Care Home: 145-147 Masons Road

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What the care home does well The home continues to provide a flexible homely service for two people. People expressed their satisfaction with the care they receive. They have a varied social life and are able to make decisions on their day to day activities make plans for the future. They are supported to maintain social contacts and where they express wishes to partake in new activities these are investigated. They are able to express dissatisfaction and there is evidence that their concerns and ideas are listened to and acted upon. Staff and people living in the home have good relationships and work well together. The home protects people from potential harm and abuse through the recruitment and selection procedures, training in the protection of vulnerable adults and the policies and procedures relating to health and safety. People surveyed said that the staff supports them to make informed choices in all their care needs. They are involved in meetings, care planning and risk assessments. What has improved since the last inspection? Improvements to the environment have been made, the hot water system has been improved and is satisfactory. There is now a qualified and registered manager, this allows for the service to be effectively managed. The building has been refurbished to give two people self contained flats that offers them the flexibility and privacy for semi dependent living. What the care home could do better: They should develop the representation of people living in the home in meetings, recruitment and policy making. This gives people a say in how the home`s policies are developed and who is recruited into the home. This makes sure that the home`s policies and procedures are centred around the needs of the people who live there and that the staff who work there to support people have in part been chosen by the people who will be receiving their care. Explore the availablity of community based activities that are suitable to the needs and wishes of people who use the service. This will enable people living at the home to have the opportunity to explore new hobbies and any interests. People surveyed said that repairs to the flat could be quicker and help get one person some new furniture. Key inspection report Care homes for adults (18-65 years) Name: Address: 145-147 Masons Road 145-147 Masons Road Stratford On Avon Warwickshire CV37 9NX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ashley Fawthrop     Date: 2 2 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.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: 145-147 Masons Road 145-147 Masons Road Stratford On Avon Warwickshire CV37 9NX 01789414551 F/P01789414551 jason.ward@turning-point.co.uk www.turning-point.co.uk Turning Point care home 4 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): 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: 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 (4) Date of last inspection Brief description of the care home 145-147 Masons Road is a care home for two adults with learning disabilities. The Primary Care Trust owns the home and the service providers are Turning Point. The home comprises two maisonettes, one ground floor and one first floor. There is a small office and laundry on the ground floor separate to the maisonettes. The home was opened in 1994. Up to two people are accommodated in each of the maisonettes. The home is a domestic property close to a supermarket and is close to the town of Stratford on Avon. Both of the bedrooms are singles without en-suite. Each maisonette has two bedrooms, a lounge, kitchen and bathroom. There is a shared laundry, garage and garden. The upstairs flat is only suitable for people who are independently mobile. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 4 Brief description of the care home Information regarding the fees can be obtained by contacting the service. 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: 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 site visit was undertaken on Tuesday the 21 and Wednesday 22 of July 2009 between the hours of 10:00 and 15:00, the visit was made by one inspector. We received the services AQAA within the timscale given. The AQAA tells us how the home assesses their own performance relating to the outcomes of care for people living in the home. The home tells us what it does well, what it does not do well, what has improved and how it intends to develop the service over the next twelve months. All the people living at the home were involved in the inspection, there were two surveys sent out and two received back with comments which were positive. Information seen prior to the visit were notifications sent to us recording accidents and incidents and information was gathered from the last inspection report. Care Homes for Adults (18-65 years) Page 6 of 29 Documents seen on the day of the visit included the Statement of Purpose and the Service Users Guide. Records were seen relating to the care and protection of people and included individual care plans and daily records, records of activities, medications, menus, complaints and Protection of Vulnerable Adults (POVA). Parts of the building were seen and records relating to staff training, recruitment and management were also seen. Four members of staff were seen and were involved in the inspection, the manager was not present but the team leader was present on the second day who acts in a deputy role. Care Homes for Adults (18-65 years) Page 7 of 29 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Adults (18-65 years) Page 8 of 29 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 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 10 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 receive sufficient information to make a judgement as to whether the home can meet their needs. They have the opportunity to visit the home and stay for a period of time before the placement is made permanent and are involved in their assessment and move into the home. Evidence: There have been no recent admissions to the home and both people who live there have done so for many years. However, on the surveys returned both said that they had received information about the home and were asked if they wanted to move in. We looked at the information that would be available to people in the future to see if it was accurate and relative to the services provided by the home. There is a Statement of Purpose and a Service Users Guide that gives people a comprehensive guide into the service. The service provides long term residential support in two self contained flats. