Inspection on 17/02/09 for Somerset House

This inspection was carried out on 17th February 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

Somerset House 18/10/06

Somerset House 13/02/06

Somerset House 04/11/05

Somerset House 09/03/05

Somerset House 24/08/04

Somerset House 03/03/04

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: Somerset House 17 Somerset Road Heaton Bolton Lancashire BL1 4NE     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: Lucy Burgess     Date: 1 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 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: Somerset House 17 Somerset Road Heaton Bolton Lancashire BL1 4NE 01204493126 01204493126 info@perpetualcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Perpetual (Bolton) Ltd Name of registered manager (if applicable) Mrs Tricia Varey 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: Date of last inspection Brief description of the care home Somerset House is a small care home providing residential care for up to 6 people with mental health needs. The current fee is 750.00 pounds per week however this varies depending on the assessed needs of individuals. The home is part of a small group of two homes, the other being Hartington House. Both homes share the same staff team and are situated near to each other in the residential area of Heaton in Bolton. The main office base for the two homes is at Somerset House, although there is a small office at Hartington House. A local company, Perpetual Care, own the homes, with the day-to-day management carried out by the registered manager. Somerset House is an end terrace house, and comprises of six single bedrooms and Care Homes for Adults (18-65 years) Page 4 of 28 6 Over 65 0 care home 6 Brief description of the care home communal areas. The home is close to a main road leading into Bolton town centre and is accessible to local transport. 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 was a key inspection, which included a site visit and took place over one day for a period of 6 hours. The service did not know that the inspector was going to visit. As part of the inspection process the providers are asked to complete a selfassessment survey information document (Annual Quality Assurance Assessment). This was sent to the home before the inspection and had been completed by the registered manager and returned to us prior to the site visit. Information provided was limited and could be expanded upon to demonstrate the future plans for the home and how they intend to achieve this. During the visit we spent time looking at care records as well as information about the Care Homes for Adults (18-65 years) Page 6 of 28 staff and health and safety. As part of the inspection we also send out feedback surveys. These were sent to staff and people who live at the home however no completed surveys were returned. Discussion and feedback was held with the manager during the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessment process is thorough and actively involves prospective residents in the decision making process ensuring the placement is suitable and able to meet their needs. Evidence: People living at Somerset House have lived together for a number of years. We found that one person has recently moved out creating a vacancy. The manager had contacted us prior to our visit to discuss a prospective new resident. As part of the resettlement process assessment information had been provided by the relevant health and social care professionals. This included an overview assessment, copy of the last care programme planning meeting (CPA) and risk screening tool. Time was also being spent visiting the person so that further details about them could be gathered. Following this the manager explained that if the person was thought to be suitable then arrangements would be made with their social worker for them to visit the home. This could include day time visits and over night stays, providing ample Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: opportunity for both the home and the person to make a decision about whether it would be suitable. The manager makes every effort to ensure that all relevant information has been received and is shared with staff so that they too are kept informed. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about people is reviewed and up dated so that it reflects their current and changing needs ensuring they are supported in a way in which they would choose. Evidence: A recent audit has been carried out on all the records held in the home. Old documentation has now been archived so that only current up to date information is held on file. Records are kept in the staff office and are easily accessible to staff and the residents. Information was looked at for one person. Records were orderly and easy to follow. Information include personal details, relevant contact details for people involved in their support, a care plan, risk assessments, record of health appointments, correspondence and daily evaluation sheets.This person is subject to the care programme plan (CPA) and therefore regular reviews are arranged with mental health professionals to ensure they remain well. The manager explained that recent Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: appointments had not been attended however regular contact was being maintained with the persons social worker to ensure they were kept informed. This person had been referred to the dietician as concerns were highlighted about their weight. Correspondence was on file as well as notes following appointments. This person had been working hard to lose weight and had lost 3 stones in weight. As previously identified the home is relatively small therefore informal day-to-day contact is made between residents and staff with the views and opinions of both parties being easily aired. A volunteer from MHIST, a mental health support group, has been visiting the home to meet with them to have discussions or advise them on particular matters. Time was spent chatting informally with residents as well as observing their daily routines. People commented; I have no complaints, I feel safe living here, they help me with what I need and I like the manager, I can talk to her. 