Inspection on 09/03/09 for Valdigarth

This inspection was carried out on 9th March 2009.

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

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

Other inspections for this house

Valdigarth 28/03/08

Valdigarth 28/11/06

Valdigarth 21/02/06

Valdigarth 09/11/05

Valdigarth 07/12/04

Valdigarth 20/05/04

Similar services:

22 Sandown Road

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Park View (15)

Craigmore House

1 Lanark Close

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: Valdigarth Valdigarth 20 Granville Terrace Wheatley Hill Co Durham DH6 3JQ     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: Sam Doku     Date: 1 2 0 3 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: Valdigarth 20 Granville Terrace Valdigarth Wheatley Hill Co Durham DH6 3JQ 01429823403 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): lorraine@lorrainemarshall.oneadoo.co.uk Arthur Galloway t/a Valdigarth Residential Care Home,Mr Brian Gibson t/a Valdigarth Residential Care Name of registered manager (if applicable) Mrs Lorraine Marshall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability Code LD, maximum number of places 10 Date of last inspection Brief description of the care home Valdigarth is a care home catering to the needs of 10 adults. It is a large house set on the main street of Wheatley Hill. Sited in the north east of Durham county, the home provides easy access by public transport to Durham, Sunderland and local towns of Peterlee and Hartlepool. Care Homes for Adults (18-65 years) Page 4 of 28 care home 10 Over 65 0 10 Brief description of the care home The home provides living support for adults with learning disability and ages ranging from 18 to 65 years. Accommodation is provided on the ground floor and first floor. All bedrooms are single and reflect residents? individual tastes. There is a large separate lounge and dining room and a garden to the rear of the home. Major improvements to the premises have been completed since the last inspection. At the time of inspection fees ranged from 421.50 to 581.50 Pounds per week. These being the levels set by the contract with the local authorities placing people at the service. 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 of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 9 March 2009 and completed on the 12 March, 2009. Before the visit the inspector looked at: Information we have received since the last key inspection visit on 28 March 2008. How the service dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). During the visit the inspector did the following: Talked to the people who use the Care Homes for Adults (18-65 years) Page 6 of 28 service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. 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 service user guide provides good information about the home for residents and prospective residents. Thorough assessment of needs are carried out before admission is arranged. This ensures that prospective residents and their relatives have all the necessary information available to them to help make informed decisions about the home. Evidence: Four of the residents files were examined by the inspector to see how the home maintians the records that support the care that they provide for the individuals. The files contain individual care plans which set out the care needs of the individuals. The records that relate to care plans provided clear guidelines for staff to follow in meeting the needs of the residents. The care plans are regularly reviewed with the involvement of the residents and changes are made to the care plans to reflect their changing needs. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: The manager has introduced new care plans in recent weeks and these care plans have been formulated to address all aspects of the residents lifestyle. They provide details of how each person should be supported on a daily basis including social and occupational or day care support. The plans also highlight what each individuals likes and dislikes are and these help the staff to provide the support that meet the individuals specific need. The home is working towards person-centred planning of care for the residents and as a result the staff are developing new care plans and reviewing all the current care plans. The manager spoke with the inspector about the commitment to collect better information about each residents needs and aspirations, and then formulate care plans on how the staff can support the residents to achieve their individual goals and aspirations. The residents are consulted on some aspects of the running of the home. Residents confirmed that they do know what is going on and have always been consulted on matters relating to the running of the home. For example, they are consulted on menu, holiday arrangements, recreational activities, cleaning of their rooms and some are involved in the preparation of meals. 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. The individual care plans reflect the assessed needs of the residents. Furthermore, the care plans provide guidance to staff on how those needs are to be met, thus promoting the residents wellbeing. Evidence: The home carries out monthly review of all the care plans with the involvement of the residents. The residents have positive input in re-writing their care plans if this was considered to be necessary. Two of the residents confirmed that they meet regularly with their key workers and talk about how they are getting on. One residents said that as a result of these review meetings, two of them now have the opportunity to go horse riding on weekends. The staff stated that the residents are actively involved in some aspects of the running of the home. During the inspection, the inspector observed several situations where the residents were being consulted on various matters. These include future menus, Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: arrangements to visit relatives and friends, plans for the weekend and also people assisting with domestic chores and household activities in the home. Where residents were unable to make a decisions, the staff were very supportive in enabling the person to make informed decisions for themselves. The home is developing the quality of the risk assessment carried out for each of the residents. The inspector spoke with the manager at length on how best the risk assessments could be put together so as to help the residents enjoy independent lifestyle while at the same time promoting their safety and welfare. 