Care Home: Parkview Residential Care Home

What the care home does well The home provides ongoing assessment of individuals needs.Support workers are very knowledgeable about the needs of people who use the service.Health care needs are monitored and appropriate action is taken.People using the service have a wide range of daily activities of their choice.People are supported to access community resources.The home is maintained to a high standard.Everyone has their own room that reflects their personal preferences.Communal areas enable a range of activities to be undertaken within a family setting.The support workers show a high level of commitment to the work and bring a range of skills to support individual`s needs.Good management ensures that people who use the service are listened to and that support workers are trained and supported. The home has strong leadership that encourages reflection on the service provided. What has improved since the last inspection? This is the first inspection since registration. What the care home could do better: Park View is meeting national minimum standards and demonstrates that it exceeds in some areas. Key inspection report Care homes for adults (18-65 years) Name: Address: Parkview Residential Care Home 10 Westfield Road Wellingborough Northants NN8 3JT The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Judith Roan Date: 3 0 1 2 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 34 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: Parkview Residential Care Home 10 Westfield Road Wellingborough Northants NN8 3JT 01933275087 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): 24-7 Care ltd Name of registered manager (if applicable) Ms Susan Braybrook Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: The Provider may provide the following category of service only Care home code PC To service users of the following gender Either Whose primary care needs on admission to the home are within the following category Learning disability code LD The maximum number of service users who can be accommodated is 5 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Parkviews overall aim is to provide a service in the least intrusive and most effective manner, minimising the effect of adults disabilities and giving the opportunity for adults to live as normal a life as possible. The service was founded in 2008 to cater for the needs of adults who have a diagnosis of Autism Spectrum Disorders. 24-7 care Ltd guiding principles have been to provide and integrate support systems within the frame work of a small family type house. The home provides 5 single rooms with access to a range of shared bathing facilities. The home has several communal areas where people using the service can relax and undertake activities. Care Homes for Adults (18-65 years) Page 5 of 34 The bungalow is situated near to the centre of Wellingborough with easy access to shops and community amenities. A detailed statement of purpose is available direct from the Registered Manager at the home. Care Homes for Adults (18-65 years) Page 6 of 34 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was unannounced and lasted 5 Hours. The home tells us about the things that has happened and how they look after the people and make them safe. The information is recorded on a report called the Annual Quality Assurance Assessment (AQAA) and through Notifications. This service is new and there is ongoing work of further admissions. At present two people uses the service. Care Homes for Adults (18-65 years) Page 8 of 34 We spoke to the manager to find out how they were looking after the people. We observed the support and looked at support plans to see how the people are being looked after by service. We check that the home has safe policies that inform staff how to manage the service. Care Homes for Adults (18-65 years) Page 9 of 34 We looked at the training that the support workers do to help them understand the needs of the people. What the care home does well The home provides ongoing assessment of individuals needs. Support workers are very knowledgeable about the needs of people who use the service. Care Homes for Adults (18-65 years) Page 10 of 34 Health care needs are monitored and appropriate action is taken. People using the service have a wide range of daily activities of their choice. People are supported to access community resources. Care Homes for Adults (18-65 years) Page 11 of 34 The home is maintained to a high standard. Everyone has their own room that reflects their personal preferences. Care Homes for Adults (18-65 years) Page 12 of 34 Communal areas enable a range of activities to be undertaken within a family setting. The support workers show a high level of commitment to the work and bring a range of skills to support individuals needs. Good management ensures that people who use the service are listened to and that support workers are trained and supported. The home has strong leadership that encourages reflection on the service provided. Care Homes for Adults (18-65 years) Page 13 of 34 What has got better from the last inspection What the care home could do better Park View is meeting national minimum standards and demonstrates that it exceeds in some areas. Care Homes for Adults (18-65 years) Page 14 of 34 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 Judith Roan East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel: 03000616161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 15 of 34 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 34 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessment practices at the home ensure that needs are fully identified and can be met. Evidence: All of the people living at Park View are new having moved in since it was opened in August this year. It is evident from the records that a through assessment of need was undertaken by the homes manager at the time of admission to ensure that their individual needs could be met. The service has a very good assessment tool that is used by the manager to gather information on needs. The assessments contained detailed information which was gathered from the individual person making the application, their family, previous placements and the funding authorities. This information is updated with ongoing work especially in relation personal and social developments. The admission process enables people to have a service user guide in a format that they will understand. A trail visits is available where appropriate so service users can judge if Parkview will be suitable. Service users can view the bedroom and common areas and if feasible have a meal and Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: meet with staff. Parents, social worker, family and friends are also able to visit Parkview. The AQAA confirms all of the above and states that they will make sure that prospective service users are confident that their needs and aspirations will be met. Individuals