Care Home: Sunnyside Care Home

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What the care home does well There was a good, committed and competent staff team, which worked well together and with other health care professionals in order to meet the complex needs of people who used the service. People who used the service and their relatives were satisfied with the standard of care and support that was being provided. Staff were offered good training and development opportunities to equip them with the skills required to provide care and support to the client group. Quality assurance methods were used in an effective way in order to continually improve various aspects of the service. The home was well managed. The service was providing good standards of accommodation, which was clean, safe, pleasant and comfortable. What has improved since the last inspection? The last inspection was carried out on 31 May 2007. Since then, there has been a major change in the service. A new building has been erected on the site to provide longer term residential accommodation for 11 people. This has led to changes and improvements in management arrangements and in staffing levels. Staff training and development has continued to progress well. Improvements have been made in the provision of social and recreational activities for people who use the service. What the care home could do better: The recording of care provided to individuals should be improved to reflect details of the actual care given. This will assist in the effective evaluation and review of care and support provided to each person who use the service. Although all the pre-employment checks were carried out for new members of staff, the arrangements for making disclosures available for inspection need to be reviewed and improved. The outcomes of all `service users` surveys should be kept at the home and made available for inspection as necessary. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunnyside Care Home 19 The Crescent West Sunnyside Rotherham South Yorkshire S66 3RE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ramchand Samachetty     Date: 1 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Sunnyside Care Home 19 The Crescent West Sunnyside Rotherham South Yorkshire S66 3RE 01709532145 F/P01709532145 None Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Milbury Care Services Ltd care home 15 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 15 The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category of service only: Care home with Nursing - Code N, 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 Date of last inspection Brief description of the care home Sunnyside Care Home consists of two buildings; one bungalow, which is used for respite care for up to 4 people with learning disabilities and a two-storey house, which provides accommodation for up to 11 people with learning disabilities and who require longer term residential nursing care. The service is for younger adults between the ages of 18 and 60 years. The home is owned and managed by Milbury (Voyage), which is part of the Paragon Health Group. Ms Sarah Jackson is the registered manager. Sunnyside Care Home is situated in the Sunnyside area of Rotherham, on a residential estate with local facilities nearby. The home is accessible to wheelchair users. There is an area of lawn to the front. The rear garden is landscaped with a patio area and is enclosed to ensure a level of privacy for people using the service. There is Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home limited car parking to the front and side of the building. The home has produced a statement of purpose and a service user guide. The manager informed us that the fees charged as at 14 May 2009 were between £1,795.00 and £2,350 per week. The service is operated under a contract with the local Joint Learning Disability Service. Further information can be obtained from the home manager. Care Homes for Adults (18-65 years) Page 5 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: This key unannounced inspection was carried out on 14 May 2009, starting at 09.45 and finished at 17.00 hours. The manager Ms Sarah Jackson was present throughout the inspection. The service is registered to provide accommodation, care and support to up to 15 people with learning disabilities. Four places are used for the provision of respite care, in a dedicated unit and 11 places are used for longer term residential nursing care for people with learning disabilities. There were 13 people in residence at the time of this inspection, four of whom were receiving respite care. The inspection included a tour of the premises, examination of care documents and other records, including those pertaining to complaints, staff employment, medicines management, maintenance of equipment and quality assurance methods. We spoke to Care Homes for Adults (18-65 years) Page 6 of 28 three people who used the service and to relatives. We also spoke to four members of staff and to other professionals involved with the service. We gave feedback about our initial findings to the manager. What the care home does well: What has improved since the last inspection? What they could do better: 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who used the service were provided with sufficient information to help them choose it. Assessments of needs were carried out before people were admitted to the home and this helped to make sure their needs could be met. Evidence: The manager confirmed that the homes statement of purpose and service user guide had been amended to include information about the new provision of longer term nursing care at the home. In discussion, we noted that efforts were being made to improve the formats in which these documents were available to people who use the service and therefore make them more accessible. We spoke to relatives of people who lived at the home. They told us that they were given all the information they needed in order to help them with making a choice of care home. We checked the care files of two people who had more recently been admitted to the home. They showed that an assessment of their needs had been carried out by the placing social workers and by the staff at the home, before they were admitted. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: However, the assessments undertaken by the placing social workers were over six months old and were not always related to admission to the home. The assessments carried out by the homes staff were comprehensive and addressed all areas of needs. They ensured that identified needs of people could be met before they were admitted 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. People who used the service and their relatives were satisfied with the care being provided. The health and personal care of people who lived at the home was well planned and delivered and this promoted their wellbeing. However, there were minor shortfalls in the way care was recorded and this could affect its evaluation and review. Evidence: We checked the care plans of three people who lived at the home. They were developed from their assessment of needs, risks and aspirations. The care plans included individual support plans for various activities. There was a health plan for each individual. We noted that the care plans were based on a person-centred approach. Staff had involved the people in their care and their representatives in planning their individual care. This helped them to consider the ways in which people wanted their care to be provided and therefore cater for them appropriately. The care and support provided to people were recorded. However, the records that we Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: checked were inadequate and too generalised. In a few instances, certain aspects of the care plans were not commented upon, although they had been addressed. These shortfalls did not help in an effective evaluation of the care that was being provided. We also noted that people who used the service were appropriately supported with making decisions about their goals and daily activities. One relative told us that staff would help his daughter with all aspects of managing her money and that both he and his daughter would be given details of any spending that were carried out. People who lived at the home and who could express their views told us that staff were good and that they were happy to live in it. 