Care Home: Longwood Place

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Longwood Place 110 High Road Langdon Hills Basildon Essex SS16 6HY The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline Marshall Date: 2 7 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. 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 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 33 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Longwood Place 110 High Road Langdon Hills Basildon Essex SS16 6HY 01268411414 01268417649 samuel.crawford@essexcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Essex County Council care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: Number of service users to whom personal care and accommodation is to be provided shall not exceed 8 (eight). Personal care and accommodation to be provided to no more than 8 younger adults with a learning disability (LD). Personal care and accommodation to be provided to adults between the ages of 18-65 years, unless those adults have used the service Personal care and accommodation to be provided to adults between the ages of 18-65 years, unless those adults have used the service prior to registration and the service is still able to meet their needs. Date of last inspection 1 0 0 5 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Longwood Place is a large building split over 2 floors and it provides respite care for 8 people with learning disabilities. There are 8 single bedrooms that all have a sink in them. Nobody has to share a room. The home has a lift to get people between the 2 floors. There is a kitchen, lounge and dining area on each floor and there is plenty of room for wheelchairs to be used. Care Homes for Adults (18-65 years) Page 5 of 33 The garden surrounds the property and there is a verandah outside the upstairs lounge. The home is near to local shops and Basildon town centre is 2 miles away. The home gives people interested in using the service a copy of its information paperwork and the charges for staying at the home are £178.00 per night; people bring in their spending money. Care Homes for Adults (18-65 years) Page 6 of 33 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 7 of 33 How we did our inspection: This is what the inspector did when they were at the care home We visited the home and looked at some of the files belonging to people living in the home and the homes staff. We also looked at the policies that explain how the home does things. We looked around the home and spoke to the staff and the manager. We read the information (AQAA) sent to us by the manager. The AQAA is a form required by law for the manager or provider to carry out a self-assessment of how well the outcomes of people using their services are being met. Care Homes for Adults (18-65 years) Page 8 of 33 We sent surveys to people living at Longwood Place and to some professional people that visit the home and to some of the staff to see what they think about it. We had not received any of the surveys back by the date they were due for return so could not add what people think to this report. What the care home does well The home is nice and clean and has nice furniture. Care Homes for Adults (18-65 years) Page 9 of 33 The care plans are written around what the person living in the home wants. Staff are well trained and the manager supports them well. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 10 of 33 There was proof on staff files that they were fit to work at the home. STAFF FILES Staff are now supervised regularly. THE BOSS The home has regular visits from other managers to check that it is doing things right. Care Homes for Adults (18-65 years) Page 11 of 33 What the care home could do better People should be given up to date information about the service and they should all have a contract showing their agreement with the home. The homes complaints rules should have the correct information in it. COMPLAINTS RULES Care Homes for Adults (18-65 years) Page 12 of 33 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 Pauline Marshall 01223 771300 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 13 of 33 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 14 of 33 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People will be provided with a thorough assessment of their needs before staying at Longwood Place, however people are not provided with sufficient up to date information about the service. Evidence: The Statement of Purpose was last reviewed on 16/4/09 and the homes Service user Guide is in the process of being updated to include pictures and signs. There was a copy of the homes Statement of Purpose and the last inspection report pinned to the notice board in the reception area. There were some shortfalls on both of the documents, which included incorrect information and contact details of the Care Quality Commission, insufficient details about the managers experience and qualifications and the Service User Guide did not provide people with details of fees and charges. The manager said in her annual quality assurance assessment (AQAA) Longwood Place has produced a service user guide, this guide is given to service users, it gives clear information on the service that Longwood Place offers. The manager and the deputy manager showed that both documents are currently being reviewed to ensure that all people using the service will have clear up to date Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: information. People visit Longwood Place for short respite stays and upon initial referral, a full assessment of needs is carried out by the Local Authority care manager and a further assessment is undertaken by the homes management to ensure that the home can meet the persons needs. A person wishing to stay at Longwood Place will be invited to spend some time at the home prior to their respite stay. The manager said in the AQAA people usually have one or two tea stays, a possible day visit, then an over night stay, moving on to a two or three night stay if no problems occur at any stage of the introduction. People wishing to stay at Longwood Place complete a pre-admission questionnaire before each stay; this ensures that the home has correct up to date information about contacts such as GP, next of kin, dentist and any other professional care provided. The questionnaire asks if health needs have changes since the last visit, if social activities and hobbies are different and if any new interests or hobbies have been discovered since the last stay. It also asks if there has been any life events such as births, deaths, marriages or any thing that the person feel is important. Three support files were examined and none contained any evidence of a contract. The manager and deputy manager said that they were not involved in charges and fees and that this was organised directly by the service placement team and to their knowledge no person using the service had a written contract. The manager said that people staying at Longwood Place pay a contribution towards the cost directly to the Council. Care Homes for Adults (18-65 years) Page 16 of 33 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 using the service are well supported to live their life in a way they choose. Evidence: There was one person staying in the home for respite at the time of the inspection; one person had left on the morning and another person was due to be admitted later in the afternoon; no people that use the service were present during the inspection, the one person currently using the service had gone out to their day centre. The support files of the person currently staying at Longwood Place, the person that just left and the person due to be admitted in the afternoon were examined. All three care files were in the process of being updated and the manager provided a range of documents that were to be included in the new support plan folders. The last inspection report showed that the care plans contained good clear information and that they offered staff good instructions on the level of staff intervention. The new support plan document breaks down the level of support even further than the current support plans do and the manager said that these will be completed by the key worker together with the person using the service to ensure their accuracy. Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: All of the care files examined had been regularly reviewed and amended to reflect any changes. The new range of documents will show that family and carers are involved in the review each time a person returns to use the service and all areas of risk, infringements, issues under the Mental Capacity Act and the Deprivation of Liberty will be reviewed at every visit. Each of the care files examined contained detailed risk assessments together with plans on how to manage any identified risks. The home does not hold formal meetings for people staying there but it was clear from the daily recording that people are consulted about their daily lives. The views of people using the service and their families and friends are obtained throughout the introduction stage and on into each and every stay; there was documents on each of the care files examined to confirm this. Care Homes for Adults (18-65 years) Page 18 of 33 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 are well supported to live a lifestyle that meets their identified needs and preferences. Evidence: People staying at Longwood Place continue with their scheduled daytime activities such as attending day centres and colleges. The home offers people a range of indoor and outdoor activities that includes arts and crafts, computer games (playstation 2), jigsaws, karaoke, cooking, baking cakes, computer use, bowling, cinema, meals out, visits to the town, takeaway meals and visits to a local nature reserve. People are asked to fund any transport they require for their social activities such as taxis to local pubs and restaurants. The manager said in her AQAA during their introduction to Longwood Place people are asked for their daily activities, such as day placements and leisure activities and the records examined confirmed this. All staff has attended training run by occupational therapists that looks at activities and is entitles Active Support - Every Second Counts. Staff spoken with commented on how helpful they Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: found this course when supporting people throughout their stay at Longwood Place. People staying at Longwood Place maintain their relationships with family and friends during their stay and visits take place as often as required, bearing in mind that stays are often of a short term nature where families and carers may be taking a holiday themselves. The three care files examined showed that the rights and responsibilities of people staying at Longwood Place were recognised and it was clear that routines are built around the individuals requirements; there was details of an infringement of rights on one of the care files. Longwood Place operates a two week menu that is subject to change to suit each individuals likes and dislikes. Staff shop locally twice a week to ensure that food is fresh and the menu reflects the requirements of the people using the service at the time. The home does not employ a cook but uses an agency cook when required, such as at the week ends or when more people are using the service. The manager said that recently the home has had only two or three people staying during the week but has been full at the weekends. Staff are encouraging people that use the service to participate in meal preparation if they are able to do so and the deputy manager said that this was proving to be successful and that people were enjoying their involvement. Care Homes for Adults (18-65 years) Page 20 of 33 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 . People receive personal care in a way that suits them and their health care needs will be fully met. The homes medication policy and practice will protect people from the risk of medication errors. Evidence: The health care records on the three care files examined were fully completed and contained details of the outcomes of health appointments. The daily notes showed that personal care was provided in the way that the support plans described. The manager said in her AQAA we have developed positive links with local health professionals, who provide information and support around individuals health needs when required, such as diabetes and epilepsy. One of the care files examined contained a record of epilepsy management and the manager provided a copy of an epilepsy description of seizure document that she said would be used to record all future seizures to ensure that more detail is available to health care professionals. Longwood Place has a medication policy and procedure and all staff that administer medication have received training. Medication is stored in a locked cabinet in the dining/kitchen area and there is a lockable space available in each of the bedrooms to Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: enable people to control their own medication if they are able to do so. Each of the care files examined contained a medication profile and an administration record sheet, there were protocols in place for as and when prescribed medication. Medication is signed into the home upon admission and is usually in packets and bottles; two staff sign each time medication is administered. A check was carried out on the medication and its corresponding administration record and was found to be correct. Staff spoken with were aware of the homes medication policy. The manager said that she would be carrying out a weekly audit of the medication system. Care Homes for Adults (18-65 years) Page 22 of 33 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 know that their concerns will be dealt with and that they will be protected from harm and abuse. Evidence: The last complaint was recorded on 20/8/07 and the records showed that it was dealt with appropriately. The manager said in her AQAA that the complaints procedure was last reviewed in May 2008, there was a copy attached to the Statement of Purpose (dated 16/4/09) that provided out of date information. A pictorial complaints document was displayed in the reception area on the notice board and it was dated 22/04/09, it had a clear timescale and gave the telephone number of the home advising people that they could telephone this number if they were still unhappy. The document also advised people that they could write to us, giving the name and address