Inspection on 20/01/09 for Norlin House

This inspection was carried out on 20th 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

Norlin House 13/02/07

Norlin House 23/02/06

Norlin House 28/04/05

Norlin House 22/09/04

Norlin House 02/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Norlin House 31 Ewart Road Kingston Portsmouth Hampshire PO1 5RH     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: Mick Gough     Date: 2 0 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. that people have said are important to them: They reflect the things 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 © (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 28 Information about the care home Name of care home: Address: Norlin House 31 Ewart Road Kingston Portsmouth Hampshire PO1 5RH 02392717040 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Millooash@hotmail.com Independent Care (Portsmouth) Ltd Name of registered manager (if applicable) Mrs Linda Janice Rosa Walsh Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (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 (LD). Date of last inspection Brief description of the care home Norlin House provides accommodation and care for up to three adults with a learning disability, aged between 18 - 55 years. The home is a terraced property situated in a residential area of Portsmouth, and is close to local amenities and bus services. The home has a small rear courtyard garden. All bedrooms are single and the communal areas consist of a ground floor lounge and kitchen/diner. The bedrooms do not have wash hand basins; this was agreed with the previous registration authority, Hampshire Care Homes for Adults (18-65 years) Page 4 of 28 care home 3 Over 65 0 3 Brief description of the care home County Council Social Services department Registration and Inspection Unit. The registered person rents the property on a lease basis from a landlord. The physical layout of the home is such that it is not suitable for those who may have mobility needs. At present there are only two people living in the home. The current range of fees are available from the home. 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report details the evaluation of the quality of the service provided at Norlin House and takes into account the accumulated evidence of the activity at the home since the last key inspection which was carried out 13 February 2007 and the last Annual Service Review which was completed on 24 April 2008. Included in the inspection was an unannounced site visit to the home, which took place on the 20 February 2009. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and users of the service. It was possible to meet and talk to both of the current residents to obtain their views on how the home was meeting their needs. We also spoke with 2 members of staff and the homes manager who assisted the inspector throughout the visit. Care Homes for Adults (18-65 years) Page 6 of 28 The home is registered to provide support for 3 residents and at the time of the inspection there were 2 people living at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 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 10 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. Prospective users of the service would have their needs fully assessed before they move into the home. Evidence: There have not been any new admissions to the home since the last inspection and all assessments have been audited previously and no issues have been raised. The homes completed AQAA told us that the home provides copies of the homes terms and conditions in an accessible format and that there is a policy and procedure to follow with regards to any prospective new service users. We were told that although the home currently has only 2 residents, there are no plans to admit any other service users while the current residents are living at the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessed needs and personal goals of residents are reflected in an individual plan of care and people who use the service are supported to make decision about their lives with assistance given by staff. Residents are supported to take responsible risks and this allows them to live an independent lifestyle as much as possible. Evidence: Care and support plans were seen for both residents and these were comprehensive documents and were clear and easy to follow. Care plans were kept secure in the office at the home and they gave clear information on individual, problems and needs and included information on daily routines, general health, eating and drinking, likes and dislikes, skin care, hair care, personal care and also any specific needs of individual residents. Care plans also had detailed support plans, which identified needs, gave information on desired outcomes and provided an action plan to achieve this. Care plans gave good information on personal preferences and personal image and residents told us that they were involved in making up their plans of care and told us Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: that they were very happy with the support provided. The home completed AQAA stated that care plans were agreed with residents and were reviewed and updated regularly and this was confirmed by recording in the care plans seen. Care plans were reviewed every month and the reviews provided an evaluation of how the care plan was working and also detailed any changes that were required. Daily recording was clear and provided good evidence of care delivery. Residents are supported to make decisions about their day to day lives and staff were observed interacting with residents and taking their views into account. Care plans and recording gave good information on how staff involved residents in decision making. Residents told us that they make their own decisions but listen to staff for support. On the day of the visit both residents went out independently, one went into Portsmouth to go shopping while the other resident went out to meet her mother. Care plans looked at contained risk assessments and these gave details of the assumed risk, the level of risk and also details of the risk. They detailed control measures to minimise the risk and they gave staff good information on any support that was required. