Care Home: Ashlea House

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What the care home does well They make sure that residents know all about the home and what is expected of them when they move in. Each resident has their own individual support plan that is written with them, in a way that they can understand. One service user said that he thought his file was good because it had information about him doing things and said about what he was hoping to achieve. Residents are encouraged and supported to make choices about their daily routines and what they want to do with their lives. They are helped to develop their daily living skills and social skills, so that they can live their lives as independently as they want, knowing that staff are there to offer encouragement and support when they need it. They have the opportunity to have time with their key worker. That is a staff member that they have been linked to that they can rely on to provide support. This helps to make sure that they can talk about their worries. The service user said that he can always go to his keyworker because `they are the ones who can get things done.` Staff are good listeners and make sure that anything raised is acted upon. Residents go out into the community a lot and pursue their own chosen leisure activities, some they do independently and others in small groups. They can go out to lots of different places of interest that they have chosen for themselves and they go on holidays. Staff make sure that residents receive good healthcare. The home is well managed with residents best interests at the heart of whatever they do.Staff said that they felt the home works well because the staff team has a good mix of youth and experience and everybody`s views are listened to. What has improved since the last inspection? At our last inspection we saw that they had established adequate standards and there were a few things that needed improvement. A random inspection earlier in the year, and this visit, showed that the home and organisation have addressed the issues and have made, or have in place, plans for further improvement to practice and administration. What the care home could do better: There were no requirements identified at this visit. The manager agreed to ensure the revamped service user guide and the statement of purpose will adequately reflect the individuality of the service within the overall group of homes. She will also look at the terminology in some of the guidelines and agreements to reflect a balance between being person centred, safety conscious and flexible. Key inspection report Care homes for adults (18-65 years) Name: Address: Ashlea House Bockhanger Lane Kennington Ashford Kent TN24 9BP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Geoffrey Senior     Date: 2 8 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Ashlea House Bockhanger Lane Kennington Ashford Kent TN24 9BP 01233643635 01233643635 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Alan Edward Rogers,Ms Joanne Clare Rogers,Mrs Sharon Ann Colton,Mrs Sylvia Margaret Rogers,Mr Mic care home 3 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Ashlea House is registered to provide accommodation for up to 3 adults with a learning disability and admits people with low to medium dependencies. Nexus Direct (a partnership) operates the home.There is currently no registered manager.An acting manager is in day to day control. The service is set up to support younger adults to move into greater independence. It aims to provide opportunities for risk and responsibility taking and personal development. The home works closely with other Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 1 9 0 3 2 0 0 9 Brief description of the care home Nexus Direct establishments and acts as a home that people aspire to live in. The home is not suitable for people who have mobility problems. The property is a detached house in a semi-rural setting, but only minutes walk away from local amenities. A public bus service is available a short walk away, but the home has a dedicated car for resident use. Access to town is a short drive away. All bedrooms are single occupancy. There is one bathroom / WC and a separate toilet. Information on the current scale of charges and previous reports can be obtained from the home. Care Homes for Adults (18-65 years) Page 5 of 26 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: This report takes into account information gathered since the last key inspection on 04.09.2008 and includes a visit to the home. The visit to the service was an unannounced Key Inspection which took place over one day. We arrived at 14.30pm on 28.08 2009 and stayed for about three hours. The homes manager was not present at this visit but we spoke with her on the phone on 3.9.09. Three members of staff and one of the service users were involved in the inspection. We received the homes annual quality assurance assessment that had been filled in by the manager. It is known as an AQAA for short. This is a document that all homes have to send us once a year to tell us how they think they are meeting the national standards, how they have improved in the previous year, what they aim to do and lets us know when they have completed important environmental safety checks. At the time of the visit there were 3 service users living at Ashlea but only one was at home. We spoke with him and had discussions with the staff on duty. We observed how staff interacted with the service user during the day when interacting and offering support. We looked at some of the Care Homes for Adults (18-65 years) Page 6 of 26 service users individual support plans and risk assessments. We also looked at and discussed the training records and quality assurance arrangements. Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 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 interested in living at the home are given the information they need to decide if it is right for them. People have an assessment that tells staff about them and what support they need. They can be admitted on a trial basis to see if the placement suits everybody. Evidence: People can find out about Ashlea from the service users guide that tells them all about the home and what to expect if they decide to move in. We were told that the current copy is being developed in line with other homes within the organisation. There will be a general guide but each service user will have their own personal copy that is written especially for them in a way that they can understand. The guide will include words, pictures and photographs of various areas inside the home and the garden. It will tell the person lots of things, for example, about the staff, what support they can expect, their rights, things that they are responsible for and will find it explains about the home routines. There is a statement of purpose that has more information about the service and is Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: for people such as care managers and relatives to see when they look round the home. It would appear that much of the information is common to all the homes in the group