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. People who lived at the home were supported in taking part in a range of social activities, which helped them maintain their preferred lifestyle and improve their quality of life. Evidence: On the day of this inspection, we observed that people who lived at the home, were actively assisted and supported to participate in a range of social and recreational activities. In discussion, we noted that many of the activities had been planned and included in individual care plans on the basis of needs, capabilities and preferences. Staff made sure that people who used the service and their relatives were involved in planning such activities and this ensured that their preferences were properly catered for. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: A number of people, who had complex health care and communication needs, were provided with one to one staff support to undertake their preferred social activities. A few people spent time undertaking arts and crafts activities, which they said were enjoying and relaxing. A few other activities were organised in order to help develop social skills in general. One person said that he quite liked attending the local day centre. Records of activities held at the home showed that people had also benefited from themed entertainments and annual holidays provided by the home. Relatives told us that they were always welcomed at the home. They said that staff were good in assisting their loved ones to keep in touch with them and that communication was excellent. Staff were observed addressing people in their care in a respectful manner. Their interactions were based on respect for the person. People were assisted with their personal care in their bedrooms or in closed bathrooms. This helped to promote the privacy and dignity of people who lived at the home. At lunch time, staff took time to help people choose what they wanted to eat. There was a menu from which people could choose from and alternatives were also made available. Staff were observed preparing a meal which was well liked by the people in the home. They told us that they found the meals very tasty. Nutritional needs of people had been appropriately assessed and addressed. Staff assisted a few people in eating their lunch and this helped to ensure their continued health and wellbeing. 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. People living at the home were receiving appropriate personal and healh care support and this ensured their continued health and wellbeing. Evidence: The individual care and support plans that we checked contained all the necessary information about what personal and health care support was required for the people concerned. They also included peoples personal preferences as to how their care should be provided. Most people living at the home had complex needs and were not always able to express their views or make decisions independently. However, they were well supported and helped by staff to maintain and promote their best interests. Care plans included a section on health to ensure that each person had good access to community health care services as required. These included the services of GPs, dietitians and occupational therapists. One person was receiving support from a behaviour therapist employed by the service. Staff were also providing help and counselling to some people with their emotional and psychological needs. In discussion with care and nursing staff, we noted that a number of them were very knowledgeable Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: about the specific needs of the people and were therefore able to provide good standards of care. The home had a comprehensive policy and procedures for the management of medicines. We noted that staff had developed and put in place appropriate procedures for the administration of medicines which were prescribed to be given when required. The manager confirmed that staff who administer medicines had received the appropriate training to do so. We checked records regarding the receipt, storage and administration of medicines. These were satisfactory. There were regular audits of medicines at the home and in particular for the respite service. These ensured staffs ability to identify potential problems and to put things right in a prompt manner and to practise safely. 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. People living at the home were protected from harm. Procedures were in place to safeguard and protect them at all times. This helped to keep them safe and to promote their welfare. Evidence: The home had use of the companys complaints procedure, which gave details to people who used the service, of how to make their concerns, complaints and compliments known to staff and what action will be taken to address them. It also told people, how long it might take to deal with such issues. The complaints procedures were also included in the homes statement of purpose and its service user guide. Relatives told us that they were aware of the complaints procedure and would use it if it was necessary. There had been no complaints at the home in the previous twelve months. Staff said that they would deal with any concern that people might have in a prompt manner and this helped to address them satisfactorily. Adult protection procedures were in place in order to safeguard people who lived at the home. In discussion, staff confirmed that they were aware of the local multi-agency procedures which were used and this helped them to observe good practice in adult safeguarding. We spoke to a few members of staff and they confirmed that they had Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: received training and guidance on adult safeguarding procedures and that they were confident in implementing them. Staff training records confirmed that such training had been provided. 