Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 27/02/09 for Rosna House Residential Home

Also see our care home review for Rosna House Residential Home for more information

This inspection was carried out on 27th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Rosna House provides a warm homely domestic setting for people to live. Individual support is provided as necessary for people using the service. People who use the service have a full assessment of their needs carried out prior to admission to the home, to ensure their needs can be met. People using the service were observed by us to be well cared for, and independence is encouraged. People are enabled to maintain friendships and family relationships. There have been no complaints made to the service and we have received no complaints. The financial procedures were checked, cash balanced with records maintained. Arrangements are in place for meeting the health care needs of people using the service, in some cases people attend health care practices themselves. All people are encouraged to be independent within a framework of risk assessments, and are encouraged to access local services independently.

What has improved since the last inspection?

Installation of external ramp and lighting New Assessment forms for prospective people who may wish to use the service. New carpets and easy clean flooring throughout the home. Some areas including communal areas have been redecorated. Chairs recovered.

What the care home could do better:

The fees charged to be included in the the Service Users Guide, ensuring people have all the information they require to make a decision about moving into the service. The Care Manager must obtain two references for all staff prior to offering employment, to ensure people are cared for safely. Update staff training to ensure staff are aware of safeguarding procedures.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rosna House Residential Home 339 Stone Road Stafford Staffordshire ST16 1LB     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: Kathryn Marks     Date: 2 7 0 2 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Rosna House Residential Home 339 Stone Road Stafford Staffordshire ST16 1LB 01785245696 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mickhuxley@btconnect.com Rosna House Limited Name of registered manager (if applicable) Mr Michael John Huxley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: MD - REGISTERED FOR 8 - 4 OF WHOM MAY BE OVER THE AGE OF 65 ON ADMISSION Date of last inspection Brief description of the care home Rosna is a large semi-detached Victorian house located approximately one mile from the town of Stafford. The town can be accessed via the local public transport route from outside the home. The gardens to the home are well maintained; the drive will display colourful baskets and flowers during the summer months. Accommodation for people using the service is located on two floors; the first floor can be accessed via the stairs. The home does not have a shaft or stair lift. Bedroom accommodation includes one shared and six single bedrooms [3 being on the ground floor], no en-suite facilities are available; a lounge, dining room, and smoking area. Bathing and toilet facilities are located on both floors. Rosna provides accommodation and a home for up to eight people with mental health Care Homes for Adults (18-65 years) Page 4 of 29 care home 8 Over 65 0 8 Brief description of the care home needs. The last inspection of this service was 27th February 2007. 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: 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: The overall quality rating for this service is Two Star. This means that the people who use this service experience good quality outcomes. This unannounced key inspection was carried out on the 27th February 2009 by one inspector who used the National Minimum Standards for Care Homes for Younger Adults, (18-65), as the basis for the inspection. On arrival at Rosna House the Care Manager and one support worker were on duty. There were four of the people using the service in the home. The Care Manager provided written information regarding staffing, staff training, that Care Homes for Adults (18-65 years) Page 6 of 29 was observed by us to be in place at the home. On arrival at Rosna House the people using the service were organising their day, one person guided us to the office. Everyone carried on with their arrangements for the day. We spoke to all people using the service as they came in and out of the home during the day. We reviewed three peoples care records in detail. We also reviewed a sample of the homes documentation systems and procedures. We discussed the food provided with people using the service, and looked at the menus. The Annual Quality Assurance Assessment (AQAA), had been returned to us by the service. Completion of the AQAA is a legal requirement and it enables the service to undertake a self assessment, which focuses on how well outcomes are met for people using the service. It was completed and returned to us but did not give detailed information about the services offered. Information received in surveys from people using the service could be summarised as follows: We received surveys from five people using the service that told us they had received enough information about the service prior to moving into the home. Five people using the service told us, that they make choices and decisions about what they do on a daily basis, and can usually do what they want. Five people using the service told us that they all knew how to make a complaint, and who to make complaint to. Five people using the service told us the home is always fresh and clean. One person told us, I say our cleaners are very efficient people. People told us they completed the questionnaires themselves. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the home receive information and they are assessed so that they can be assured the home can meet their needs. Evidence: The AQAA we received prior to the inspection, told us the service meets with prospective people who may wish to live at Rosna House. The manager goes out to peoples homes where an initial assessment takes place, the persons family and social worker are also involved in this assessment. The Service Users Guide is available in the home but does not identify the fees charged. This information must be included to ensure people have all the information they require prior to making a decision to move into the home. We looked at the assessments of three people using the service, and all relevant persons involved in the care of the person were involved in the assessment process. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Pre-admission visits were made to Rosna House including an overnight stay if the person wishes, to familiarise them with the home, and other people living there. Care plans were compiled and agreed with the person using the service. This means they could be assured that the home could meet their needs before they moved in. We received surveys from five people using the service that told us they had received enough information about the service, prior to moving into the home. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes the rights and choices of people who use the service, enabling them to live the most independent lifestyle. Evidence: The AQAA we received prior to the inspection told us, the service prides itself on being a home that lets the people using the service, take full risks in their lives, they make all their own decisions on how they live their lives, with the services support and backing. We saw that each person has in place a detailed care plan, the care plan contains information about daily living, health care needs, personal care and the dietary preferences of the individual. We saw risk assessments in place on care records and, the Care Manager has a sound awareness of health and safety. Risk assessments are reviewed on a regular basis. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: This means that the staff have the information they require to support the people using the service. We saw people making decisions about their daily routine, what they wanted to do and when. Individuals were moving freely in and out of the home, going into town on the bus and telling staff they were going. Some people chose to spend time in their rooms others sat in the lounge area chatting or watching TV. We spent sometime talking to people in the lounge and dining room in the afternoon. One person has chosen to go to an outreach group on a weekly basis and told us they get support at the group discussions. Another person is involved with the mental health service users foundation, and is a former committee member. Care Homes for Adults (18-65 years) Page 14 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 people using the service are given every opportunity to enjoy fulfilling lives and relationships with others. Evidence: The AQAA we received prior to the inspection told us that the people using the service are encouraged to make their own decisions. The home encourages the people using the service to go to college, work in local shops and use the local facilities. The people using the service always praise the home on the food. Most people will tell you this is the best home they have lived in, and that we are the closest thing to a family they have ever known which is the highest praise anyone can give you. We saw people involved in decision making in the home about what they wanted to do, where they were going to go, and how they were getting there and back. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Equality and diversity is promoted with everyone having the same choices and assisted where necessary to make choices. People access the local community, all but one person has a bus pass the Care Manager is arranging for this person to apply for a bus pass. People decide generally on their own social time, and whilst individuals have limited contact with family, most have friends to support them. People told us about their hobbies, ladies liked painting and knitting, reading watching television. We talked about family and previous jobs they had experienced. There is a choice of food at mealtimes with meals being taken in the dining room. One person we talked to in the dining room, told us the food is very good and that they liked being able to make a choice. Other people we talked to in the lounge told us that they also liked the food and that they were able to make choices. We received surveys from five people using the service that told us, that they make choices and decisions about what they do on a daily basis, and can usually do what they want. Care Homes for Adults (18-65 years) Page 16 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 meets the health and personal care needs of people using the service. Evidence: The AQAA we received prior to the inspection told us that all people using the service are encouraged to make and keep their own appointments. They are accompanied to the appointments if they want to be. . The AQAA also told us that all people can self medicate if they are assessed and deemed safe to do so. Reference to the care plans demonstrated the input of both primary and health care professionals, with appointments being arranged and kept, with consultants, general practitioners, nurses, dentists, opticians, chiropodist and special clinics or support. One person does maintain his own medication, and his care plans shows that a risk assessment was undertaken to ensure that it was safe for him to do this. Members of staff, including the proprietor and the care manager, were assisting other residents with their medication. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: We saw people using the service offered personal support in a sensitive manner. The majority of people living at Rosna House are independent when dealing with personal care and require minimal assistance. There are both male and female staff at the home enabling individuals to make a choice when being assisted. People we talked to told us they are happy with the way they are assisted. One person told us that he did not know how he would cope if he did not live here very happy and does not want to live anywhere else. We looked at the care plans of three people, the plans told us that individuals received input from healthcare professionals as necessary to meet their needs. We were told by the care manager that the people using the service are registered with a local general practitioner, and have full use of local healthcare services. People told us they can go to their GP on their own if they wish, or staff will go with them. Medication is stored appropriately in a metal drugs cabinet and secured to the wall. A monitored dosage system is used for the administration of medication. Staff administering medication have been trained to do so, via the pharmacy and National Vocational Qualification Level 3. Care Homes for Adults (18-65 years) Page 18 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. People who use the service are able to make complaints and are safeguarded by the homes procedures. Evidence: The AQAA we received prior to the inspection told us that there is a complaints procedure in place. The AQAA also tells us thatall people using the service understand and know how to make a complaint, and who to go to if they are not happy with the out come. If any of the staff or people using the service, or relatives, abuse people they will be sacked on the spot if it is a member of the staff team, asked to leave the home and not return. We will not put up will anyone abusing the people using the service or the home. We saw a detailed complaints procedure that identifies the steps to be followed if someone is not happy with the service, and wishes to make a complaint. People we talked to told us they knew who to make a complaint to, and identified the Care manager and Proprietor as their contact. There is a complaints book in place in which to record complaints. The last recorded complaint was July 2000. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: There have been no complaints made to the home since the last inspection and we have not received any complaints. The service has in place policies and procedures that are used as part of staff training on Vulnerable Adults. The Care Manager is contacting Staffordshire Social Care Workforce Partnership to arrange training to update staff on abuse, depravation of liberties, safeguarding, to ensure that they know how to keep people safe. Criminal Record Bureau and Protection of Vulnerable Adults checks are carried out prior to employment, which means that the people using the service can be confident in the staff supporting them. We received surveys from five people using the service that told us that that they all knew how to make a complaint, and who to make complaint to. 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 design and layout of the home enables people using the service to live in a safe well maintained and comfortable environment, which encourages independence. Evidence: The AQAA we received prior to the inspection told us that the home is kept homely and all the people using the service have a say in how the home is decorated and run, they can personalize their rooms how they like. All staff are trained in infection control and the home is kept clean and free from all odours. We saw when talking to people who use the service, that the home is comfortable,clean, and fresh. There were lots of homely touches in the lounge and dining area, individual bedrooms were personalised as people wished. Rosna House is within easy reach of the local town, public transport passes the home enabling people to access the Potteries and Shropshire towns easily. The home is located in a residential area and unidentifiable as a care home. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: We received surveys from five people using the service that told us the home is always fresh and clean. One person told us, I say our cleaners are very efficient people. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a caring staff team who support the people using the service. Evidence: The AQAA we received prior to the inspection told us all staff are selected and trained to the minimum standards. We looked at the staff rota, there are seven staff at the home including the care manager and proprietor who work as part of the team. We talked to the staff on duty and they told us that they received mandatory training and have regular updates on health and safety and manual handling. Two staff we spoke to were able to identify areas where abuse could occur, and how they would deal with this. Training is carried out by the Care Manager who sources information both locally and online. Four staff have National Vocational Training Level 2, one staff has Level 3. The Care Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Manager has the registered managers award. Staff have received training in Manual Handling, First Aid, Health and Safety, Infection Control, Mental Health Awareness, Vulnerable Adults. The service needs to update Vulnerable Adults training, to ensure that the staff are aware of Safeguarding procedures. We saw three staff files and were able to confirm that Criminal Records Bureau and Protection of Vulnerable Adults checks are carried out. All three files contained application forms, but did not all contain references. The office was disorganised, with papers piled up waiting to be sorted, the Care Manager told us he thought that the staff references were in these piles of paper. We discussed with the Care Manager the importance of taking up staff references, to ensure that people were being cared for safely. The service recruits staff via local newspaper advertisments, the Job Centre, and word of mouth recommendations. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management systems do not always fully protect the people using the service Evidence: The AQAA we received prior to the inspection told us that the manager feels he runs the home as safely as he can but still giving the people using the service the chance to take risks in their lives. The AQAA told us he will fight for the rights of the people using the service and will back them 100 if he feels they are right. The AQAA told us he will and has asked outside agents to leave the home if he feels they are a threat to the people or do damage to the home, He said he provides a safe environment for people to learn new skills and to keep the ones they have already got, I have some of the best staff I have ever worked with they are loyal to the people and will go that extra mile for them and I cant ask for more than that. We saw the registered managers certificate displayed that confirmed he is trained and has the registered managers award. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: As previously identified we saw when looking at three staff files they did not all contain two references. We told the manager that two references must be obtained for all staff prior to employment to ensure the safety of people using the service. We observed the home to be run with people being consulted by the manager and individuals saying what they were doing, confident group of people at the home who know what they want to do. The registered manager is responsible for Rosna House only. Policies and procedures were in place to inform staff of practice in the home. Staff we spoke to told us they had read and were aware of the policies in the home. Quality assurance is assessed via feedback from in-house questionnaires and discussions with staff and people using the service. Individual care plans are in place for all people using the service and form part of the quality audit. The Care Manager is going to review the quality asssurance system to ensure that it monitors all national minimum standards. We saw that there is an ongoing planned programme of maintenance at Rosna House. Health and Safety training is carried out at the home. Safe working practices are in place with safe storage of hazardous substances. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 The fees charged to be 30/04/2009 included in the service users guide To inform prospective service users the fees charged as identified in Regulation 5(b) 2 34 19 19 (1) (b) Schedule 2 Para 5, Two written references relating to the person be obtained. To ensure the people are cared for safely. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 35 The service needs to update training to ensure staff are aware of safeguarding procedures. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!