Care Home: Penkett Road (17)

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What the care home does well Before a person is offered a placement at 17 Penkett Road an assessment of their needs and personal expectations are made to make sure the home can meet them. Prospective service users are encouraged to visit prior to moving in so they have the opportunity to `test` drive the home. As much as possible service users are involved in the development of their care plans and risk assessments and are supported to play an active role in reviewing their care and support at regular intervals. Records show each service user has an activity plan and calendar which provides information about activities enjoyed and actual activities undertaken on a weekly basis. Activities include daily living skills such as grocery shopping, domestic duties and attendance at specialised day services. Routines are flexible to support service users make decisions about what activities they wish to take part in Records show service users are supported to access health care services to maintain their physical and mental wellbeing. Records also show that guidance and support are sought from specialist services when specific care needs are identified. Policies and procedures are in place that give clear guidance and direction to the manager and staff team on how to report allegations of abuse, neglect or poor care practices. The physical environment of the home is appropriate to the specific needs of service users the building is well maintained. The manager and the company who own and run 17 Penkett Road support the staff team to access training to enable them to provide appropriate care and support. There are management systems in place which promote the safety and welfare of service users. What has improved since the last inspection? The manager and the staff team have worked hard to improve the level of detail they record in incident and accident reports. The manager has proactively worked to improve the communication between the home and specialist leaning disability and mental heath services. Resulting in service users benefiting from a service that is more responsive to their needs and any presenting difficulties. What the care home could do better: The care files hold a great deal of information work needs to be carried out to make sure the most up to date information is easily accessible for the staff team. This is to ensure service users receive consistent and safe care at all times.We discussed with the manager the need to review some of the quality assurance systems currently being used. To make sure the views and opinions of service users, their representatives and other professionals involved in their care are sought. This is to ensure the service being provided by the home is continuing to meet service users` needs and expectations. Key inspection report Care homes for adults (18-65 years) Name: Address: Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF     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: Helen Carton     Date: 1 7 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 28 Information about the care home Name of care home: Address: Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF 01516910629 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.macintyrecharity.org MacIntyre Care care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home 17 Penkett Road is a large semi-detached house situated in Wallasey close to local shops and amenities such as pubs, cafes, leisure centre and New Brighton promenade. There are good transport links to local areas and to Liverpool and Chester. The home is registered to provide care and support for five adults with a learning disability. The home has five single bedrooms, a lounge/dining room and bathrooms on the ground and first floor. There is a courtyard type area at the rear of the home and off road parking for approximately three cars. The home has no passenger lift. A copy of the most recent inspection report by the Care Quality Commission is available from the manager. The fee charged per week to live at 17 PenKett Road is 965 pounds. 2 4 1 1 2 0 0 8 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 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 peterchart Poor Adequate Good Excellent How we did our inspection: As part of the inspection process we sent the manager of 17 Penkett Road an Annual Quality Assurance Assessment (AQAA) document, which was completed prior to our visit to the home. This document was to provide information about the service at 17 Penkett Road and to tell us where they felt they had made improvements to the way they support service users and the staff team. As part of this process surveys were sent to five members of the staff team a total of four responses were received. The last inspection on this service was completed on 24/11/08 We visited 17 Penkett Road to enable us to look at records and to discuss how the home supports service users in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with service Care Homes for Adults (18-65 years) Page 5 of 28 users to find out their views on living at the home. At the time of our visit two service users were on holiday and the remaining service users were taking part in planned activities which reduced the amount of time we could spend with them and the staff team. We spent approximately six hours at the home. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The care files hold a great deal of information work needs to be carried out to make sure the most up to date information is easily accessible for the staff team. This is to ensure service users receive consistent and safe care at all times. Care Homes for Adults (18-65 years) Page 7 of 28 We discussed with the manager the need to review some of the quality assurance systems currently being used. To make sure the views and opinions of service users, their representatives and other professionals involved in their care are sought. This is to ensure the service being provided by the home is continuing to meet service users needs and expectations. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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. Detailed information is provided regarding many of the facilities and services provided by the home. However limited in formation is offered about the financial arrangements regarding the use of the minibus resulting in service users being unable to make an informed decision regarding this issue. Evidence: The statement of purpose provides good information about the facilities prospective service users can expect to receive if they decide to move into 17 Penkett Road. The service user guide is in an easy read format and uses pencil drawings as prompters to support service users in their understanding of the information. However there is limited information about how the minibus is funded and by whom. The organisation must be open and transparent to ensure prospective service users and those already living at the home can make an informed decision regarding their individual transport options. This information should be fully documented in service users contracts of residency. Prior to a person moving into the home a full assessment of their needs and lifestyle Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: choices is undertaken by the manager with the support of a referral officer. The admissions process looks at the skills, qualifications and experience of the staff team to ensure they are able to support a prospective service user safely and appropriately. An important part of the assessment process is to ensure the person wishing to move into the home will be compatible with those people already living there. Since the last inspection visit there have been no admissions to the home. Care Homes for Adults (18-65 years) Page 11 of 28 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. Service users preferred routines, lifestyle choices and mental wellbeing is supported by the homes care planning and risk management strategies. Resulting in service users being treated as individuals and living in an enabling environment. Evidence: A sample of care plans were viewed and found to be person centred and where possible agreed with service users. Information held in these plans provide information and guidance to the staff team in all areas of service users lives including their healthcare needs, social, emotional and psychological needs. Care plans use photographs to support the service users to understand and take part in the care planning process and they also assist the staff team to understand what is important to the individual and those things that are non negotiable. Detailed information is held about other professionals input and support to ensure service users are supported in a consistent and safe way. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Each care plan includes detailed risk assessments which are reviewed regularly to ensure service users are supported to undertake activities safely and to enable them to remain as independent as possible. Service users have a key worker who is involved in the development and reviewing of care plans. As part of this process key workers spend time with each service users to support them to ensure the support being offered is meeting their changing needs and lifestyle choices. We discussed with the manager the need to streamline some of the information held in care files to ensure the most up to date information is easily accessible to the staff team. Care Homes for Adults (18-65 years) Page 13 of 28 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. Service users preferred routines, lifestyle choices and mental wellbeing is supported by the services care planning and risk management strategies. Evidence: Records show each service user has an activity plan and calendar which provides information about activities enjoyed and actual activities undertaken on a weekly basis. Activities include daily living skills such as grocery shopping, domestic duties and attendance at specialised day services. Routines are flexible to support service users make decisions about what activities they wish to take part in. We spent time with service user who confirmed this information. Service users are supported to remain as independent as possible and to maintain and in some instances develop daily living skills such as preparing food for meals, making Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: themselves drinks. Activities are planned on a daily basis with key workers involved in the planning and risk management of activities to ensure service users are supported appropriately while out in the community. During our visit we observed service users getting ready to access community facilities of their choosing. For those service users who find it personally challenging to motivate themselves extra support is offered. Social and leisure activities promote a therapeutic environment which encourages service users to develop positive relationships with fellow service users and the staff team. Service users care plans and person centred plans have detailed information about the significant relationships in their lives and the role the staff team play in supporting them. All cleaning and catering duties are undertaken by the support workers who have been appropriately trained with service users being encouraged to be part of these activities. Each service user has a menu plan which provides detailed information about food likes and dislikes and meals they enjoy. Special diets are catered for with information from dieticians and specialist nursing services available for the staff team. The manager told us service users are supported by their key workers to raise issues regarding the running of the home and are visited regularly by the area manager to ensure their needs and expectations are being met. Care Homes for Adults (18-65 years) Page 15 of 28 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. Service users personal and healthcare needs are met by a supportive and flexible care service. Evidence: Service users receive personal and healthcare support using a person centred approach. Personal healthcare needs including specialist healthcare and dietary needs are clearly recorded in individual health action plans. These plans give a comprehensive overview of service users health needs and act as an indicator of changes in their health. Records show all service users are regularly reviewed by their GPs, optician podiatrist and psychiatric services based at Ashton House. Daily records provide brief information about any healthcare concerns and appointments attended and direct staff to individual healthcare files. The following comments were made by members of the staff team in surveys returned to us: We pick up individuals health problems and react to them. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Staff are very aware of the individual needs of the service users who are resident at Penkett Road. There is detailed information held in care plans about how service users like to be supported with their personal care including preferred shampoos, deodorants and the type of clothes they like to wear. This promotes the staff teams work practices to treat service users as individuals and to respect their decisions and choices. The manager and the staff team manage and administer service users medication. We looked at a sample of service users medications and the accompanying Medication Administration Record sheets, they were well maintained. The medication is securely stored with a clear procedure for the staff team to follow whilst administering medication. Information sheets about all medication administered is available as reference material. The staff team have successfully completed medication training provided by an external trainer. Care Homes for Adults (18-65 years) Page 17 of 28 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. Policies, procedures and working practices are in place to ensure service users rights as citizens are promoted and protected. This results in service users living in a safe environment that respects their