Care Home: Cotebrook

Similar services:

• Ruskin Lodge
• Dystlegh Grange
• The Good Companions
• Springfield Cottage
• Cuerden Grange Rest Home
• Cornmill Nursing Home
• Vitalise Sandpipers Centre
• Sue Ryder Care Birchley Hall

What the care home does well Cotebrook constantly reviews its practice and is always striving to improve the service offered to the people either living in the home or to prospective residents. The service is flexible and reflective and the home`s management team have looked at where they are now and where they want to be in the future. This helps to ensure that the home is able to respond to changing needs, which in turn enables people to maintain as much independence as possible. There is a strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to a high standard. People are treated with respect and dignity. One person said; "I love living here". We found that staff members were able to demonstrate an awareness of the diverse needs of the people they were caring for and a staff member has written on a survey form; "We provide the right care and support that each individual needs". Positive and warm relationships were seen to exist between residents, relatives and staff members, those people that commented all said that the manager and staff members were very good. Comments from residents included; "Staff are very good, I have no problems at all". Although we do not inspect the day services adjacent to the home they play an important role in the day-to-day lives of the people living at Cotebrook by offering a wide variety of activities/social events for people to participate in. A good choice of meals are offered and the standard of catering is very good. Fully accessible and very well maintained gardens are available for residents and their families to use. The quality of record keeping within the home is being maintained to a good standard; this helps to ensure that people`s needs are identified and addressed quickly. What has improved since the last inspection? The recruitment of two new chef`s has improvement the quality of the meals provided to residents. A new sensory courtyard and pathway has been created for the use of the residents; this has improved the garden areas available to them. The new mini-bus has enabled residents to go out more and trips to a local pub for Christmas lunch had been organised. What the care home could do better: We consider that Cotebrook is an excellent service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very high standard of care provided to the residents at the present time is maintained and where possible improved upon. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cotebrook Oughtrington Lane Lymm Warrington Cheshire WA13 0QY     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paul Ramsden     Date: 0 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Cotebrook Oughtrington Lane Lymm Warrington Cheshire WA13 0QY 01925752583 01925753169 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sidney Timms Type of registration: Number of places registered: Cotebrook Homes Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: This home is registered for a maximum of 30 service users to include:- * Up to 30 service users in the category PD (Physical disability) * Up to 10 service users in in the category PD(E) (Physical disability over 65 years of age) Date of last inspection Brief description of the care home Cotebrook is a care home standing in its own grounds. The home is owned and managed by a voluntary committee and is located in a residential suburb of the village of Lymm, this provides good local shopping and transport links with nearby Warrington. There are adequate car parking facilities available. The original building is a three-storey house; attached to this is a large ground floor extension and day-care facility. Residents are accommodated on the ground floor only. The first and second floors are used for office accommodation and storage. Residents accommodation consists of 30 single bedrooms, two of which are used for respite care. There are a variety of communal facilities available. These include three lounges, two dining rooms Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 10 30 Brief description of the care home and a conservatory. Cotebrook has an adequate number of toilets and a variety of bathrooms available for residents. Aids to help maintain independence are in evidence throughout the home; these include bath hoists, grab rails and an emergency call bell system. The home has a day care facility within the grounds and extensive well-kept grounds for the use of the residents. The current fee for the home is £438.16 per week. Further information regarding fees are available from the home manager. A copy of this inspection report can be made available to either prospective residents or to people already living in the home upon request. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit took place on the 5 December 2008 and lasted for approximately six and a half hours. Paul Ramsden, Inspector, undertook the visit on behalf of the Commission for Social Care Inspection. Any references to us or we in the report refer to the Commission. Feedback on the findings of the inspection was given to the home manager as it progressed. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before the visit. Survey forms were sent to a random sample of residents and staff members to Care Homes for Adults (18-65 years) Page 6 of 28 find out their views and any other information received since the home was registered was reviewed. Six resident and four staff survey forms have been returned. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans]we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of residents and members and staff were spoken with; they gave their views about the home and the service provided. Some of these comments have been quoted in the report. What the care home does well: What has improved since the last inspection? What they could do better: We consider that Cotebrook is an excellent service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very high standard of care provided to the residents at the present time is maintained and where possible improved upon. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 28 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. Information and opportunities to visit are available and residents are assessed before moving in to ensure their needs can be met at the home. Evidence: The Statement of Purpose and Service User Guide called Welcome to Cotebrook was situated in the entrance area and was available to both current and prospective residents. Information about the facilities, services provided, fees, complaints procedure and the terms of residence are included in these documents. These contain all of the information required by us. The home provides a range of other information to prospective residents; these include a brochure, information about meals, activities and what can be provided by the home. These are put together and given to people as a welcome folder. We think these documents should provide sufficient information for anybody who is thinking of moving into the home. Prospective residents are free to visit the home, view the premises and chat to other residents and staff. An assessment demonstrating that the residents individual needs could be met by the Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: home had been undertaken prior to admission for the the three people whose files were looked at. The manager or a member of the senior staff team with a considerable amount of input from the prospective resident [where possible] and family members undertake the assessments. This assessment can be done in a persons own home, another care home or hospital. This provides an opportunity to make sure the home can accommodate the person and their individual needs. When someone is funded by the Local Authority they also provide an assessment of the persons needs prior to admission. This provides background information as to the reasons why a move to the home is needed and is very useful when combined with the homes own assessment. People often stay at Cotebrook on a respite basis so if they then decide to live there permanently the home and its staff members may already know the person which should help the person to settle into their new surroundings quicker. Care Homes for Adults (18-65 years) Page 12 of 28 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. The residents care plans seen were well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. Evidence: The care plans seen were all up to date and provided staff members with all of the necessary information for them to look after a persons needs. The health and well being of residents was being monitored and an appropriate record of actions being taken was kept. The plans were being reviewed and where necessary being re-written on a regular basis. Residents or their advocates are involved in the care planning process, those seen were signed by residents to show that they agreed with the contents. Residents confirmed this. The risk assessments in the care folders had been completed appropriately. The residents spoken with during the visit told us that the standards of care provided Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: were good and they had been able to express their opinions and wishes about their daily routines. It was also seen throughout the visit that the people using the service were being treated with courtesy, respect and good humour by staff. They were seen to be interacting with individuals in an appropriate way, knocking on bedroom doors before entering and addressing people according to their wishes. Care Homes for Adults (18-65 years) Page 14 of 28 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. Residents using the service are able to maintain contact with family and friends and those spoken with were positive about the home and the support they received. Evidence: On the day of the inspection we saw residents going to and returning from the on-site day service building. This is open for five days per week from 9:30am until 3:30pm. Separate day services staff members are employed and a variety of craft and other activities including the provision of an new Cyber Cafe are provided. Residents can choose whether or not to attend. A number of people also attend the local college for various courses. The manager told us that the new Cyber cafe can be used in the evening and at weekends. There were a variety of opportunities for residents to become involved in community Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: activities and events; these include, attending the local church, visits to the pub and shopping trips. The new mini-bus has increased these opportunities and people said that they were getting out more if they wanted to. A wide range of activities was displayed on the notice board in the entrance area. People have built up their own personal networks of friends and relatives either within or external to the home. We saw lots of examples demonstrating that residents had a variety of hobbies and interests that they enjoyed. Residents were able to move freely around the home and a choice of sitting areas was available. Routines within the home were flexible and residents confirmed that they were able to make choices in many areas of daily living; for example, times of rising and retiring, whether or not to join in with planned activities and where to spend time and with whom. A staff member has written on a survey form: The service excels in giving the individual resident their freedom of choice in all aspects of their daily lives and promoting independence. Residents are able to participate in the running and development of the home by their involvement in both committee and residents meetings. Meals can be eaten in the main dining room or in the privacy of a residents own room. The menu is flexible and can meet an individuals needs and choices. This was confirmed by one of the chefs who told us what could be provided if requested. Special diets can be provided if needed; these are discussed upon admission and the assessment and care planning documents seen confirmed that this had taken place. At the time of the previous inspection visit some issues regarding the quality of the meals was raised; the manager explained that staff had left and this had caused problems. Since then two new chefs have been employed and this has improved the quality of the meals provided. We did not receive any negative comments during this visit. The kitchen area was seen to be clean and well organised. In addition to water available from a cooler in the main lounge, orange juice, tea and coffee making facilities are available in the conservatory. Care Homes for Adults (18-65 years) Page 16 of 28 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. Residents were positive about the home and the support they received so they could maintain as much independence as possible. Evidence: Residents are enabled to live their lives an independently as possible. Staff members do this by respecting privacy and offering choices. Personal care, if required is provided in private and takes into account an individuals preferences and needs. Staff members spoken with could show that they had a good understanding of the people they were supporting and they were able to meet their diverse needs. The changing needs of individuals are discussed as and when required. We were able to see this in practice during the visit when information about individual residents was passed to the staff members who were changing shifts. Care staff work to a good standard in order to ensure that residents receive the care they need. They monitor a residents health and emotional needs daily and there was evidence to show that people were receiving the appropriate support from district Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: nurses, GPs etc. Policies and procedures in relation to medication are in place. Medicines are administered using a blister pack system provided by a local pharmacist. The arrangements for the administration of medicines were looked at during this visit; no major issues were seen. People are being given their medication as prescribed. Care Homes for Adults (18-65 years) Page 18 of 28 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. Residents and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. Adult protection training for staff is available to ensure the continued safety of residents. Evidence: There is a clear and effective complaints procedure for the home; this is included in the Statement of Purpose and the Service User Guide. The Welcome to Cotebrook leaflet also gives details on how to complain. No complaints have been made by residents in the previous 12 months, we have not received any. Those residents that commented said they would inform the manager or another senior staff member of any issues. One resident has written; I usually go to the manager or senior care if I have any complaints. The home has a safeguarding procedure that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. All staff members undertake training in this area. We have not received any issues regarding safeguarding. Care Homes for Adults (18-65 years) Page 19 of 28 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 facilities and accommodation provide residents with a comfortable and homely place to live. Evidence: A tour of the premises was undertaken; this included communal [lounges/dining room]areas and a number of bedrooms. These were seen to be personalised and contained many personal items. Overhead tracking for residents with mobility needs have been fitted into a number of bedrooms. The building is being well maintained and we were told that a new roof has recently been fitted over the lounge. General decoration is ongoing and no obvious issues requiring attention were seen during the visit. All areas of the home were homely and comfortable and we think that Cotebrook can fully meet the needs of the residents that live there. Aids to help maintain independence, for example bathing aids have been provided. There are fully accessible garden areas available for residents to use. A new sensory courtyard and pathway have recently been completed. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The laundry within the home is well equipped and good systems are in place for the care of peoples clothes. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members work positively with residents and families to improve the quality of life of residents living in the home and a robust staff recruitment process is in place to protect residents from possible harm. Evidence: Care staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff was able to meet the needs of the residents within the home. The staff members were cheerful and friendly and the residents spoken with were complimentary about their attitude and competence. According to the manager 80 of the care staff members are qualified to National Vocational Qualification [NVQ] level 2 or 3 in care, a recognised qualification for people working in the care profession. Two of the senior staff members are currently undertaking NVQ Level 4 and another has completed a Business Administration course as part of their staff development programme. The two staff files seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. The homes manager confirmed that all new staff are checked against the POVA list and that a Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: satisfactory CRB disclosure must be obtained before employment commences. The current staff team have the skills, knowledge and experience to meet the diverse needs of the people using the service. New staff members undertake a two week induction training programme a copy of which was seen on the day. Cotebrook provides a range of training courses for staff members these include, moving and handling, first aid, health and safety and adult protection. The manager said that although all mandatory training was up to date her training records had not been fully updated to reflect this. In order to address this she agreed to undertake a staff training audit, listing both the staff names and the courses they needed; if any courses had been missed she would address this as soon as possible. As this has already been agreed a requirement has not been made. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being very well run and managed on a day to day basis, this helps to ensure that the needs of the residents are met and that there are appropriate procedures in place to maintain their safety. Evidence: The home has a very experienced and competent manager who displays a clear sense of direction and best practice. She regularly attends courses/training in order to keep her practice up to date and to fulfill her management responsibilities. She has completed her Registered Managers Award and can clearly demonstrate an awareness of the needs of the residents living in the home and how to manage the staff team. An administrator, deputy manager and senior staff members support the manager. This is a strong and committed team who work hard to ensure that the quality of care provided is maintained at as high a level as possible. One of the staff members spoken with said that, The residents that commented also said that the people running the home were approachable and supportive. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Various staff members have taken over responsibility for particular tasks within the home; these include training and health and safety, care planning and infection control, fire marshall, medicines and pastoral/mentoring of new staff members. Staff members spoke positively about this. The home fully recognises the importance of a quality assurance system in order to ascertain whether residents and families are happy with the standards of care being provided. As part of this process survey forms are available in the entrance area. Residents personal allowances were looked at; these were being well managed. All records seen were being kept securely. Any accidents are recorded and the home manager regularly audits these in order to ensure that any trends are identified and addressed. The home has a comprehensive range of policies and procedures to promote and protect both residents and staff members health and safety. The maintenance records seen demonstrated that the appropriate service contracts were in place. These included, bathing aids, the fire alarm system and the gas and electrical installations. The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals and that drills and training were also up to date. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) 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 28 of 28 - 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!