Inspection on 02/10/08 for The Leys

This inspection was carried out on 2nd October 2008.

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.

Other inspections for this house

The Leys 06/09/07

The Leys 18/12/06

The Leys 14/10/05

The Leys 09/05/05

The Leys 28/02/05

The Leys 19/08/03

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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: The Leys Park Lane Sharnbrook Bedfordshire MK44 1LX 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: Neil Fernando Date: 0 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: The Leys Park Lane Sharnbrook Bedfordshire MK44 1LX 01234781982 T/F01234781982 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lansdowne Care Services Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 8 Number of places (if applicable): Under 65 Over 65 8 8 0 0 learning disability physical disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home The Leys is a large six-bedded bungalow and a self contained two-bedroom flat set in the countryside on the outskirts of Sharnbrook. The home can provide residential care to eight adults with learning disabilities including those with physical disabilities. The home is staffed over a twenty-four hour period and is adjacent to a day care facility, provided by Lansdowne Care Services. All accommodation is on one level and there is ramped access to the buildings. Sharnbrook is about fifteen minutes drive from both Rushden and Bedford and there is a bus service to both towns. The service has its own transport, which assists residents to access facilities in both the village and nearby towns. A copy of the most recent inspection report from the Commission is available at the home for residents and visitors to read. The fees for this home vary from £1,225.00 to £1,818.00 per week. Care Homes for Adults (18-65 years) Page 5 of 30 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The last key inspection was undertaken on 6 September 2007. We, the Commission for Social Care Inspection, undertook this unannounced key inspection on 2 October 2008. We spoke with 3 residents, the manager and senior operational manager and 3 staff members. We spent a significant amount of time discretely observing residents and staff care practices. We had a look around the accommodation and viewed a range of records the home must keep. At the time of the visit, there were 6 residents accommodated with 2 vacancies. The AQAA (Annual Quality Assurance Assessment - a document, which gives the manager the opportunity to tell us how well outcomes are being met for people living in the home) has been sent to the manager. Surveys to seek the views of residents and staff have also been sent. None of these have been received todate; any information received from the AQAA and surveys would be included in the next inspection report, as appropriate. Both the manager and senior operational manager were present throughout the Care Homes for Adults (18-65 years) Page 7 of 30 inspection. What the care home does well Residents expressed a good level of satisfaction with respect to the quality of care and support they receive. Their comments including those of staff have been reflected throughout the report. Good assessments are carried out before people are admitted to the home. Identified health and personal care needs are being addressed; visitors are made welcome. Relationships between the staff and the residents were positive. Staff appeared committed and they were aware of the need to promote equality and diversity issues for the residents. We saw that staff were very polite, helpful and caring towards the residents; they were assisting people in a sensitive and dignified manner. An excellent level of activities to suit the taste and preference of residents are facilitated. This ensures to maintain a very good level of stimulation for the residents. I am always busy and love my activities said one resident. Evidence shows that the privacy and dignity of residents is upheld. The staff members on duty were positive about different aspects of their work. All staff members complete in depth training when they first start working at the home. NVQ training for staff has been given a Care Homes for Adults (18-65 years) Page 8 of 30 high profile. This provides staff with the knowledge and skills necessary to deliver an improved level of service for residents. There is a number of care and staff management systems including health and safety in operation; these are being implemented to good effect. What has got better from the last inspection The four requirements made in the last inspection report dated 6 September 2007 have been addressed; this has resulted in an overall improved quality of service for residents. Arrangements have been made in order to ensure that PRN medications are clearly labelled with the prescribers instructions for individual resident. Tablets, namely paracetamols are no longer pooled together; instead, they are labelled by the community pharmacist with the residents name and dosage. This practice provides a Care Homes for Adults (18-65 years) Page 9 of 30 greater level of safety for people using the service. Staff no longer pooled residents money for purchasing diesel for the home minibus. A system has been introduced, which gives a clear audit trail as to how much each resident has contributed towards their transport. This is a more tranparent system which ensures fairness to all residents. A more robust approach to recruitment has been adopted; satisfactory Criminal Record Bureau checks are completed for all new staff members before they could start work. This ensures the safety of both the staff and residents. What the care home could do better There are two requirements arising from this report, which need addressing. Staff recruitment files must include a recent photograph as detailed in Schedule 2 of the Care Homes Regulations 2001. This is a minor but important issue, which would further improve the level of safety for people accommodated at The Leys. In terms of refurbishment work, appropriate flooring material must be used in the corridors and dining room, in order to promote a more domestic atmosphere for the residents. Care Homes for Adults (18-65 years) Page 10 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Neil Fernando CPC1 Capital Park Fulbourn CB21 5XE 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 11 of 30 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 12 of 30 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 home makes sure it can meet peoples needs by getting detailed information about new residents before they are offered a place. Evidence: Two of the three residents who were spoken to said they had visited The Leys before moving in. Both people said that they like living at this home. Staff said that they would help the prospective resident decide if the home is suitable for them. Some of the residents have lived at this home for several years. Case files for three people show that when the home receives a new referral, a detailed assessment of