Care Home: Glen View

What the care home does well The staff try to find out what people like to do.They try to find out what they like to eat and try to make sure that is what they get for their meals.They have written down what help you need.If someone is ill they make sure that they get the right treatment.If someone needs medicines or creams they will make sure they get them.If a person doesn`t like something the staff will notice. If someone is upset and unhappy the managers and the staff will try to find out why.The home is clean and well decorated.Each person can keep their own belongings in their room and those rooms can be decorated how they would like them to be.The home has a pleasant garden for people to sit and walk in.The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. What has improved since the last inspection? The care plans are better. What the care home could do better: Everything is fine Key inspection report Care homes for adults (18-65 years) Name: Address: Glen View 54 Gravel Hill Ludlow Shropshire SY8 1QS 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: Michael Moloney Date: 0 5 1 0 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 31 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 31 Information about the care home Name of care home: Address: Glen View 54 Gravel Hill Ludlow Shropshire SY8 1QS 01584876262 01584876262 julie.romeo@macintyrecharity.org www.macintyrecharity.org MacIntyre Care care home 6 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) : Number of places (if applicable): Under 65 Over 65 6 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 6 Date of last inspection A bit about the care home Six people live in this house. It is Ludlow near to the centre of the town and the local amenities. Care Homes for Adults (18-65 years) Page 4 of 31 The house has ramps to get in and out. It has a lift to get upstairs. All of the people have there own bedroom and can keep their own things there. One person has there own bathroom. Care Homes for Adults (18-65 years) Page 5 of 31 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 Care Homes for Adults (18-65 years) Page 6 of 31 How we did our inspection: This is what the inspector did when they were at the care home Before we went to the home we looked at the information that the manager had sent us. We often ask for this before an inspection and always ask the same questions. This tells us how the home thinks they are doing. We also look at the information that the home has sent us about accidents that have happened to people who live and work in the home. We did not tell them that we were coming. Two of us visited the home. Our names were Mike Moloney and David Heel. We were there for five hours. Care Homes for Adults (18-65 years) Page 7 of 31 We looked at how two of the people who live in the home are looked after and what had been written down about them. People who live in this home could not talk to us so we watched how the staff looked after them and talked to them about what they did. What the care home does well The staff try to find out what people like to do. They try to find out what they like to eat and try to make sure that is what they get for their meals. Care Homes for Adults (18-65 years) Page 8 of 31 They have written down what help you need. If someone is ill they make sure that they get the right treatment. If someone needs medicines or creams they will make sure they get them. If a person doesnt like something the staff will notice. If someone is upset and unhappy the managers and the staff will try to find out why. Care Homes for Adults (18-65 years) Page 9 of 31 The home is clean and well decorated. Each person can keep their own belongings in their room and those rooms can be decorated how they would like them to be. The home has a pleasant garden for people to sit and walk in. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. Care Homes for Adults (18-65 years) Page 10 of 31 What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 11 of 31 If you want to speak to the inspector please contact Michael Moloney 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT 01216005300 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 12 of 31 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 13 of 31 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 may want to live in this home and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. Evidence: One new person had come to live at this home since the last inspection. He has particularly complex needs. We looked at how the home had managed his admission and found that they had obtained as much background information as possible from his family, school and other carers. They had obtained the advice of not only those people but other professional healthcare workers as well. The person who was being considered for admission was also able to visit before it was decided that this home would be a suitable place for him to live. He and his relatives had a service agreement which showed what he could expect whilst living there and what he or they could do if they had any issues with the home. As this person has serious communication difficulties the home were not able to gain any but the broadest feedback from him and so have worked with his family and his social Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: worker who were acting on his behalf. This home is block funded by Shropshire Council and therefore fees for individual placements are not available. Care Homes for Adults (18-65 years) Page 15 of 31 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 who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: We looked at how people who live in this home are involved in decisions a about their care and the activities that they are involved in. We saw that Person Centred Plans were being developed for each of them. These are plans that are drawn up by the home that identify what each person needs to be healthy, what they enjoy doing and what they dont like to happen to them. These are all written down and guidance is drawn up for the staff to follow that take into account all of these things. Those plans were seen to be available in a variety of formats such as wall boards in bedrooms or in laminated folders which were also kept in peoples bedrooms. Ways that any actions outlined in the Person Centred Plans should be carried out safely were also documented. