Care Home: 94 Saunders Close

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 94 Saunders Close 94 Saunders Close Kettering Northants NN16 0AP     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: Catherine Perrins     Date: 1 8 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 94 Saunders Close 94 Saunders Close Kettering Northants NN16 0AP 01536416409 01536416369 Telephone number: Fax number: Email address: Provider web address: www.northamptonshire.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Northamptonshire County Council care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: A maximum of 4 people who have a learning disability and a physical disability may be accommodated on the ground floor. No person falling within the category Learning Disability (LD) can be admitted where there are already 9 persons of category LD already in the home. One person whose predominant need is LD but who is over the age of 65 years may be accommodated. The home is registered to accommodate 9 people in the category Learning Disability (LD) (18-65 years) for a maximum period of 6 months. Total number of service users in the home must not exceed 9. Date of last inspection Brief description of the care home 94 Saunders Close is a care home providing a respite service (short stay) offering personal care and accommodation for up to 9 persons with a learning disability and/or Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 9 Brief description of the care home associated physical disability. The nine bedrooms are single and without en-suite facilities, four bedrooms are located on the ground floor and are all accessible to people who use a wheelchair, the ground floor provides specialist bathing and toilet facilities, and a kitchen which has been adapted to be accessible for service users with a wheelchair. The first floor provides three bedrooms and bathing and toileting facilities. Communal facilities including lounge and dining areas are located on the ground floor, and provide access to the garden and patio. A self contained flat which provides lounge/dining space, a kitchenette, bathroom and two further bedrooms is located on the first floor. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. Fees payable are dependent upon an assessment undertaken by Care Management, which will determine the level of contribution payable by the service user. There are additional costs payable for activities and purchasing of personal items. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection which means that we focused on the key national standards. The key standards are those considered by the Commission to have the most impact on outcomes for residents. As part of the preparation for this inspection a period of three hours was spent reviewing previous inspection reports the other information that CSCI has received about this service. The inspection visit lasted seven hours during the morning and afternoon of a weekday. Care Homes for Adults (18-65 years) Page 6 of 29 During the inspection three people were case tracked. This involves looking in detail at all aspects of their care and experiences whilst staying at 94 Saunders Close, including looking as their individual plans of care and other records, talking to them and talking to their care staff. Because people with learning disabilities are not always able to tell us about their experiences we also used observations of peoples state of well being and how they interacted with staff members and others. A sample of staff files were also viewed as part of the inspection. The registered manager was present during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: The home must develop a service user guide to give new and existing people information about the home in a format that they can understand. This is an outstanding requirement from the homes last inspection. The storage of medication needs to be reviewed to ensure that it complies with the latest requirements of the Misuse of Drugs Act Amendment 2007.This is necessary to ensure that all medication, including controlled drugs can be stored safely. All medication received by the home needs to be entered onto the medication administration record to ensure that it can be properly accounted for. Prescribed creams should be dated when opened to ensure that they are used within the specified time after opening. Regular fire drills must take place in line with recommendations from the fire authority to ensure that everyone knows what to do in the event of a fire. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 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. The admissions process is well managed but people may not always have information about the home and services in a format that they can understand. Evidence: The home has a statement of purpose which was updated in December 2008 and contains good information about the home and the service offered. The home still does not have a service user guide. This was something that the Commission for Social Care Inspection required the service to do following the last key inspection and remains outstanding from 31st March, 2007. It is important that the home develop a service user guide to help people who currently use the service, and people who may wish to use it in the future, find out more about what it is like to stay at the home. The registered manager stated that the service was working on a brochure that would contain pictures and information about the service offered. The registered manager explained that people are initially assessed by a care manager. After that they are invited to visit and a more detailed assessment is carried to make sure that the home can offer people a service which will meet their needs. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Records show that this initial assessment is comprehensive and used by staff to develop care and support plans for people. Sometimes people come and stay at the home in an emergency and their needs cannot be fully assessed before their stay. The home has a clear procedure to ensure that where this happens the persons needs are assessed as soon as possible. The registered Manager explained that peoples carers are able to request when they would like to use the service and that the home tries to accommodate peoples requests wherever possible. Each person who stays at 94 Saunders Close has a contract with the terms and conditions of their stay - staff told us that these are currently being reviewed to make sure that they have all been signed by the person or their representative. As well as the people who stay at the home people can also go there to have a meal or call in to visit their friends. The registered manager explained that this is a valued part of the service for some people. One person spoken to said that he enjoyed coming to the home for his evening meal. 