Inspection on 21/10/08 for Long Lane Farm

This inspection was carried out on 21st 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

Long Lane Farm 20/10/06

Long Lane Farm 23/01/06

Long Lane Farm 08/08/05

Long Lane Farm 03/12/04

Long Lane Farm 15/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Long Lane Farm Kellet Lane Bamber Bridge PR5 6AN 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: Val Turley Date: 2 1 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. 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 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 29 Information about the care home Name of care home: Address: Long Lane Farm Kellet Lane Bamber Bridge PR5 6AN 01772335372 01772335372 info@progessschool.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Progress Adult Services Ltd Name of registered manager (if applicable) Pamela Jayne Thornton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 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: 4 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home Long Lane Farm is one of four residential care homes run by Progress Adult Services Ltd. It provides a service for young adults who have a learning disability and present complex and challenging needs. The aim of the service is to provide the young adults with intensive positive support and experiences and to work towards reducing episodes of challenging behaviour by reinforcing and maintaining positive change. The home itself is a detached property, which is set back from the road in its own grounds. There is a large secure garden at the rear and landscaped gardens to the side and front. The home is comfortably furnished taking into account the safety and well being of the service users. The home offers accommodation to four service users who each have their own bedroom. Three of the bedrooms are situated on the first floor of one wing of the house where there is also a toilet and a bathroom. In a separate and almost self-contained wing of the house there is a fourth bedroom with en-suite bathroom and a lounge area. There is controlled access to the rest of the house from this wing. The communal areas are on the ground floor and consist of a lounge, a large dining kitchen, office and a small conservatory. There are several outbuildings with the laundry being situated in one and a staff room in another. The other buildings provided storage. Fees for the home range from 137,000 pounds per year to 178,000 pounds per year plus charges for personal shopping and some activities. 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: 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 Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home This inspection included an unannounced visit to the home on 21/10/08. During the visit we spoke to one young adult who was able to discuss the care and support provided by the staff team. We also spoke to members of staff and the manager of the home and observed them supporting the young adults living at the home. We were also able to speak to a visiting relative about their views on how the home is run. We looked at the documents and records that must be kept at the home including care plans, staff files and policies and procedures. We also tracked the care of one of the young adults to see if he received the care as described in his care plan. Before the visit to the home we asked the manager to complete an Annual Quality Assurance Assessment (AQAA) to tell us what they felt the home did well and what they needed to do to provide an improved service. This helped us to determine how well the home is managed. We also received completed surveys from one young adult and three members of staff. These gave additional information as to how the home is run. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well The home provides a comfortable, clean, well-maintained and safe environment for the young adults who live there and the staff who support them. Previous inspections have shown that a thorough assessment of any prospective new admission is undertaken before a decision is made to provide a service. A detailed person centred care plan is developed for all the young adults living at the home and these are reviewed and updated regularly so that the changing needs of the young adults are being monitored and action is taken to meet them. The staff had a thorough understanding of the needs of the young adults living at the home and were observed to work with them, encouraging and supporting them to make decisions in respect of their daily routines. A variety of strategies were in place to enable the young adults to do this. All activities were risk assessed with clear guidance in place for staff enabling them to support the young adults safely and appropriately. Activities were based both in the community and the home and aimed to give the young adults a sense of achievement and security. The home has a very good relationship with the families of the young adults and actively supports the contact between them. One parent said that the home supports the whole family. Routines in the home were flexible and unhurried and were guided by the needs and preferences of the young adults. Their health needs were attended to with staff supporting them to attend a Care Homes for Adults (18-65 years) Page 8 of 29 variety of appointments with a range of health professionals. Medication was well managed within the home helping to keep the young adults safe and well. The home had a comprehensive complaints policy in place. One of the young adults was clear as to how he could use this if he wished to raise any concerns about the home. A visiting relative was also clear as to how a concern could be raised if necessary. Staff were confident and well motivated and were given access to a range of training opportunities including induction training and additional training in respect of specific syndromes and conditions. Recruitment was undertaken carefully with all of the necessary checks and references being taken up and these efforts helped to keep the young adults safe. The home was well managed with the registered manager having undertaken additional training to update her skills. There were a number of quality assurance audits undertaken to help make sure that the home was run efficiently and in the best interests of the young adults. The manager had competed a self assessment questionnaire prior to the site visit to the home being undertaken and this demonstrated that she had a clear idea how the home should be run and what improvements should be made for the benefit of both the young adults and the staff team. Page 9 of 29 Care Homes for Adults (18-65 years) The home itself was well maintained with all necessary checks and service shaving been undertaken. Staff received health and safety training as part of their induction and policies and procedures and appropriate risk assessments were in place to keep the environment safe for everyone. What has got better from the last inspection The home has continued to work with the interests of the young adults being central to the way the service has developed. There is a recognition that as the young adults mature the service needs to change accordingly and efforts have been