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: We talked to staff who explained that the Person Centred Plans had been drawn up from their experience of what they had seen each person enjoying over time. As the people who live in this home have difficulty expressing themselves in detail it has been necessary for the staff and other supporters of the people that they care for to guage their reactions to the different activities and situations. We also saw the records of reviews carried out by the local authority that check that the home is meeting the needs of the people who live there. We also saw records that showed that the home consulted specialist healthcare workers about identifying and meeting the more complex healthcare needs. Care Homes for Adults (18-65 years) Page 17 of 31 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 who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, cultural and recreational activities meet individuals expectations. Evidence: We looked at how the home meets the social needs of the people living there. As previously stated we looked at peoples Person Centred Plans and saw that these showed what people liked to do and what they did not like to do. We saw records that said that they went to such things as swimming, the library, shopping and various other outings, they watched films, had reflexology and went out in the evening to places like the local Gateway Club. We saw that each person had a clearly identified weekly timetable that was pinned to the dining room wall. The staff told us that they were kept there so that they could easily get to them to show people what they were doing next. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: We saw that two of the people who live in this home are wheelchair users and that one of the homes two vehicles is adapted to enable them to use it. Staff told us that they use these vehicles regularly to take the people out from the home to places such as the Gateway Club. We looked at the meals that were served In the home. We saw records that showed that the diet is varied and nutritious. We saw that the meal that was served on the day of the inspection was well presented. The staff who prepared the meals told us that they had current food hygiene certificates and we saw that the training records maintained by the home confirmed this. Throughout the inspection we saw that the staff talked with the people who live in the home in a friendly, clear and professional manner. When they called someone by their name it was the name that had been agreed and entered in their records and the people being addressed were seen to be comfortable with this. We saw that when a member of staff entered bedrooms or bathrooms they always knocked and called before entering the room. Although there were suitable locks on all of the doors the nature of the disabilities of the people living in this home made the issuing of keys to them inappropriate. We watched the people who live in this home going from room to to be watch each other and the staff and we saw the staff acknowledge them in a friendly way as they passed them. The people who the staff spoke to appeared to like this as they smiled. Care Homes for Adults (18-65 years) Page 19 of 31 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: We looked at the records of two of the people who live in this home to see if the health needs are being met. We saw that their medication is reviewed on a regular basis by their doctor. We saw that there are accurate records of when the medication is administered and we saw that the medication is stored safely in their bedrooms. We talked to the staff who said that they had all received training in the safe handling of administration of medication and we confirmed this by looking at the training records that are kept by the home. We looked at peoples assessments that contained information about any medical conditions that affected each person and the records also said how each condition should be managed. An example of this was how one persons food should be served to them liquidised. This is done as a result of the home working with the local Swallowing Team who had advised that this was necessary. Another example of the home working with healthcare professionals was that the staff Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: were helping a person to use a standing frame on the advice of his physiotherapist. In this case we saw that directions of how to do this safely involved using of a hoist and instructions on how to do this safely had been identified in writing. Within the records we saw entries that showed when and why people saw healthcare professionals such as consultants, general practitioners, physiotherapists, dentists as well as the orthotics department of the local Health Services. We also saw guidance to staff about how people would want to receive their personal care. We talked to the staff and they showed that they were aware of what these wishes were. Throughout the inspection we saw the people who live in the home reacting to the staff in a way that showed that they trust them and are used to being treated with respect. The records that we saw also contained information about peoples weight as part of the system for monitoring their general health. We talked to the staff and they showed that they were aware of the general mood of each person and would try to pick up if someone was out of sorts and work out if they needed to contact their G.P., dentist, chiropodist or some other healthcare professional. We discussed issues around the deprivation of peoples liberties and the manager told us about one person whose activities could cause themselves a degree of self harm. She had consulted with the local authority about the measures that they had put in place to protect him and had been advised that although this was a severe restriction it was an acceptable means of managing the problem. Care Homes for Adults (18-65 years) Page 21 of 31 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. Due to the nature of their communication difficulties people who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: We looked at the homes complaints procedures and saw that these were available in pictorial form and contained all of the information that someone would need should they wish to raise an issue on behalf of any of the people who live there. We also observed the people who live in this home and saw that because of the nature of their disabilities they would not be able to access the formal procedure for themselves. However, we talked to staff who said that they had received training in the identification of abuse and the procedures that they must follow if thet see such an issue and we saw their training records that confirmed this. They were also aware of the homes whistleblowing policy that they could follow should they see anything untoward. We spoke to the manager and she confirmed that since the last inspection there had been no referrals into the local procedures that deal with adult protection. Care Homes for Adults (18-65 years) Page 22 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence close to the centre of the community in which they live. Evidence: We looked around the building