Care Home: 5 Paddock Way

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 People who use the service are able have their say about everything that happens in the home. They can choose how they spend their time and are helped to do the things they want. They are given lots of information in different ways so they know what to do if they are not happy about anything. Regular meetings are held to let people who use the service talk about what is important to them. They are helped to do the things they want safely by meeting with staff to talk about any risks that might be involved. A plan is then made with them to help make the risk smaller and let them to do the activity safely. People who use the service tell us they like living there and think they are able to make choices about how they spend their time. Comments included: `I chose to have my room painted purple.` `There`s a menu in the kitchen and we choose the meals.` People who use the service felt they had lots of opportunities to go out and to meet other people. Comments included: `I like living here. I go to the pictures and swimming. I go to the library because I prefer their computers.` `We went on holiday with the girls only. It was really great.` `I went fishing. I have never been before. I caught a big fish.` What has improved since the last inspection? The person who wrote the last inspection report did not think anything needed to be changed, but suggested the way the record of people`s money was kept could be done better. This has been done. What the care home could do better: Peoples` care plans are written in a way that means they may not be able to easily understand them. The registered manager said work is being done, involving people who use the service, to change this and make them easy to follow. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 5 Paddock Way 5 Paddock Way Petersfield Hampshire GU32 3NH     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: Patricia Trim     Date: 2 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 5 Paddock Way 5 Paddock Way Petersfield Hampshire GU32 3NH 01730267120 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) : The You Trust care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 8 The maximum number of service users to be accommodated is 8 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the service are within the following category: Learning disability (LD) Date of last inspection Brief description of the care home 5 Paddock Way is a registered home providing personal care for 8 young adults with learning disabilities. The property comprises two semi-detached houses that are connected internally, with 4 people living in each. People who use services have single bedrooms and both parts of the property have a bathroom, shower room, separate toilet, lounge, kitchen/dining room and utility room. To the front of the property is a small garden and to the rear is a large enclosed well-maintained garden where seating is available. The home is situated within walking distance of local facilities and the town of Petersfield . The fees for the service are 635.39 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 27 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: We got our information to write this report in lots of different ways. We checked to see if anyone had made a complaint to us about 5 Paddock Way and found that they had not. We also looked at any information the home had given us about what might have happened since we last visited. We used some of the information Southern Focus Trust and Stephen Almond gave us about the home. We got this information in a big form the registered manager has to fill out each year. It tells us what the staff are doing to make it a good place to live and if there is anything they want to do better. Care Homes for Adults (18-65 years) Page 5 of 27 One of our inspectors visited the home and stayed for 4.5 hours. During the visit she was able to speak with five of the people who live in the home and ask them what it was like to live there. She was also able to see how the people who live there spend the day and what they do with staff. She was able to talk to two staff about what it was like to work at 5 Paddock Way. Some time was spent looking at the records of three people who live in the home. This was to make sure everyone knew how the person liked to spend their time and what help they needed from staff to let them do these things. Other records were looked at to make sure the home was safe to live in. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 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 8 of 27 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 is a comprehensive admission procedure that ensures the person wishing to use the service is involved in making the decision to move in and that the service can meet their needs. Evidence: No-one has moved into the home since 2006, but there was evidence that time had been spent getting to know everyone living in the home before they moved in and identifying what support they would need. The statement of purpose says that everyone has to be referred through adult services and a copy of the care managers assessment is used as part of the assessment process. People are invited to visit the home, for a day, overnight stay and short stay, to give everyone the chance to see how they fit in with the people already living in the home and to give them a taste of what its like to live at Paddock Way. There are regular meetings with the person, their care manager, family and/or advocate to discuss what the service can offer and to answer any questions the person Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: may have. The statement of purpose is available in easy read and pictorial formats so that everyone can have information about the service to help them make up their minds about moving in. Care Homes for Adults (18-65 years) Page 10 of 27 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. Comprehensive care plans and risk assessments are completed, that enable people who use the service to be involved in planning how they live their lives. People who use the service are consulted on decisions which affect their life. Evidence: Three care plans were viewed. They contained detailed information about the person using the service, in all aspects of their lives, such as health and personal care, communication, relationships, social and emotional needs and mental health. A support plan was written for each area of need, which identified what the person could do for themselves, what they wished to achieve and what staff needed to do to help them achieve their goal. The plan identified how people could measure whether they had achieved the desired outcome. There was evidence these outcomes were regularly reviewed and plans amended to reflect changing needs. The registered manager said that prior to each six month review, a brief summary of what support the person Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: currently has is written. The person who uses the service discusses this with their key worker. The information is shared at the review, to which care manager and family are invited, if the person who uses the service wishes them to be. Following the review, the plans are amended if