Care Home: 55 Malvern Road

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What the care home does well People who are considering moving into the home have access to detailed information to help them decide. The assessment process is thorough, which means that the home can be sure that it can meet the needs of anyone moving in. People`s individual plans are based on their needs and preferences. The plans give staff the information they need to support people to make decisions about their lives. The home promotes independence and makes sure that risks are managed to ensure the safety of the people living there. People living at the home can take part in activities they enjoy and go out in the wider community if they wish. Their daily choices and individual rights are respected and contact with their families is supported. Food is nutritious and varied, and provides a balanced diet. People`s personal and health care needs are identified and monitored. The home makes sure that people receive any medical help and support they need. The home manages medication safely. People who live at the home and/or their representatives feel able to express their views about the home. They feel confident that any concerns would be dealt with appropriately. Staff understand their responsibility to promote people`s welfare and protect them. The home is generally kept clean and tidy. The home has good procedures for recruiting staff, and this helps to protect against unsuitable staff being employed. Staff training is provided so that staff can develop the knowledge and skills they need to provide good care. The home`s management approach ensures that people living at the home receive a good individualised service. Policies, procedures and practices help to promote safety in the home and so protect the residents. What has improved since the last inspection? The home is now recording all concerns and complaints, and the outcomes. This ensures that there is a clear record of how complaints are managed, and enables the home to monitor the level of complaints more easily. What the care home could do better: The home needs to make sure that toilet facilities meet the needs of the people living at the home. Staff need to be aware of the importance of protecting people`s privacy and dignity at all times, particularly when people are receiving personal care. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 55 Malvern Road 55 Malvern Road 55 Malvern Road St John`s Worcester Worcestershire WR2 4LE     The quality rating for this care home is:   two star good 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: Sarah Blake     Date: 1 7 1 1 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 55 Malvern Road 55 Malvern Road 55 Malvern Road St John`s Worcester Worcestershire WR2 4LE 01905421787 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Dimensions (UK) Ltd Name of registered manager (if applicable) Ms Julie Joan Hodgetts Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 4 Date of last inspection Brief description of the care home 55, Malvern Road is registered to provide residential care for up to five adults who experience a learning disability, who may have a physical disability, and whose needs are complex and diverse. The premises is a large, detached property, situated in a pleasant residential area of St. Johns, approximately one mile from Worcester city centre, with easy access to public transport and a range of amenities and facilities. The home is owned and run by Dimensions (UK) Ltd., and is part of The New Dimensions Care Homes for Adults (18-65 years) Page 4 of 29 care home 4 Over 65 0 4 Brief description of the care home Group, which, as the parent Company, provides strategic direction and a range of functional support services. The stated purpose of the organisation is, to work with people with learning difficulties, supporting them to make choices and to exercise control over their lives, and the main aim of the home is, to deliver a person-centred response to the needs and aspirations of the people we support. A schedule of fees is available from the home, and a copy of this inspection report can be viewed at the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We spent time at the home, talking to the people who use the service and the staff, and looking at the records, which must be kept by the home to show that it is being run properly. These include records relating to the care of people who use the service. The service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Some information from the AQAA has been included within this inspection report. We also received completed survey forms from people who use the service and their Care Homes for Adults (18-65 years) Page 6 of 29 relatives. The information from these sources helps us understand how well the home is meeting the needs of the people using the service. 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. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into 55 Malvern Road have access to detailed information to help them decide. There is a clear and thorough assessment process, which means that the home can be sure that it can meet the needs of anyone moving in. Evidence: The home has a Statement of Purpose and a Service User Guide, both of which give detailed information about the home and what life is like there. Due to the changes in the management of the home, both these documents need to be updated, and the new manager told us that he will be doing this soon. The people who live at the home have all been living there for more than two years, so the home has not had to carry out the assessments which would be necessary when new people are considering moving into 55 Malvern Road. The AQAA contained detailed information about how the home would work with people wishing to move into the home. The manager explained the process to us, and confirmed that Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: comprehensive assessments would be carried out by senior staff. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have individual plans based on their needs and preferences. These give staff the information they need to support people to make decisions about their lives. The home promotes independence and makes sure that risks are managed to ensure the safety of the people living there. Evidence: Every person who lives at the home has a care plan, and we looked in detail at two peoples records. These showed that the care plans are thorough and reflect peoples individual wishes and choices. The home uses a person centred approach to care planning, which means that the plans focus on the preferences, skills and goals of each person. In the AQAA, the home told us the individuals that live at Malvern Road are always listened to and consulted with on every aspect of their lives here. We treat the people we support as individuals. We found that the evidence supports this assertion. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Everyone living at the home has at least one allocated key worker, who takes specific responsibility for aspects of their care. Key workers provide some one to one support and they have a role in drawing up and reviewing care plans. This offers people living at the home some individual attention and means key workers get to know them, their needs, likes and dislikes. This knowledge means that the key workers can act as advocates for the person. Once a year, a person-centred plan for the next year for each person living at the home, called a Path, is prepared following meetings with the person, their key worker, the homes manager and any other people whom the person wishes to invite, such as family members. We saw two examples of a Path, which showed clearly what each person would like to achieve during the next year, and how their hopes and aspirations can be met. Relevant risk assessments are carried out to promote each persons safety. Risk assessments seen in the care records had been recorded in a format that is personalised and comprehensive. When necessary, specific plans had also been put in place to manage particular behaviours in the best way and to keep the person and other people as safe as possible, whilst promoting their independence. People living at the home are encouraged to make daily life decisions, although for some this can be limited due to their disabilities. People are encouraged to take part in the life of the home, and we saw that care plans clearly state how individuals can be supported to participate in the general routines and tasks of daily life. We saw that people are involved in the decision as to who their key workers are. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are enabled to take part in activities they enjoy and go out in the wider community if they wish. Their daily choices and individual rights are respected and contact with their families is supported. Staff ensure that residents are offered a variety of healthy and suitable meals they like. Evidence: People who live at the home have access to a range of social and leisure opportunities. These include cookery classes, for which the people living at the home buy the ingredients; sensory awareness; hydrotherapy and use of the local snoezelen (a snoezelen is a multi-sensory environment, which aims to create an atmosphere of trust and relaxation through pleasurable sensory experiences). Peoples individual plans include an activities programme, and daily reports show what each person has actually taken part in. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: There is clearly an emphasis on making sure daily routines, meal times and activities are flexible and take into account peoples moods and behaviours at any time. We spoke to staff, who showed a good understanding of the importance of a balanced diet. Menus showed that people living at the home receive a diet which is nutritious and varied. We saw that one persons medical condition means that there are certain foods which must be avoided, and staff were aware of these. The manager explained how the home would try to make sure that the persons wish to eat these foods is balanced against the medical problems which this might cause. We saw from the records that people were supported to have contact with their families. We received one survey from a relative who visits often, who told us that the staff are generally welcoming and friendly. We saw that the home tries to make sure that equality and diversity are promoted throughout. Records showed that people are asked about their preferred name; the preferred gender of support workers; their preferred language, and any religious or cultural needs, including the dates of relevant festivals. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are identified and monitored. The home makes sure that people receive the help and support they need. Their medicines are managed safely by the home on their behalf. Evidence: Care plans include good information about the support that each person needs with their personal care and the maintenance of good hygiene. Information about personal preferences such as the preferred gender of care staff and the way in which personal care should be carried out are clearly indicated. Daily records clearly show the support that has been provided. Care plans included records which showed that the home arranges for medical support when this is needed. We saw that one persons individual plan gave clear instructions about how staff should support them on visits to the doctor and dentist, so that they are not put under any unnecessary stress. Each person living at the home has a Health Action Plan. It contains detailed Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: information about the persons current medication and health, and includes their behaviours, emotional needs, communication, support required from health care professionals and how to monitor and identify when they may be in pain. Other relevant factors such as consent, lifestyle, diet, hygiene, vaccinations and health checks are also considered. People who live at the home are not able to take responsibility for their own medication. We saw that each person has a detailed list of their medication, which is reviewed regularly, and the records of medicines kept and administered were being maintained appropriately. There is suitably safe storage of medicines in the home. One persons medication is stored securely in their bedroom, and the manager told us that this is something which they wish to do for everyone living at the home. There are good procedures in place for taking medicines out of the home and for when a medication can be given as and when required to control behaviours or anxiety etc. The home has a clear and comprehensive policy for managing medication. We saw that people living at the home were clean and were wearing clothing which was appropriate for them, taking into account their age and disability. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home and/or their representatives can express their views about the home and feel confident that any concerns would be dealt with appropriately. Staff understand their responsibility to promote peoples welfare and protect them. Evidence: The homes complaints procedure is clear and easily accessible to people living at the home and their relatives. The manager and other staff confirmed that they are fully aware of the importance of monitoring any signs of distress. They would all actively advocate for people living at the home if there were such indicators. Since the previous inspection, we (the commission) have been made aware of an issue which could affect the safety and welfare of the people living at the home. This issue has been managed appropriately, following the homes procedures for safeguarding vulnerable adults, and is currently being investigated by the Local Authority. There is no risk to the people living at the home. The manager and most of the staff team have also received training on the local multiagency procedures for the protection of vulnerable adults, and those spoken with are clear about their role and responsibility for safeguarding the vulnerable adults who live at the home. Relevant instruction is also part of the homes induction programme and Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: the accredited training course for staff working with people who have learning disabilities. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally kept clean and tidy, but the bathing and toilet facilities do not always meet peoples needs. Evidence: The home is a large detached older-style house on two floors. It is kept clean and tidy, and the communal areas of the home are comfortable, with some new furniture and a homely atmosphere. The lounge looks out onto the large garden, which is mainly laid to lawn. The manager told us that people living at the home enjoy being in the garden when the weather is good. One persons ground floor bedroom opens onto a private patio area, where the plants have been carefully chosen to stimulate the senses. This area is completely secluded, being separated from the rest of the garden by a fence, and provides an attractive area for sitting out. One of the communal rooms upstairs contains a small selection of sensory equipment. It has the potential to become a valuable resource for the home, but would benefit from some upgrading, as it is also currently used for storage of sundry items. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: We saw that the upstairs bathroom had no seat on the toilet. The manager explained to us that some of the people who live at the home have forcibly removed toilet seats whenever they have been replaced. People who live at the home have the right to safe and comfortable toilet facilities, and the home should take steps to replace toilet seats with others that cannot easily be forcibly removed. Whilst walking around the home, a care worker showed us into a bedroom with an open door. Before entering, they knocked on the door frame. Within the room was an open bathroom where one of the people living at the home was in the bath with another support worker in attendance. The care worker explained that the support worker might need to call for assistance, and this is why the door is kept open. This practice does not promote the privacy and dignity of people who use the service, and we would expect the home to make more suitable arrangements for ensuring that assistance can be called for if necessary. We saw that the kitchen was clean and tidy, with suitable storage and cooking facilities. Risk assessments clearly show staff any limitations on people using the kitchen unsupervised. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at the home ensure that people living at the home receive the care that they need. Recruitment practice is robust and protects against unsuitable staff being employed. Staff training is provided so that staff can develop the knowledge and skills they need to provide good care. Evidence: We looked at the staffing rotas and saw that staffing levels are appropriate to meet the personal and social needs of residents. Staff turnover is relatively low, and this means that people living at the home benefit from consistency of care. We saw in staff files that Dimensions take up all necessary checks on prospective care staff including Criminal Records Bureau (CRB) checks and two written references. When appointed, all staff are given a job description that defines their role and responsibilities and Terms and Conditions of their employment. The induction of new staff includes shadowing more experienced staff and learning about peoples individual needs and preferences. Staff who are new to care work undertake LDAF (Learning Disability Accredited Framework) training, which is specifically for staff working in care with people who have learning disabilities. The Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: staff whom we spoke to clearly understand their role and responsibility as key workers and/or senior staff. They appear committed to ensuring that people receive individualised support and have a good quality of life. One staff member told us that training is always arranged on request when they feel it is needed to help them understand and know how to deal with specific issues. Surveys indicate that staff have the right skills, training and experience to look after people properly. One new staff member told us that she feels well supported by senior staff and management. Staff clearly work together well as a team and there are good and open communication channels within the home and with Dimensions. Records showed that the people living at the home are involved in the recruitment of some staff, by expressing their views as to the type of person they wish to have supporting them. We saw that one person living at the home had been involved in drawing up a person specification for their key worker which stated I need somebody who enjoys driving. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes management approach ensures that people living at the home receive a good individualised service. Policies, procedures and practices help to promote safety in the home and so protect the residents. Evidence: The home is currently being managed by a newly appointed manager, who has not yet submitted an application for registration with the commission. There is clearly an open and positive management approach at the home, and a committed staff team who work well together. Staff say they can always approach the manager to discuss issues and there is good team work and morale. The home recognises the importance of evaluating the quality of the service it provides for people. In the AQAA, the home told us in order to improve and provide a better service we need to continue to review and monitor how we are doing things now. In the AQAA, the home told us that the premises and all equipment are regularly Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: checked, maintained and serviced as required. There is a comprehensive health and safety policy and procedure, and staff receive training to help them put them into practice. The staff we spoke demonstrated a good understanding of health and safety. Risk assessments are also carried out in relation to individual situations and the environment. Accident and incident records are kept and notified appropriately to the Commission and other relevant agencies. 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 1 27 12 (4)(a) You must ensure that people are able to use bathing facilities in private. This is to ensure that peoples privacy and dignity is promoted. 22/02/2009 2 27 23 (2)(d) You must ensure that toilet facilities are hygienic and meet peoples needs. This is so that people can have toilet facilities which promote privacy and dignity. 22/02/2009 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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