Inspection on 15/09/08 for The Green

This inspection was carried out on 15th September 2008.

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

The Green 17/10/06

The Green 21/01/06

The Green 06/10/05

The Green 10/03/05

The Green 23/08/04

The Green 01/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Green Bromborough Pool Bromborough Wirral CH62 4TT     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: Peter Cresswell     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: The Green Bromborough Pool Bromborough Wirral CH62 4TT 01515131340 Telephone number: Fax number: Email address: Provider web address: pat.hood@was.demon.co.uk Name of registered provider(s): Name of registered manager (if applicable) Patricia Sarah Anne Hood Type of registration: Number of places registered: Wirral Autistic Society care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home The Green is a large house consisting of four flats that are accessible to one another and share the same main entrance. Two of the flats accommodate two people, and the other two flats are for three persons each. Everyone has their own single bedroom. Each flat also has a bathroom and a kitchen with a dining area and either a through or separate lounge. There is a patio and a garden at the rear of the home. The home is close to local shops and to public transport services and overlooks the open space of The Green in Bromborough Pool Village. Parking is available on the road outside the home. The home is run by Wirral Autistic Society who have several care homes for adults with a learning disability in the area. The society provides a range of services and facilities, which are used by the people who live at The Green. 10 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 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: The quality rating for this service is 2 Star. This means that the people who use the service experience good quality outcomes. As part of the inspection we visited the home, without telling anyone when we were going, followed up by a brief second visit to look at some recruitment records, which are kept in the owners main office. The CSCI lead inspector was accompanied by Alex McGinley, an Expert by Experience, and his support worker. Experts by Experience are lay people who have some experience of the type of service being inspected. Alex said: I was requested to look at the the experiences and views of the people who live at The Green. I met the CSCI Inspector Peter Cresswell outside The Green. He introduced me to several staff members and I also told them who I was. My support worker also introduced herself. None of the residents were at home. A staff member told me that I could have a look around the Care Homes for Adults (18-65 years) Page 6 of 28 home or that she would take me to see some of the residents. I said I would like to see the residents first. Alexs subsequent comments are included in this report. We went round the home and talked to the registered manager and other staff who were on duty. We also spoke to a number of the people who live in The Green. The Expert by Experience visited several people where they were working or taking part in day activities. 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. Prospective service users are assessed before they come to The Green so the service can meet their needs. Evidence: No new residents have been admitted for at least three years. The files we looked at all had evidence of assessments done when the people in question were admitted. The Wirral Autistic Society – the owners – have well established procedures for the assessment of prospective service users. The home has a service user guide in the form of an attractively presented and clearly written leaflet. The leaflet still does not include all of the information required by the Care Homes Regulations. It would be advisable to redraft the guide and include information on how people can, for instance, get our reports on the home. All of the files examined had copies of contracts which had been signed by the service user and a carer/relative acting on their behalf. People are placed at The Green from local authorities all over the country. Fees are negotiated individually depending on the assessed needs of the resident and range from GBP937.68 to GBP1,778.62 a week. Some people receive one to one support. Care Homes for Adults (18-65 years) Page 10 of 28 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. Care planning reflects the assessed and changing needs of the people who live in the home. Evidence: Individuals files included an enormous amount of useful and relevant information about the resident and their needs. This included some pen pictures, behaviour management plans, risk assessments, a communications passport and care plans. The care plans covered particular detailed aspects of the residents’ lives such as healthy lifestyle. There was no single document which constituted an overall care plan. The reviews, however, are carried out regularly and residents, relatives, key workers and other relevant professionals are invited to attend the annual reviews. These are recorded in commendable detail, with comprehensive reports from people involved in the individual’s care. It would be helpful to have a single overall care plan and the manager confirmed that the Society’s proposals are moving towards this. Staff are very familiar with the changing needs of the residents they work with and are aware of Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: the content of the reviews, so there was no evidence that this issue had caused any problems in practice. Residents are encouraged to take part in the everyday running of the home; they help with keeping their own flats clean and tidy and with cooking. Residents are encouraged to take appropriate risks and risk assessments are on file which also set out any restrictions which may need to be placed on residents. Each file also has a ‘Decision making consent form’ which deals with issues such as self medication. Detailed files and individual diaries for each resident are kept in the flats as are hard backed communication/handover books. 