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. People are able to follow a lifestyle of their choosing with encouragement and support to meet their emotional and social needs. Evidence: Routines within the home remain relaxed and informal. None of residents are involved in any formal education or employment. Generally they spend time at home, watching television, reading papers, doing puzzles and relaxing. Time was spent speaking with some of the residents. Everyone was chatty and relaxed and made the inspector very welcome. Activities generally involve residents accessing the local shops, take away and pubs, which are within walking distance of the home. Those choosing to spend time at home have their own televisions, DVDs, stereos. One of the residents enjoys talking books Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: and games. Residents are also involved with household tasks, including cooking, cleaning and laundry. This is to encourage them to develop and maintain their independent living skills. Support is provided where necessary. Previously residents have been visited by a volunteer from MHIST, a mental health advocacy support group. However the volunteer has recently retired. The manager has contacted the service to request a new volunteer. The purpose of the monthly visit is to provide residents with an opportunity to discuss any issues they may have. Residents had again enjoyed a summer holiday last year and are planning to go away again later this year however have yet to decide where. One person spoken with said they they enjoyed the breaks away. Consideration is given to the religious and cultural needs of people. At present people choose not to attend church however staff do provide encouragement and support to those who wish to observe. Arrangements are made for festivals to be celebrated. Residents continue to maintain contact with family and friends, with visits taking place both away from the home and at Somerset House. Two residents continue to make regular visits to stay with relatives spending the weekend away from the home. Individuals are able to see visitors in private using the large lounge or their bedrooms. With regards to meals, these are flexible and are planned on a daily basis depending on what people want. People generally prepare their own breakfast and lunch, whilst the evening meal is prepared by staff. There are also occasional take-aways. During the visit one resident was preparing the potatoes for the evening meal. The home has a large kitchen where meals are eaten. As already stated the cultural/religious preferences of residents are also catered for, where necessary as well as ensuring people follow a healthy diet. One person has had the support of a dietician and has lost a considerable amount of eight. 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. People are supported and encouraged to address their health and personal care needs so that their general well-being is maintained. Evidence: Records are maintained in relation to appointments so that the health care needs of people can be monitored. All but one person is subject to a care programme plan (CPA). This involves review meetings being undertaken every 6 or 12 months with the relevant mental health and social care professionals to ensure that their health and well being is maintained including a review of their medication. Where additional health needs are identified referrals are made to the relevant health care services so that the appropriate advise and support can be provided. Residents also access other NHS entitlements such as GPs, hospital, diabetic clinic, Parkinson nurse etc. Support is offered for appointments. As already stated one person has been supported by the dietician over the last 6 months and has lost approximately 3 stone Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: in weight. As part of the care planning process areas of risk are considered. Assessments are carried out and action is detailed outlining what support is to be provided by the staff team. These may include issues in relation to medication, home leave, behaviours, cross infection and smoking. Rising and retiring times remain flexible. Residents are able to manage their own personal care needs however staff will prompt and offer encouragement where necessary, particularly with one resident who has a colostomy bag. Residents are also able to move around freely and do not require any physical support, therefore no aids have been fitted. The medication system was looked at. Items were seen to be stored safely. All items brought into the home are booked in on the MAR sheets with additional records for those items returned to the supplying pharmacy. The manager continues to complete regular audits to check that administration of medication has been carried out in accordance with the prescription. The manager was advised that where medication has not been administered this should be explained. Hand written entries should also be double signed to show that the information recorded corresponds with the prescription ensuring practice is safe. The home was holding controlled drugs. Suitable storage is in place and administration is signed for within a drug register as well as the MAR sheet. As staff generally work alone records are not double signed, however the manager completes regular stock checks ensuring records corresponded with the medication held. Regular blood checks are carried out for those individuals in receipt of certain medication ensuring their health is not affected. 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. Systems are in place to ensure people are listened to and protected so that they are kept safe. Evidence: Organisational policies and procedures are in place with regards to complaints and protection. The home also has a copy of the local authority safeguarding procedure. People living at the home are aware of the complaints procedure and who to speak with if they have any issues or concerns. Two people spoke with said that they were happy to approach the manager if they had any concerns. Information provided on the AQAA showed that there have been no complaints or concerns raised with the service over the last 12 months. No issues have been raised directly with us. The home ensures that the relevant checks are carried out when employing new staff. These include written references and criminal record checks, ensuring people working at the home are fit to do so. We discussed with the manager arrangements in place with regards to peoples finances. The registered provider is the appointee for 3 people living at the home with individual bank accounts in place. Personal allowances are held for each person and Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: individuals are supported with a daily budget plan. Information is recorded on their files outlining the arrangements in place and records are maintained for all transactions. People are encouraged to sign the finance sheets to show that they have received money. A random check was carried out and found to be in order. 