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. There are suitable arrangements in place to engage the residents in community and in-house activities. These enhance their sense of belonging, empowerment and worth. Evidence: Each resident has planned activities for the day and they are supported to follow their chosen lifestyle. The manager indicated that the planned weekly activities are flexible and residents are able to change these plans at a short notice if it did not suit them for whatever reason. The staff are flexible enough to accommodate any changes to the plans. Some of these activities involve household activities and others involve outside or community activities such as employment or day care activities, visits to family and friends, visits to places of interests, weekend football matches and in-house social activities. The residents spoke with the inspector and described some of the activities that they are involved in, both in the home and in the community. The residents Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: described the support they get from the staff to enable them to enjoy activities outside the home. In conversation with the residents, it was evident that they enjoy good level of independence and are able to speak for themselves. The staff treat them with respect and empower them to make positive decisions about their life. To improve on the quality of the support they need in order to make positive decisions for themselves, the home is developing suitable risk assessments plans that would allow each person to make independent decisions for themselves without compromising their safety or welfare. The residents commented on the good support they receive from the staff for them to experience good social life. Some of the activities that they are involved in include going to football matches, swimming, going to the cinema, going to disco and out for meals with friends. The manager stated that all the residents have bus passes and some of them can travel independently. The residents confirmed that they have regular holidays organised by the home and also with the various clubs that individuals belong to. Some of the residents have regular holidays with families. The residents have good choice of menus available to them. The residents confirmed that they have been involved in preparing the menus. The menus are regulary discuss with the residents and changes made to them depending on what the residents decide. The main meal of the day is at tea time when the residents come back from the various day centres or outings. The residents are supported and encouraged to be involved in the preparation of meals. 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. There are suitable arrangements to promote the emotional and physical health of the residents through their GPs and other healthcare professionals. Furthermore, the home has suitable arrangements in place for the safe handling of medication in the home. These arrangements promote the health and welfare of the residents. Evidence: All the residents have their own GPs and they are supported to attend appointments with their doctors when required. There are other arrangements for the residents to attend specialist out-patient appoints and consultation with other healthcare professionals. Records also show that the residents have regular visits to dentists and opticians. These visits are recorded on individual files and in the handover book. The records show that the residents have been receiving the health care that they are entitled to. The home works in partnership with other healthcare agencies and professionals including a psychiatrist, dentists, district nurse, physiotherapist and other healthcare professionals. The care plans provide details of the residents health and social care needs. All the Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: care plans that were examined contained good information about their needs and provided detailed information to staff on how those needs are to be addressed. Residents care plans, risk assessments and other care records show that individual care needs are clearly identified and care programmes have been put in place to meet them. The care staff ensure that the care provided to the individuals matches what has been agreed in the care plans. Where there are changes in residents condition, the care plans are altered to take account of the changes to the individuals needs. The care plans are also regularly updated to reflect the views of the residents through the monthly review meetings with their key workers. The drugs administration system was inspected and there were no discrepancies noted. Staff who have responsibility for administering medicines have had suitable training in safe handling of medication. 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. The homes complaints procedures and the checks carried out for all staff help to promote the welfare of the residents. Evidence: The home has a written complaint procedure and a summary of the procedure is included in the Service User Guide and copies are retained on residents files. The complaints policy for the residents is in pictorial format which makes it easy for the residents to read. Residents said that they have seen the pictorial version of the complaints procedure. One resident said that she would know what to do if she was not happy with anything. The inspector had discussions with the staff and the manager about the complaints procedure and how people are enpowered to know what to do if they were unhappy about the care that they receive. It was evident that the staff have good knowledge of the residents needs and would encourage them to express their views if they are not happy. The staff also showed good understanding of how to protect the service users from any form of abuse. The manager and the staff members were very clear about safeguarding matters and described what actions they would take if they suspected that a residents welfare is not being safeguarded. The home has all the necessary Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: formats for receiving and recording any complaints that they receive but the records show that there has been no complaints received since the last key inspection. There is a clear system in place for the handling and recording of service users monies. The financial records relating the residents personal allowances were examined and there were no discrepancies noted. The residents have signed for their monies and reciepts have been kept to show what transactions have been made on each persons behalf. 