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 take part in appropriate activities that provide opportunities for their personal development. Evidence: Residents attend day services or other activities on weekdays. They have a range of opportunities to promote their personal development. Each person has a personal schedule of activities designed to meet their needs, skills and individual preferences. The opportunities available include horticulture, craft work, work experience and physical education. One of the residents works at the Ellesmere Port Boat Museum. Wirral Autistic Society itself provides a wide range of day services, both in the adjoining garden centre and in other local centres. The Expert by Experience went to talk to some of the people who live at The Green during their day time activities. This is what he found: Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The staff member took me to a garden centre next door where she introduced me to one of the residents. He was working on his own and he seemed very busy. There were several staff from the garden centre about at this time. They all said hello to me and were very nice and friendly. I spoke to the resident on his own with my support worker and asked him some questions. He didn’t mind answering me. I said Do you like living here? he said Yes I do. I asked him about the staff. I said Do the staff help you to do the things you want to do? He said Yes they do. Do you like the things you do together?. He said .Yes, shopping and going home. Do you like the staff who support you? He said Yes, (three named members of staff). He also said L was his key worker and that M and L drove the bus when he went out. I think that he liked all the staff. I asked him some questions about the things he did. I said What other things do you do? He said Hoovering, Ironing, Polishing, Making my own bed. He said he liked doing these things. I asked him if he did other things. He said Gym on Wednesday, Raby on Thursday, IT on Friday. I asked him Do you go on holiday? He said Yes. I asked him if he had a choice. He said Bulgaria with (named relatives), one week. He also said he went on lots of other holidays and later showed me some photos on his wall in his bedroom and his lounge. I asked him about his food and about his money. I said Do you get nice food? He said Yes. I said Do you get a choice? He said Shopping on Monday. He also said that he did get money and that L gave it to him ............................. A staff member then took us to a Day Services Centre where I met three more residents. All the staff at the centre were really nice and spoke to me. Two of the residents were in a room where they were doing pottery ornament things like plant pots and Christmas decorations. One resident was painting a pot. She looked very happy. Both residents looked happy. I couldn’t have a chat to them or ask them questions because of their disability. I went to another room in the Centre where another resident was in a group. This was called a Personal Development Unit. The resident was deaf. The staff member explained that they were designing cards with a cup of coffee on or tea etc so that he could go into a café and shops and show a card so that people would know what he wanted. My support worker drew a large smiley face and a large miserable face on a piece of paper. I showed this to him and he quickly pointed out the smiley face. I think he was happy there. I liked the centre. All the people were nice and all the different residents looked comfortable and at home there. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Family and carer involvement is highly valued by the Wirral Autistic Society and there was considerable evidence on files of the involvement of families in the support provided to the residents. A number of the residents spend a lot of time with their families, for instance at weekends and for holidays. Relatives are invited to reviews and many of them attend. Relatives and friends are encouraged to visit The Green whenever the residents want. Care plans indicate that the dietary requirements of each resident are met and staff obtain advice from a dietitian if necessary. A record is kept in each flat of food provided to service users. The residents eat in their own domestic style kitchen diners in the individual flats. Care Homes for Adults (18-65 years) Page 16 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 home meets the personal and health care needs of the people who live there. Evidence: Individual files set out the support people need with their personal care. The Green operates a key worker system, which provides continuity of support for residents. Induction training is detailed and well recorded; it includes sessions on promoting privacy and dignity. Records indicate that residents have access to community and specialist health care services as needed and they are supported in attending health care appointments. Medication is stored securely and staff are trained in the administration of medication. We looked at the medication administration record (MAR) sheets and corresponding medication for three people. On the whole we found that details of medication were well recorded. Most medication is in a Monitored Dosage System, where it is put in personalised blister packs by the pharmacist. However, where medication is not in this system it is important that the amount received is recorded so that an accurate record can be kept. This can be done on the MAR sheet or in a separate receipts book. Where Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: medication is to be administered ‘as required’ (PRN) the circumstances in which it is to be given need to be recorded. The Green does use homely remedies and those deemed acceptable by the resident’s GP are listed in the medication records. Where sprays or drops are used, the label on the container should be signed and dated when it is opened. Nobody living at the home currently administers their own medication. Care Homes for Adults (18-65 years) Page 18 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. Policies and procedures are in place to ensure that residents views are heard and appropriate action taken. Evidence: There is information available to enable residents to make a complaint, or for an advocate/relative to do so on their behalf. The complaints procedure includes the timescales for dealing with each stage of a complaint and is displayed on the residents’ notice boards. The procedure is available in different formats to reflect the abilities of service users. A record is kept of any complaints made. One significant safeguarding issue had been investigated since the last inspection. It had been referred to the proper authorities and correctly dealt with, though CSCI had not been notified of the final outcome. Staff are trained in safeguarding issues. 