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. Somerset House is a pleasant home that provides safe, comfortable and homely accommodation for the people who live there. Evidence: Somerset House is a large domestic dwelling providing good sized accommodation. The home is comfortable, homely and welcoming and is situated near to a main road leading into Bolton town centre and is easily accessible to public transport. People were seen to be relaxing in all areas of the home and are able to come and go as they choose. Accommodation comprises of six single bedrooms, 2 bathrooms, 2 lounges, a conservatory, dining kitchen and small laundry room. There is also a staff office and sleep-in room situated on the ground floor. The homes designated smoking area is within the conservatory. The homes laundry is situated along the hall away from the kitchen area. The team supports those requiring assistance. Cleaning materials are stored within the laundry so that both residents and staff can easily access these, as individuals are encouraged to take part in cleaning the home. Coshh assessments and general risk assessments Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: have been reviewed and updated and suitable hand washing provisions are available to reduce the risk of any cross infection. As identified on the AQAA work is currently being carried out at the home. This has included a new roof and fascias. The downstairs shower room has been completely refurbished and the first floor bathroom was in the process of being updated with a new suite, wall and floor tiles. The second lounge has had a new settee as well as being repainted. The conservatory has also been repainted and there are plans to up date the furniture. Several areas have also been fitted with laminate flooring. Due to one person moving out creating an empty bedroom, another resident had requested to move rooms. This had been arranged and the room was redecorated before staff helped to move their belongings. Further decoration was taking place in the empty bedroom so that this would be ready for the next person who moves in. The home also has a front garden and paved area to the rear with seating. The manager explained that further work has been planned for these too, which will involve improvements to the garden, painting the walls in the rear yard and new garden furniture to be purchased. 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. Whilst there has been some changes within the team, staff are appropriately recruited, trained and supported in carrying out their duties so that people are supported in a way that meets their needs. Evidence: Staffing at the home comprises of the manager, 2 senior carers and 8 care staff, 1 of which is a bank worker. Rotas showed that there are 2 staff on duty throughout the day, this includes the manager, with a sleep-in staff member at night. On-call support is also in place. As identified at previous inspections the staff team at Somerset House also supports people living at the sister home Hartington House. Information provided on the AQAA showed that there have been 3 new staff over the last 12 months. Recruitment files were looked at for these people. Over the last few months an audit has been carried out to ensure files are orderly and contain all relevant information. Those personnel files examined contained a completed application form with full employment history, 2 written references, criminal record checks (CRB), health screening, job descriptions and terms and conditions. Additional records were held with regards to training and supervision. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: With regards to training, the majority of courses are accessed from Bolton Training Partnership. Training over the last 12 months has included a comprehensive 6 day induction, which includes mandatory training, medication level 2, mental health awareness and POVA. Arrangements have been made so that those new staff yet to complete the induction do so. Dates have been planned for March. Other training has involved staff undertaking the NVQs. Of the current team 6 people have completed level 2, 1 is currently completing the course and 2 have yet to commence. Of the 6 that have already achieved level 2, 3 have also completed level 3 and 2 are currently completing the course. One of the senior carers is also completing a 12 week basic management course and the manager is considering enrolling a course to become an NVQ Verifier. In relation to staff supervisions. These are shared between the manager and 2 senior carers. Sessions are held every 6 to 8 weeks and records are held securely in the office. As the team is small regular contact is maintained with all staff with information shared at handover. 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. The manager is clear about her responsibilities and works hard to ensure that the service is ran in the best interests of those living at the home. Evidence: The manager continues to manage both Somerset House and the sister home Hartington House. She is supported in her role by two senior support staff that take on additional day-to-day responsibilities. Whilst the team has gone through a period of change some of the staff have worked at the home for a number of years and therefore have worked closely together. The manager is clear about her responsibilities and demonstrates a good understanding of the needs of people. The manager keeps herself up to date and informed of current legislation and guidance as well as undertaking periodic training. Recent training has included the Deprivation of Liberty Safeguarding and Mental Capacity. Further training is planned for both her and the senior staff to ensure that they have a good understanding of the new legislation/codes of practice ensuring Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: practice within the home is safe and in the best interests of those living there. Systems are in place with regards to quality monitoring. These include; regular staff training, supervision and support. Reviews are carried out ensuring the home is still able to meet the needs of people as well as maintaining good links with mental health and social care professionals. Feedback from people living at the home is done on a more informal basis, as some people do not like the formality of a meeting. Further checks are also carried out within the environment to ensure people are safe. It is advised that this information is used to develop the homes annual development plan. Copies of this should be shared with people involved or who have an interest in the home. In relation to health and safety, weekly checks continue to be carried out by staff. This includes checks to both the inside and outside of the building, fire safety and water temperatures. External professionals had serviced other areas within the home. A sample of servicing certificates was seen. These included; gas safety, 5year electric check, fire alarm and emergency equipment and small appliances. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 Where medication has not been administered information recorded on the MAR sheet should clearly show the reason why so that the health care needs of people can be monitored. Hand written entries on the MAR sheets should be double signed to evidence that information has been checked and corresponds with relevant prescription ensuring people are not placed at risk. 2 20 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. 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