files held contracts made with the provider and the person receiving the service. An additional contract is made with the funding authority. All information is in an easy read format that service users can understand where appropriate. If not then parents, social workers or independent advocates are involved in the decision making process. Care Homes for Adults (18-65 years) Page 18 of 34 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Support plans are person centred and demonstrate full involvement of people using the service. Evidence: Care plans are in place for people who use the service and are reviewed as required. Daily reporting systems ensure that support needs of individuals are reviewed to ensure that there is continuous development. The approach used in the home incorporates structured teaching methods, (TEACCH and PROACT-SCIPr-t.JK), are used so that individual care and education plans are provided for each person living at Parkview. Good record keeping ensures that information is shared appropriately. Confidentiality is maintained with all support workers understanding the importance of keeping personal information in secure files. All people using the service have access to their files and where possible confirmed that support plans had been developed with them. The outcomes for people using the service support are positive and that needs are being met within the systems in place at the home. In discussion with support workers it was evident they are very knowledgeable about the needs of the people they support. A new Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: support worker informed the inspector that they had worked alongside another experienced worker until they has demonstrated that they were competent and confident in meeting individuals needs. In reviewing the files and observation of individuals using the service it was evident that they were being assisted to develop their skills and participate in everyday activities that they previously were not able to achieve. Learning is achieved by the consistent approaches used by support workers and people using the service having access to a broad spectrum of daily living activities. Risks within activities are considered on an individual basis and plans made to minimise these for each person. Files contained comprehensive risk assessments related to individuals activities. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any behaviour that may arise. Care Homes for Adults (18-65 years) Page 20 of 34 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide range of personal, educational and social options are available and promote individual development Evidence: Individuals have a weekly activities programme that is updated to take into account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Since moving into the service individuals have developed their communication skills and could positive choose how they wished to spend their time or be involved in activities in and outside of the home. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. The TEACCH method has had positive outcomes for people using the service. Experiences are good and varied. It was noted that several people attend college and work opportunities are being sought. Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: People using the service are fully involved with day-to-day living tasks within the home. Each person takes it in turn to prepare the evening meal. Individuals choose a meal from a selection they all enjoy. The process supports people to experience all aspect of the meals preparation from check out supplies, purchasing the food and cooking the meal. In observation support workers enable people to carry out tasks and help only when necessary to demonstrate and skill. It was clear that individuals were positive about their achievements. Throughout the inspection the inspector observed positive work with service users using strategies noted within the care plans in supporting people with behaviours that challenge. The teatime meal was freshly cooked and healthy. Individuals are supported to make healthy choices and have a balanced diet. Support workers have a good understanding of the needs for people who use the service and use the meal times to develop communication and social skills. Meals were seen to be a very social event at the home. There is much negotiation so that meal times can be arranged around social activities. The standard of food prepared at the home is high being produced from fresh produce. A food diary is kept to ensure that a balanced diet is provided. The AQAA confirms these procedures at the home Service users are offered a healthy balanced diet which they have chosen from their choice board. Service users weight is monitored and there nutritional needs are recorded and adjusted by health care professional as the needs arise. The inclusion of families is an important part of the support at the home and individuals are encouraged to maintain contact. The Statement of Purpose is clear on how contact will be maintained. Close working relationships with families is key to the philosophy of Parkview and contact will be kept through a variety of ways. Communication via the written word, either by letter or email, is supported by staff where appropriate. Telephone conversations are also encouraged where possible. Home visits are organised where appropriate and where parental transport is available. Regular family visits are also supported at staged intervals by arrangement with the Registered Manager. Care Homes for Adults (18-65 years) Page 22 of 34 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are positively supported to access local and specialist healthcare services. Evidence: Service users are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that people using the service have care plans that set out preferred routines likes and dislikes. Service users have the visual aids to support them to reach their maximum potential. Individuals do have choices into staffing and who they require to work with them. Service users are supported with personal care by a person of the same gender or of their choice. Personal support was seen to be offered in a discreet manner and with people using the service preferences being a top priority. Their health care needs are supported and service users are actively encouraged to manage their own medical conditions. The present residents can not manage their own medication and a full risk assessment is in place for this. Support workers are trained in the administration of medication and medication reviews and medicals done more regularly than necessary to meet the specific needs of people with Autism. Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: Medical profiles for people who use the service had clear information. All medication is stored in a locked facility and records were well maintained. All incidents are recorded on file to show how the manager and support workers have reviewed practice to minimise future risks. Procedures are in place so that incidents are reported to the CQC with there being positive communication between the inspector and registered manager about outcomes. Care Homes for Adults (18-65 years) Page 24 of 34 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Practices within the service fully protect people who use the service and ensure that they are listened to. Evidence: The service has comprehensive policies and procedures in relation to handling concerns and complaints. People who use the service have access to a visual communication complaints policy, families and advocates are given copies of the homes complaints procedure so that they can support individuals. Support workers undertake abuse awareness training as part of their induction/ foundation training. Several have completed this as part of their National Vocational Qualification. The inspector checked out their understanding during the inspection On arrival the support worker was extremely careful to check identity and made a further check with managers before allowing access to confidential information. This practice assures CQC that support workers are aware of good practice in relation protection. The registered manager provides further evidence of how they meet the standards in this outcome area. Service users and their families have copies of the homes complaints procedures and bullying polices Copies for service users are in a format that they can understand. Independent advocacy is on offer to service users that have communication difficulties if they have no parents to act for them. Support workers listen to and act on the concerns of service users and try to resolve them before they get into the formal Care Homes for Adults (18-65 years) Page 25 of 34 Evidence: complaints stage A complaints book that has numbered pages is in place at Parkview Support workers have training on responding to suspicion of abuse and neglect. And all allegations are taken seriously and recorded. All support workers have been trained on protection of vulnerable adults and know the signs to look for and what they need to do if the suspect anything. Physical aggression is dealt with proactively and physical intervention is only used as a last resort by staff trained in PROACT SCIP r UK. There have been no complaints since registration. Care Homes for Adults (18-65 years) Page 26 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a warm family setting with individual space that is well maintained clean and hygienic. Evidence: The home is newly converted to a residential home that is decorated to a high standard. There are adequate rooms to enable everyone to have their own personal space. Several communal areas are used for individual or joint activities and each bedroom has sufficient room for personal hobbies. Individual bedrooms seen were personalised providing a comfortable area to spend time they were well maintained. People using the service are supported in maintaining their rooms to a high standard of cleanliness and safety. There is a family size kitchen that is large enough for people who use the service to assist, with a separate dining area. The garden provides areas for relaxation when the weather is fine. People using the service are supported and encouraged to play an active role in daily living and social activities. All health and safety checks were seen to be undertaken. Care Homes for Adults (18-65 years) Page 27 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. Evidence: Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection the staff team showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. In reviewing the files of support workers it was noted that all recruitment checks had been undertaken. Files all contained application forms, two references, identity check and an enhanced criminal record bureau disclosure. A new support worker on shift was spoken with, they were positive about their induction which they had worked through with the registered manager. They were looking forward to the commencement of their National Vocational Qualification (NVQ) course to further develop their skills. Other files showed that staff had completed induction and other core Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: training. The new support worker had as part of their induction worked alongside an experienced member of the team to gain full knowledge about the needs of all people using the service at the home. The induction programme seen at the inspection was very comprehensive and supported new staff to develop good practice skills in care as well as extending their knowledge about people with a learning disability and Autism. Support workers are offered a range of opportunities to train. Of the support worker team of eight, three have gained the NVQ at level two or above. The AQAA confirms that the service intends over the next twelve months To put staff on training and to get them all working towards a NVQ. Staff confirmed that they have regular supervision with the manager and that they feel well supported. There is a positive on call system for support. Care Homes for Adults (18-65 years) Page 29 of 34 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is person centred and effectively managed in their best interests. Evidence: The Registered Manager effectively manages the home in the best interests of people who use the service and the support workers. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. The registered manager is developing the services quality assurance system. The AQAA states that The manager demonstrates an open and positive approach to running Parkview. The manager gives a clear sense of guidance to all staff. The manager works hands on with service users this enables staff to have a role model especially when new staffs are being inducted. All support workers have regular supervision and have quality assurance feed back forms to fill in as do parents and outside professionals. Service users best interests are protected by Parkviews policies and procedures. During the inspection the registered manager demonstrated a sound knowledge about the service and was up to date with the daily routines. They were open with the inspector and Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: discussed future development that would benefit the people living at the home. Records are maintained in a confidential manner and are secure. Financial transactions have clear procedures and spot checks are undertaken. The provider has undertaken all health and safety checks required. The AQAA confirms the checks undertaken. Care Homes for Adults (18-65 years) Page 31 of 34 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 32 of 34 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 34 of 34 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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