Care Home: Chalton Street

What the care home does well Of the six surveys returned from relatives all commented positively about the services offered to people living at the home. One person commented "I have been very impressed with this service`s caring, thoughtful and professional approach." Daily living skills, communication, respect for clients, responding to interests and needs of clients, nice food, nice surrounds, social events are all described as well managed. Six surveys were returned from people using the service: Five people commented that the food and activities are good. The care and support and activities undertaken were also praised. One person made negative comments. A survey from a relative had the following comment, "the home could have even better communication re medical matters". What has improved since the last inspection? Improvements have been made in regard to replacement of the floor covering in the lounge, dining and toilets areas of the home. The rooms of some people using the service have also been painted. The number of people supported to self medicate have increased and this was apparent from the records seen and from discussion with individuals using the service and staff. The views of people using the service appear to be more positive. This is in contrast to two comments recorded in surveys received that were included in the Annual Service Review in January 2009. People using the service said that the food has improved and the activities increased. What the care home could do better: This inspection found that complaints record needs to undergo regular review. Once the performance in respect to monthly monitoring starts to happen, this should see and improvement in the management of complaints made to the home. The registered person must also actively listen to the views of people using the service; this is commented upon since an individual is concerned about the prolonged delay in repairing the broken chair hoist in the assisted bathroom. This matter has been outstanding since 2006 and needs urgent action. The registered person must also ensure that the disrepair carpet on the stairs is attended to and that refurbishment of the kitchen occurs within a reasonable timescale. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Mary Wollstonecraft House 99 Chalton Street London NW1 1SP     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: Pearlet Storrod     Date: 1 3 0 7 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 30 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 30 Information about the care home Name of care home: Address: Mary Wollstonecraft House 99 Chalton Street London NW1 1SP 02073884137 02073887852 charlton.st@umbrellacare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Umbrella care home 9 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 9 For the provision of Mental Health Nursing Care for up to 9 adults, who are not required to be detained at the home under any section of the Mental He For the provision of Mental Health Nursing Care for up to 9 adults, who are not required to be detained at the home under any section of the Mental Health Act The staffing notice Date of last inspection Brief description of the care home Mary Wollstonecraft House is a purpose built care home, which offers a nursing service for up to nine people with mental health needs. The registration of the home enables it to take service users from the age of 18 years up to 65 years. The home offers support with personal care, cooking, cleaning, shopping and claiming benefits. As the home is registered to provide nursing care, then a registered mental health nurse is available on shift over a twenty-four hour period. The building is owned and maintained by St Pancras and Humanist Housing association. The service is operated by Umbrella, which is a mental health charity providing a full range of care and support services in North London. The home is sited within a residential area. Information about the home states that it is five minutes walk either from Euston Station or Mornington Crescent. It is also on several bus routes including the 253 between Hackney and Euston Station and Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home passes via Eversholt Street and Camden High Street. The number 168 bus, Hampstead Heath and Waterloo passes Eversholt Street, Euston Station and Camden High Street. The house has been designed over three floors. There is level access to the main entrance and the interior of the home is wheelchair accessible. A walled patio garden is at the rear of the property. Access to the garden is via french windows allowing egress by service users in wheelchairs. All the bedrooms are single occupancy with wash hand basins. A shaft lift ensures access to the upper floors. The fees per bed space is £1,232.00 per week Care Homes for Adults (18-65 years) Page 5 of 30 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 2 star. This means the people who use this service experience good quality outcomes. This inspection took 8 hours to complete with two visits being made to the home. The inspection was completed on 13 July 2009. Additional information were needed to assist with the completion of the report. For example the fees for services were received on 13 July 2009 and the AQAA was sent to us on 30 July 2009. A breakdown with our IT system also added to the delay of getting the report out for which we apologize. The previous manager left the service within the last year. A new manager has been Care Homes for Adults (18-65 years) Page 6 of 30 appointed and he was asked to submit and application for registration approval. The manager assisted with the inspection. The inspection included a visit to the providers head office to examine a sample of staff personal files to check the recruitment operational practice. Requirements from the previous inspection were followed up and surveys from people using the service, their relatives and staff were used as part of the inspection process. I spoke with four people using the service and two staff members, looked at a number of records including complaints, health and safety and toured the premises. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 30 Care Homes for Adults (18-65 years) Page 9 of 30 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 30 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 quality in this outcome area is good. The judgment has been made using evidence available at this inspection visit. The previous key inspection report dated 22 June 2006 asked for the Statement of Purpose to be reviewed with clear identifiable aims and objective and to include the philosophy of care and services offered. People using the service continues to have their personal aspirations and needs assessed. Evidence: The Statement of Purpose cum Service Users Guide remained outstanding from the previous inspection report dated 22 June 2006. The recently appointed manager asserted an intention to review the document to ensure compliance. Examination of three files for people using the service demonstrated that the home continues to ensure that individual people have their needs and aspirations assessed. Care Homes for Adults (18-65 years) Page 11 of 30 Care Homes for Adults (18-65 years) Page 12 of 30 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. Quality in this outcome area is good. This judgment has been made using available evidence, including a visit to this service. Systems are in place to ensure that people using the service are appropriately encouraged and supported to make informed decisions. People using the service are supported to take risks to as appropriate, to achieve their individual ambitions. Evidence: People who use the service are proactively encouraged to participate in their care reviews following the signing of their individual contracts and license agreements. Individual people spoke to me about their hobbies and interests and I noted the relaxed atmosphere between people using the service and staff and also between individual people using the service. There was mutual respect amongst everyone. One person told me about his plan to live in Holland with his wife in the foreseeable future. I saw evidence of people participating in the house meeting and being encouraged to chair the meeting and to take notes. It was interesting to note an individual actually Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: typing up the notes of the house meeting after declining to do so previously. This is commended. Risk management plans were noted to be satisfactorily undertaken and these are drawn up in conjunction with the identified needs and individual set objectives. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. This judgment has been made using available evidence including visits to the service. People using this service has lifestyles in the home that matches their expectations and preferences. Family and friends are welcomed into the home. A varied menu is available and people using the service participate in planning the weekly menus. Evidence: Support to people using this service are centered around their personal development, with the emphasis of moving on to more independent living or for individuals to move on to more suitable accommodation. I spoke with two people who confirmed a reluctance to move out of the home. One person was due soon to move to more independent living accommodation and another asserted a keen interest to move out, get married and live in Holland with his wife. This individual said he has never visited Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Holland but that he would like to live there. The care plans of people using the service incorporates their hobbies and interests, activities and daily living activities. Generally, people at this home appeared relaxed and there was inclusiveness, good atmosphere and communication and mutual respect noted amongst everyone throughout this visit. People are encouraged to maintain relationships with their family and friends; Positive feedback from family members were received from surveys that we issued, which confirms their satisfaction with the services offered to their family members. One person said for example that the service provides nice food, nice surroundings, social events, respond well to interests and needs of clients, respect clients, communication was good and daily living skills. They would like better communication in respect to medical matters though. The parent of a said, my son .... is being cared for very well, I am very pleased with the care he gets. I saw him on May 10th and I am housebound and could only get there if someone takes me by car. I am 80 years old next February 2010. Some individuals are encouraged and supported to plan and cook their meals. An individual asserted a plan to invite another individual to dine with him and then said that the meal did not turn out as they had intended. The weekly menu evidenced appeared well balanced, nutritious and satisfactory. Feedback from people using the service were as follows: It provides good food and somewhere to live. I am hoping to get my flat soon - supported housing - I cant think of anything else - I like some staff more than others. Another person said, Meals are good, activities are good. I am happy with the way things are. One other said, Food good, activities good nice staff. In fact the people living here praised the meals provided at this home. Care Homes for Adults (18-65 years) Page 16 of 30 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Personal and healthcare support for people who use services appears sound. Medication management was found to be in order. Evidence: People living here are able to communicate their preference in respect to support with personal care where needed. There is evidence of input from health professionals such as physiotherapist, psychologist as necessary; additional recordings in aspects of care for people who use services are apparent. Significant improvement in respect to the behavioural trait of an individual transferred to the home a few months ago is noted. The change in appearance and behaviour was pleasing. In fact the individual was consulted for his views at the house meeting and he responded accordingly. People are treated with respect and a family member commented in a survey, the service cares effectively for my brother, ensuring that his needs are met, being a vulnerable person. He feels happy and secure living here. Four people self medicate, one of whom is due shortly to move into more independent Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: living accommodation. Medication management was found to be in order and the practice of requesting additional medication from the practice nurse has ceased. Care Homes for Adults (18-65 years) Page 18 of 30 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Policies and procedures are in place to enable people who use services to air their views and to have them acted upon. Systems are in place that ensures the protection of people who use services. Evidence: Since the last key inspection there have been four complaints made, two were not addressed within the 28 days timeframe, one of which was upheld. It was noted though that two complaints were not concluded within the required timeframe, one of which was outstanding to be addressed at the time of this inspection. The appointed manager also had no awareness of this complaint and gave an undertaking to follow up and deal with the issues raised. The manager has acted promptly and has sent us a copy of his written response to the person using the service in respect to the actions being taken to resolve the matters outlined in the complainants letter. The home has a policy in respect to safeguarding vulnerable adults and staff have received training in this discipline. Two allegations were made last year both of which resulted in no foundations following investigation by the local authority in respect to alleged abuse and the police unwillingness to investigate allegation of theft. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: No safeguarding referrals have been made by the home. Care Homes for Adults (18-65 years) Page 20 of 30 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. Quality in this outcome is adequate. This judgment has been made using available evidence including a visit to this service. Bedrooms are furnished to meet individuals needs. The home is furnished to a good standard generally though improvements were needed in some areas to enhance the appearance to meet the needs of people using the service and the statement of purpose. Attempts are made to ensure that people using the service live in a comfortable and safe environment. Evidence: The home is kept clean in general and the bedrooms of three people that I saw with the consent were decorated and furnished according to individual taste and desires. It was noted though that the kitchen needs refurbishment. The manager said that they would write to the landlords to pursue an upgrade. This was also identified in one of the monthly monitoring report and reflected in the (AQAA) Annual Quality Assurance Assessment that was sent to us. Other areas that required attention were the carpet on the staircase, which was in disrepair in some areas; The hose leading from the tumble dryer was fastened with white electrical tape, which presented an unpleasant appearance and the assisted bathroom remained out of use. This problem was outstanding at the last key inspection. A person using the service reported the matter in a survey previously and, interestingly, another person using the service also raised Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: the issue as a concern on behalf of his friend who use the service. The manager asserted that fixing the hoist was a costly exercise and that he would follow this up. The home should make strong attempts to repair the hoist to benefit the individual currently living there and potential people with physical disabilities may use the assisted bathroom with ease. Some improvements have been made in the last year such as installing new flooring in the lounge and toilet areas and the fitting of an extractor to the staff wc room as recommended in the previous key inspection report. Staff are also looking at ways to increase office space for staff. Currently part of the lounge is used by staff for some office equipment, which is not ideal. The home is clean, comfortable and safe. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. A trained and competent staff group supports people who use the service. The have been some changes in respect to staffing and a staffing review has been undertaken. Evidence: The previous registered manager for the home has left and a staffing review has been undertaken. There is no longer a deputy managers post. The appointed manager took up his position in April of this year and though he has no nursing qualification, he appears to have a wealth of experience to undertake the job at hand. He is registered to start the registered managers award and was in the process of applying to the commission for approval as registered manager for the home. All the staff working at the home are appropriately qualified; there are 6 qualified nurses all of whom are designated senior support workers and 6 support workers have all achieved NVQ Level 3 in care. Two staff members with whom I spoke confirmed their satisfaction with the management of the home. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Atmosphere amongst people using the service and staff are good. A survey from a relative said, I have been very impressed with this services caring, thoughtful and professional approach. Another said, my call to the home are always answered promptly. I have been kept informed of any problems affecting my brother .... I am very happy with the care he is receiving. I looked at 4 staff files files for the nurses employed, these were found to be in order. Pin numbers were up to date. Files for the support workers evidenced were also satisfactory with exception to the absence of staff photographs that were evident in some instances. The recruitment manager is aware of the situation and has given an undertaking to address this matter. CRBs had been carried out and these were in date. A survey returned for a staff member commented, The clients who pass though Mary Wollenstonecraft House are given a high level of support and care ie. we make sure that they eat properly (a healthy diet). The environment is clean and safe, they have 24 hour support. There are always things the home could do better but we have to work within a budget and that stops us from doing certain things that would improve the quality of life for the clients. Supervision and appraisals are on-going and staff have been asked to identify their training needs. The manager also asserted that he was currently looking at the training needs of his staff with the emphasis of refresher training being undertaken as necessary. Care Homes for Adults (18-65 years) Page 24 of 30 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. Quality in this outcome area is good. This judgment ha been made using available evidence including a visit to this service. The home continues to be managed well though some changes in regard to management of the service have occurred. Improvement is needed in some areas such as regular monthly visits mentioned in the previous key inspection report and the repair of the hoist in the assisted bathroom. Evidence: Since the last key inspection the statement of purpose was outstanding for review at the time of this inspection. The appointed manager explained that he was in the process of reviewing the document. A copy of the revised document must be forwarded to the Commission upon completion. Two other requirements were partially met and these have been restated. The monthly monitoring reports relate to Standard 39; the visits must occur monthly and comply with Regulation 26 in that the interviewing of people using the service,their representative and staff together with inspection of the home and record of events including complaints. The written report must have sufficient information to form an opinion of he standard of care provided in Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: the care home. Four visits occurred within the last year, and the information outlined within the last two visits in April 2009 and 1 June 2009 respectively have been recorded in a way, which does not enable an opinion to be made about the quality of the services on offer. Health and safety management within the home were found to be in order at the time of this inspection. Care Homes for Adults (18-65 years) Page 26 of 30 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 30 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 39 26 The registered person must ensure that the monthly unannounced visits occur in a consistent manner and that copies of the written reports are made available for inspection following each visit. This is to ensure that the views and feelings of people using the service, their representatives and the views of staff are taken into considered by the registered provider. It would also ensure that complaints recorded are looked into within timescale. 31/08/2009 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 1 22 The registered provider should ensure that all complaints are addressed within the required timeframe Page 28 of 30 Care Homes for Adults (18-65 years) Care Homes for Adults (18-65 years) Page 29 of 30 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). 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