Care Home: MacIntyre - The Croft

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What the care home does well The manager, who has been in post since November 2008, has with the support of the area manager and other staff within MacIntyre Care, put procedures in place to address issues identified at the last inspection so ensuring quality of the service has improved for the people who live there. Staff provide support for people who live in the home to enable them to keep in touch with their families and friends. We saw that people living in the home were comfortable with the staff who were working with them. Over half the staff at the home have achieved a National Vocational Qualification in care at Level 3. This is a nationally recognised qualification for people involved in providing care and shows they have the skills to make sure that the needs of the people they work with are met. What has improved since the last inspection? The person centred plans (care plans) for people who live at the home have been improved and accurately reflect their changing needs. They include up to date information and guidance for staff so they know what they must do to meet the needs of each person. Information about people`s healthcare needs has been updated and shows how those needs are being met by the home. The information about how the home works and who it is for, known as the statement of purpose and service user guide, has been updated to reflect the significant changes to the staff team. This is to make sure that people who live at the home, those who might be interested in living at the home, their families and representatives have up to date information about the home. Improvements to the way the home is staffed ensures that there are enough staff available to meet the needs and choices of the people who live at the home. Changes to the way complaints are recorded, to the way they are investigated and what action was taken shows that they are taken seriously and acted upon. The general decor and appearance of the home, both inside and outside, has improved so ensuring the people live in comfortable and safe surroundings. Staff have received training on safeguarding adults, moving and handling, fire safety, first aid, food hygiene, health and safety and medication awareness. This will make sure that staff know how to provide safe care, in line with up to date best practice, for the people who live at the home. Improvements to the overall management of the home will make sure that the care needs of the people living there are met in the way they would prefer. What the care home could do better: The management for the home must ensure the improvements put in place since our last inspection , which include regular staff training, supervision and support, are maintained so that staff continue to develop their skills and have up to date guidance to provide appropriate and safe care for the people who live at the home is provided. Key inspection report Care homes for adults (18-65 years) Name: Address: MacIntyre - The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE 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 assessment a ‘key’ inspection. Lead inspector: Val Flannery Date: 1 6 0 6 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. 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 They reflect the We review the quality of the service against outcomes from the National Minimum Care Homes for Adults (18-65 years) Page 2 of 24 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) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: MacIntyre - The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE 01513391988 01513391988 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.macintyrecharity.org MacIntyre Care Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 4 Over 65 0 care home 4 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: 4. Date of last inspection: Brief description of the care home: The Croft is a care home for four adults with a learning disability. Although located in a residential estate in Ellesmere Port, the semi-rural area surrounding the home ensures the privacy of the people who live there is protected. A range of local shops, pubs and other facilities are within easy reach of the home. The home is a four-bed Care Homes for Adults (18-65 years) Page 4 of 24 0 8 0 1 2 0 0 9 bungalow, with all the bedrooms being single. The rooms are individually decorated and furnished and contain hand-washing facilities. A range of hoists and other lifting aids are available to help the people who live in home who may have mobility problems. Communal space consists of a large lounge and a separate dining room next to the kitchen. There is a secure garden to the rear of the home. Sufficient bathrooms and toilets are provided. Staff are on duty twenty four hours a day to care for the people who live in the home. Information provided by the manager showed that accommodation fees are £399.35 per week for individual service users. Further information about fees and other costs can be obtained from the manager. Care Homes for Adults (18-65 years) Page 5 of 24 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 How we did our inspection: The overall quality rating for the home is two stars. This means that the people who Use the service experience good quality outcomes. This visit took place on 16 June 2009. It was carried out by one inspector and took a total of 4.5 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Care Quality Commission. During our visit we spoke with the people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. The visit was just one part of the inspection. The home manager had completed a questionnaire to provide up to date information about the home; this had been done for our previous inspection in January 2009 and we were able to use this information again to help us to plan this visit. CQC questionnaires were made available to the staff so they could tell us what they think about it. The last inspection of this home was completed on 7 and 8 January 2009 Care Homes for Adults (18-65 years) Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: The management for the home must ensure the improvements put in place since our last inspection , which include regular staff training, supervision and support, are maintained so that staff continue to develop their skills and have up to date guidance to provide appropriate and safe care for the people who live at the home is provided. Care Homes for Adults (18-65 years) Page 7 of 24 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 websitewww.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 8 of 24 Details of our findings Contents Choice of home (standards 1 – 5)........................................................................ 10 Individual needs and choices (standards 6 – 10) ................................................... 11 Lifestyle (standards 11 – 17) .............................................................................. 13 Personal and healthcare support (standards 18 – 21) ............................................. 15 Concerns, complaints and protection (standards 22 – 23) ....................................... 17 Environment (standards 24 – 30) ........................................................................ 18 Staffing (standards 31 – 36)............................................................................... 19 Conduct and management of the home (standards 37 – 43) ................................... 21 Outstanding statutory requirements..................................................................... 22 Requirements and recommendations from this inspection ....................................... 