so care needs to be taken to highlight the individual purpose, function and target user group. We discussed the admission process with the staff and one of the service users. As Ashlea is seen as a home where people prepare for a more independent lifestyle, service users may have moved from another home within the group and so are well known to the other service users and staff. We saw that the individual is involved at every step and a plan is set out to help the person with their move from their previous home. People are visited by a manager and area manager and an initial assessment is made to see if the service can meet their needs. The person may then come to one of the homes for a 12 week period during which, an assessment for living with others is carried out, along with meetings with other people who may beinvolved in supporting them. When the person moves in, the care plan is written and agreed with the service user. This makes sure that their individual needs and wishes are known and it shows the support they need to help them with the things they want to achieve. Service users then have regular reviews and chances to talk with their key worker.One of the service users said that he saw the keyworker as the person they can go to, to get things done. Changes are made to the care plans as new things come to light. We asked a service user whether he had been asked about the move and had been given enough information about the home to make a decision. He said that he had and had been for a visit to find out about the home, meet people and looked around before he moved in. He was happy to be living at Ashlea and felt settled and well cared for. Care Homes for Adults (18-65 years) Page 11 of 26 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 have their own plan of care that shows their needs and wishes and how they may be supported to meet them. People are encouraged to make their own decisions, take reasonable risks and develop their life experiences. Evidence: Staff have got to know each person well and have found out and recorded what support they need and how they like it to be offered. Some routines have been established and guidelines have been written for staff in the support plans so that every one should be doing the same thing. We looked at these files and saw that service users have been involved in putting them together. One of the service users sat with us and talked us through the different sections of the file. We saw that they cover areas that are important to the individual, such as, their daily routines, what they need reminding about, where they need encouragement and things they need support with. They cover religion and culture and make sure that any related things are known and that plans are put in place to make sure that the persons Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: wishes are respected. Risk assessments are included as part of the plan. This is so that if people want to do something they are generally not stopped because it is thought to be unsafe. Instead, staff will work out what is needed to make it as safe as possible. We spoke to the service user about his and the other service users daily lives. He told us how they make choices about the things that they want to do with their lives, such as going to work or college, travelling alone and going out and using the local community services. They also spoke about things they do to help them develop their independence. It was clear that this has helped to build their confidence and given them a great deal of satisfaction. Care Homes for Adults (18-65 years) Page 13 of 26 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 may lead fulfilling lifestyles within the home and wider community. They are supported to experience activities that may enrich their lives and develop their skills. They are supported to maintain contact with family and friends. They are supported to plan and prepare balanced meals for themselves and others. Evidence: We were told that one of the aims of the home is to support peoples independence. This is reflected in each persons support plan which is tailored to their individual development and what they would like to do with their lives. Service users are supported with in house education and attendance at a local college. One also told us about his job seeking activities and how he is being helped to find employment. Every one has their own daily activity plan and book so they know what is going on and what support they may need. Communication, involvement and choice is generally at a good level. However, the home should consider to what degree the regime is person Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: centred when, in a semi independent unit, it has an established routine and expectation that the service users are home and in their rooms by 10 pm. Service users are encouraged and supported to develop their daily living skills according to their wishes. Everyone is expected to contribute to the group living and running of the home. Access to the kitchen is unrestricted and people may make drinks and snacks as they wish. Service users have a say in the menu and, with guidance around making healthy choices, can choose and prepare what they want for themselves and others. Everyone is also involved in household chores around the home and look after their own rooms, with staff support where necessary. Care Homes for Adults (18-65 years) Page 15 of 26 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. Service users are supported and encouraged by staff to make sure their personal and health care needs are met. Staff have a good understanding of the diverse needs of the service users and work to make sure they are met. There are systems in place to promote safe storage and administration of medication. Evidence: Each persons personal file includes details about their health needs and the support they require. There is information readily available to take to appointments if the GP or specialist need them. People are supported to access community and specialist health care services. Peoples health status is also monitored as part of the support plan review process so that any changes can be acted upon with minimum delay. Staff were aware of, and able to talk about, the current health of the individuals. We were told that currently no one looks after their own medication but should they wish to work towards more independence then a programme would be put in place. Medication is stored in a locked cupboard in a locked room. The records relating to medication administration were seen to be complete and up to date. There is Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: information about what each person is taking and possible side effects to be aware of. The manager said that all staff who are involved in medication have received training and she is satisfied with their competency. Care Homes for Adults (18-65 years) Page 17 of 26 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. Service users are helped to understand how to make a complaint if they are worried or unhappy. Staff make sure complaints are listened to and sorted