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. The home was well maintained and the accommodation provided was safe, clean, comfortable and pleasant. This helped to maintain and promote the wellbeing of people who lived in it. Evidence: We checked the premises in the company of the manager. The home consisted of two buildings. One was the bungalow, which was used for respite care. The other was a newly built two-storey house, which provided longer term residential accommodation for up to 11 people. The new residential facility had been added since the last inspection, in 2007 and together with the bungalow, is registered as Sunnyside Care Home. The new house comprised of two floors and there was a set of stairs and a passenger lift to facilitate access between them. Both buildings were accessible to people who used wheelchairs. There was a large and well furnished kitchen, which the manager said was designed to allow people who use the service to be trained in meals preparation. There were adequate communal areas for the comfort of people who lived at the home. There were good hygiene facilities and there were sufficient equipment to assist with the moving and handling of people who had limited mobility. All parts of the Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: home were well decorated and well maintained. They were clean and tidy. The bedrooms were spacious and appropriately furnished. The home provided a very pleasant, comfortable and safe environment. People who lived at the home indicated that they were very happy with their rooms. The surrounding grounds featured a well maintained garden, a level patio and car parking facilities. Care Homes for Adults (18-65 years) Page 21 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. Sufficient and adequately trained staff were employed to provide care and support to people who used the service and this helped to protect and promote their health and welfare. Evidence: At the time of this inspection, there were 13 people in residence at the home. Four people were receiving respite care (nursing) and were accommodated in the bungalow. There were one first level nurse and three support workers on duty, for the respite service, during the day and one first level nurse and one support worker were scheduled to work at night. There were nine people in the longer term residential care section. Besides the registered manager, there were one first level nurse and six support workers. The staffing level included provision of one-to-one support for three people of the nine people living at the home. The manager confirmed that on occasions, additional hours of support for social activities were funded by the placing authorities and provided by the home. We noted that people using the service had complex health and social care needs and that the staffing arrangements took these issues into account. We looked at the duty rota and it showed that appropriate levels of care staff were consistently Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: deployed on duty. A few people who could express their views and relatives told us that they were satisfied with the care and support that was provided at the home. People who lived at the home indicated that they were well looked after by the staff. We observed staff spending time with people in their care, often on a one to one basis, in a relaxed and unhurried manner. Staff were able to communicate well with people who lived at the home and with their relatives and this helped them to provide a good standard of care. We looked at the files of two of the support workers who had been recently recruited to work at the home. Appropriate procedures had been used. The pre-employment checks, including disclosures and written references had been sought and obtained. However, copies of disclosures were not available for inspection. There was a copy of an agreement between CSCI and the company (Voyage) that all records required under the relevant Care Homes Regulations, including staff disclosures, would be accessible for inspection at an identified local office of the company. We were informed at the inspection that this office had been closed. The manager stated that all new support workers had been provided with induction. The manager also confirmed that the induction programme included an introduction to the subject of learning disability and the related values and principles. The manager stated that support staff had been offered regular training on a number of topics in the last twelve months. These included training on moving and handling, health and safety, food hygiene, infection control, adult safeguarding, non- contact intervention technique and the mental capacity act. Staff also have access to the companys computerised training programme, (El-Box) on on-going training and refresher courses. Training records indicated that only 3 support workers at the home had achieved their National Vocational Qualifications (NVQ) level 2 in care. The manager explained that thirty members of staff were currently registered to follow the Learning Disability Qualification. In discussion, staff told us that they were satisfied with the training opportunities, supervision and support that were being provided so that they could give a good standard of care to people using the service. Care Homes for Adults (18-65 years) Page 23 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. Appropriate management arrangements were in place to ensure the proper running of the home. Good quality monitoring methods were being used to continually improve the service. These helped to maintain and promote the welfare and safety of people who lived and worked at the home. Evidence: Since the opening of the new residential unit (Sunny Lodge), the manager became responsible for the day-to-day running of both the respite and residential services. The manager stated that there was a deputy manager in post to assist her. She confirmed that she was also receiving administrative support from the company and professional support from her line manager. People who used the service, their relatives and staff indicated that they were satisfied with the running of the home. The manager confirmed that she had achieved her Registered Managers Award. The manager informed us that the company had undertaken a service users survey in June 2008. We were unable to see the outcome of this survey as this was kept at Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the companys regional office. The manager explained that objectives for the home were set in response to the findings of the survey. The registered provider was also conducting appropriate monthly unannounced visits to the home. Reports of these visits showed that they were also used to monitor and improve the service. There were regular reviews of various aspects of the home management. The manager explained that staff had use of various quality monitoring tools to help improve the service. These included regular audits of care documents, medicines records, health and safety measures and records of residents and staff meetings. In discussion, staff told us that they had received the necessary health and safety training and guidance to enable them to work in a safe manner. Risk assessments about the environment and various work practices were in place and were being adhered to. Records showed that equipment and utilities in use at the home had been checked and serviced as required. these ensured the safety and welfare of people who lived and worked at the home. Care Homes for Adults (18-65 years) Page 25 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 26 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 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 7 The records of care provided to each person should be improved in order to reflect specific details of care interventions and actions carried out. This should assist staff in the effective evaluation and review of the care and support provided to individuals. Staff disclosures should be made available for inspection as required. Arrangements to do so should be reviewed. The outcome of any satisfaction surveys of people who live at the home, should be kept at the home and made available for inspection as required. 2 3 34 39 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!