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. The Green provides comfortable, well decorated and spacious accommodation for its residents. Evidence: The Green is a large building originally consisting of two houses and is fully accessible to everyone who lives there. It is in Bromborough Pool village, facing the open space of The Green from which the house takes its name, and is close to local services and public transport links. The Wirral Autistic Society’s garden centre is next door. The premises are well maintained and the owners have their own maintenance section which responds to written requests from the manager or other members of staff. The individual flats are clean and well furnished. We looked at a few bedrooms and they were all very spacious, personalised and very comfortable. Residents choose the colour schemes when their rooms are redecorated. The office has been repainted and tidied up since we last visited. The Expert by Experience looked at many parts of the building and wrote the following: I then asked (a resident) if I could see his bedroom if he didn’t mind and he said that Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: I could. We all went back into the house and looked in his bedroom. His bedroom was not locked. He said this was okay. I liked the bedroom. It was big with a TV and a big bed. There were lots of holiday photos and photos from when he went to Disney when he was small. The room was very light. I liked it a lot. I also saw his kitchen which he shares with someone else and a room with easy chairs and a TV. I saw they had a fridge with their own food in. I thought it was all really good and clean.......We (later) went back to The Green and I had a look at all the flats. I wasn’t able to look at the bedrooms because the residents weren’t there but I saw all the kitchens, lounges and bathrooms. I thought they were all very bright and light and big. Everything seemed clean. All the places had personal things like pictures, books and videos. I liked all the people and things I saw at The Green. I liked the big garden as well. Each flat has its own lounge, bathroom, kitchen and dining area. The exact layout is slightly different in each flat; some have separate lounges, others have a through lounge connected to the kitchen/diner. Everyone has their own single bedroom. Sleepin staff still use the residents’ lounges as sleeping accommodation. This is unsatisfactory as the lounge is not then available for the use of the residents but risk assessments indicate that staff are needed to sleep within hearing distance of some of the residents. The manager said that in practice this had not caused any problems and given the layout of the building it is a difficult problem to resolve. As long as it continues, residents’ privacy is compromised to some degree. 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. Numbers of staff, training and recruitment practices meet the needs and protect the interests of the people who live in the home. Evidence: There are normally four or five support staff on duty plus the manager during office hours. If any resident decides for whatever reason to stay at home rather than go a day service or take part in an outside activity then staffing is provided even if there is nobody originally scheduled for duty. The manager said that it is important that the residents maintain a regular and full schedule of activities and indeed they tend to resent any change to their regular schedule. Two staff sleep in at night and the Registered Manager feels, on the basis of a risk assessment, that this is an appropriate arrangement. Wirral Autistic Society has an extensive training programme that includes comprehensive induction for all new staff. Recent training has included Non-violent Crisis Intervention , Fire safety awareness, Report writing and Epilepsy awareness. Of 15 support staff, two have NVQ3 and four have NVQ2. Two members of staff are on NVQ2 programmes and another is about to start. Two other staff are in their probationary period. This leaves The Green slightly short of the target for 50 of care Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff to have the qualification, as set out in National Minimum Standard 32, but they continue to offer training to new staff. Five new staff have started in the last twelve months and we checked the recruitment records for all of them. All of the files contained a record of a Criminal Records Bureau check before they started, an application form and two references. Staff are appropriately supervised by the manager. 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. There are systems and checks in place to protect residents safety. The home is well run. Evidence: The registered manager has considerable experience in management in a care setting and has an NVQ Level 4 in the management of care. She also manages two smaller WAS homes in the vicinity, which puts greater emphasis on the role of the team leaders in each home. Staff are trained in safe working practices such as manual handling, fire safety, infection control and first aid as part of their induction. The Wirral Autistic Society has a range of policies and procedures to promote safe working practices. The managers office has been repainted and was well organised, with confidential documents stored securely. We checked a sample of safety check records and tests. They were all in order, including up to date gas and electrical safety certificates. Fire safety checks and training were found to be in order. Fridge and freezer temperatures are checked and recorded. The registered manager should contact the local Environmental Health Officer to see if the Food Standard Agency’s Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: ‘Safer Food, Better Business’ programme is appropriate for the home. The Wirral Autistic Society is accredited by the National Autistic Society and this involves scrutiny of all its services, including The Green, each year. The Registered Manager sends quality assurance surveys to parents and carers of residents every year and occasionally to the residents themselves. The residents themselves provide feedback to staff on a daily basis. A representative of the Society’s Chief Executive visits The Green regularly to conduct monitoring visits to comply with regulation 26 of the Care Homes Regulations 2001. 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 6 It would be helpful if all of the care planning information was contained in a single overall care planning document for each resident. Some improvements can be made to the administration of medication. Where medication is outside the monitored dosage system there should be a record of when it is received and how much was dispensed. There should be written guidance for PRN (as required) medication. When sprays or drops are opened the container should be signed and dated. The question of staff sleeping in arrangements should be kept under review, The owners should continue with their progress towards achieving 50 of staff with at least NVQ2. 2 20 3 4 28 32 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 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!