23 Care Homes for Adults (18-65 years) Page 9 of 24 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 who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. MacIntyre Care has procedures for introducing new people to the home. The statement of purpose for the home has been updated so it provides people with correct information about the home, how it runs and who the staff are. Evidence: MacIntyre Care, the organisation that runs the home, has a process and appropriate documents to be used when new residents may wish to move into the home. This includes visits to meet the person and do check to find out what their needs are to see whether these could be met at the home. The person would also visit the home to meet staff and other people who live there, including having meals there and overnight stays. This would help them get to know more about the home to see if it would be a suitable place for them to live. However, as the four people currently living in the home have lived there for a number of years, these procedures have not been used by the home. During our visit to the home, we saw copies of the information about how the home works and who it is for. These are called the statement of purpose and service user guide. Since our last inspection at The Croft in January 2009, this information has been updated to show the to group of staff working at the home. The manager said they are in the process of further updating the statement of purpose to show the correct details for contacting the Care Quality Commission. Care Homes for Adults (18-65 years) Page 10 of 24 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 who use the 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 plans of care we saw were up to date and showed how the persons needs were to be met, which means that people living in the home are receiving the care they need in such a way as to ensure their safety and well being. Evidence: During our visit to the home, we looked at the files of one of the people who lives at The Croft, to see what care they received. The file included a person centred plan with important information about the person such as their likes and dislikes, the important people in their lives, their wishes and their daily routines. On the day of our visit, there were plans of care available to identify how the changing needs of the person were to be met by staff at the home. Staff we spoke with during our visit told us that, since our last visit to the home, they are being kept up to date with the persons changing care and how these needs are to be met safely and appropriately. They also said they have received training , for example, moving and handling and are due to receive more training about moving people safely. The files we saw showed that the person centred plans were reviewed and that the person and their family were involved in this process so they could have a say in how the care was being provided. The checks that had been done about possible risks to people living at The Croft had been updated. For example, the checks for one person showed what staff should do to keep the person safe when they were out in the local community and checks to make sure that bed rails were being used safely. There was also records available to show that the person and/or their representatives had been consulted about how they live their Care Homes for Adults (18-65 years) Page 11 of 24 lives and about issues that may arise in the future. This person needed a lot of support to move around including a hoist being used and using a wheelchair. We saw checks had been done that identified the risks involved with this and showed how the they would be managed to make sure the persons safety and wellbeing was promoted. There was clear guidance for staff on how this person should be moved to make sure that they and staff were not harmed or injured. The person centred plans seen for the person were up to date and regularly reviewed by the persons link worker. Care Homes for Adults (18-65 years) Page 12 of 24 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 who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are available to support people with their daily routines so the people living in the home are able to take part in their chosen daily activities Evidence: On the day of our visit, we saw one of the people who lives in the home being supported by staff to attend a dancing class in the local community. We saw another person living in the home being supported by staff to do household chores. We also saw staff helping people with their breakfast and moving between the dining room and their bedroom. We saw records, including completed quality assurance surveys from relatives, that showed staff helped people living in the home to keep in touch with their families. This could be by them visiting the home, by telephone or by letter. Relatives are able to visit at any time and they are kept informed of events that may effect the lives of their relatives living in the home. During our visit we saw staff sitting and chatting with the people who live in the home. They were also seen supporting them with their mid day meal. Staff told us that they are aware of the likes and dislikes of the people and their preferred method of eating their meals. The manager told us that she is available to provide cover so that staff can escort the people who live in the home to attend their activities or other appointments. We were Care Homes for Adults (18-65 years) Page 13 of 24 told by staff that things have improved since our last inspection of the home and that procedures have been put in place to ensure the care needs of the people are being met. They also said there are normally sufficient staff on duty so the people who live in the home can be supported to attend activities in the local community. We saw the person centred plans for one of the people who lives in the home; these had been updated and included more detailed information on how their care needs were to be met. This meant that there was clear guidance for staff on how to provide care and support for this person in the way they preferred and best met their needs. Care Homes for Adults (18-65 years) Page 14 of 24 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 who use the 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 person centred plans we saw had up to date information about care needs and how these should be met. This means that staff are aware of how the healthcare needs of the people living in the home are to be met so they are able to ensure safe and appropriate care is provided to keep the person well and healthy. Evidence: The person centred plan we saw for one of the people who lives in the home showed how the person wished to be be supported with personal care by staff. The level of support they needed with tasks such as dressing, using the bathroom and getting in and out of bed had been recorded. The person centred plan showed how the health care needs of the person were being monitored and the action taken by staff to address any concerns. This included doctors and hospital appointments, chiropodist and optician. We saw copies of monthly link worker reports which covered the healthcare needs of the person and what action had been/was required to maintain the health of the person. We saw staff support the people who live in the home with personal care tasks such as dressing, using the bathroom and moving about the home. The support offered was carried out in a discreet and respectful manner and ensured the privacy and dignity of the person was maintained. For example, we saw the staff close the doors to the bathrooms and bedrooms to maintain peoples privacy and encourage the person to be be as independent as possible. Staff we spoke with during our visit told us that things have improved since our last inspection at The Croft and that they