsibility to report concerns and to safeguard vulnerable people from harm. Evidence: In the AQAA we were told that people are encouraged to air their views openly and that any concerns or complaints are acted upon promptly. We were also told that staff have received training in respect of safeguarding vulnerable people. The home has a comprehensive complaints policy and procedure that is included in the Service Users Guide; this is given to people living at the home or their representatives. The manager reported that there had been no formal complaints made by anyone within the past 12 months but, as stated previously, the size of the home is small enough for people to be able to raise concerns with the expectation that they will be dealt with immediately and informally. The home has a copy of the statutory safeguarding procedures, and records indicated that the manager and staff had all attended training or briefing sessions provided by the Local Authority. No issues regarding safeguarding adults have been reported at the home since the last inspection. We also looked at a the homes procedure that describes staff responsibilities to identify and report situations of possible abuse, which the manager has revised to ensure it complies with current local authority guidelines Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: and terminology. Care Homes for Adults (18-65 years) Page 21 of 31 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 living at the home have continued to benefit from a homely domestic style environment that is equipped to meet their needs. Evidence: In the AQAA we were told how they provide comfortable, warm and homely accommodation and that individual choices are taken into account with the homes decoration programme. We were also told that people are encouraged to personalise their rooms and that the gardens are private and quiet and can be used when people want to. We made a brief tour of the building and found it clean, tidy and offer ring domestic style accommodation that people occupy in single rooms with all the required facilities. Good standards of decoration have been maintained and the downstairs shower room is suitable for people who become less mobile and cant mange the stairs. As noted above this has been the case for one of the people currently at the home. All the bedrooms are very much to each occupants individual style and all have new televisions and other electric equipment, including one who has a recently upgraded computer system. The manager described a continuous programme of decoration, and recent improvements to the garden include the building of a small patio area. Staff are mainly responsible for cleaning and domestic arrangements around the building, and Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: the laundry is similarly domestic in style and capacity. At a recent visit by the Environmental Health Officer the home was given the high rating of Four Stars. Care Homes for Adults (18-65 years) Page 23 of 31 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 home has established systems for recruiting, training and supporting its staff, so that the interests of the people in their care are protected and their overall welfare is promoted. Evidence: In the AQAA we were told about the way that staff are recruited to the home and how checks by the Criminal Records Bureau (CRB) and written references are made before being confirmed in post. We were also told about training that staff are offered and about them being supported to achieve a qualification. We looked at the training records for staff and a batch of certificates that had recently been received by the manager indicated good standards had been maintained. The staff member on duty told us about the training she had received, about her achievement at National Vocational Qualification level 2 and plans to progress to level 3. She also confirmed though that she had not been exposed to any awareness training about the needs of people with a learning disability that could help further develop skills. Records indicated that the target of 50 of staff with an appropriate qualification had been achieved. The home operates a planned staff rota with most of the daytime hours being covered by the two owners. The other four staff are mainly on duty in the evenings and Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: mornings, with a sleep-in between these two shifts. The manager and staff on duty described a generally stable staffing team without a high turnover of staff. They had built up a lot of knowledge about the people at the home and described how they had come to understand and interpret those who had limited communication skills. We talked to the residents at the home during the inspection and they described good relationships with staff and told us that they like all the staff, theyre good to us and look after us well. We looked at the recruitment files of the last two people to be employed at the home and these indicated that a standardised procedure is in place and that all the proper references and checks are sought. However one of them had not had a check by the Criminal Records Bureau (CRB) completed and we were told that she would always work under the supervision of a more experienced colleague until it had been received. Another had a CRB certificate transferred from another job, but the owner confirmed that she knew all her staff personally before she employed them. Whilst the staff work quite independently, we were told that they have access to good support from the owners at any time. The records for staff supervision were not complete however and the manager confirmed that the system is in place, but meetings were irregular. Care Homes for Adults (18-65 years) Page 25 of 31 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 a well-managed and safe environment in which to live and work. Evidence: In the AQAA we were told how the home is organised to be flexible and to suit the needs, choices, rights and interests of the people living there. A consistent management and staff team produces better care, and rights and choices are further promoted by the care systems and reviews that are in place. We were also told that the manager has enrolled on training to acquire the new Registered Managers qualification. During the inspection, the homes manager confirmed that she had enrolled on the appropriate qualification course at NVQ level 4 and that she has continued to take up training opportunities with the other staff as they have been arranged. As reported above she is supported by a staff team that enjoys a low turnover and described the resulting consistency of care as being the strength of the home for the people living there. There was a relaxed atmosphere at the home and the people spoken to were equally positive about the owners as they were about the other staff. As reported at the last inspection methods by which people living at the home give feedback about Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: their care is informal but, because the proprietors are in constant contact they keep themselves informed as to how well the home is being run and how people are being looked after. We saw minutes of a residents meeting and a staff team meeting that were held at the end of 2008, but staff told us formal meetings like that were irregular. The manager has also revised the aims and objectives and the annual plan for the home for 2009, addressing this aspect of the organisation in more formal ways. The manager told us about standards of health and safety activity and regular servicing of equipment at the home, and observations made around the building and a sample of fire safety and servicing records indicated that the home was hazard free at the time of the inspection. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 31 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 Description 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 Description Timescale for action 1 34 19 The homes management 30/04/2009 must obtain a positive check by the Criminal Records Bureau for all staff that is relevant to their current employment. So that they can be sure that all staff are suitable to work with the vulnerable adults in their care. 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 6 The homes management should consider improving the standard of care documentation so that it has a more professional look and is easier for staff to use. All staff should receive formal 1-to-1 supervision from their line manager, at least six times in a year. This will ensure the opportunity for regular consultation about and monitoring of their work. Page 29 of 31 2 36 Care Homes for Adults (18-65 years) Care Homes for Adults (18-65 years) Page 30 of 31 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 31 of 31 - 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!