out. Systems are in place and staff have training in protecting vulnerable people from the risk of harm. Evidence: The home has a written complaints procedure that each resident has a copy of. This is discussed with them when they first come to live at the home and a general copy on display for visitors to the home. The service user and staff spoken with said that they knew about the complaints procedure and how to raise a concern if they were not happy. Service users have lots of opportunities to say if they are worried about something or have a concern. They have time with their key worker, they can talk about things at the house meetings and can raise issues at their care review meetings. The service users also said that the office door is always open and he would be happy to talk to whoever is on duty knowing that he would be listened to and something would be done. Staff said that they would seek to resolve anything that caused distress to the service user and try to reassure them. Staff have received training in the protection of vulnerable adults and were clear in their explanation of what they would do if they had any cause for complaint or concern. The AQAA told us there have been 2 complaints raised in the last 12 months. We saw that a record had been kept of the complaint, the action taken and the outcome. Care Homes for Adults (18-65 years) Page 18 of 26 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. The home is well maintained, clean and comfortably furnished. Every one has their own private room as well as acces to all the communal areas of the home. Evidence: We saw, as we looked round the home, where improvements to the decoration were being made and were told about the forthcoming plans to refurbish the kitchen. The service user said that he likes the surroundings,which are much better now the decoration has started, and each service user has their own room that they can personalize with their own bits and pieces. Each room has a lock and the service user can keep the key. We were told that all the service users are encouraged to take ownership of the home and take pride in it. Everyone plays an active part in keeping the place clean and tidy and the garden usable. Care Homes for Adults (18-65 years) Page 19 of 26 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. Service users are supported by trained staff in sufficient numbers. The homes recruitment procedures help protect the service users from the risk of harm. Evidence: We talked to the people on duty about staffing the home and looked at the rotas. We were told that there are two or three support staff on duty during the day. This covers occupation and activities during the day. Support for attending activities that finish late evening may rely on staff goodwill or changes to the rota. We were told that staff are good at listening and we saw that they are well motivated and committed to the welfare of the service users. They told us that they are given training that is relevant to their role, helps them understand and meet the needs of people, keeps them up to date with new ways of working and gives them enough knowledge about healthcare and medication to properly support the service users. The AQAA told us that 5 staff have attained NVQ level 2 or above. All new staff have to complete initial training to acquaint themselves with the home and residents, and things to ensure safety. We spoke to staff about the induction training, and they said that this helped to give them the skills and confidence to do their job properly. There are a number of training courses that staff must attend following their introductory training, these are called mandatory courses and include things like, food, diet and nutrition, first aid, safe moving and handling, fire safety, health and safety and Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: infection control. Once these are completed staff have opportunities to attend other courses that are specific to caring for people with learning disabilities, such as, autism, Aspergers syndrome, and epilepsy. The staff on duty did not have access to the staff files but we were able to confirm through discussion with staff and from information contained in the AQAA that the organisation has robust recruitment procedures in place to protect residents. These include a number of security checks that are completed before new staff start working at the home. These include written references and a criminal records check to make sure that they are trustworthy and safe to be around the residents. We also saw from staff records that they receive individual supervision with the management each month. This is to monitor performance and discuss training and development needs and achievements. Care Homes for Adults (18-65 years) Page 21 of 26 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. Service users benefit from living in a well managed home where their best interests are safeguarded and their health and safety promoted. Service users can be confident that their views are listened to and may affect changes in the home for their benefit. The manager is well experienced and trained in residential care provision. Evidence: The acting manager has several years experience in a variety of residential care settings and has attended management and care provision training to NVQ level 4 and the Registered Managers Award. She was previously registered as a manager of another home within the organisation. We anticipate receipt of an application in respect of this home in the near future. She told us that there have been a number of changes to both practice and administration in the home. This, she said, is down to initiatives from the organization, herself and from the staff and service users. She feels that the open and approachable management style has helped to make people feel valued and respected. Service users said that they feel they are listened to and can play a part in running the home Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: and staff said they feel their contributions are appreciated. There is good communication between staff and between residents and staff. This means that residents are fully consulted and involved in the daily running of the home and in planning their own individual lifestyles. They have regular residents meetings and staff meetings. Residents have their regular meetings with their key worker and staff have regular supervision meetings with the manager. There is ongoing quality monitoring that includes monthly visits by a representative of the owning organisation. We were told that the home utilizes the review meetings and family visits to obtain feedback,determine how the home is doing and identify areas for future development. The AQAA indicated that safety checks are up to date. Systems are in place to promote the safety and welfare of the service users, staff and visitors to the home. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 37 8 Manager to submit application to be registered. Unregistered manager in post 24/12/2009 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 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!