needs is completed involving the home manager, the potential resident, family, care manager and other professionals as necessary. Where possible, a key worker is also identified and is involved from the initial stage of the assessment process. We learn from staff members that prospective residents have the opportunity to visit the home for a cup of tea, a meal or over night stays until a decision could be made about whether they could live at the home or not. This is because the communication difficulties and challenging behaviour experienced by people who live at this home Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: could sometimes mean that even if individual needs could be met, this would not be in the best interest of people already living at this home. One prospective resident confirmed that she had been visiting the home on several occasions and has had an overnight stay within a three week period; this is to enable her decide if the home is suitable to meet her needs. Overall, evidence shows that the home is very careful to only offer a place to the resident whose needs and aspirations it can meet. Care Homes for Adults (18-65 years) Page 14 of 30 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 care and support offered at The Leys is of a good standard. Care plans are in place, which ensure that staff have sufficient information to satisfactorily meet the residents identified needs. Evidence: The care plans for three residents were examined. The information they contain is generally detailed and up to date. The residents identified needs regarding their physical, health, social and recreation, finance, culture and religion are well documented. The name and signature of the resident and their representative have been obtained in the care plan, where appropriate, which demonstrates their involvement in the care planning process. Each resident receives one internal and one external review annually; this ensures that any changes in the individuals care can be recorded and addressed as required. Review minutes are maintained in all cases. Good evidence is available to show that the resident, their representative, home staff and other professionals participate in the review process. I attend my reviews, said one resident. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Each resident has a key worker who is involved in care planning and assisting with daily living skills. Records examined indicate that staff seek to involve the residents and their representatives in various aspects of their care. Action is taken to minimize identified risks and hazards. Risk assessments are in place and these have been reviewed and updated as required. Care Homes for Adults (18-65 years) Page 16 of 30 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 residents are pro actively encouraged to make choices for their activities, and to be involved according to their abilities, in developing their skills for independence. This enables them to live a fulfilling life. Evidence: Each resident has a care plan that reflect their needs, including race, gender identity, disability, age, culture and religion. Staff members receive training on these issues as part of their induction package. Clear information is available with respect to the disabilities of each resident and how staff adapt their practise to meet the persons specific needs and promote their abilities. For example, residents attend day placement and workshop activities such as gardening. Staff interviewed and records viewed for example monthly summary reports from the key workers demonstrate that staff work very closely with each resident, in order to ensure consistency and continuity of service delivery. The activities programme for residents was scrutinised and information from residents and staff spoken with evidence that a comprehensive Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: range of activities to suit the individual person is facilitated. Activities, which occur regularly include swimming, cinema, football, horse racing, local events, visits to the local pubs, clubs and entertainment venues, shopping and cooking. Individuals follow their own routines when they are at home including being involved in household tasks. All residents have between four and five days attendance at the nearby day centre provided by the organisation. Residents are encouraged to maintain meaningful relationship with their peers and friends; staff were clear that residents would respected and treated with dignity and respect at all times. Residents maintain good contact with their families. Menus are planned with the residents and information is available in pictorial form to assist them make decisions. Consideration is given to individual nutritional needs so that residents have access to healthy options. Residents are pro-actively encouraged to eat together and make meal time an enjoyable social occasion. All residents spoken with expressed a high level of satisfaction regarding the services offered to them at The Leys. I love gardening said one resident and I cook with staff and I love the food here reported another. Care Homes for Adults (18-65 years) Page 18 of 30 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 . Care plans and daily records show that the identified health and personal care needs of residents are being addressed in a manner that ensures their well being. Evidence: The care plans for three residents were viewed and they provide comprehensive details of each persons personal and health care needs. Their preferences about how they wish to be supported are also included in the plan. We observed a good relationship between the staff and the people who live in the home. Detailed recording of each persons health care includes health notes for hospital visits and contact with GPs, optician, physiothrapist and other health professionals. The home makes use of the Boots Blister Pack system. Good procedures for the receipt, storage, handling and recording of medicines brought into the home are in place. These procedures were reviewed in September 2008. Evidence demonstrates that all staff receive medication training both in house and annually from the community pharmacist. Regular checks are made, in order to ensure that medication has been administered and recorded safely. Medication administration record charts (MAR) for all six residents were examined and these were noted to be in order. None of the current residents are able to self-medicate because of their level of learning Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: disabilty. Staff members spoken with were however clear that a risk assessment would be carried out before any residents self-medicate. All four residents spoken with said they receive their medicines on time. I receive my medicines daily said one resident. Care Homes for Adults (18-65 years) Page 20 of 30 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 . Residents are assured that their concerns are taken seriously and will be addressed; all staff have received training in safeguarding adults, which