Care Home: 3 Emily Jackson Close

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What the care home does well The home uses a person centred active support approach to ensure that the people who use this service are put at the centre of everything that happens in the home and the local community. The home actively supports decision making and promotes independence. The health and personal care at the home is of a very high standard and all aspects of health and well being are taken into consideration. The home works well with health and social care professionals to ensure the best possible interventions for the people who use this service. The home makes excellent use of the facilities in the local community. Two people who are supported by the home are now doing some voluntary work at a nearby church. The Avenues Trust has a very well organised training and development division that ensures all staff receive both statutory and specialist training at a high level. The environment is purpose built. It is clean and safe and gives the people who use this service a pleasant and homely place in which to live. The home is well managed and run in the best interests of the people who live there. What has improved since the last inspection? There has been some organisational and local management restructuring to make lines of accountability and responsibility clearer. Further improvements have been made in the way training needs are identified and the necessary training provided. More staff have obtained recognised qualifications. Recruitment has improved and there is now more service user involvement in the selection process. What the care home could do better: There were no requirements placed as a result of this visit. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 3 Emily Jackson Close Eardley Road Sevenoaks Kent TN13 1XH     The quality rating for this care home is:   three star excellent 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: Wendy Mills     Date: 2 2 0 7 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 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.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: 3 Emily Jackson Close Eardley Road Sevenoaks Kent TN13 1XH 01732465703 01732465703 3emilyjackson@theavenuestrust.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Avenues Support Services Name of registered manager (if applicable) Mrs Teirry Dorothy Etheridge 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 to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (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). Date of last inspection Brief description of the care home 3 Emily Jackson Close is a registered care home providing care and support for up to six people with a learning disability, who may also have a physical or sensory impairment. The home is a purpose built bungalow. It is situated in a quiet residential area of Sevenoaks and is within walking distance of the town centre and main line transport systems. Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home The home is all on one level and has six single bedrooms with en suite shower and toilet. There is a lounge and dining room and a large assisted bathroom. The lounge opens on to a small garden with patio area. There is a lawned area to the front of the home where there is some limited car parking. The weekly fees for this home are in the region of £1,300 and are based on the assessed needs of the individual. Additional charges are made for items such as hairdressing, holidays and transport. 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: three star excellent 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: This visit formed part of the annual regulatory process of the Care Quality Commission (CQC) under the Care Standards Act. The process takes into account information we have gathered during this visit and information we have received prior to this visit. This includes the homes Annual Quality Assurance Assessment (AQAA) and notifications that are required under the Act as well as information other people have given us, including the results of surveys and the views of visiting health and social care professionals. This information is then used to make a judgement about the star quality rating for the service. During this visit we spent time with the people who use this service, making observations and chatting with them. Although it was not possible to elicit their views Care Homes for Adults (18-65 years) Page 6 of 29 about the home, some conclusions were drawn as a result of these observations. We spoke to three members of staff, two of them in private, and held in depth discussion with the registered manager and the deputy manager. Important documentation, such as care plans and staff training records, was examined and a tour of the home made. The people who use this service, the staff, the registered manager, deputy manager and area manager, are all thanked for the welcome they gave and their help during this visit. The quality rating for this service is 3 Stars. This means that the people who use this service experience excellent outcomes in all aspects of their care. 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.cqc.org.uk. 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 8 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their supporters are given the information they need so that they can make an informed decision about moving into the home. Evidence: The home has a comprehensive statement of purpose and service user guide that are accessible to the people who use this service and their supporters. Both documents are in a variety of forms including easy read, audio and pictorial formats. They are also available in other languages on request. The home has sound admission policies and procedures that require a comprehensive pre-admission assessment and the opportunity for pre-admission visits and trail stays. The care plans of the most recently admitted person was examined. There was good evidence that a comprehensive pre-admission assessment had been carried out whilst this person was in their previous home. The person had been admitted to the home on the day previous to this visit and the home was already working hard to set up more assessments with local health care professionals. He had already been allocated a key Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: worker who had begun work to find out more about his likes and dislikes and to settle him into the home. Observation showed that his introduction to the home was unhurried, calm and relaxed. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people this home supports are offered choice in a way that helps them develop their ability to choose and makes their lives more interesting and meaningful. Evidence: The Avenues Trust has developed a system for determining choice when an individual may not have the capacity to make informed choices for themselves. The home runs Opportunity Sessions, at which different choices are offered so that preferences can be determined. For example, different types of music might be played to a person to see which genre of music is liked best. Records are made and the preferred choice offered. On the day of this visit a newly admitted person was being offered gentle and relaxing music to see if this reassured him and to note if he gave any indication of enjoying this music. By using this method, the home can determine likes and dislikes and offer as much choice as possible. The care plan of the most recently admitted person was examined. There was good Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: evidence that as much information about his background, cultural and religious needs and likes and dislikes had been obtained. Two other care plans were examined. Care plans are important documents as they are one of the means by which the people using this service and their supporters can tell that their needs will be met in the way they would wish. In addition there are an essential source of reference for staff who must provide care and support in a consistent and careful manner. Further, care plans can provide a sound basis for the decision making process in cases where a person may not have the mental capacity to make certain decisions for themselves. The care plans examined were up-to-date and comprehensive. Life histories, family backgrounds, likes and dislikes, cultural and religious needs and care and support needs are are carefully recorded and there are clear descriptions of the way these needs are to be met. Conversation with the registered manager showed that she has a good understanding of the Mental Capacity Act and how it might apply to the people the home supports. All the people who use this service have a key worker and a co-worker who knows them well. This arrangement is overseen by senior staff. When there are critical and/or changing needs best interest meetings are held to determine the best ways to meet these needs. Up-to-date risk assessments are in place of both individual risk and environmental risks. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes appropriate activities to help the people who use this service develop their full potential. Evidence: The people this home supports all have profound disabilities and therefore need individually tailored activities programmes. The home has made great efforts to ensure that each person has their own activities programme that suits their needs. All the people who use this service have the necessary specialist equipment such as adapted wheelchairs and seating, splinting and hoists, to support their independence. The staff were observed to use a variety of ways of communicating with the people they support, using both verbal and non-verbal means. Records provide good evidence that the home has spent a lot of time helping the people who use this service choose Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: activities that are appropriate to their needs and wishes. There is a wide range of activities both for recreational and therapeutic purposes. Activities include trips out, therapeutic activities such as passive movement and massage and sensory experiences. On the day of this visit one person was having a foot massage and another was being encouraged to take a walk outside. One person has a pet rabbit and cares for the pet with the support of staff. Friends and family are made welcome at all times and we were told that the home maintains very good relationships with the supporters of the people who use this service. The home offers the people they support a wholesome and varied diet. Special diets and special feeding needs are catered for and the home seeks the advice of Dietitians and Speech and Language Therapists when this is necessary. Opportunity Sessions have been used to determine likes and dislikes in respect of food choices and all the people who use this service appeared in good health and well nourished on the day of this 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home positively promotes the health of the people who use this service in a way that respects their privacy and dignity. Evidence: We examined three care plans, including that of the newest resident at the home. The care plans were up-to-date and in good order. They described the health and personal care needs of the people who use this service in detail. We found good evidence that the home is proactive in seeking health care advice on behalf of the people who use this service. All the service users are registered with General practitioners (GPs) and dentists. Health care professionals such as District Nurses, Occupational Therapists, Physiotherapists, and Speech and Language Therapists visit the home to make assessments and give advice. Specialist equipment such as hoists and adapted chairs were seen to be very well maintained and we observed that the people who use this service are helped to use the bracing prescribed for them by orthopaedic consultants. Staff were skilled at using Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: specialist aids and have received a great deal of training to help them give a high standard of health and personals care. Observation showed that care is given in a way that respects the privacy and dignity of the individual. Comments from visiting health and social care professionals were very positive. One wrote, I am impressed with the level of care and great attention focused on health, behaviour and mental well-being. There are robust systems for the administration of medicines in the home. Storage is safe and secure and there are sound procedures for the receipt and disposal of medicines. All staff who administer medicines have received training and are regularly checked for competency. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sound policies for managing concerns, complaints and safeguarding. The home listens to the concerns of the people who use this service and their supporters and acts appropriately. Evidence: The registered provider, The Avenues Trust, has sound policies and procedures for managing concerns, complaints and safeguarding. This year there have been further improvements in the way the Trust monitors safeguarding alerts. The complaints procedure is available in a variety of forms including easy read, audio tape and CD. The home ensures that relatives are made aware of the procedure. Day to day concerns are dealt with as they arise and there have been no formal complaints since the last inspection. Staff spoken to were aware of the procedure for reporting concerns and said that they would have no hesitation in reporting any suspicions of abuse if they arose. They said that there is a supportive and open atmosphere in the home and that they are confident in speaking to the registered manager about any concerns. Safeguarding is included in the staff induction programme and training updates. The staff handbook reminds staff of their responsibilities in respect of safeguarding. Care Homes for Adults (18-65 years) Page 19 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe, well maintained, clean and the communal areas are spacious. This gives the people who use this service a pleasant and homely place in which to live. Evidence: The home was purpose built in 1995. It is a single story building with wide doorways and corridors that make it easy for wheelchair users to access all areas. The communal space is light, airy and comfortably furnished. The lounge leads onto a wheelchair accessible garden. All bedrooms are for single occupancy and each bedroom has an en suite shower room and toilet. The home has sound infection control measures in place. Disposable gloves and hand wash gel are available at all wash basins. There are good systems for managing laundry and staff have received inspection control training. All areas of the home were very clean and tidy on the day of this visit. In addition to the individual shower rooms that home has a large assisted bathroom that is fitted with hoists, and other bathing aids. The home lacks sufficient storage space and the bathroom is also used to store much of the specialist equipment that the people who use this service need to maximise their ability. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels, staff training, recruitment practices and staff morale are excellent. This means that the people who use this service are supported by a carefully vetted, well trained and cheerful staff team. Evidence: Staffing levels are sufficient to meet the needs of the people who use this service. There are three staff members on each day shift and two awake staff member at nights. Currently the home is in the process of recruiting two more staff members. These hours are covered by bank staff and permanent staff working some extra hours at present. Staffing is flexible and extra staff are rostered on duty if the needs of the people who use this service change. The staff team have a good age and gender that reflect those of the people they support. There is also a wide range of experience and skills within the team and these differences make the life of the service users more interesting. The staff were seen to work well with the people they support and to relate well to each other and the manager. They are clearly focused on the needs of the people they support. All staff receive a copy of the staff handbook when they join the Trust. The handbook gives them good information about their rights and responsibilities as employees of the Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Trust. This includes a copy of the code of conduct for staff working in social care. The Avenues Trust has its own training division called, The Avenues Academy. Following a training needs analysis and identification of training needs during supervision sessions, the courses are booked with the Academy. Staff are expected to complete thirteen training days within their first six months of employment. Training includes both statutory training such as health and safety and moving and handling as well as specialist training such as managing epilepsy and challenging behavior. All staff receive training in empathic support and equality and diversity. Staff training records were examined and confirmed that there is an excellent level of training and development going on. Three members of staff were spoken to during the course of the visit, two of them in private. Staff said that they work well as a team and praised the high standard of training that they receive via the Trusts training organisation. One said, I had no experience of working in care before I came here but I have been given a huge amount of support and the training has been really well organised for me. I feel as though I am now really part of the team. I really love the work and I wasnt sure that I would. Another told us of the support she had received both from the registered manager and the Trust in order to develop her career. Over fifty percent of staff hold the National Vocational Qualification(NVQ)in care at level two or above. There are three staff members with NVQ at level three and six with NVQ at level two. Visiting health and social care professionals have made very positive comments about the staff and the way they work with the service users. One wrote, The staff interact sensitively with the service users. The registered manager told us that a recent recruitment drive had been very encouraging and that the home is about to embark on the selection process. The home has worked hard to increase the involvement of the people they support in the selection process. Prospective candidates are invited to visit the home and interact with the service users and the interview questions have a strong service user focus. The administration of recruitment is carried out at the Trusts head office and tracer files are kept in the home. The tracer files provide good evidence that all the necessary checks are carried out before a person is offered a post at the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed and run in the best interests of the people who use this service. Evidence: Since the last inspection there have been some changes in the management arrangements both within the Trust and in the home. The Trust has reorganised into three division, with one division being specifically for residential care. The home has appointed a deputy manager. This means that there is clearer leadership when the registered manager is absent from the home. The deputy manager is currently undertaking the NVQ at level four. The registered manager has the necessary experience and qualifications for the post. She has over fourteen year experience of working in care, eleven of these being with The Avenues Trust. She holds the National Vocational Qualification (NVQ) at level four and the Registered Managers Award (RMA). In addition, she has maintained her continuing professional development through attending course, peer support and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: reading. Staff and visiting health care professionals made very positive comments about her style of management and ability. One said, I have had so much support from management to develop my role, its given me loads more confidence. The home returned their Annual Quality Assurance Assessment (AQAA)on time. It was very comprehensive and gave us good information about the way the home meets the National Minimum Standards. The AQAA confirmed that all necessary health and safety checks are in place. This included confirmation that safety certificates, such as electrical safety, are in place and up-to-date. Daily, weekly and monthly health and safety checks are carried out and recorded by staff at the home and a representative for the Trust visits at least monthly to carry out a quality check in accordance with regulations. There are excellent quality assurance systems in place within the Trust. The views of the people who use this service are sought in a number of ways including the use of advocates, opportunity sessions and observation. The views of relatives and other stakeholders are sought by an annual questionnaire and at informal and formal meetings. Every year the Trust carries out a service audit that focuses on different aspects of care. Last year this looked at healthy lifestyles and this year it is looking at community participation. In depth discussion was held with the deputy manager and the registered manager during this visit. Both demonstrated an excellent understanding of the care needs of the people they support and were clear about their roles and responsibilities. All documentation requested during this visit was quickly produced and was found to be up-to-date and in good order. 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 or Textphone: or 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) 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!