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 can be confident that their individual needs will met and their preferences respected whilst staying at this home. Evidence: Each person who stays at 94 Saunders Close has an individual plan of care. This contains all of the information that staff need to support people in the right way such as their assessments and support plans. Records show that on each occasion before someone stays at the home their key worker completes a pre-stay check; This involves speaking to the person if possible, and to their main carers, to discuss their current needs and any changes since their last stay at the home. This information is recorded in their individual plan of care then used to update their support plans and to develop specific goals for their stay. Individual plans of care seen contained good information about peoples individual preferences and how they are supported to make choices. For example details of food likes and dislikes, preferred time to get up and go to bed and what they liked to do in Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: their leisure time. Records show that any potential risks to each person staying at the home, and to the staff working with them, have been assessed so people can be given the appropriate support to reduce any unnecessary risks. Individual plans of care seen had been signed by the person themselves or by their parent or carer on their behalf if they are unable to sign. This shows that the information has been shared with the person or with someone who knows their needs and preferences. 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 are supported to maintain their preferred individual daily routines and choice of lifestyle whilst staying at the home. Evidence: People who stay at 94 Saunders Close are supported to continue going to the day centre or college course that they usually attend. Peoples individual plans of care contain details about their hobbies, interests and how they like to spend their leisure time. Staff told us that people are supported to go out for walks or to the pub if they want to. The home also has a Nintendo Wii games console and a Karaoke machine that people can use. Staff explained that they were in the process of setting up a sensory room which people would be able to use. It was hoped that this would be completed shortly after Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: the inspection. The home has several communal areas. The registered manager explained that this allows people to get some peace and quiet if they wish to. One person staying at the home told us it was Nice and quiet, I dont like people shouting - there is no shouting here. The menu for the week was viewed. People have a main meal in evening as most people out during the day. On day of inspection the main meal was pasties, new potatoes and fresh vegetables followed by arctic roll. One person told us that the meals are nice. The home employs a cook who has a folder of peoples likes and dislikes in the kitchen so that she can accommodate peoples individual preferences. As well as the main kitchen there is a small kitchen area by the main lounge where people can make themselves a drink if they wish to. 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 health and personal care needs are well met whilst staying at the home and they are helped to access additional health and social care services where required. Evidence: Individual plans of care contained good information about peoples health and personal care needs and relevant medical history. Records show that the home supports some people with complex health needs and works closely with a range of health and social care professionals. Where necessary the home makes referrals for people to request further assessments or additional services. Staff spoken to showed a good understanding of peoples health and personal care needs and were observed supporting people in a caring and sensitive manner. Individual support plans contained details about peoples preferences in relation to personal care, such as whether they liked to bath or shower and whether they preferred to bathe in the morning or evening. The administration of medication appeared to be generally well managed with all entries on the medication administration record being signed. The home does Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: however, need to ensure that all medication received is entered onto the medication administration record so that it can be audited and accounted for. The home also needs to date creams when they are opened to ensure that they are used within the required time after opening. The storage of medication needs to be reviewed to ensure that the home is able to store any controlled drugs safely and to ensure compliance with the latest requirements of the Misuse of Drugs Act Amendment 2007. This specifies how care homes should store controlled drugs. Controlled drugs are prescribed medicines which some people abuse them by taking them when they have not been prescribed, there are laws and regulations about how these drugs should be stored and administered. 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 are protected by the homes policy, procedures and practice. Evidence: The home has a complaints procedure. A copy of this is available with pictures and symbols to make it easier for people with learning disabilities to access the information. People spoken to said that they knew how to raise concerns. One person told us that he would speak to his community nurse or to the staff or manager at 94 Saunders Close. Details of local advice and advocacy services are displayed on the notice board in the entrance hall of the home. The home have received six complaints in the last twelve months. Records show that these have been investigated following the complaints procedure and matters resolved. There was evidence that where concerns had been addressed through other means, for example being raised in satisfaction surveys, these had been followed up and appropriate action taken. The home also had several compliments on file. A recent compliment received from a carer thanked the staff team saying how much their relative had enjoyed their stay at the home. Staff spoken to were aware of how to raise any concerns that they may have and were aware of their responsibilities to keep people safe from unnecessary risk and harm. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can enjoy a clean, well maintained and comfortable living environment during their stay at 94 Saunders Road. Evidence: 94 Saunders Close provides comfortable and spacious accommodation for people while they are staying at the home. There is a large lounge on the ground floor which has plenty of comfortable seating for people to sit and relax. The sofas are modular in design which means that they can be split up and moved around as required to accommodate people who use wheelchairs. There is a second quiet lounge downstairs which people can use if they wish to. There are four bedrooms on the ground floor all of which are spacious and accessible for people with physical disabilities. Each bedroom has a television, DVD player and a radio / CD player in. The corridors and doorways downstairs are wide to allow easy access for wheelchair users and there are fully accessible bath and shower facilities. As well as the main kitchen, there is a training kitchen downstairs and a small kitchen area off the lounge where people can make drinks when they wish to. The dining area has space to accommodate everyone who wishes to use it. Upstairs there is a flat which consists of two bedrooms, a kitchen area, lounge / diner Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: and bathroom facilities. There is also a further three bedrooms and additional bath / shower rooms. Outside the property there is a patio and garden area which can be accessed via the lounge. A push pad has been fitted to the door to make it easier for everyone to access the garden. The home was clean and well maintained throughout. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who stay at 94 Saunders Close are supported by a competent and well trained staff team. Evidence: Records show that staff recruitment is well managed and that staff have all of the necessary pre-recruitment checks to ensure that they are suitable to work with people with learining disabilities. New staff under go a period of induction. Staff told us that this included shadowing an experienced colleagues for several shifts and working through a comprehensive induction booklet with their supervisor. Staff told us that they were encouraged to attend training courses. One member of staff told us that the home had an ethos of personal development saying he was always encouraged to learn new skills. Records show that staff receive a comprehensive programme of training including food hygiene, moving and handling, health and safety, autism, first aid, Makaton, Epilepsy, conflict management, medication, Safeguarding Adults, infection control, pressure care, and continence. There are four members of staff on duty during the day, expert when people out at daycare, and two staff on duty overnight. Staff spoken to said that this was adequate Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: to meet peoples needs. Care Homes for Adults (18-65 years) Page 23 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 home is well managed in the best interests of the people who use the service. Evidence: The homes statement of purpose tells us that the registered manager holds a higher national certificate in management and social care and a diploma in social work. He has seventeen years experience of supporting people with learning disabilities. At present the registered manager is also covering a service manager post elsewhere within the County Council on a part time basis. In order to ensure the necessary management input is given to 94 Saunders Close a team manager is covering some of the managers role. The home conducts an annual satisfaction survey which is sent out to all carers. Results for the survey carried out in 2008 were viewed and the registered manager detailed how the issues raised had been addressed and the service improved as a result of feedback received. Examples of this were increased flexibility with booking stays and resuming the facility of having drop in support available where people are Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: able to visit and stay for tea but not over night. The results for the satisfaction survey carried out in 2009 showed an overall improvement in carers satisfaction with 83.9 of people saying that they were satisfied or very satisfied, 60 of these were very satisfied. Recent telephone reviews undertaken between the home and carers in February 2009 also show that people are generally very satisfied with the service. Comments include Absolutely brilliant knowing she is safe and well looked after. ...everyone has always been so accommodating and staff helpful and friendly. End of stay questionnaires are completed with ever one who stays at the home to make sure that they are happy with the service that they revived. Records show that generally all safety checks and assessments have been undertaken such as regular servicing of hoists and lifting equipment, electrical appliance and gas checks and checks on the hot water system. Radiator covers are in place on all radiators to prevent people from being burnt. The registered manager stated that hot water temperature restrictors are fitted to all necessary hot water outlets, such as baths and showers, to prevent people being scalded. Fire fighting equipment had been checked and serviced regularly however records show that monthly fire drills have not been taking place consistently every month. The registered manager stated that they linked fire drills to residents meetings and tried to ensure that they were done at different times to ensure that all of the people who stay at the home can be present for a fire drill at some point. This is done to ensure that everyone is aware of the procedure and to allow staff the opportunity to assess each individuals ability to vacate the building. The registered manager said that he was aware that drills needed to happen more frequently and would address this matter. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 1 4 The Registered Person to produce a Service Users Guide, which reflects the current situation, and is produced in a format appropriate to the service user group to which it provides a service. 31/03/2007 Care Homes for Adults (18-65 years) Page 26 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 1 5 A service user guide must be 30/06/2009 developed and produced and made available. The is required to give new and existing people information about the home in a format that they can understand. 2 20 13 All medication received must 30/04/2009 be entered onto the medication administration record. This is necessary to ensure that it can be audited and accounted for. 3 20 13 The storage of medication must be reviewed to ensure that it complies with the latest requirements of the Misuse of Drugs Act Amendment 2007. 01/07/2009 Care Homes for Adults (18-65 years) Page 27 of 29 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 This is necessary to ensure that all medication, including controlled drugs can be stored safely. 4 42 23 Regular fire drills must take place in line with recommendations from the fire authority. To ensure that everyone is aware of the procedure to follow in case of a fire. 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 01/06/2009 1 20 Prescribed creams should be dated when opened to ensure that they are used within the specified time after opening. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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