made to make changes to the environment to meet these changing needs. Additionally since the last visit to the home the drive running to the rear of the house has been levelled to make this area safer for everyone to use. Care Homes for Adults (18-65 years) Page 10 of 29 What the care home could do better 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 Val Turley Tustin Court Portway Preston PR2 2YQ 01772 730100 Care Homes for Adults (18-65 years) Page 11 of 29 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 12 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 13 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 pre-admission process is very thorough with the home making sure as far as it is able that it can meet the needs of any young adult wishing to move there. Evidence: There had been no new admissions since the last key inspection so it was not possible to assess this standard fully. However previous inspections have shown that the home has a thorough approach when assessing the support needs of any potential new resident. A detailed assessment is undertaken before anyone is admitted to the home. As much time as possible is spent with the young adult and information is collected from family, friends and any involved health and social care professionals. The home commissions an independent psychological service to be involved in the assessment process and this helps to identify any specific support needs. The home has produced a new service user guide in a format that the young adults may be able to understand more easily. The guide provides details of the service that the home can provide as well as details of how to raise any concerns about the home. Care Homes for Adults (18-65 years) Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home had a positive and effective approach to meeting the support needs of the young adults. Evidence: The care of one of the young adults was tracked during the course of the visit to the home. The care plan and associated documentation contained a great deal of information and was written in a person centred way emphasising the needs and preferred routines of the young adult. The plan was reviewed at least monthly with the staff team being encouraged to contribute to it. Discussion with a member of staff showed that the staff had a thorough understanding of his needs and were very aware of how best to give him opportunities to make choices and decisions. The young adult used signs to help him communicate his decisions and feelings and the staff team were very aware of these and used them with him in general conversation. Any activities that the young adult was involved in were risk assessed and the staff were provided with guidance as to how best to manage situations and to keep both the young adult and themselves safe. The young adults day was structured to provide an atmosphere and environment that he felt as safe as possible in. Care Homes for Adults (18-65 years) Page 15 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 . The staff encouraged the young adults to make decisions and choices in their daily lives and supported them in these, taking into account any health and safety issues. Evidence: The young adults are encouraged and supported to take part in a range of activities. These include attending the local leisure centre for activities and the use of local shops and other community facilities. Work placements are arranged where this is appropriate with the young adults taking a pride in their achievements. The activities arranged for the young adults are carefully thought through to ensure as far as possible that they can be safely managed and enjoyed by the young adults. The knowledge that the support staff have of the young adults individual needs helps them to organise these activities successfully. Activities were also arranged within the home taking the young adults interests and needs into consideration. The home had excellent working relationships with the families of the young adults and Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: supported any contact they had with them. One relative said that the home provides additional support when she visits and not only do they support her son, they support the whole family. The staff spoken to on the day of the site visit spoke to the young adults sensitively and respectfully. They also respected their choice to spend time alone when they wished. Care plans included details of the young adults dietary needs and preferences. One of the young adults was very keen to eat healthily and he was supported to do this by the staff team. Meals were unrushed and and arranged around the young adults routines. Care Homes for Adults (18-65 years) Page 17 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 . The home had procedures in place to assess the personal and health care needs of the young adults they support and worked appropriately and sensitively to ensure that these needs are met. Evidence: The care plan of the young adult that was looked at in detail on the day of the visit to the home was very detailed and included details of his preferred routines and the specific support he needed in terms of personal care. This detail was confirmed in discussion with the management team, support staff and a visiting relative. They all had a very clear idea of what support he needed and how it was to be provided. There was evidence from the young adults file and from discussion with several members of staff that the home attended to the health care needs of the young adults. They were supported to attend a range of health care appointments and staff worked with health care professionals to try to improve the health of the young adults. The home is able to draw on the services of a psychological service if guidance is needed on how to manage any challenging behaviour in the home. Medication in the home appeared to be well managed and the staff spoken to were Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: knowledgeable about the medications prescribed for the young adults. The medication was appropriately stored and records of its administration were accurately kept. Staff received training in the management of medication from within the company and also from an external body. The manager of the home undertakes random spot checks to make sure that staff are following the correct procedures when giving the young adults their medication. These measures all helped to ensure the health and well being of the young adults. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home had good policies and procedures in place to ensure as far as possible that the young adults are protected and kept safe. Evidence: The home had good, clear policies in respect of concerns, complaints and protection and staff received training in all of these areas. This approach helps to ensure that the young adults living at the home are protected and kept safe. The home works in a very positive way, making sure that the young adults only undertake activities where they can be positively supported. The staff at the home all receive training in the management of challenging behaviour and positive handling and this also helps to keep the young adults safe. The young adults respond to the structured environment that the staff provide and this helps to reduce any levels of anxiety and insecurity. Over the past year there have been no complaints or concerns raised at the home. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is clean and comfortable, providing a pleasant and safe environment for both the young adults and the support staff. Evidence: The home was clean, comfortable and well maintained. Furnishings were chosen carefully with the safety of the young adults being a consideration in this process. The company has its own maintenance team enabling repairs to be carried out quickly and efficiently. The young adults bedrooms were decorated and furnished with their personality and interests in mind. The home had been decorated within the last twelve months and some of the furnishings and carpets had been replaced. The laundry facilities were located to the rear of the main house in an outbuilding. The equipment was sufficient to meet the needs of the young adults. The drive to the rear of the home had been levelled since the last inspection providing a much safer surface for the young adults to walk on. The very uneven garden area to the rear of the home did however remain and this still presents a concern in terms of the health and safety of the young adults, who can be unsteady on their feet and to the staff. This area is the responsibility of the housing association who had planned to level this area but unfortunately had not carried this work out. The manager said she intended to contact the housing association again with further evidence as to why it is Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: necessary to have this area cleared and made safe. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home had a good recruitment process and provided staff with good training opportunities with a view to protecting the young adults as far as possible. Evidence: The staff spoken to on the day of the visit to the home were well motivated and keen to continue to improve the lifestyles of the young adults who lived there. They had received training that helped them to support the young adults and they were confident with the responsibility that they had. The young adults appeared to relaxed in the presence of the staff and one said that he liked them very much. A visiting relative said she found the staff very supportive and knowledgeable about her relatives needs. The home had a thorough recruitment procedure and took up references and carried out the necessary checks before appointing any member of staff. Staff must work a probationary period before they are confirmed in post. This enables the company to make a decision as to whether the member of staff has the necessary skills to work in the home. Training records showed that the home provided the staff with a good range of training opportunities and ensured that staff received mandatory training and that this was updated as necessary. The home was working towards having fifty per cent of the staff Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: team achieve a nationally recognised qualification in care. Discussion with the manager showed that she was aware of the needs of her staff team and the importance of keeping them motivated. She said that she wanted to promote more individualised support and training for the staff team and also by deciding how long individual members of staff needed support in the early days of their work in the home. One member of staff said that she had a very good induction at the start of her employment with the company and that she felt very well supported by the staff team and the manager. Surveys had been completed and returned by three members of staff. Two members of staff were very satisfied with the support and training they received whilst a third expressed some dissatisfaction with the support provided by the management team. The manager said she would look at these concerns and act upon them. All three members of staff stated that the home provided a good standard of care for the young adults living there. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is well managed with the best interests of the young adults being promoted and safeguarded. Evidence: The registered manager was continuing to work towards her National Vocational Qualification in Care and Management. There was evidence that she was committed to the aims and objectives of the home and had updated her skills with additional training. She managed the home in an open and transparent way with staff finding her to be approachable and supportive. The manager had completed its annual self assessment and this showed that thought had been given to the way the home supports the young adults who live at the home and further planned developments will improve the range of opportunities available to them both within the home and the community. The home has a number of quality assurance systems in place to ensure that the home is run efficiently and safely in the best interests of the young adults. These included a monthly monitoring visit by a senior member of the company, checks on the environment and medication. All systems and equipment were appropriately checked Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: and serviced and an external Health and Safety Officer was available to the home to advise on health and safety issues. Staff had received health and safety training as part of their induction and policies and procedures and appropriate risk assessments were in place. The home had also achieved the Investors in People Award which is a quality assurance award accredited by an outside body. It is difficult for the home to actively seek feedback from the young adults about the service provided. However the staff team use their skills and judgement on at least a daily basis to determine if the young adults are satisfied and happy with the service and support that they receive. They can only do this by getting to know the young adults well. The reactions and behaviour of the young adults in response to the support they receive and to the environment they live in shapes the way in which the home is run and helps staff work with the young adults to achieve and move on to new goals. Consultation with family and involved professionals plays a role in helping the service the home provides to develop. Key policies and procedures are available for all staff to refer to in the staff room. Accidents and incidents are recorded, monitored and any emerging trends identified and managed. Strategies to prevent a recurrence of incidents are transferred to the care plans of the young adults. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation 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 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 24 The home should continue to work with the housing assocaition to have the uneven area to the rear of the home made safe for everyone living or working at the home. The home should continue to work towards 50 per cent of its staff achieving a nationally recognised qualification in care. 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 © (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 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!