necessary. Each support plan identifies if a risk assessment is required. Risk assessments are used to support people who use the service to do the things they want, even if there is an element of risk. One person explained they had risk assessments for several things they liked to do, such as swimming. They were aware that the risk assessment was to enable them to do the activity safely. The plans are simple and easy to follow, but are not yet available in a format that could be accessible to everyone who uses the service. The AQAA stated the organisation is currently reviewing this and a working party has been set up. The registered manager confirmed this was an ongoing project. People who use the service said they made decisions about all aspects of their daily lives. They are able to express their views by talking with their key workers and by attending residents meetings. The minutes of these meetings are supplied in easy read and pictorial formats to enable everyone who uses the service to remember what was discussed and decided. People who use the service were seen making decisions about their daily lives. They chose what they wished to do and staff were observed supporting them with their choices. Care Homes for Adults (18-65 years) Page 12 of 27 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. People who use services are able to choose from a wide range of educational, social and community activities. Diversity is promoted and people who use services are supported to express their individuality. People who use the service are involved in planning meals that provide a healthy balanced diet and that they enjoy. Evidence: People who use the service felt they were able to make choices about how they spent their time and thought they had a lot of activities to choose from. Each person has a very individual activities programme that meets their diverse needs. These include attending the local college, employment, a variety of local clubs relevant to personal interests, going to the gym or to church, out for meals, shopping and going to the pub. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The registered manager said part of the support offered is helping people develop their ability to access the community, including using public transport. Care plans and risk assessments are used to help people who use the service develop their skills. One person was pleased he was now able to go to work independently and hoped eventually to move to more independent living. People who use the service said everyone had been able to go on holiday. All the men went on a caravan holiday where they were able to try new things such as fishing. Two people said how much they had enjoyed this experience. All the women had rented a house in Weymouth and said they had thoroughly enjoyed relaxing by the sea. Care plans identify key relationships and there was written evidence that showed staff work hard to help people who use the service keep in touch with family and friends. Some people were getting ready to go home for Christmas and staff were helping write cards. Daily records showed regular contact between families and the service and the registered manager said keeping family involved and informed was seen as an important part of his work. Care plans recorded whether people who use the service wanted to be involved in housework and the day to day running of the home. Some people liked to do tasks such as laying tables, helping prepare food and were supported to do this safely through risk assessment. People who use the service said they had been involved in choosing the new kitchen and some new furniture. In a review, one person had been asked what colour they wanted their room repainted. The persons room had been redecorated in the chosen colours. Weekly menu plans are chosen by the people who use the service, who are involved as much as possible in buying and preparing food. Alternative choices are avaible. Meal times are flexible as everyone has a different daily routine. People who require a special diet are supported to have simliar meal choices to everyone else. Care Homes for Adults (18-65 years) Page 14 of 27 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 who use services are supported with their personal care in the way they like it and are able to access a wide range of health care. Staff receive the training and guidance they need to manage medication safely and that minimises the risk to people who use services. Evidence: The AQAA recorded that people who use the service are supported to make choices about their personal style. People who use the service said they thought staff helped them when they needed it, but that they could manage most of their personal care themselves. Care plans recorded what aspects of personal care people could manage independently, whether they needed prompting, or whether they needed staff to physically assist them. The AQAA stated that the service worked closely with the local Community Health team and records confirmed this, showing relevant referrals had been made. Individual records demonstrated that people who use the service are able to see their doctor, dentist and optician when they need to. Specific health care needs are monitored and Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: managed through working with families and other agencies such as day care services to make sure everyone has the information needed to keep the person safe. Staff receive training in the safe management of medication and have clear and detailed guidance on how and when to give medication. The majority of medication is supplied in a monitored dosage system, which staff order on a monthly basis and check on receipt to ensure the correct amounts have been supplied. This is kept in a secure cupboard and an accurate record kept of when medication is given. No-one currently self medicates but if this was an identified objective the person would be supported by a risk management strategy. Care Homes for Adults (18-65 years) Page 16 of 27 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 who use the service know how to make complaints and are confident issues raised will be addressed. Safeguarding procedures and staff training minimise the risk to people who use the service. Evidence: People who use the service said they knew how to make complaints, but had not felt the need to. The complaints procedure is displayed in the kitchen of each unit. It is written in easy read and pictorial formats so that everyone can understand what do do. People said they could also raise issues at their reviews and at the house meetings. One person said staff had supported him to resolve a minor issue. A new system was being introduced to deal with minor concerns so they could be resolved quickly and monitored. The service had a policy and procedure in respect of safeguarding that staff were able to refer to. Staff demonstrated they knew what to do if an allegation of abuse was made. They confirmed they had training both when completing their National Vocational Qualification (NVQ) and the Learning Disability training (now called LDQ), as well as in house training. The registered manager was attending an external safeguarding course in January 2009. The service has a good system for looking after the money of people who use the Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: service. Individual records are kept of any income and expenditure, together with receipts for sums over 5 pounds. Each entry is signed by the member of staff and the person using the service if possible. The balance is checked daily against the record held and regularly audited by the management of the service. Care Homes for Adults (18-65 years) Page 18 of 27 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 who use the service are able to live in a clean comfortable environment that meets their needs and that they like. Evidence: The home provides a comfortable environment that meets the needs of the people who live there. Each of the two houses has a lounge and kitchen/diner. People who use the service said they could go to either house, but tended to stay with the people they shared with. They all liked the garden, which the registered manager said is used a lot during the summer for barbeques and parties. People who use the service said they liked their environment. Comments included We wanted new furniture in the lounge and kitchen and were able to choose what we had. The AQAA recorded that bedrooms were being refurbished as part of the ongoing renovation programme and that the people who use the service were involved. One person had asked at their review for their room to be repainted in a specific colour. This had been done. People who use the service are asked on admission whether they wish to be involved in any household tasks. The information is used to write an appropriate care plan, Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: which is kept under review and amended when necessary. For example, some people like to do their own laundry and have different levels of support to enable them to do this. The equipment provided in the laundry is sufficient to manage the homes washing. Staff are given infection control training and have guidance on how to manage soiled linen safely. The home does not require a system for the disposal of clinical waste. Care Homes for Adults (18-65 years) Page 20 of 27 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. People who use the service are supported by well trained and supervised staff in sufficient numbers to meet their diverse needs. Evidence: Staff spoken with during the visit were confident and competent. They showed an in depth knowledge of the individual needs of people who use the service. Good interactions between people who use the service and staff were observed, with staff supporting people to make decisions about their daily lives. Comments made by people who use the service showed they liked staff and felt well supported by them. Comments included I like the staff, they make me laugh and The staff are good, they look after us. Staff were able to demonstrate their ability to understand those people who use the service who do not have verbal communication. For example, Makaton, and picture symbols are used in the home. Some of the people who dont need to use Makaton themselves are able to use it communicate with others. The AQAA recorded that people who use the service are supported by a consistent staff team. The registered manager said no new staff had been appointed since the Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: last inspection. When additional staff cover is required, the service calls in staff from Southern Focus Trusts own agency. The same staff are requested so that people who use the service continue to receive support from people they know. People who use the service said they were able to do the things they liked during the evenings and weekends as well as during the day. This demonstrates staffing levels are sufficient to meet their needs. Staff were seen throughout the visit, responding quickly to requests for support and providing a range of activities. The service has a thorough recruitment process and the records for two staff showed that it was consistently applied. The registered manager said it is the policy of Southern Focus Trust that Criminal Records Bureau (CRB) checks are repeated every three years. The service continues to provide thorough and varied training for staff to enable them to meet the individual needs of people who use the service. Training needs are reviewed and discussed at monthly supervisions and all staff complete a personal development plan. All staff are able to complete mandatory training such as food hygiene and first aid, as well as specialist training such as challenging behaviour and working with epilepsy. All staff are required to complete an in depth induction programme, which includes completing a workbook to demonstrate their competency. This includes completing the Learning Disability Qualification (LDQ). 7/8 staff have completed their National Vocational Qualification (NVQ) 3 and the 8th has nearly completed it. Care Homes for Adults (18-65 years) Page 22 of 27 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 is well managed with the needs of the people who use the service at the centre of every aspect of the day to day running. There are systems in place to monitor the health and safety of people who use the service, so risks to them are minimised. Evidence: The registered manager has completed his Registered Managers Award and continues to develop his practice through ongoing training. He is supported in his role by a well motivated team and Southern Focus Trust management. Both people who use the service and staff felt they could easily raise issues with him and that he was always available when they needed him. People who use the service are able to get information when they need it. Important documents such as the statement of purpose, service user guide and complaints procedure are available in easy read and pictorial formats. Other policies and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: procedures are also being put into these formats such as the minutes of service user meetings, the Charter of rights and the policy on confidentiality. People who use the service felt they were able to give their views about the service they receive in a number of ways. They said they were able to speak with their key worker, make complaints and discuss issues at the service user meetings. Some of them are also involved in giving feedback at the Southern Focus Trust (SFT) meetings and take part in staff recruitment. The service is regularly monitored by SFT and is visited monthly by one of the trustees. A detailed report is given to the manager so he knows what is working well and what areas need attention. During these visits every aspect of the day to day running is reviewed and people who use the service given the opportunity to express their views. Staff receive training and refresher courses in all aspects of health and safety such as food hygiene and first aid. People who use the service are also supported to complete health and safety training such as food hygiene if they wish to. Fire safety training and drills are regularly carried out, with the full involvement of people who use the service. A range of certificates were seen, which, together with information given in the AQAA, demonstrated the health and safety of people who use the service is preserved through the regular maintainence of equipment. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!