are aware of the healthcare needs of the people who live in the home and how these are to be met. Care Homes for Adults (18-65 years) Page 15 of 24 Care Homes for Adults (18-65 years) Page 16 of 24 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 who use the 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 a clear procedure for making complaints or raising concerns about the home so the people living there can be confident their concerns will be listened to and acted upon. The staff have received training on safeguarding adults so they know what to do to make sure that the people living at The Croft are protected from harm and abuse. Evidence: We saw the record of complaints/other comments made to the home during our visit. The record is called Say Something and is kept in the entrance hall to the home where people who live in the home, their relatives and other visitors can record any concerns or worries. There were no complaints recorded since our last inspection at the home. The manager said this system for recording complaints/other issues replaces the previous system used in the home. A number of issues were recorded in the Say Something were not concerns about the care the people who live in the home were receiving. We saw that the manager had responded to the issues raised and had signed and dated the record. The home has not made any referrals under the local safeguarding adults procedures. We saw a copy of the guidelines on safeguarding, No Secrets that was kept in the home. We spoke with staff who told us they had received training on safeguarding adults and on the organisations complaints procedures. We were provided with a copy of the staff training records that showed eight staff have received training on the complaints procedures and ten staff have received training on safeguarding vulnerable adults since our last inspection of The Croft. Care Homes for Adults (18-65 years) Page 17 of 24 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 who use the 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 is well maintained which means that the people living there are living in a comfortable and safe environment. Evidence: The home is in a secluded area on the outskirts of Ellesmere Port town centre. The people who live in the home require transport and staff support to use local shops and other community facilities. All the bedrooms are single rooms with hand washing facilities and there are sufficient shared toilet and bathing facilities to meet the needs of the people who live in the home. Since our last inspection of The Croft we saw that the decor and general appearance of the home has improved. The area outside the front of the home was tidy and the overgrown foliage had been cut back. The manager said they are investigating ways to store the bins, which are currently kept at the front of the home, which will improve the appearance of this area. Repairs have been carried out to the walls which were chipped and damaged and the furniture in the communal areas has been cleaned and repaired. Kitchen drawers have been repaired and the manager told us a new kitchen is to be installed. The garden to the rear of the home, particularly the area outside the dining room, has been tidied and is more user friendly. The manager said further work will be carried out on the garden so that it is more accessible to the people who live in the home. Care Homes for Adults (18-65 years) Page 18 of 24 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 who use the 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 people who live at the home are supported by staff who have the skills and training to care for them so ensuring they are safe from possible harm or poor practice. Evidence: During our visit to The Croft, we saw staff talking with and supporting the people who live in the home with personal care such as using the bathroom, eating and drinking and moving about the home. The people living in the home were seen communicating with staff and were relaxed in their company. The staffing rota we saw during our visit showed showed that there are normally two staff on duty during the day and one staff on waking night duty. In addition a day care support worker works in the home for twelve hours a week to support the people who live in the home with their community based activities. The manager told us that she is also available to provide cover so that staff can support the people who live in the home with their activities and appointments. Staff we spoke with during the inspection said things have improved since the last visit. They are being kept up to date with the changing care needs of the people who live in the home and how these needs are to be met. We saw a copy of the updated statement of purpose that showed eight of the staff have achieved an national vocational qualification (NVQ) at Level 3 in care. This is a nationally recognised qualification for staff working in the field of care. We were told by the manager that the remaining staff are due to commence their NVQ training in September 2009. We were provided with a copy of the staff training list which showed that since our last inspection of The Croft, nine staff have received training on food hygiene, eleven staff have received training on fire safety and twelve staff have received training on moving and handling between 2008 and 2009. This all helps to make sure that staff have up Care Homes for Adults (18-65 years) Page 19 of 24 to date knowledge on how to provide safe care and support for the people who live at The Croft. The training record also showed that individual members of staff have received training on communication, health action plans, MacIntyres values, managing challenging behaviour, person centred planning and first aid. Care Homes for Adults (18-65 years) Page 20 of 24 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 who use the 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 overall management of the home has improved with staff receiving support, training and guidance so ensuing the health, safety and well being of the people living in the home is being maintained Evidence: The manager for the home has been in post since November 2008. She has previous experience at a senior level in providing care for people with learning disabilities. She has an NVQ Level 3 and will be doing her NVQ Level 4 and Registered Managers Award in the near future to develop her skills and knowledge. She has submitted an application to the Care Quality Commission to be the registered manager for the home. The training records we saw during our visit showed that she attended training including safeguarding adults, moving and handling, first aid and infection control. We spoke with staff who said the manager has continued to make improvements and carries out individual supervisions sessions with them to provide them with support and guidance to do their jobs. They also told us that she offers support and advice on care and staff related issues. Staff said they have received training on a number of areas to help them make sure that care is provided in a way that ensures the safety and well being of the people who live in the home. We saw evidence to show that the problems identified at our last inspection, of staff not been kept informed of the changing needs of the people living in the home, of person centred plans not being reviewed and staff understanding of MacIntyre values, have been addressed by the home. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes No X 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 22 of 24 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 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 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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