Care Home: Huws Care Home

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What the care home does well The service continues to have accessible information that is of good quality and is presented in a way that will help people who have a learning disability understand it better. This information has the guide to the service as well as information about how to complainPeople are supported by well trained staff who are recruited following a thorough recruitment process.Staff continue to receive training to make sure they have the skills and knowledge they need to care for people using the service.People`s choices are respected by staff who support them to live active and interesting lives.The environment has been recently refurbished and provides people who live there a homely and modern environment that meets theirPage 11 of 34Care Homes for Adults (18-65 years)needs. Staff have a good understanding of what their responsibility is to ensure the safety and well being of the people who live at the service. What has improved since the last inspection? Information provided to people who may want to use the service has been reviewed and updated to include changes in the environment.Care plans have started to be reviewed and amended where needs have changed.People`s medication is now held in each person`s bedroom and recording is well maintained and personalised ensuring the person receives the medication that is prescribed for them.Staff are now fully aware of their responsibilities in maintaining the safety and well being of each person who lives in the service What the care home could do better: No requirements were identified at this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Huws Care Home 93 Harlaxton Drive Lenton Nottingham NG7 1JD 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: Susan Lewis Date: 1 4 0 1 2 0 1 0 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 34 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 © (2010) 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 34 Information about the care home Name of care home: Address: Huws Care Home 93 Harlaxton Drive Lenton Nottingham NG7 1JD 01159081560 01159243579 huws@efitzroy.org.uk www.efitzroy.org.uk Elizabeth FitzRoy Support care home 14 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 14 0 learning disability Additional conditions: Date of last inspection A bit about the care home Huws care home provides nursing care and support to a maximum of 14 adults Care Homes for Adults (18-65 years) Page 4 of 34 with complex learning and physical disabilities. The home is situated in an established residential area in the Lenton area of Nottingham, close to shops and local transport. The Home has been completely refurbished and modernized to a high standard. It has been changed into four flats where people who live in each flat have their own room and access to a lounge, kitchen and dining area. Fees at the time of the inspection ranged from GBP1500-2000 per week Care Homes for Adults (18-65 years) Page 5 of 34 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 34 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star this means that people who use the service experience good quality outcomes. This was a key unannounced inspection and took place over 7 hours and was carried out by two inspectors. The other person assisting with the inspection was an ‘Expert by Experience’. This is someone who understands a service due to their personal knowledge or experience of services. Care Homes for Adults (18-65 years) Page 7 of 34 The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people using the service and their views on it. We consider the providers ability to meet regulatory requirements, minimum standards of practice and focuses on parts of the service that need to improve. The main method of inspection used was called case tracking, which involved selecting three residents and looking at the quality of the care they receive. We looked at the information held about these people, along with the services ability to meet their needs and expectations. Care Homes for Adults (18-65 years) Page 8 of 34 The Expert by experience person spoke to one person briefly as we had previously been unable to communicate with people who used the service. We also spent time talking with the manager and staff to find out more about the support they give people and their training and knowledge about this. We used information provided by the service and other sources since our last inspection. Care Homes for Adults (18-65 years) Page 9 of 34 We also looked at other documents and records held by the service to learn more about the care they provide. What the care home does well The service continues to have accessible information that is of good quality and is presented in a way that will help people who have a learning disability understand it better. This information has the guide to the service as well as information about how to complain Care Homes for Adults (18-65 years) Page 10 of 34 People are supported by well trained staff who are recruited following a thorough recruitment process. Staff continue to receive training to make sure they have the skills and knowledge they need to care for people using the service. Peoples choices are respected by staff who support them to live active and interesting lives. The environment has been recently refurbished and provides people who live there a homely and modern environment that meets their Page 11 of 34 Care Homes for Adults (18-65 years) needs. Staff have a good understanding of what their responsibility is to ensure the safety and well being of the people who live at the service. What has got better from the last inspection Information provided to people who may want to use the service has been reviewed and updated to include changes in the environment. Care Homes for Adults (18-65 years) Page 12 of 34 Care plans have started to be reviewed and amended where needs have changed. Peoples medication is now held in each persons bedroom and recording is well maintained and personalised ensuring the person receives the medication that is prescribed for them. Staff are now fully aware of their responsibilities in maintaining the safety and well being of each person who lives in the service Care Homes for Adults (18-65 years) Page 13 of 34 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 If you want to speak to the inspector please contact Susan Lewis CQC East Midlands Region Citygate Gallowgate Care Homes for Adults (18-65 years) Page 14 of 34 Newcastle upon Tyne NE1 4PA 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 15 of 34 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 16 of 34 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 have the information they need to make a decision about moving to the home. Evidence: We looked at the information the service provides to people who may be interested in moving to the home. It provides good information to assist people in making a choice and is written using plain English and uses symbols to make it more easily understood. It had been recently updated to include the changes that had occurred in the home and showed clearly what a person moving to the home could expect. Only one new person had moved to the home since the last inspection and we looked at their care plan and assessment