Care Home: 127 Longdon Road

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What the care home does well People make decisions about their lives and receive support from staff to do so. Records that explain how to care for people and help them stay safe and healthy are well written so that staff understand how to meet individual`s needs. The home is good at helping people stay in touch with their friends and relatives so that they do not lose relationships that are important to them. People are offered good food that helps them stay healthy and well. There are good systems in place to recruit new staff so that people who live in the home are protected from possible harm. Medicines are well looked after so that people have their medication in a planned and safe way. What has improved since the last inspection? Bedrooms have been redecorated, there is new lino in the kitchen and a new shower has been fitted upstairs. These things make the home more pleasant for the people who live there. Checks to make sure equipment is safe to use and working well have been made, so that people are protected. What the care home could do better: Some staff need training to help them provide better and safer care to people who live in the home. There are often are not enough staff on duty to help people go out and do things they enjoy. Some checks (called quality assurance) that would make sure people have a good quality of life have not been made. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 127 Longdon Road 127 Longdon Road Knowle Solihull West Midlands B93 9HY     The quality rating for this care home is:   one star adequate 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: Julie Preston     Date: 1 6 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. 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 127 Longdon Road 127 Longdon Road Knowle Solihull West Midlands B93 9HY 01564775979 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Anthony Stephen Parker Type of registration: Number of places registered: Sunny Mount (Knowle) Limited care home 4 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: 4 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 categories: Learning disability (LD) 4 Date of last inspection Brief description of the care home 127 Longdon Rd is a 5 bedroom, semi-detached house owned by the Sunny Mount (Knowle) Limited. The home is situated approximately ? mile from the centre of Knowle. The house is domestic in scale but has been extended and adapted to meet the needs of the residents. Accommodation and support is currently provided for 4 people with learning disabilities. All the people living there have their own single bedrooms and there is a room for one member of staff, providing sleep-in night time cover. Downstairs there is an open plan lounge / dining area and additional dining Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 4 Brief description of the care home facilities in a fairly spacious kitchen. One person?s accommodation is also situated on the ground floor level. There is a ramp to facilitate access to the front of the house. However, the house is not adapted to the needs of people who use a wheelchair. With the exception of one individual?s accommodation, people living in this house need to be able to manage stairs. There is a private garden situated to the rear of the property. Information is shared with people within monthly house meetings and in day to day discussion. The fees charged to service users range from #485.00 to #500.00 per week, of which contributions are made according to individuals benefit entitlement. Additional charges are made for transport, toiletries and hairdressing, which people pay for from their personal allowances. Sunny Mount (Knowle) Limited provide each person with #100 per annum to be spent on clothing and #150 per annum towards the cost of a holiday. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate 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 focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and a questionnaire about the home. The questionnaire is called the Annual Quality Assurance Assessment (AQAA). The visit took place over one day and staff and people who live at the home did not Care Homes for Adults (18-65 years) Page 6 of 29 know that we were coming. Two service users were case tracked and this involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. The inspector looked around the building to make sure that it was warm, clean and comfortable. We were told that the fees charged to people range from four hundred and five pounds to five hundred and thirty eight pounds, each week. People pay a contribution from their welfare benefit. Extra costs include transport, personal items and chiropody. 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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to information about the services and facilities provided in the home so that they can be confident their needs will be met there. Evidence: No new people have been admitted to the home since the last inspection in October 2007. There is a procedure for assessing the needs of people before they move in to Longdon Road so that the person can be confident their individual needs can be met within the service. The home has a service user guide and statement of purpose that have been recently updated so that information about the services and facilities provided in the home is accurate and up to date. The registered manager confirmed that the service user guide is made available to individuals and their relatives. Care Homes for Adults (18-65 years) Page 10 of 29 Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems of care planning and risk assessment in place to enable peoples’ needs to be understood and met. The way that peoples finances are recorded and handled does not always ensure that they are fully protected. Evidence: The care plans for two people were looked at. Both contained information about how staff are to support people to meet their communication, social, spiritual, health, personal care, dietary and mobility needs. The care plans had been reviewed within the last six months to ensure they continue to be relevant to individuals needs. The home completes risk assessments for people so that consideration is given to supporting them to take responsible risks and promote their independence. Risk assessments sampled had been reviewed on a regular basis. