Care Home: 34 and 36 Seagarth Lane

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well Carpet has been fitted throughout 34 Seagarth bungalow. A member of staff has received training in teaching wheel chair dancing. What has improved since the last inspection? Peoples needs are known before they move to 34 and 36 Seagarth, so they can be as certain as possible that the service will be suitable for them. The service provides a clean, comfortable and safe environment to live in. Service users and their relatives are confident concerns or complaints will be taken seriously. The registered manager ensures that there are enough staff on duty to make sure that people are offered the right amount of support. Staff are well trained and there are good systems to check them before they work in the home. This helps to keep people safe and ensure staff can meet their needs. There are various ways the service obtain the views of service users and people with an interest in how the service is run. "The staff are wonderful here, they take good care of our relative who is very happy here. He does things we never thought he would like sailing, horse riding, holidays, days out. Well done Seagarth, full marks!" What the care home could do better: Service users would benefit from the work to the sensory garden being completed. Key inspection report Care homes for adults (18-65 years) Name: Address: 34 and 36 Seagarth Lane 34 and 36 Seagarth Lane Shirley Southampton Hampshire SO16 6RL     The quality rating for this care home is:   three star excellent 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: Tracey Horne     Date: 0 5 0 2 2 0 1 0 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 28 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 34 and 36 Seagarth Lane 34 and 36 Seagarth Lane Shirley Southampton Hampshire SO16 6RL 02380772847 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.dimensions-uk.org Dimensions (NSO) Ltd care home 6 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 Seagarth Lane is registered as a Care Home for up to six adults with a learning disability. Dimensions (NSO) Ltd is the Registered Provider. The Home provides care and accommodation for adults with a learning disability and associated sensory and physical disabilities, some of whom may present with challenging behaviours. The service is offered in an environment that respects individuality and promotes the development of service users potential and self-esteem. Service users are supported by a committed, well-trained and well-informed staff group. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home Seagarth Lane consists of two purpose built bungalows, which are interconnected. Each bungalow has three single bedrooms and run almost as two separate units. The home is situated close to local shops and services and has an accessible garden. One of the bungalows has a sensory room for service users in both bungalows to use. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The purpose of the inspection was to assess how well the service is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These included: We considered information received about the service since the last key inspection and annual service review. We looked at what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We sent out six service user, eight staff, four relative and two health and social care professional surveys. Care Homes for Adults (18-65 years) Page 6 of 28 We received responses from four service users (all had been supported to complete the survey by staff/relative), seven staff, one relative and one health and social care professional. A visit to the service by a Regulatory Inspector. This took place on the 5 February 2010 between 10:00 and 15:30. We looked at documentation relating to two service users and two staff. We spoke with the registered manager and three staff members. We also spent time in communal areas observing interactions between staff and residents. We spent time looking at records such as pre admission assessments, care plans, medication records, staff recruitment and training files and records of complaints and compliments. Care Homes for Adults (18-65 years) Page 7 of 28 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. 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 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems to assess peoples needs before they move into the home. This reassures people that the home will be able to meet their needs. Evidence: The AQAA states that one service user has been admitted since the last key inspection. A pre admission assessment was carried out. Visits were arranged for the prospective service user and their family. The service worked with the care manager and advocates. Other service users living at the service were involved and had their say about how the prospective service user would fit into their home. Four service users responded to our survey. They were asked if they wanted to move to the home. One relative and four service users agreed they got enough information about the home before moving in to help decide if they wanted to live there. Seven staff responded to our survey, five ticked always , one usually and one sometimes to being given information about peoples needs. One social and healthcare professional agreed the assessment arrangements ensure that accurate information is gathered so that the right service is planned before the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: service agrees to providing care. We looked at the record for the service user who had been admitted since our last visit. It showed that their needs were fully assessed, records of visits to the service showed that the prospective service user spent ample time at the service, meeting the people who live and work at Seagarth lane. This enables them to find out about the accommodation, lifestyles and routines they can expect and to see if this is the right service for them. Family members are encouraged to be fully involved in the decision making process. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments are in place for people so that staff can support them consistently to make choices and take managed risks on a regular basis. Evidence: The AQAA states that each of the six males living at the service have an individualised plan for personal care that meets their needs, choice and helps them retain their independence. The service continues to develop well structured, informative and person centered files. The support needs of each individual are clearly identified. This enables new and existing staff to better understand and effectively support the service users, and to help them work towards achieving goals. We could see that this was the case in the two care plans we lookedand both had been regularly reviewed. One relative surveyed agreed to being part of the reviewing process, and agreed that the service provides the care and support their relative needs, keeps them informed and up to date, and they feel fully involved in every aspect of their relatives life. All seven staff surveyed agreed the way in which they are informed about the people they support works well. They are very confident they have the support, experience and Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: knowledge to meet the different needs to communicate very effectively with service users. Service users are helped to make decisions affecting their daily lives with regard to activities, outings, routines and food choices among other things. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support. Records seen confirmed that these were reviewed on a regular basis or when any changes had been identified. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users enjoy an active, fulfilling daily lifestyle that respects their rights. Family and friends are welcomed into the home and contacts with the community are maintained. Service users may actively participate in the development of menus and choice of meals. Special dietary needs, variety and balance are considered. Evidence: The AQAA states that a flexible staff team work to the needs of the people they support to enjoy and actively fulfill a daily lifestyle that incorporates their rights needs and choices. Each person has goals and paths of their choice and is supported positively to attain them. We could see from the records we looked at, and by observations made, that service users have a well established pattern of social, educational and therapeutic activities, that are flexible in order to meet daily needs. Staff continue to work positively with the service users to establish interests, likes and Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: dislikes. During our visit one service user wanted to visit his relative in hospital, staff supported him to do that, other service users wanted to go to the local pub for lunch, again staff supported them. The staff said that there are always plenty of staff on duty to participate in planned, and spontaneous activities. One relative who responded to our survey agreed that the home arrange activities that ensure their relative has a good social life. Comments we received in our surveys from service users stated the activities are good and there is plenty of interaction within the community, for example hose riding, swimming, bowling, shopping, pubs and cafes. Service users are offered, and help to choose, an annual holiday. Last year a small group went to Portugal, and others went on holidays in the UK. The registered manager and staff said they are going to start gathering information for ideas for holidays this year, then service users will be able to make their own decision where to go. Visitors are encouraged and made to feel welcome at the home. The staff keep in contact with families to update them on progress and changes. The service user group is well established and the staff are aware of food likes, dislikes and preferences. Picture cards help service users choose what meal they would like and staff encourage service users to plan, buy for and prepare meals. Meals are provided mainly based on these wishes, but also taking into account the need for a reasonably balanced diet. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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. Evidence: The AQAA states that health care plans are in place and regular reviews take place. Medication reviews and blood tests are carried out regularly. All health care needs are monitored and addressed and staff receive feedback at handovers and team meetings. We looked at the records of two service users, both were very clear and showed access to healthcare professional on a regular basis, and that follow up appointments had been attended. The service receive very positive feedback from family and friends and other healthcare professionals ie district nurses, G.P.s, dentists, physiotherapists, chiropodist, care managers, and get positive feedback from the people at the hydrotherapy center. One health and social care professional agreed that service users healthcare needs are Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: properly met and advice is sought and acted on to improve their wellbeing. They also stated that service users are supported to administer their own medication where possible, or it is managed correctly where this is not possible. They agreed the service always make sure medical care is sought when needed. All seven staff surveyed agreed they receive training that gives them enough knowledge about healthcare and medication. We observed two staff administer lunch time medication. Both had received training and one was due a refresher course which had been booked for March 2010. Staff said, and Medication Administration Record Sheets (MARS) confirmed that two staff always administer medication, and two staff check medication when it comes from the pharmacist. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are confident their complaints will be taken seriously and acted upon and the home has good adult protection systems, which help to keep service users safe. Evidence: The AQAA states that no complaints have been received in the last twelve months. No incidents of restraint, safeguarding referrals or safeguarding investigations have been carried out. We looked at the complaints procedure, which was readily available in a user friendly format. The last recorded complaint in the log was March 2002. The registered manager said that no complaints had been received. All of the staff surveyed agreed to knowing what to do if someone has concerns about the home. One relative who responded to our survey was aware of the complaints procedure and knew who to speak to if they were not happy. They states that staff always listen to and act upon what they say, and are confident that any concern would be taken seriously and acted upon appropriately. One member of staff stated that the service has a whistle blowing policy and our contact number is on the front of the staff handover file. Family members consider their relatives to be safe and supported, and feel that the service has an open and honest approach. Staff have an understanding and are trained in the management of challenging behaviors and adult protection. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Staff said that they participate in regular training to ensure they are kept up to date, and confirmed that all appropriate safety checks are made prior to employment, such as Protection of Vulnerable Adults (PoVA) and Criminal Records Bureau (CRB). Records seen confirmed this. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic Evidence: The AQAA states that the home is clean, homely and relaxing. All staff work to a cleaning rota. The house is well decorated and each bedroom is decorated to the individuals choice. We looked in communal and some bedrooms and this was the case throughout. Seagarth Lane is two, interconnecting, purpose- built bungalows, designed to accommodate people with physical disabilities. The accommodation is well maintained and tastefully decorated throughout. Each bungalow has its own kitchen/small dining area, bathroom and separate toilet. An adapted bath has been fitted in one of the bungalows to meet the assessed needs of one of the service users. Each communal lounge has comfortable seating with wide screen televisions, DVD and music players. The patio doors in the lounge lead out to the garden, which is accessible and has a patio and lawn areas, pots and plants. Work has started to develop part of the garden a sensory and fruit and vegetable growing area with raised beds and wheelchair access. The service has a range of specialist equipment to meet the needs of service users, which include, hoists, wheelchairs and adjustable beds/chairs. The service decided to Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: adapt an un used dining room in one of the bungalows into a sensory room, which provides a relaxing and tranquil area for service users to use and enjoy. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being supported by sufficient numbers of well trained staff and are protected by the homes recruitment policies and practices. Evidence: The AQAA states that twenty staff are employed, all have the skills to communicate effectively with all the people they support and have confidence in the staff. The staff team are very supportive of each other and share skills, knowledge, ideas and good news. The team are well established, and this provides the continuity of support, attend training to enhance their skills and knowledge. Most staff responded to our survey ticked always when asked if there are enough staff to meet individuals needs. Staff members undertake catering, laundry and domestic duties as well as care support duties. The rota showed that staffing levels are increased at times of need to ensure that choice, opportunities for social and individual activities and the management of emergencies are not compromised. Recruitment, induction and probation procedures are in place. Staff files contain appropriate reference checks and all staff have current CRB checks. There is a comprehensive induction process that staff are supported to work through, staff agreed it covered everything they needed to know. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Mandatory training is provided and staff receive updates, refresher and service specific courses as required, such as epilepsy. We looked at the records of two recently recruited staff, they showed they are working on, and completed their induction. The registered manager confirmed that currently eighteen staff have gained an NVQ level 2 or above. All staff agreed they have been given enough training that is relevant to their role and helps them to understand individuals needs and keeps them up to date with new ways of working. One relative who responded to our survey agreed the staff have the right skills and experience to look after people as they would expect. All Staff who responded to our survey agreed to feeling they have the right support, experience and knowledge to meeting the different needs of people. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service benefits from a well-trained and experienced management team with clearly defined roles and responsibilities. There are robust health and safety and quality assurance processes, ensuring that the home is run according to the best interests of the service users. The health, safety and welfare of all is promoted and protected. Evidence: The AQAA states that the registered manager has the required qualification, experience, knowledge and competence to run the service and meet its stated aims and objectives. Adhere to budgets and demonstrate effective financial planning. Is open and honest and have efficient systems to safeguard and manage service users money and valuables. Record keeping and paperwork is of consistently high standard. Records are kept confidential by all staff and are aware of data protection. The quality assurance system confirms that the findings from risk assessments have been followed up and the service continuously improves its health and safety systems. All working practices in the service are safe and there are no preventable accidents. The service has a comprehensive range of policies and procedures to promote and protect Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: service users and employees health and safety, that are up to date. Staff said they are very clear or the expectations, duties and responsibilities of their role. The registered manager provides clear direction in an open and honest manner and they have the opportunity to express opinions at regular meetings. Records and certificates showed that regular health and safety checks had been carried out and staff receive relevant training The registered manager confirmed that there are formal and informal systems in place for quality assurance. We could see records of service user family comments, which praised the work at Seagarth. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!