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The philosophy of care and the aims and objectives recorded in the Statement of Purpose state staff make sure that people are to be treated as individuals and have the opportunity to make informed choices, to be cared for with respect and have their dignity maintained, staff should also promote good self esteem and confidence. Staff should make sure that likes, dislikes and culture of people are respected and people should have the opportunity to make meaningful choices about activities and the care should be person centered. This was reflected in the care plan as there was evidence that people make choices about their daily lives such as activities and menus. Observations on the day of the visit showed that people were being treated with respect, showing that the staff are following the philosophy of care. The Service Users Guide includes a summary of the Statement of Purpose. This is produced in an easy read format with pictures. This makes the information easier to understand. In the case of the environment photographs of different areas of the building. There have been no pre moving in assessments undertaken recently, there is information available to people about applying for a place at the home, including who is involved such as a Care Manager from Social Services, the staff at the home and the person themselves along with their families. This gives people the opportunity to be involved in the planning of their own care. There is information about trial visits which gives people the opportunity to stay at the home for a short while to meet staff and other people living there before they make a decision to move in. Care Homes for Adults (18-65 years) Page 12 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. Individual care plans reflect the individual needs of people. People living in the home make decisions about their lives, they are supported to take risks as part of their daily lives. They are consulted and participate in all aspects of their lives and information is kept confidential where appropriate and safe. Evidence: Each person in the home has a file that records the majority of the information relating to their care. This includes an easy read Service Users Guide with pictures and photographs. These photographs are used as a visual record when recording activity, one persons plan said that going on trips made him happy and there was a picture of him by the seaside. People have access to their care plans, when these are updated people sign or leave Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: their mark to show that they agree with the new plan. Both people living in the home have care plans that reflect their individual needs. This is reflected in the way staff communicate with them and both have very different social needs, for instance one goes to college each week and another decided he no longer wished to attend as he had been going for many years so his time is spent in other ways. This is evidence that people are allowed to make decisions that affect their daily lives. Staff recognise that conflict can be caused when new staff begin to work at the home and assist people with personal care tasks. Staff told us that agency staff are kept to a minimum and wherever possible existing staff cover for absences. Care Homes for Adults (18-65 years) Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have the opportunity for personal development. They are enabled to take part activities that are appropriate to their ability, age and culture. People are supported to and benefit from a healthy life style. Evidence: People in the home are supported to take part in activities as a group and on an individual basis. One person goes to college and the other does not, one enjoys going to church and visits his mother regularly while another preferes to spend time watching television and listening to music. One person has expressed an interest in the army so staff have arranged for him to visit the local Territorial Army Barracks. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Staff said that people continue to go out regularly to local shops and pubs and they always have barbecues on birthdays whether permitting. People are given the opportunity to chose where they would like to go on holiday and this year people will be away in August and staff said this gives them the opportunity to do some redecoration. During our visit one person went shopping with a member of staff for cleaning materials for the home while the other went to the chemist to pick up his prescription. People were also cleaning their flats, this is part of their care plan and gives them responsibility for their environment. Throughout the visit both people appeared happy and were involved in daily routines such as shopping or they were watching television. People said that they can do what they like, there are activities that they should do as part of their care plan such as cleaning their flats. This gives people a balanced lifestyle mixing activities they have to do with leisure activities. Staff said that they had organised a trip for the day of our visit but due to rain this had been postponed. Meals are flexible and staff said that they do not use a set menu, there is a picture board with food on that people choose from. One person can say what they want while another points. Staff were aware of what people liked and made sure they were available. Staff said that sometimes they would go out for a meal or get a take away. There was fresh fruit and vegetables in the kitchen on the day of the visit. Care Homes for Adults (18-65 years) Page 16 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. People receive support with their personal health care, their physical and emotional needs are met. Medications are stored, dispensed and recorded safely. Evidence: Staff support and encourage people with their personal care tasks. They encourage positive behaviour and avoiding situations that would trigger negative behaviours. These triggers are recorded on risk assessments in care plans and staff were seen to use their skills and training to encouraging people with their social skills and independence. One person uses a walking aid when walking long distances. There is a risk assessment instructing staff on how to show the individual how to use it safely and what level of supervision he needs. This reduces the risk of accident and harm. For one person their particular area of need is communications while staff have received training in different forms of communication this person has developed his Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: own ways of communicating to make himself understood to those who are familiar with him through long term contact. The staff have written these down with there meaning so that staff who are not familiar with him have access to there meaning. This allows staff to communicate more affectively and reduce the risk of frustration and negative behaviour by the person they are caring for. Medications are appropriately stored these are in blister packs people living in the home do not look after or administer their own medication and this is done by designated and trained staff. On examining a sample of these they were shown to be stored, administered and signed for correctly. Medication files holds a photograph of each person so staff can identify who the