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: The staff that we spoke to were able to describe how they support people to maintain and develop their independence, which indicates that peoples needs are being understood and met. People who live at Longdon Road need support to manage their finances. Two sets of records were sampled at this visit. There are systems in place to record individuals income and expenditure, which are checked for accuracy each day for their ongoing protection. The records that we looked at did not give enough information to establish that peoples finances are being adequately looked after. In one case a person had been charged for using the homes car, however we were told that the person travels independently and would have no reason to use this. On two occasions money had been withdrawn from a persons bank account to be held at Sunny Mount (another care home) for safekeeping. There was no further information about what this meant and staff were not able to explain why this had happened. The registered manager did provide us with a written explanation about these matters after our visit and said that he would be reviewing the systems of recording and safekeeping peoples money. House meetings take place each month. The records that we looked at showed that people are actively included in the running of the home and make decisions about the food they eat, activities, holidays and talking about any concerns they may have. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The limited number of staff on duty means that people do not always have regular opportunities to go out and do things they enjoy as part of a meaningful lifestyle. Evidence: We looked at the homes rota and spoke to the registered manager and a senior member of staff about the number of staff that are available particularly during the evenings and at weekends. We were told that there is only one member of staff on duty at any time, which had an impact on people going out to do things they enjoy as they would always have to go out as a group. Furthermore, there is only one full time member of staff, with one person doing two shifts a week and two people doing irregular bank shifts. The registered manager said that he was aware of these difficulties and would be advertising for more staff. The daily records we looked at showed that people had active days; either at work placements or day centres, but Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: were doing very little in the evenings. This was attributed to the minimal staffing. Some people are able to go out independently to the local shops and pub; these activities had been risk assessed to promote the safety of people living in the home. The home is good at supporting people to keep in touch with their friends and relatives. Within the care plans sampled there was information about the support people need to keep in touch with those that are important to them, such as making telephone calls and planning trips overseas and within the UK, to visit their relatives. Menus and records of the food people eat were looked at to establish that a balanced and varied diet is provided that meets peoples needs and preferences. A range of food had been offered including Sunday roasts, which is reflective of peoples cultural needs. There was evidence in care plans and daily records that people had been consulted about the weekly menus and that healthy eating was being encouraged to assist them to maintain good health. People are supported to use their skills in the kitchen so that their independence is promoted. Risk assessments had been completed to reduce known hazards associated with cooking and food preparation so that individuals could take part in these tasks safely. We were told that people do not go food shopping as there are not enough staff available to support this activity. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems in place to meet peoples’ personal and health care needs. Medicines are well managed so that people receive their medication in a planned and safe manner. Evidence: Two personal and health care plans were looked at during this visit. There was some good information about individuals personal care needs and preferences, which staff clearly understood so that people receive care in a manner they need and like. Financial and daily records showed that people shop for their own toiletries and clothes and use local hairdressers and barbers, with the support of staff as part of their regular personal care routines. Records showed that people have regular appointments with health care professionals and the outcome of this contact had been documented so that staff had accurate information about individuals state of health. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Staff have made referrals to professionals where there have been concerns about peoples general health so that they stay healthy and well. The system of storing, administering and recording medicines kept in the home was looked at to establish that people are protected by robust procedures. Windridges, the pharmacy, supply the medication to the home using the monitored dosage system in blister packs. A pharmacist report from 2007 identified no issues that needed action to improve the way medicines are managed. The Medication Administration records (MAR) sampled, cross-referenced with the blister packs indicating that medication had been given to people as prescribed. Some PRN (as required medicines) are prescribed. Written protocols had been developed to describe the circumstances under which such medicines should be offered so that people receive their medication in a planned and safe way. There have been no medication errors notified to the Commission in the last twelve months. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective procedures in place to listen to and act upon peoples concerns and complaints if they have any. The home is taking adequate measures to promote the protection of vulnerable adults. Staff training will further serve to safeguard people who live in the home. Evidence: There have been no complaints made about the home in the last twelve months. All four people who live in the home stated at the last visit that they are aware of their right to raise concerns and complaints and know whom to speak to do so. House meeting records sampled for a period of three months, showed that complaints and concerns form part of the agenda at each meeting. The home has a complaints procedure, which is available on the premises for the people who live there and includes photographs of the staff to make it more accessible to people. There have been no safeguarding referrals made to the lead agency responsible for adult protection in the last twelve months. The home has a policy for promoting the protection of vulnerable adults, which is issued by Solihull Care Trust. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: None of the staff team have received training in safeguarding vulnerable adults. This must be reviewed so that staff receive training that promotes the ongoing protection of people who live in the home. There are records of peoples belongings so that staff can keep track of individuals possessions for their ongoing protection. Recruitment records sampled showed that a robust procedure is followed for the ongoing protection of people living in the home. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and comfortable home with facilities that meet their needs. Evidence: 127 Longdon Road is situated in a residential area of Knowle, close to local amenities such as shops, places of worship, leisure facilities and public transport links. This is important to the people who live there as they make regular use of community based resources. The home is domestic in style and looks no different to others in the road. There are four bedrooms, one of which is on the ground floor with a private toilet and shower. The first floor has a communal bathroom, which is shared by the other three people who live in the home. On the ground floor there is a through lounge and dining room, which is well decorated and comfortable, with sufficient space for people to relax and have their meals. The bedrooms that we looked at were well furnished, clean and warm and clearly reflected peoples individual taste and style. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Since our last visit, a new shower has been fitted and there is new flooring in the kitchen. Bedrooms have been redecorated and we were told that people had chosen their own furniture and colour schemes. The home does not provide sanitary disposal facilities, which means that sanitary waste is not disposed of safely and hygienically. The home was clean and warm, with no odours that may indicate poor cleansing routines. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is not evident that all staff have received training to enable peoples needs to be consistently met. The are not enough staff employed to ensure that the home is run in the best interests of the people who live there. The home operates a robust system of recruiting staff for the protection of the people who live there. Evidence: We have already identified that the number of staff on duty in the home has an impact on people going out and doing things that they enjoy. There is only ever one member of staff on duty to support the four people who live at Longdon Road, which includes weekends. This means that everybody has to go out; if someone doesnt want to, the others cannot go either. We were told that one member of staff covers the majority of sleep in shifts each night. This person is also responsible for the day to day running of the home and has access to only three other staff members who work irregular shifts, one of whom is due to leave soon. The number of staff employed at the home has not been reviewed since our last visit. No new staff have been appointed since the last visit to the home in October 2007. At Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: that time staff recruitment records were looked at and found to contain evidence that satisfactory checks had been made of the persons suitability to work within the home prior to their appointment for the ongoing protection of the people who live there. Staff training records sampled identified that some training is outstanding, in Basic Food Hygiene, Safeguarding, First Aid and Fire Safety Awareness. This training must be provided to all staff so that peoples health and well being is promoted and maintained. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed, however quality assurance systems have not been fully developed to ensure that peoples views are considered in the day to day running of the service. Evidence: The registered manager is not based at Longdon Road; however there is a full time Senior Care Officer who manages the day-to-day running of the home. The Senior Care Officer has completed her NVQ 3, Assessors Award and a Certificate in Supervisory Development. The senior member of staff told us that she has regular contact with the registered manager and receives supervision every two months. Quality assurance systems remain undeveloped. The registered provider does not make regular visits to the home to comment and report upon the standard of care delivered and establish that peoples views are sought to measure the success of the Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: home in meeting its stated aims and objectives. Some effort has been made to audit systems such as care planning and medicines management. We have identified in this report that financial systems should be reviewed so that people can be confident their money is being looked after safely. A number of checks are made by staff to make sure that peoples health and safety is maintained. Records showed that the fire alarm system and emergency lighting had been regularly tested and serviced to make sure that it was working properly. Hot water temperatures are checked and recorded to ensure that they do not pose a scalding risk to people. Fridge and freezer temperatures are checked and recorded to make sure that food is stored safely. We were told that one member of staff sleeps in overnight to support the people who live in the home. Upon talking to staff it was evident that there was no agreed plan about the action that should be taken in the event that people had to evacuate the home during the night. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 13 18 There must be enough staff 24/12/2008 on duty to ensure that people have opportunities to go out and do things they enjoy. So that people experience a meaningful lifestyle. 2 23 13 Staff must receive training in safeguarding vulnerable adults. So that people are protected from potential harm. 29/12/2008 3 33 18 Staffing levels within the home must be reviewed to ensure that people’s needs are met at all times. So that people experience a meaningful lifestyle. 22/12/2008 4 35 18 A review of staff training 31/12/2008 must take place so that staff receive training appropriate to the work they are to perform and to promote the health and well being of people who live in the home. Page 27 of 29 Care Homes for Adults (18-65 years) So that people are supported by a trained team of staff who understand their needs. 5 39 26 A representative of the 30/12/2008 registered provider must visit the home on a regular basis to report on the quality of care provided in accordance with this regulation. So that people can be confident that their views and opinions are considered with regard to the running of the home. 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 7 The system of recording and handling peoples money should be reviewed so that they can be confident that their money is being well looked after. Sanitary bins should be provided so that waste can be disposed of safely and hygienically. There should be an agreed and written plan about the action that would be taken in the event that people had to evacuate the home during the night. 2 3 30 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!