to see if it provided enough information so staff could support them safely. It showed that the person had been assessed before they moved to the home and showed how staff should support them in the best way for that person. It also showed Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: that although the person did not look at the home before moving in there had been an opportunity given and the family and social worker came to see the home instead. The manager told us how they try to give people opportunities to visit the home before moving in to make sure that it is right for them and also choose how they want to decorate the room. We also looked at information for two other people who have lived at the home longer to see if the information is kept up to date and helps staff support them as they need to be. This information again showed that assessments had been carried out and that support plans were made from this information. Staff told us that they were given the training they needed to help care for people in the best way that suited each person. Care Homes for Adults (18-65 years) Page 18 of 34 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. Plans are individulised and mostly reviewed regularly to ensure they reflect the persons needs Evidence: We looked at the plans of three people to show what support people needed and how staff would support them. We saw that each plan was written in a person centred way and gave lots of information about how staff should talk to a person how to ensure they were safe. It described how each person liked to spend their day, this included such things as what type of shampoo a person liked to use and whether they preferred shower or a bath. It also included information on how people showed that they were upset or unhappy and what staff should do to help them when they were like this. Each persons plan also showed what staff needed to do to support them with their health care needs. Staff spoken with understood how to do this including understanding if someone started to become unwell how this might show itself. Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: Although reviews of each persons care plan had been carried out some were not done very regularly and one plan was seen not to have had a review since 2008. This was discussed with the manager who said that they were working through all the plans to review them as the staff had been working hard to support people to move over to the refurbished home and that had been the priority. Now that the refurbishment had finished they were making every effort to complete all the reviews. Families told us that they were very happy with the care their loved ones received and commented that staff are very kind. Another relative commented felt her loved one had a great life at Huws. The plans we looked at showed that staff at Huws met with important people in peoples lives to ensure that they had a full picture of their care needs. We saw that plans were changed when they received information that would effect the care a person should receive. Plans were better organised that at the last inspection and staff spoken with said that they felt plans were useful and gave them lots of information about how to care for someone in the way they wanted to be supported. We looked at the risk assessments on each persons plan and these showed that where a risk had been seen a plan was put in place describing what the risk was and what staff should do to reduce the risk to that person, whilst still encouraging them to live full lives in the community. Care Homes for Adults (18-65 years) Page 20 of 34 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 are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Evidence: We looked at the activities that people are involved in. The majority of people who live in the home attend a day centre during the day and on the day we visited there were six people who remained at home. Staff told us that people who live at the home are able to do what they wanted to do and staff were able to take them out to go shopping or for meals. Relatives told us that their loved ones were able to take part in lots of activities and they lead an interesting life. They also told us that they took part in trips out and holidays. Following the refurbishment of the service it is set up in a different way and it is split into two four bedroom flats and a house for six people. Each flat has its own kitchen these have been designed so people who live at the home can become more involved in Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: preparing food. We saw people during the day being helped by staff to make meals and snacks. Staff told us that they always asked people what they wanted to eat and gave them a choice either by showing them pictures of the food or by showing them the food once it was prepared. Staff told us that they knew many of the people so well they could tell by eye movement or gestures what they preferred. We saw that the home provided different areas for people to be involved in activities such as a sensory room and an arts and crafts area. We also saw that outside people came in to provide different activities such as music therapy and Intensive Interaction (this is a form of speech development for people who may be socially isolated or need to learn and develop further their communication skills) Relatives told us that staff supported their loved ones to maintain and develop their relationship with them, supporting them to spend time at home. Relatives also told us that if they had been unable to visit then staff from Huws had taken their loved one to visit them. Relatives spoke very positively about the care and support their loved one received. Care Homes for Adults (18-65 years) Page 22 of 34 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 home fully respects the rights of people in the area of health care and medication. Evidence: We looked at the way peoples healthcare was managed at the home. Relatives told us that that their loved ones received absolutely first class care. and Staff are friendly, supportive with a dignified caring approach. During the course of the day we observed staff going about their work in a calm manner and were seen to provide support to people in a caring and respectful way. Where people became distressed or agitated staff were very professional and spoke in a calming way and supported them to their bedrooms where they were able to calm down. In discussion with staff they were able to say in detail how people needed support, staff told us that the care plans gave good information about how each person wanted to receive their support and if you were in doubt you could always ask a more senior or experienced staff member for advise. We looked at peoples support plans these show how they are to be supported around personal hygiene and we saw that this is done with respect for peoples dignity and with people being supported in private. The plans also show the health support people need. Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: We saw that records are kept about any contact people have with health professionals, along with any changes to their care afterwards. Each person has their own locked cupboard in their bedroom where their medication is stored. We saw that there are systems for supporting people with their medication. We saw certificates showing that the staff are trained in handling peoples medication and that records are kept of when they have given them out. Where people only take medication occasionally each person had a plan that showed when this medication should be given out. All medication is stored safely and from the records we looked at we saw that it was also managed safely. Care Homes for Adults (18-65 years) Page 24 of 34 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, have access to an effective complaints procedure and they are protected from abuse. Evidence: The manager showed us a book where they record any complaints received by the service. We saw that there is an up to date policy in place to show people how to complain which is provided to family and people who use the service. It is provided in different formats to help people understand it better. The service have not receive any complaints since the last inspection and we have not received any complaints or concerns about the service. We asked the manager about what he does to keep people safe from the risk of abuse or neglect. We saw that staff have been given training in this area and that they have easy access to the local authority policy around this. We spoke to staff about their knowledge around this area and they showed they understand about how to recognise the signs and indications people might show. They told us that they would not just look for physical signs but also observe their behaviour to help tell if something is wrong. Staff understood they had a responsibility to protect people who live at the home from any form of abuse. Care Homes for Adults (18-65 years) Page 25 of 34 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 service goes that extra mile to provide an environment that fully meets the needs of all residents and plans for the diverse needs of people that might use the service in the future. Evidence: We looked at the environment to see if it was suitable to support the people who live there. The major building and refurbishment project has now finished providing an environment as one relative described as Huws has recently upgraded the accommodation to state of the art care facilties. The home is now made up of flats where up to four people live. Each flat has its own bath and shower facilitiesfacilities that are suitable for the needs of the people living there. The home is decorated and furnished to a very high standard and is very homely in the way the living space is designed. Each flat has a domestic kitchen where the work surfaces including the sink and the hob can be raised or lowered at the push of a button, this means people who live at the home can be supported to be involved in preparing meals if they choose to. We looked at each persons bedroom, and saw that they are individualised to peoples tastes. The manager told us how they supported people to choose the colour scheme they liked by showing them colour swatches. Another person had been supported by their Care Homes for Adults (18-65 years) Page 26 of 34 Evidence: family to decorate their room in the style they wanted. In the new part of the building each bedroom has a tracking hoist fitted to the ceiling making providing personal care much safer for the person in that room. The manager showed us that they are going to fit the same hoists in the older part of the building as money becomes available. This process has already started. We saw that the laundry facilities are in a suitable location and appropriate for controlling any risk of infection, and that there is protective equipment such as gloves and aprons for staff to use to protect themselves and others. Care Homes for Adults (18-65 years) Page 27 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are care for by well trained and supported staff. Evidence: We looked closely at three staff records to see how they were recruited. We saw that all the necessary checks had been made before they started. We spoke to staff who confirmed this was the case and they told us that they were closely supervised at the start spending time doing their induction before actually working with people who lived at the home. The manager told us about this induction and said that new staff were always extra to the standard team to begin with until they knew more about their job. We saw that staff had a supervision time with one of the management team to check their progress and look at any training needs. Staff told us they received good training that helped them understand their role. One staff member told us that they had done a dementia awareness course recently and had found it very useful. Staff told us they feel really supported and are asked opinions about things. They told us that they are given time alone with senior staff to talk through their work and we saw records from these. Team meetings are held every few months to discuss any issues and we saw records from these. We also observed that when there is a changeover of staff during the day, there is a brief meeting to make sure everyone is aware what has been happening. Care Homes for Adults (18-65 years) Page 28 of 34 Care Homes for Adults (18-65 years) Page 29 of 34 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. There is strong evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are listened to, and valued. Evidence: The manager is registered with us as fit person to be in charge of a care service. At the last inspection he had stopped doing the management qualification due to the refurbishment of the home. He told us that he has started doing this again and we saw evidence to show that this was true. We saw that the area manager for Elizabeth Fitzroy Support who own the home visits the home regularly to make sure the home is being well run for the people who live there. We also saw that relatives are asked about their opinion of the service and that this is used to inform any development in the service. People who live at the service are also encouraged to say what they think about the service at meetings that are held every Sunday and we saw minutes from these meetings. Staff spoken with said that they find these meetings useful to understand what people want from them and the home. Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: The manager also showed us how people who live at the home are encouraged to be involved in Elizabeth Fitzroy Supports wider development by attending regional meetings with staff support to do this. We saw that there are systems in place around the health and safety of individuals. We saw that measures are in place such as fire procedures and we saw there are ongoing checks of fire systems. We saw that there are policies and procedures in place to help keep people safe. Staff spoken with said that they felt their health and safety and that of the people who lived in the home were well supported by management. Care Homes for Adults (18-65 years) Page 31 of 34 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 32 of 34 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 33 of 34 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 © (2010) 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 34 of 34 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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