medication is prescribed for and reduce any risk of mistakes. Care Homes for Adults (18-65 years) Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to express their ideas and concerns, their views are listened to and they are protected from abuse, neglect and harm. Evidence: There is a complaints procedure available in easy read format. Staff told us that people in the home were able to express their views and any concerns this was evident in the minutes of family forums where concerns about the maintenance of the home or where new equipment was needs for instance an new iron had been recorded. There was evidence to show that staff respond to any concerns they receive appropriately. Staff also told us that there was a good network of communication between the people who live there, their families, advocates and senior managers. This is in the form of face to face discussions and meetings with people who live in the home either together or individually in keyworker meetings. Family forums where family members and advocates meet with staff, staff team meetings and senior manager visits under Regulation 26 where the area manager Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: visits once a month to see how the home and staff are supporting people who live there. There was evidence that these meetings are held regularly and where appropriate the wishes and concerns of people are acted upon. People surveyed said that they knew how to complain and who to complain to. They said that staff treated them well and always listened and acted on what they had to say. A sample of peoples finances were seen and were recorded accurately, there is a policy and procedure for the handling and recording of finances, theses are signed by staff to say they understand them and a copy was seen on the staff files that were looked at. Care Homes for Adults (18-65 years) Page 20 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 benefit from an improved environment, the accomodation is suited to peoples needs. People also have access to equipment and adaptations to meet their needs. Evidence: Information recorded in the Service Users Guide includes a description of the environment and includes photographs. The home has access to contractors to make repairs and there are records to show that this takes place. There have been concerns raised that at times there is a long delay between reporting any faults and repairs taking place. Through observations people were happy living in their environment they appeared comfortable and relaxed. Each person has a self contained flat with lounge, kitchen, bedroom, bathroom and toilet. The flat on the first floor is accessed by steps and there are records in the risk assessment that some concerns were raised about the person living in the flat and their ability to climb stairs safely. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Action in one risk assessment was to fit a hand rail to the staircase to the first floor flat. This was completed and allows the person to continue to live in his environment safely. Water temperatures are checked and recorded regularly and the hot water from showers and baths is monitored to prevent the risk of scalding. People have access to all areas of their flats, each flat is individually furnished and decorated, this gives the flats individuality and a sense of ownership. Care Homes for Adults (18-65 years) Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a consistent staff team that have the skills and knowledge needed to support them. Staff recruitment policies and procedures protect people from potential harm and abuse. Evidence: There are team leaders on duty at each shift who have the responsibility for supervising care staff and dealing with monies and medications. Staff told us that only shift leaders have the keys to secure cabinets and medications this is to make sure that confidential information is protected and secure and that only designated staff give out medications. I n addition to the team leader there is a minimum of two staff on each shift, so that if one person needs or wishes to go out there is always one member of staff in the home. Agency staff are kept to a minimum and wherever possible this allows relationships and trust to be built up between staff and the people who live in the home. We looked at a number of staff files including the procedure for recruiting staff. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Documentation showed that full employment histories had been secured as well as two employment references and disclosures from the Criminal Records Bureau. Evidence of training is held on file this includes mandatory training such as Health and Safety and medication. Staff were also seen to have undertaken training in Learning Disabilities and National Vocational Qualifications (NVQ). Care Homes for Adults (18-65 years) Page 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a service that is managed in their best interest. Evidence: The registration certificate was on display and reflects accurately the categories of registration. Since the last key inspection undertaken in 2006 a manager has been registered with the Commission this makes sure that the person managing the home has the skills, knowledge and experience to manage the service. The manager meets regularly with the area manager in line with Regulation 26 of the Care Homes Regulations 2001, a number of areas are discussed including staffing, the Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: environment, concerns and complaints and changes to the needs of people in the home. The quality assurance system includes satisfaction questionaires for people who live in the home, their relatives and advocates. these have recently been introduced to support the system that already exists to quality assess the service. People have the opportunity to express their wishes and concerns in a number of different ways these are in the form of meetings with their keyworker on a one to one basis, also in meetings they have as a group with staff and family forums where families and or their advocates meet with staff. There is evidence of all these meeting being undertaken regularly with minutes and outcomes. Staff are supervised regularly by senior staff, the minutes of these meetings are held on file. Information includes the needs of the service as well as the development needs of the person being supervised. There are policies and procedures in place to protect the health and safety of people in the home. A selection includes fire safety, Care of Substances Hazardous to Health(COSSH), water temperatures and general risk assessments relating to the building. Care Homes for Adults (18-65 years) Page 26 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 27 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 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 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC 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. 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