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 house is homely, comfortable, clean and generally meets the needs of the residents. Evidence: The home is located in the community and is close to local amenities and transport system. Each resident has their own room that is individually decorated and furnished to reflect each persons choice. There is good standard of decoration and furnishing throughout the home. However, some of the rooms are very small and do not meet the current standard. The rooms in the extension part of the home are much larger and provide spacious facility for the residents who occupy those rooms. The residents have keys to their bedrooms to ensure privacy for them, and also to ensure that personal possessions are safe. The house is clean and maintained to good a standard. There are regular fire safety checks and fire drills for the staff and residents. There is attention to health and safety of the residents, making sure that all equipment and other devices are in safe working order. There is a maintenance programme in place to maintain the good standard and safety of the home. Care Homes for Adults (18-65 years) Page 20 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are supported by staff who are well motivated and appropriately trained to meet the needs of the residents. This promotes the residents safety and welfare. However, some staff would need refresher training in some of the statutory training areas. The residents generally enjoy good staff to service user ratio, enabling them to enjoy personalised care and attention, thus promoting their independence. Evidence: In discussions with the manager, it was evident that although the staffing levels are adequate at most times to meet the needs of the residents, there have been a number of ocassions where it had been difficult to meet the right staffing levels due to difficulties with recruitment. Consequently, the manager has, since August 2008, been working as part of the care staff in order to make sure that there is sufficient care hours to meet the needs of the residents. The manager indicated that as a result she has not been able to undertake some of her management tasks such as review of care plans and updating of care plans. However, in recent days, two new appointments have been made and the manager is currently inducting those new care staff into their workplace. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, infection control, protection of vulnerable adults, fire safety, food hygiene and No Secrets. However, examination of the staff training records show that a number of staff require refresher training in first aid, food hygiene, moving and handling. It was noticed that the staff have not had formal training in fire safety, although there is a record of regular fire drills. The manager took immediate steps to arrange fire safety training which was to take place shortly after the completion of the inspection. The home adheres to proper employment procedures in recruiting staff. All staff have job description and they had completed job application forms and were interviewed before they were appointed. The staff files contain evidence of application forms, references, interview notes and CRB checks. The manager stated that the staff receive regular supervisions. Staff commented that they find the supervision sessions helpful and it gives them the opportunity to discuss with the manager their training needs. These positive comments were also expressed in the staff surveys that were received by the Commission. 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 home is managed by a qualified and experienced person, and runs the home for the benefit of the residents. The safety and welfare of the residents are protected by the regular servicing of electrical equipments and the good safety arrangements that are in place. Evidence: The manager is registered with the Commission and has NVQ Level 4 in Management. Staff and residents commented positively on her management qualities as being very good. Staff feel that the manager is approachable and supportive of them. She provides good supervision for the staff and staff commented positively on her approach to them and the residents. There are regular meetings between the staff and the residents. The manager indicated that the provider visits the home regularly but the last Regulation 26 report was in November 2008. The manager was told that these reports need to be Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: completed and copies kept in the home for inspection by the inspector. Examination of the personal allowance records and receipts of transactions show that there is a good system in place for managing the residents monies. Receipts are available for all transactions that have been made on behalf of the residents. The residents have signed the record sheet to show when they have taken money out of their safe. The home has detailed policies and procedures covering all aspects of the running of the home. These are regularly updated to reflect current practices. The homes Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH), protection of vulnerable adults, infection control and dealing with violence. There is evidence that staff adhere to the policies as set by the home. Servicing records confirm that all portable appliances have been tested. Regular servicing of fire equipment, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. However, the training log shows that the staff have not received formal training in fire safety. 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 1 32 18 All the staff in the home must have suitable training in fire safety. An up to date training in fire safety is required to promote the safety and welfare of the residents. 24/04/2009 2 35 18 Suitable arrangements must be for staff to receive refresher mandatory training. Mandatory training must be regularly updated to ensure that the satff are up to date with current practice. 24/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!