of the old Commission that no longer exists. The home has an abuse policy that was last reviewed in August 2008. The manager said in her AQAA we have a robust safeguarding adults policy, which has been distributed to all individual staff, with a copy held in the main office, staff spoken with were aware of the policy and all staff have received training in the protection of vulnerable adults. Care Homes for Adults (18-65 years) Page 23 of 33 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 will stay in a homely, comfortable, clean and well-maintained environment. Evidence: People stay at Longwood Place for short periods of time only, so bedrooms are used by different people. Each of the eight bedrooms are nicely decorated and include a TV and pictures on the wall but they have minimal items in them to allow people that stay to bring their own personal belongings with them. All of the bedrooms and bathrooms on the first floor contained overhead tracking and an assisted bath with a Jacuzzi has been fitted. The room that was in use felt homely and contained the individuals private items. Four of the homes bedrooms and one of the main hall ways has been redecorated and new dining room furniture has been purchased recently. All of the maintenance stickers attached to equipment were in date and the maintenance records confirmed that repairs are dealt with swiftly. The home was well maintained and employs a handyman to work one full day each week to carry out any repairs. The sensory room is not being used at present as there was a leak from the water bed; this has been removed but the carpet needs to be disposed off and the deputy manager said they are waiting for the contractor to remove it as it is glued to the floor. The home is spacious and has large corridors and doorways to allow for wheelchair Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: access, the home was clean and hygienic, tidy and bright. Care Homes for Adults (18-65 years) Page 25 of 33 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 cared for by a competent, well-trained and supervised staff team, who are safely recruited. Evidence: The staff duty rota is prepared by the deputy manager on a weekly basis. The home has recently been restructured and there are now four team co-ordinators that together with the deputy manager are responsible for managing the shifts. Each team co-ordinator is responsible for managing care plans, rotas and for the supervision of social care support workers. When the home is full, there are two staff working on each floor of the building throughout the day and one staff awake at night who is supported by a team co-ordinator that sleeps on the premises. In addition to care staff the home employs a domestic assistant, an handyman and an agency cook. The domestic assistant works five days a week and the handyman works one day a week. The rota is adjusted on a regular basis to ensure that it meets the needs of the people staying at the home. Three staff files were examined and they contained the relevant documents and evidence that staff had undertaken training in personal care, Deprivation of Liberty, epilepsy, the Mental Capacity Act, dementia, abuse, moving and handling, infection control, first aid, fire, medication and conflict management. The deputy manager said Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: that she is in the process of updating staff files to ensure that any training needs are clearly identified. The manager said in her AQAA six staff hold an NVQ and two staff are working towards one, the staff files confirmed this and staff spoken with said that they felt their NVQ was beneficial and helped them in their role. There was evidence on all of the staff files examined that regular supervision takes place and staff spoken with and surveyed said that they felt well supported to carry out their role. Care Homes for Adults (18-65 years) Page 27 of 33 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 . People will stay in a well run home that is run in their best interests. Evidence: The registered manager left Longwood Place on 5/01/2009 and the home has been managed by the current manager since then. The current manager is already the registered manager of another home owned by Essex County Council and splits her working week between the two homes. The manager has twenty years experience in working with adults who have a learning disability and she holds an NVQ level 4 in care together with the registered managers award and a City & Guilds management for care qualification. The manager said in her AQAA the manager has attended a wide range of courses and continues to update her knowledge on a regular basis. There was evidence to show that the manager was scheduled to attend a two day course on conflict management later in the week and she said that both the deputy manager and herself were due to attend training on the Criminal Records Bureau (CRB) checks on the day after the inspection. There was evidence that the home has quality monitoring systems in place such as the Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: Longwood admission and discharge forms and the medication audits. The manager said that she is reviewing her quality assurance system and she said in her AQAA feedback sheets will be given to service users, care staff and carers as we recognise that this is an area that needs to be developed. The manager sent us the homes Annual Quality Assurance Assessment (AQAA) when we asked for it and it was clear and gave us all of the information that we asked for. There was evidence that visits had been made under regulation 26 of the Care Homes Regulations; these were carried out by the manager of another Essex County Council Home. The home has a fire risk assessment that was reviewed on 20/1/09 to take into account the fire safety officers requirements that were made as a result of his visit on 4/1/08. There was evidence that regular fire drills and checks had been carried out and recorded and staff spoken with confirmed this. All safety certificates and checks were in place and up to date. Care Homes for Adults (18-65 years) Page 29 of 33 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 30 of 33 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 1 1 5 The Service User Guide must 30/06/2009 contain a standard form of contract detailing the terms and conditions for the provision of the service and details of the amount and method of payment of fees. To ensure that people using the service know what it costs and what is included in the fees. 2 1 4 The manager must ensure 30/06/2009 that the homes Statement of Purpose and Service User Guide contains correct, up to date information including the contact details of the Care Quality Commission. To ensure that people wishing to use the service get the right information. 3 22 22 The complaints procedure 30/06/2009 Page 31 of 33 Care Homes for Adults (18-65 years) must include the correct details of the Commission and our role in any complaints. To ensure that people understand that you are regulated by the Commission and that they have our up to date contact details. 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 32 of 33 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 33 of 33 - 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!