Care Home: Lethbridge Road

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well We found that there are admission and assessment procedures in place to ensure the support needs of people are met in the way they prefer and which respects their equality and rights. We found that people`s dignity is respected in the home and they told us they are well supported and well treated by staff. We found that people`s heath care and specialist needs are well supported and staff have developed skills to do this properly and safely. We found that people who live in Lethbridge Road are offered choices and consulted regularly about the kind of lifestyle they want and they have access to education. employment and leisure facilites. People told us they feel listened to and we found there are clear complaints procedures displayed in the home so that people know their complaints will be taken seriously. Staff receive training in safeguarding to help ensure people will be protected from harm or abuse. There are robust recruitment proecedures followed by the home so that only people who are suitable will be employed there. On walking round the home we found the premises to be comfortable and clean. People who live there said they are comfortable and have individualized their bedrooms and have televisons, music systems and board games for their entertainment. Records showed us that there are systems in place to regularly review the service to help ensure that standards will be maintained and improved upon. We received positive comments from people who live in the home. "Everything well for me." "I do things for myself." "I get supported well." "Staff listen to me and support me well. They act on my decisions." "I like service users and staff." "People are friendly and help each other." What has improved since the last inspection? The service was rated as excellent during the key inspection of 2007 and the outcomes of this visit showed us that the service maintained an excellent rating. The AQAA is very detailed and gives evidence of the way the service is developing and changing in response to the comments of people who use the service and their families. These have resulted in improved outcomes to service users regarding social skills, independence and lifestyle opportunities. There has been much progress in specialist staff training to further develop their skills in the way support will be given in this home. What the care home could do better: We have made the following recommendations around medication, protection, training and health and safety. Short term medication plans should be written for application of creams and pain control to ensure that medication will be given only as required and in accordance with pharmacy instructions.In instances where medication has not been given to the person, a code should be entered on the MAR sheet to ensure that medication will be accounted for and any repeated refusal of medication will be referred to the person`s G.P. To ensure people`s rights will be fully protected in their home, training and procedures for deprivation of liberty safeguarding should be in place. To ensure safety in food management in the home, staff updates in Food Hygiene training should be completed. To ensure the home is safe and in good condition, servicing of gas equipment should be kept up to date. To avoid the risk of fire, laundered items should not be placed around the boiler. Key inspection report Care homes for adults (18-65 years) Name: Address: Lethbridge Road 2 Lethbridge Road Southport Merseyside PR8 6JA     The quality rating for this care home is:   three star excellent 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: Patricia Thomas     Date: 0 2 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Lethbridge Road 2 Lethbridge Road Southport Merseyside PR8 6JA 01704531385 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): lethbridge@autisminitiatives.org www.peterhouseschool.org Autism Initiatives Name of registered manager (if applicable) Mr Kenneth Ian Morrison Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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 - Code LD. The maximum number of service users who can be accommodated is: 7. Date of last inspection Brief description of the care home The home has permanent places for up to seven adults with a learning disability, specifically those with Aspergers syndrome. Aspergers syndrome is on the Autism Spectrum, and is usually a high functioning condition. The company running the home is a charity, called Autism Initiatives. The home is a converted Victorian villa having off street parking at the front and a garden at the back. Each person who lives in this home has their own bedroom and the accommodation includes three bathrooms, two lounges, a dining room, shared kitchen and laundry facilities. The home is close to the main bus route between Southport, Liverpool and Preston. Southport town centre is a Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 7 Brief description of the care home short care ride away, where there are shops, bars, leisure facilities and a train station. Care Homes for Adults (18-65 years) Page 5 of 25 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: The quality rating for this service is three stars (***). This means that people who use this service experience excellent quality outcomes. We (the Care Quality Commission) carried out an un announced visit to the home. The visit was carried out by one inspector over a five hour period. This visit was just one part of the inspection. We also looked at other information we had about the home. Also, before the visit the manager was asked to complete a questionnaire (the annual quality assurance assessment or AQAA). This was to provide us with up to date information about Lethbridge Road. We sent out questionnaires to people who live in the home and their comments are included throughout this report. During the visit we walked round the home and we checked various records to see what suppport people living there receive. We spoke with people who live in the home and they told us what they thought about it. We also spoke with staff and with the Care Homes for Adults (18-65 years) Page 6 of 25 manager. We have included their views on Lethbridge Road throughout the report. We use a system called case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service is meeting their individual needs. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: We have made the following recommendations around medication, protection, training and health and safety. Short term medication plans should be written for application of creams and pain control to ensure that medication will be given only as required and in accordance with pharmacy instructions. Care Homes for Adults (18-65 years) Page 8 of 25 In instances where medication has not been given to the person, a code should be entered on the MAR sheet to ensure that medication will be accounted for and any repeated refusal of medication will be referred to the persons G.P. To ensure peoples rights will be fully protected in their home, training and procedures for deprivation of liberty safeguarding should be in place. To ensure safety in food management in the home, staff updates in Food Hygiene training should be completed. To ensure the home is safe and in good condition, servicing of gas equipment should be kept up to date. To avoid the risk of fire, laundered items should not be placed around the boiler. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 25 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 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have had their needs assessed by relevant professionals and are fully involved in the decision about moving in to Lethbridge Road. Evidence: Records showed us that admissions to Lethbridge Road are well planned and the rights and involvement of people hoping to move in are central to the process. Staff had obtained a lot of information about each person from other agencies (such as social services) when they were introduced to the home. This means staff had good knowledge about each persons needs and choices on which to base a relevant support plan. Four people who commented in surveys told us they were consulted about moving in to Lethbridge Road and had enough information about the home before deciding to move in. Care Homes for Adults (18-65 years) Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to influence the way their support is provided and are involved in making informed decisions about their life in the home. Evidence: We found that people using the service have a lot of control of their daily lives, subject to up to date individual risk assessments. There was good evidence that people have the support they need to stay as independent as possible for example when preparing meals and accessing education and employment. We looked at care records for three people who live in Lethbridge Road. Each support plan was based on an up to date assessment of the persons needs, abilities and choices and had been developed with the person. Peoples rights and equality were clearly respected in the planning of their personal and social needs. This was achieved through regularly asking for their opinions about their lifestyles and making arrangements accordingly. Staff were clear about how each person should be supported and during the visit we saw positive interactions between service users and staff who were supporting them. People told us they are well supported and have contact with family and go out regularly to follow Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: their chosen interests and beliefs. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in Lethbridge Road are offered education and employment opportunities and their rights are protected in their home. Evidence: We found that promotion of each individuals right to live an ordinary and meaningful life is central to the homes aims and objectives. In discussion with staff, it was clear that they understood the importance of supporting service users to follow their interests and chosen beliefs and be part of life in the community. People living in the home told us in surveys that staff listen to what they say and treat them well. We saw evidence that staff actively seek information to give people access to education and employment where they have the capacity to be actively involved. We saw evidence that people are supported to be independent and involved in daily life in their home, for example, regarding shopping, planning meals and preparing them. There were good records of individual menus and these showed that people are having Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: a balanced and nutritious diet which is to their liking. People have individual storage areas for their food and provisions and the home has a pleasant dining room and well equipped kitchen. People who live in the home told us that staff listen to what they say and drive them to the gymn and shops. Comments made were, People are friendly and we help each other. Everything well for me. I get supported well. Act on decisions. Care Homes for Adults (18-65 years) Page 15 of 25 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 excellent 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 Lethbridge Road are encouraged to be as independent as possible and the health care needs are well supported. Evidence: Records showed us that people are encouraged to identify personal goals and are supported to be as independent as possible regarding their personal care and grooming. There are facilities for people to do their own laundry and they go shopping regularly for new clothing and toiletries and there are arrangements for them to go local barbers and hairdressers. Staff have developed good communication skills and were able to identify peoples preferred way of communicating and any special needs they may have in this. This means that staff will clearly understand the choices and preferences of people who live in the home. We found that people were receiving effective health care which was clearly documented in their care records and health care plans. Support plans included records of specialist and paramedical support for each individual. For staff guidance and to ensure consistency in the support being given, records were clear and easy to follow. Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: Most of the people who live in this home are assisted with their prescribed medication and staff responsible for this are given relevant training. Medication is blister packed and stored in a locked cupboard. We looked at medication for two people all the items on the pharmacy medication administration record were in stock. In general, records were well maintained, however we saw gaps in one record where the drugs had not been signed for as given and no code had been entered to explain this. Staff need to keep accurate records of medication to show it is all accounted for and any repeated refusals by a person is referred on to their G.P. Also, one person had prescribed medication for pain control and another was prescribed skin cream. In these cases, short term medication plans should be in place for staff guidance to ensure the medication will be given only when required and in accordance with instructions. Two people told us they felt well and if they were not well they would see their doctor. Care Homes for Adults (18-65 years) Page 17 of 25 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. There are clear complaints and safeguarding procedures in Lethbridge Road which are understood by staff. Evidence: Observations during the visit showed us that there is an open culture in the home where people are able to express their views and concerns. The home has a complaints procedure which is clearly written and is easy to understand. The complaints procedure in picture bank format is given to all the people in residence and displayed in the home so it is always available. We have not received any complaints or safeguarding alerts about this home in the last twelve months. Six people who returned surveys told us they knew who to speak to if they were not happy and they knew how to make a complaint. To protect people from harm and abuse, the home has safeguarding procedures and staff receive training in protection of vulnerable adults and whistle-blowing. Staff records showed us there are good vetting procedures when staff are recruited to help ensure that only people who are suitable will be employed in Lethbridge Road. It is recommended that procedures and training be arranged around deprivation of liberty safeguarding. This is to ensure that peoples rights will be further promoted and protected in their home and they will have access to independent advocacy in accordance with the Mental Capacity Act 2005. Care Homes for Adults (18-65 years) Page 18 of 25 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. People live in a comfortable home which is suitable and hygienic. Evidence: Lethbridge Road is a converted Victorian villa which provides a number of communal areas, bathrooms and toilets and single accommodation for the people who live there. The home is furnished in domestic style and is homely and comfortable. There is off street parking at the front and a secluded garden at the back of the home. People told us they feel comfortable in their home and they liked their bedrooms and have decorated them with personal items and pictures to individualize them as personal space. The home has a well equipped kitchen and laundry which are in daily use by people who live in there. Domestic staff are employed and home home was clean and odour free on the day of the visit. People who live in the home do some domestic duties such as clearing tables, cleaning the kitchen use and washing dishes. For staff guidance there are procedures for control of substances hazardous to health and infection control. This is to ensure the home will be clean and hygienic and suitable for the people who live there. Care Homes for Adults (18-65 years) Page 19 of 25 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 are supported by a well trained staff team who have been vetted to ensure they are suitable to work in the home. Evidence: Staff rosters showed us that the service has plentiful staff available to support the needs, activities and aspirations of people in a flexible and personalized way. Training records showed us that staff receive relevant training that is focused on delivering improved outcomes for people who live in the home and support to meet their specialist needs and equality. People told us the staff treat them well and listen and act on what they say. They said they feel well supported. Staff spoken with showed awareness of the ways promoting peoples dignity and rights in the home and of procedures in place to safeguard them. The home follows robust recruitment procedures to ensure that only those who are suitable will be employed. Staff files gave us evidence that the procedures are followed through obtaining satisfactory criminal records bureau clearances, satisfactory references and personal identification. We saw that staff have job descriptions and contracts of employment and there are grievance and disciplinary procedures in place. Care Homes for Adults (18-65 years) Page 20 of 25 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. Lethbridge Road is managed in the best interests of the people who live there. Evidence: The manager of Lethbridge Road is experienced in the role and holds a relevant management qualification. There was evidence that the manager is committed to his professional development through ongoing training. The manager was able to demonstrate how the homes aims and objectives are achieved in the way the service is provided and of the improved outcomes to service users regarding their communication and social skills. There was good evidence of how the homes policies and procedures are implemented regarding, maintenance and budgeting. We saw evidence of service monitoring through regular care plan reviews, policy audits, medication audits and provider visits. Records show that staff have received health & safety training and have policy guidance in safe working practices. A record of accidents and incidents in the home is maintained and risk assessments carried out accordingly. We looked at maintenance and safety certificates for the building and equipment and fire safety. These were in Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: the main, up to date, however the gas certificate was in need of updating. During a tour of the premises, we saw that laundry was being dried around the central heating boiler which could cause a fire hazard. We have recommend that alternative arrangements are made for drying laundry, and the area around the boiler is kept free of safety hazards. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 1 20 Short term medication plans should be written for application of creams and pain control to ensure that medication will be given only as required and in accordance with pharmacy instructions. In instances where medication has not been given to the person, a code should be entered on the MAR sheet to ensure that medication will be accounted for and any repeated refusal of medication will be referred to the persons G.P. To ensure peoples rights will be fully protected in their home, training and procedures for deprivation of liberty safeguarding should be in place. To ensure safety in food management in the home, staff updates in Food Hygiene training should be completed. To ensure the home is safe and in good condition, servicing of gas equipment should be kept up to date. To avoid the risk of fire, laundered items should not be placed around the boiler. 2 20 3 23 4 5 6 35 42 42 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!