and grounds of Glen view. We saw that there were three communal areas in the building that the people who live there could use. There was a lounge, a dining room and a relaxation area that had been equipped with interactive lighting for people to enjoy as they relax. We also saw that there were a satisfactory number of clean and odour free bathrooms and toilets appropriately spaced around the home so that one was always convenient for people to get to. We looked at all of the bedrooms used by people who live in this home and they were all seen to be very spacious, well decorated, well maintained, clean and each had been decorated in a different way. Staff told us that the rooms had been decorated in a way that they thought the occupants would prefer. We went into the homes kitchen and saw that it too was clean and well maintained and Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: was equipped with a dishwasher to help maintain cleanliness at a safe level. We also went into the homes laundry and found this to be equipped with the machinery necessary to cope with heavily soiled clothing and bedding. Staff told us that they had received training in infection control and we saw the training records that are maintained by the home that confirmed this. We saw that the small front garden contained ramps that made it possible for people who use wheelchairs to have access to the building. We also saw that the part of the rear garden nearest to the house was paved and level. We were not able to access the bottom part of the garden as it had been quarantined due to an infestation of Japanese Knotweed. Care Homes for Adults (18-65 years) Page 24 of 31 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. Staff in the home have the training and skills to support the people who use the service and the managers have taken steps to ensure that they will be available in sufficient numbers to meet their identified needs. Evidence: We looked at the staffing rotas and talked with the manager and her staff about whether or not there were enough staff on duty to meet the needs of the people who now live in the home. We were told that since the latest admission to the home two people are now regularly required to carry out manual handling tasks involving a hoist. In the evenings this leaves the rest of the group unsupervised while this happens. The home has made a request for the funding of extra staff to resolve this issue. We were told by the staff and saw from the staffing rota that a third member of staff is often available to take people out, particularly in the evenings for such things as the Gateway Club. We looked at the training that the staff had received. We saw training records that showed that the home has an ongoing training programme of training in such things as manual handling, food hygiene and infection control all of which means that they are Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: more aware of ways of meeting the safety and hygiene needs of the people who live in the home. We spoke to the staff on duty at the time of the inspection and they confirmed that they had undertaken this training. The document that the manager had returned to the Care Quality Commission before the inspection showed that all but one of the staff were qualified to at least National Vocational Qualification level 2 in care. This is a qualification that is considered appropriate for someone working in a service such as this. We spoke to the manager and the staff who said that many of them had exceeded this standard. The newest member of staff also said that she had been told that she would be expected to undertake her National Vocational Qualification after she had finished her Skills for Care based induction training which is the foundation training for anyone who is newly appointed within the care industry. We also looked at the recruitment records of the two members of staff that had been recruited since the last inspection. These were held at the proprietors area office in Shrewsbury. We saw that these contained all of the background checks that are required to ensure that anybody wishing to work with vulnerable people are fit to do so. We watched the staff working with the people who live in the home. We saw that they were polite, friendly, professional and attentive. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: We talked to the manager and she told us that she holds the Registered Managers Award which is a qualification that is considered to be appropriate for people who run a home such as this. She also told us that she had been absent for some weeks recently and that a colleague from a sister home had assisted in the management of the home. She is also qualified as a manager. We talked about the new rules that must be followed if the home needs to deprive someone of part of their liberty in their own interests. The managers explained the process that they had followed to check whether or not the way they prevent someone who lives in the home from self harming was appropriate. We looked at how the provider monitors how effectively the home meets the need of the people who live there. We saw records that showed that a senior manager carried out a formal and recorded visit each month that focuses on the safe delivery of care. We asked Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: staff and they confirmed that those visits do take place. The manager also told us about the monthly report that she has to complete. We saw that these contained information about staffing levels and any reasons for variations within them, what staff training had taken place, what monthly meetings with individual members of staff have taken place (these are so that issues of individual performance or care can be discussed) and a range of health and safety matters. We looked at a variety of records that showed that the safety of the environment in which people live is monitored and we saw that these were up to date. These included records of the monitoring of fridge and freezer temperatures, hot water temperatures and the portable appliance test records. We looked at the storage for hazardous materials such as some of the cleaning materials and this was seen to be secure. We also looked at the instructions that outlined their safe use and these were seen to have been completed. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 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 Description 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 Description 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 30 of 31 Helpline: Telephone: 03000 616161 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) 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 31 of 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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