individual needs and lifestyle choices. Evidence: The statement of purpose and service user guide provides information about the complaints procedure and the responsibility of the provider to provide a safe environment. All members of the staff team including the manager have undertaken safeguarding adults training within the last 12 months. Policies and procedures are in place that give clear guidance and direction to the manager and staff team on how to report allegations of abuse, neglect or poor care practices. There have been a number of formal complaints and safeguarding referral made since the last key inspection visit to the home. However the manager and area manager have ensured all correct reporting and investigating procedures have been carried out to ensure the safety and welfare of service users. Detailed records are kept at the home of all complaints and allegations with outcome information held at the company head office. The Care Quality Commission has been kept informed of all issues and Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: outcomes of investigations. Where shortfalls have been identified the manager and the company have acted appropriately and in the best interest of service users. Care Homes for Adults (18-65 years) Page 19 of 28 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. 17 Penkett Road provides a good living environment for service users, which meets their physical and social needs. Evidence: The physical environment of the home is appropriate to the specific needs of service users the building is well maintained with a new kitchen being fitted during our visit. The communal areas are pleasantly decorated and furnished to a good standard with framed photographs of service users taken on holidays and trips being displayed. Each service user has their own bedroom which is personalised to reflect their hobbies and interests. Health and safety information regarding the environment is easily accessible to the staff team including infection control policies and procedures and emergency contact numbers for utilities and equipment. There is a large lounge and dining area with access to a rear courtyard. At the time of our visit the home was well lit, clean, tidy and fresh smelling. Care Homes for Adults (18-65 years) Page 20 of 28 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. Service users are supported by a skilled and competent workforce resulting in them receiving person centred support in an environment that respects and values them as individuals. Evidence: Records show and discussions with the manager and comments made in returned surveys that the staff team are supported to undertake training to enable them to offer appropriate care and support to service users. Training sessions such as epilepsy care and support, managing challenging behaviours and person centred planning is planned for later this year. This type of training will further enable the staff team to support service users effectively and sensitively. Training records show the company and the manager remain committed to support the staff team to undertake internal and external training courses including National Vocational Qualifications in care. At the time of our visit four service users were living at the home, however the staffing levels were higher enabling service users who at this time require greater support to access community facilities daily. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: The recruitment and selection procedures in place provide safeguards to service users to ensure they are supported by suitably skilled and competent people. We discussed with the manager the need to hold detailed records regarding nursing students who carryout placements at the home. This is to ensure service users safety and wellbeing is protected and promoted. Comments made by members of the staff team in returned surveys indicate they feel supported and valued by the manager. We observed service users spending time with a member of staff they appeared relaxed and confident and happy to talk with us during our visit to the home. Care Homes for Adults (18-65 years) Page 22 of 28 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 management systems within the home promote the health, safety and wellbeing of service users. Evidence: Ms Sandra Sharp has been the registered manager of 17 Penkett Road for approximately two years she has gained the NVQ Level 4 Managers Award and has over ten years experience working in the care sector. Records show she undertakes regular training to support both aspects of her role, managing the service and offering direct care and support to service users. There are management systems in place which allows the running of 17 Penkett Road to be audited including national quality assurance systems which seek out the views of other stakeholders. We discussed with the manager the need to look at ways to engage on a local level with professionals involved in supporting service users and visitors to the home to seek out their views. This is to ensure the service provided by the home meets service users needs and expectations. She agreed to look at this and discuss it with the area manager. Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: Information gained from returned staff surveys indicates the staff team feel supported by the manager and feel they receive sufficient information to support service users safely in their daily lives. . Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team including fire safety checks maintenance records, and utility services. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 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 1 1 4 The statement of purpose must clearly state the individual costs for the use of the homes minibus. This is to ensure service users have all the relevant information to be able to make an informed decision as to whether they wish to financially contribute to the homes transport. 07/09/2009 2 5 5 Full information about how the homes minibus is funded must be included in the service user guide. This is to ensure service users are able to make an informed decision as to whether financially contributing to the minibus is in their best interest. 07/09/2009 3 39 24 The in house quality assurance systems must be reviewed. 21/09/2009 Care Homes for Adults (18-65 years) Page 26 of 28 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 This is to ensure information is gained from stakeholders involved in 17 Penkett Road rather than at an organisational level. This will ensure the person centred focus of the service is maintained. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The content of care files should be reviewed to ensure the most up to date information is easily available to the staff team. The manager should ensure the placing organisation provides safety check information regarding student nurses undertaking a placement at the home. 2 34 Care Homes for Adults (18-65 years) Page 27 of 28 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). 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