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to take part in appropriate activities and they access the local community on a regular basis. They have opportunities for personal development and are encouraged and supported to be part of the local community. The homes visiting policy supports residents to maintain family links and their rights are respected. Residents are offered support to plan their own menu are provided with a balanced diet in pleasant surroundings. Evidence: The homes completed AQAA told us that residents are supported to be involved in a variety of activities of their choice and that individual plans were in place, which clearly promote independence, positive risk taking and choice. This was confirmed by the residents we spoke with and also from the activities plans for one resident. Both residents are independent and go out into the community on their own, they have Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: there own key and can come and go as they please, although they are asked to keep staff informed of where they are going and the time they are expected to be back. One resident goes to college 3 days a week and takes classes in drama, literacy, numeracy and independent living skills, She also attends weekly clubs and discos. We were told by the manager that until recently she did voluntary work but has decided to give this up, the manager told us that they would support her to find other voluntary work if she wished to get back involved. The other resident at the home is not interested in any planned activities she told us that she likes to take herself out into town and look around the shops. The manager told us that they arrange social outings to the pub or go out for a meal and both residents enjoy this. Residents are supported in planning holidays or short breaks etc and 1 resident is looking to go away to Butlins with support from the college. The home supports residents to maintain contacts with family and friends and residents exchange greeting cards and speak to relatives on the phone. The home has a clear visiting policy and visitors are always welcome and we were informed that staff would respect residents wishes on who they wish or do not wish to see. Daily routines in the home promote residents independence as much as possible and they are encouraged to participate in day to day routines. During the visit staff were observed interacting with residents and they got on well together, staff used residents preferred form of address and both residents we saw told us that they were very happy at the home. Residents told us that they like to help out with household chores and they told us that they are supported to keep their own rooms neat and tidy. The manager told us that residents could be involved as much or as little as they want. Mail is given to residents unopened and staff support is available if required. Residents have access to all areas of the home and there were no restrictions. Menus at the home are made up with residents involvement and staff meet with residents each week to plan the next weeks menu, staff provide support to ensure a balanced diet. Breakfast is normally a choice of cereals and toast, lunch is normally a packed lunch which residents make themselves and the main meal of the day is in the evening. A menu is on display on the notice board and a record of all food consumed is kept. Residents told us that the food is always good and they said that the staff are good cooks. The manager told us that the menu is flexible to allow for meals out and take-aways. Meals are normally taken in the dining room but residents can eat elsewhere if they wish. 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 health, personal and social care needs of residents are set out in an individual plan of care and residents have access to all relevant health care professionals and their health care needs are met. Residents are protected by the homes policies and procedures regarding medication. Evidence: Personal support is offered in private and both of the residents are female. Currently all of the staff at the home are female but the home is currently inducting a male member of staff. The home has a policy on cross gender care and we were told that residents wishes on who they would like to give any personal care would be respected. Both of the residents are independant and do not required staff to be actively involved in their personal care. Care plans were seen to give clear information to staff on what if any support is required and this is normally verbal prompts and encouragement. All support is offered flexibly to suit residents needs. Both residents are registered at a local GP surgery, they have different dentists and Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: also diferent opticians and regular checks are carried out. Comunity nurses are available from the GP surgery and the home has the support of the local learning disability team if required and residents have access to the services of a well woman clinic. All other healthcare professionals are available through GP referral. Both residents have a health care folder and these contain details of all health care appointments and include medical notes of any treatment given the files were comprehensive and provided good clear information of any treatment given. The information in these files provided clear evidence that residents health needs are monitored and met, and that staff provide any support that is required. Both of the residents at the home have regular prescribed medication and this is provided to residents in a monitored dose system by a local pharmacist. Residents medication is stored in a locked container in the office at the home. Staff support residents with their medication and all staff have completed training in medication administration. Medication records were looked at and these were clear and up to date. Currently the home does not hold any controlled drugs (CDs) and the storage arrangment in place are suitable for the medication curently held at the home, however the law concerning the storage of CDs has changed and the home must ensure that if they do hold any controlled drugs they must be stored securely. In brief, the requirements for CD storage are; Metal cupboard of specified gauge. Specified double locking mechanism. Fixed to a solid wall or a wall that has a steel plate mounted behind it. Fixed with either Rawl or Rag bolts. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. 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. There is a clear and accessible complaints procedure, which includes timescales for the process and service users can be confident that their views would be listened to and acted upon, any complaints are logged and responded to appropriately. The homes policies and procedures help to protect service users from any form of abuse. Evidence: The homes completed AQAA told us that there had been no complaints since the last visit to the home and this was confirmed on the day of the visit. The home has a clear and accessible complaints procedure and this was in a format suitable for the residents at the home. Residents we spoke with told us that they would make any complaint to a member of staff and they told us that they were confident that any complaint would be taken seriously and dealt with appropriately. Staff members spoken to were aware of the complaints procedure and told us that they would assist and support any resident who wanted to make a complaint. The home has a copy of the Hampshire Adult Protection procedure and has a whistle blowing policy. Staff training records showed that staff receive training with regard to adult protection and POVA as part of their induction, there is also annual training in Safeguarding. The manager and staff members spoken to confirmed that they had received training and were aware of their responsibilities 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. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. Evidence: The home is a 3 bedroomed terrace house and offers a good standard of accommodation. The home is tastefully decorated through out and furnished with suitable furniture and furnishings. Residents are free to choose where to spend their time and we were told by both of the residents that they like to spend time in the lounge at the home but also like to spend time in their rooms. There is a small lounge with a large wide screen TV where residents can relax. There was a spacious kitchen with dining table and residents were supported to make drinks and snacks. Both resident were keen to show us their rooms and these had been decorated and furnished to reflect the individuals personality. Both bedrooms had been personalised and residents had been consulted about the decoration of the communal areas. There is a small enclosed garden with a sitting area and residents can choose to spend their time where they wish. All areas of the home were clean and we were told that residents are encouraged to keep their own rooms clean and tidy and are supported by staff to do this. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There is a small utility room which has separate facilities for laundering clothing and this is equipped with domestic washing machine and tumble drier. Residents are supported to do their own laundry and there are systems in place for washing any soiled items. Residents and staff have access to protective clothing such as gloves and aprons and the home has policies and procedures on infection control and staff receive training in this area. 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. Competent, qualified and appropriately trained staff supports residents and meet their needs. The homes recruitment policy and practice protect residents. Evidence: The homes completed AQAA told us that the home employs 4 permanent care and of these Three have achieved NVQ2 or above. We looked at the homes staff rota and this showed us that there is a minimum of 1 staff member on duty when the residents are at home and a member of staff sleeps in the home at night. Care staff are backed up by an on call system and someone is available to come to the home to provide additional support at any time if required. The manager told us that she has a stable staff team who are reliable and flexible to meet residents needs. The manager told us that at present the staffing levels were sufficient but that she would keep staffing levels under review if residents needs changed. The homes AQAA told us that the home has a robust recruitment procedure and we looked at the staff files for 2 staff members and both files contained all of the required information including CRB and POVA checks being carried out before commencing work at the home. The manager told us that the home has a low staff turn over and there has only been one new staff members employed in the past 12 months and he is Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: currently being inducted. The Manger told us that the home is committed to providing good training for its staff. Staff undertake induction training in line with Skills for Care and this involves the new staff member completing an induction handbook, the induction is carried in the first 3 months of employment. Mandatory training is carried out in; moving and handling, fire safety, adult protection, medication, first aid, health and safety, food hygiene and infection control. Additional training is also made available to meet the needs of residents and this includes; learning disability, person centred planning, risk assessment, anger management, disbetes awareness, cardiac disease, managing challenging behaviour and principles of care. The manager told us that training needs are discussed at supervision and also at staff personal development planning, she told us that she would support any training that would benefit the residents. Staff members spoken with confirmed that they had received a good induction and said that there was regular training provided at the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home and the views of residents and other interested parties are sought on how the home is meeting thier needs. The health, safety and welfare of residents and staff are promoted and protected. Evidence: The homes completed AQAA told us that the Registered Manager has completed NQV4 in Care and the Registered Managers Award and we spoke with the manager who confirmed this and she told us that she has been managing the home since it opened in 2001. She is an experienced manager who is also the manager of another small home. She told us that she regularly updates her skills through regular training. During the visit the manager was able to answer any questions asked of her and all records and documents were up to date and readily available. The manager works well with her team and the residents, and she operates an open door policy. Regular regulation 26 visits to the home are carried out in accordance with the regulations and reports of these visits were available at the home. The home employs Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: a consultant who carries out cheks of the home and also provides advice and support to the manager and staff. There are regular staff meetings and also residents meetings and The organisation sends out questionnaires to residents staff and other stakeholders to seek their views on how the service is operating annually. We saw surveys that were sent out and returned last year and those surveys that were returned had been collated and evaluated. The manager told us that surveys were due to be sent out again later in the year. The home has employed consultants to provide help, support and guideance with regard to health and safety issues and they have provided the home with detailed health and safety checklists to ensure that regular health and safety monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for gas safety, fire alarms systems and equipment, private electrical equipment and fixed wiring. There is an in date fire risk assessment for the building and there were risk assessments in place for the home environment. 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 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 © (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 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!