will further help them ensure that residents are safe from harm. Evidence: The home has a satisfactory complaints procedure, which is available and accessible to the staff team. The manager said that all staff are capable of dealing with any complaints, as appropriate. Staff interviewed demonstrated a good understanding of the procedure and who to report any concerns to. A new staff member interviewed said that this subject is included in the induction programe and she echoed confidence in that she would be able to address any complaints speedily and satisfactorily. I know what to do if I receive a complaint, said another staff member. Staff spoken with said that given the learning disability of the current residents, it is more appropriate to frequently discuss and informed the residents about the complaints procedure and how to raise any concerns they may have about the service. I am very happy at The Leys said one resident and I have no complaint, reported another. The home maintains a complaints record. There has been one recorded complaint since the last inspection carried out in September 2007; this had been dealt with satisfactorily. There have been no complaints made to the Commission since the last inspection. The home has adequate policies concerning adult protection and whistle blowing. The Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: staff spoken with were aware of the procedures for reporting any concerns or events, which may affect the safety or welfare of any person living at this home. All staff have received training on adult protection. Care Homes for Adults (18-65 years) Page 22 of 30 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 . Residents live in a clean and safe environment where their independence and choice is promoted. Evidence: The accommodation offers good size single bedrooms to each resident. All six bedrooms viewed are well personalised to reflect the taste and interests of the occupants, with gadgets, pictures and hobby materials. Furniture and fittings in all areas viewed including the dining room and lounge are of a domestic type and of good quality. However, the corridor areas and the dining room have a vinyl type flooring, which does not promote a domestic atmosphere. The manager and senior operational manager are both aware of this shortfall and have said that appropriate flooring material would be used, in order to promote a more homely atmosphere. A good standard of cleanliness was evident throughout those areas viewed. There were no offensive odours present. The laundry facility is adequate for the people in residence. Health and safety matters are being attended to; there were no health hazards noted. Care Homes for Adults (18-65 years) Page 23 of 30 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 . Robust recruitment procedure is in place, although minor improvements are required for the protection of residents. Staffing levels ensure that residents needs are met satisfactorily. Evidence: On the day of inspection there were enough staff to support residents both in the home and in accessing the community. Each resident has a key worker to assist them with their specific needs. Staff spoken with have an in-depth knowledge of the residents disabilities and possess the necessary skills to ensure that their identified needs are being met. Nine of the eleven care staff hold an NVQ level 2 or equivalent in care, and two are currently working to wards it; this means that the home has already achieved a ratio of 81.8 of staff with NVQ Level 2 or equivalent. Staff files viewed showed that they had completed a variety of courses including mandatory training. Positive interaction between residents and staff was observed during the visit. Staff members were on hand to assist where required but also felt able to give residents the opportunity to follow their own routines and preferences. All four residents spoken with said staff treated them well. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: We looked at the recruitment files for three staff including the most recent recruit. These show that appropriate checks had been undertaken before they began employment. However, a recent photograph of the employee was not available in any of the files. Staff receive formal one to one supervision once every month. This enables them to discuss the running of the home and their own professional practise. The manager receives supervision on a regular basis from the senior operational manager. Supervision notes are maintained. Care Homes for Adults (18-65 years) Page 25 of 30 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 staff team are being supported and managed well. The welfare and interests of the people accommodated are considered paramount. Evidence: The registered manager left in April 2008 and since then, the deputy manager has taken on the role of the acting manager. She has held the deputy managers post at The Leys for over five years and therefore, has significant experience as a member of the management team. The senior operational manager reported that a permanent manager has been recruited to start on 27 October 2008 and she intends to confirm this in writing to the Commission for Social Care Inspection.The interim management arrangements are satisfactory. Care and staff management systems including health and safety are being implemented to good effect. This has been due to the effort, hard work and commitment of the staff team including the manager who are well supported by the senior operational manager. The staff members are working well as a team and morale is good. The manager works closely with the residents and staff team. Staff reported that management support is Very good and they are doing a marvellous job. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: The last annual survey to seek the views and experience of residents and their representatives regarding the quality of service offered to them was concluded in January 2008. The next survey is due in November this year. The manager said that the outcomes together with remedial actions, if any, would be shared with residents. The manager was aware that a copy of the survey report must be sent to the Commission. A designated person on behalf of the organisation undertakes monthly visits in order to satisfy themself with the conduct of the home; a copy of the visits reports is provided to the manager. A daily progress record of relevant occurrences is maintained as part of the care plan; this was noted to be in good detail. Other records viewed were in good order. Health and safety are being attended to. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 24 23 The vinyl type flooring must be replaced with a more appropriate type material. 15/12/2008 This is to ensure that the home is reasonably decorated to promote a more domestic atmosphere. 2 34 19 A recent photograph must be 30/10/2008 available for all employees. This is to ensure the protection of residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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!