Care Home: The Lodge (Bru-ley Homes Limited)

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Key inspection report Care homes for adults (18-65 years) Name: Address: The Lodge (Bru-ley Homes Limited) Lodge Lane Kynnersley Telford Shropshire TF6 6DX The quality rating for this care home is: three star excellent 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: Jonathan Potts Date: 2 2 0 1 2 0 1 0 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 32 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 32 Information about the care home Name of care home: Address: The Lodge (Bru-ley Homes Limited) Lodge Lane Kynnersley Telford Shropshire TF6 6DX 01952677083 F/P01952677083 Bruce.Wheeldon@btinternet.com 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) : Mrs. Shirley Wheeldon, Mr. Bruce Wheeldon care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 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 (LD) 3 Date of last inspection 2 9 0 1 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home The Lodge is registered with the Care Quality Commission (CQC) to provide accommodation and personal care for a maximum of three people with learning disabilities. At the time of this inspection there were two service users living at the home with Mr. and Mrs. Wheeldon and their granddaughter. There are no plans for anyone else to move into the home. Mrs. Shirley Wheeldon assumes management responsibilities. Mrs. Shirley Wheeldon The Lodge is a Duke of Sutherland Cottage set in the rural village of Kynnersley, near Telford. Care Homes for Adults (18-65 years) Page 5 of 32 Consultation with service users takes the form of regular observations and detailed care and support plans that identify and review likes and dislikes. Care Homes for Adults (18-65 years) Page 6 of 32 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: three star excellent 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 32 How we did our inspection: This is what the inspector did when they were at the care home Our surprise visit to The Lodge was carried out between 10am and 1pm on 22nd of January 2010, and followed review of all the information we have received about the service since our last main inspection in 2007. This included information sent to us every year by the care provider. We have checked the homes performance against key standards and looked at outcomes for people living at the home. We met the two people living at the Lodge, and spoke to the Mr. and Mrs. Wheeldon and the deputy manager about how they supported people living at the home. We also looked at care plans, medical records and daily notes for these 2 people. This is called case tracking. We were shown around the house. We also looked at a Care Homes for Adults (18-65 years) Page 8 of 32 number of management records and information about how the home should be run. We have also received comments from two parents and staff via our survey forms. What the care home does well The people live in a homely environment that is well maintained and resembles as far as possible a normal family home. The proprietors and staff know the individual needs of people living at the home very well meaning they meet their needs well. The home carries out robust checks so they know what people like and dont like, this meaning people’s support plans say what people need and want. Care Homes for Adults (18-65 years) Page 9 of 32 People have involvement in activities they enjoy, and have access to the community. People are supported to maintain contact with their relatives. People living at the home have a healthy and balanced diet. Peoples health is promoted through contact with doctors and other health professionals. Staff are knowledgeable and well trained so that they know how to care for, and keep people safe. Care Homes for Adults (18-65 years) Page 10 of 32 What has got better from the last inspection The proprietors are better recording what people think of the home through consultation. The home has improved the way it handles medication so that this is now safer. The proprietors have maintained excellent outcomes for the people living at the home. What the care home could do better We are not requiring the proprietors to make any changes. We have suggested it would be a good idea to have some evidence that staff are skilled in giving certain types of epilepsy medication. Care Homes for Adults (18-65 years) Page 11 of 32 If you want to read the full report of our inspection please ask Mrs. Wheeldon the person in charge of the care home If you want to speak to the inspector please contact Jonathan Potts Inspection (West Midlands) Care Quality Commission Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 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 12 of 32 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 13 of 32 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 currently use the service have sufficient information available to allow them to make decisions with support. Evidence: We saw that the Lodge has a detailed guide to the home, this containing a range of information about what the home is and the service the staff offer. We saw that it includes a number of photographs that make the information easy to read. The only information not included is the range of fees for stopping at the home. The owners are not looking to admit any other people though, and no admissions have taken place for a number of years, so the inclusion of this information would not be of any real value. Information of the fees the individuals currently living at the home pay is available to their representatives. Whilst the home is not admitting any one else, we saw that a detailed admissions procedure is available. People living at the home have been resident there approximately 25 years. We did see from looking at case files that the home has robust assessment tools in place that are easy to read and define the needs and as far as possible choices of people living at the Lodge. We also saw documented evidence of checks and reviews by the funding social Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: services department. Carers that responded to our survey stated that they always had sufficient information to allow them to make decisions and that the service always meets the needs of people living at the home. One parent told us that they received enough information about the home prior to the individual being asked if they wanted to move in. Care Homes for Adults (18-65 years) Page 15 of 32 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. Individuals are as far as possible involved in planning their care with the support of relatives and staff, this assisted by person centered care plans. Evidence: We looked in some depth at one persons support plan and found that this was detailed, built on the information that we saw in on going checks and quarterly reviews but at the same time was easy to understand. The written support plan we saw was supplemented by a person centered plan that made use of numerous photographs of the individual to illustrate things they liked, things they did not like and what their best days are like. The outcome is that the individuals goals, aspirations and preferences (as well as needs) are very clearly illustrated. We saw that risk checks and behaviour plans are also clear and easy to understand, the later making it very clear what upset the individual and may give rise to a challenging behaviours. Support plans and risk checks made it very clear as to what staff are expected to do to support the people living at the home. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: The care records we looked at show very clear checks of the individuals development and progress and we saw this matched the documented input from their Psychiatrist. We saw that there have been very few recorded incidents related to challenging behaviour, this stated by the manager and the deputy to be due to the staff team knowing and understanding the support plans. From discussion with the manager, provider and deputy it was clear that they knew what the plans said. What they told us about the individuals needs and preferences matched what we saw documented in the plans. The people living at the home have limited communication. From meeting them though we were able to validate some of the information in the plans as accurate, this based on our observation. How the staff communicate with individuals living at the home is clearly detailed in non verbal communication charts and some of the staff have appropriate training to assist, this including British Sigh Language. The manager stated they are helping the one individual to develop their non verbal communication through support from staff. Two Carers who responded to our surveys told us that the home always gives the expected support or care and responds to the differing needs of individuals. One commented that in my opinion this in an excellent home, and the residents are well cared for and are happy. They have been in the home for many years. The home deserves praise. Care Homes for Adults (18-65 years) Page 17 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals living at the home are able to participate in the community based activities that they enjoy allowing them a good quality of life. Individuals benefit from supported family contact and also have a balanced and varied diet. Evidence: We looked at individual support plans that clearly identify what people living at the home like, their preferred daily routines and what they dont like. We saw activity plans for both people that lived at the home, these based on seasonal changes. The manager told us that funding has been an issue in the current economic climate but this is overcome through creative planning with purchase of national trust membership that allows access to venues people like at a more reasonable cost. The manager also said that planning the time of community activities is critical, with trips out earlier in the day in keeping with people’s preferences. We saw a photographic record of activities over the last year and these showed us that people have had various holidays, trips to garden centres and a number of other venues. The house also has extensive grounds which is ideal for Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: gardening and watching wildlife from the conservatory. From the numerous photographs that we saw, people presented as enjoying the activities they were involved with. Other records we saw showed that planned daily activities reflect individuals goals and needs with parents telling us that the home supports people to live the life they choose. Relatives told us that the home affords outside activities , trips and shopping visits on a regular basis and my (relative)is very happy indeed with her placement, in fact (they are) one of the family. We have heard that family contact is promoted from carers and relatives. One parent told us that they see their relative every weekend. The proprietors told us how they have developed a close working relationship with the families of both the individuals living at the home over the years they have lived there. Both the individuals living at the home have limited mental capacity. We discussed with the manager and deputy as to how they promote choices. They have shown us how they use robust checks and care planning to identify what people like and dont like so that as far as possible they are able to meet with peoples preferences. Relatives confirmed that the people living at the home have limited capacity. One told us that their relative could sometimes make decisions, and did what they wanted throughout the day. The manager told us how they have provided the individuals representatives with carer’s packs about Deprivation of Liberty safeguards so that they are informed. We saw the homes four week menu which is a guide to what people like, although is open to change as would be expected in a small family orientated home. We saw that the menu offers people choices of meals. We saw the main meal of the day, this available in generous portions. One individual that required assistance we saw to be assisted in accordance with their support plan. One parent told us that the home offers good food. Care Homes for Adults (18-65 years) Page 19 of 32 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. Well developed personal care and support plans enable staff to meet the personal and health care needs of people living at the home. Evidence: The manager and deputy demonstrated an in depth knowledge of the care and support needs of the two people living at the home. The male proprietor is involved in supporting the needs of the one male living at the home, as we saw at the time of our visit. The manager told us that people living at the home receive good support from health professionals with regular input from a consultant psychiatrist, G.P, local dentist and chiropodist. The records we saw reflected what we were told. We saw that the home has detailed health care plans for individuals that are available in easy read formats. One relative told us that the home ensures personal needs always taken into account and that it was a warm safe and caring environment. The home has a stable staff team which has helped with the maintenance of relationships and the consistency of support for individuals living at the home. We also saw that staff are well trained in relevant health care and all staff have a vocational qualification in care. We looked at the homes arrangements for the management of the small amount of medication held at the home and found that these are generally robust, with a detailed policy and procedures in place. We saw that issues related to secondary dispensing Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: highlighted at our last main inspection have been addressed. Staff have received training from the pharmacist, although we did suggest to the manager that she needed to check that this was accredited training. The manager told us that staff have received training in use of stesolids for the treatment of epilepsy. We saw that there has been little use of this from records although did advise the manager that written confirmation of staff competence in its use would be useful, this from such as a nurse that specializes in epilepsy. Care Homes for Adults (18-65 years) Page 21 of 32 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 are protected by robust policies and procedures in relation to concerns, complaints and protection. Evidence: We saw that the home has clear complaints procedures that the manager said they pass to parents on a regular basis with survey forms. This has been reviewed since our last main inspection. One parent told us that staff usually listen to and respond to what they say and both said that staff always treat people living at the home well. Two carers told us that they are aware of what they should do in response to any concerns raised. We saw that the home has a complaints book, although no concerns have been raised since our last main inspection. We saw that the home has a number of policies and procedures that relate to protection of people living at the home, this including the local authorities safeguarding procedures, these readily available in the house. We saw from staff training certificates that they have received training in adult protection. The manager and deputy have a good understanding of safeguarding, this including the mental capacity act and deprivation of liberty safeguards. We looked at how the home records and protects individuals valuables, and found that recording is of a good standard, reflecting the homes procedures. Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: Care Homes for Adults (18-65 years) Page 23 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The design and layout of the Lodge promotes a family ambiance. The house is safe, well maintained and offers a comfortable and interesting environment. Evidence: The Lodge is a Duke of Sutherland Cottage set in its own large and well maintained grounds. These grounds allow ample space for gardening projects. The decor of the house we saw to be of a high standard. It also presents as very homely and domestic this reflecting comment from one parent that it is a home, not an institution. We saw that people have ample space for privacy should the wish it, as well as suitable communal areas where they can sit with staff or visitors. We looked at individuals rooms and saw these to be individually furnished and decorated with numerous personal items, including many possessions that the manager told us are of sentimental value. We looked at the records related to the maintenance of the house and equipment and found these showed us it is a safe environment. We also saw that risk checks of the environment are in place this including infection control which is supported through staff having received training in this area. Parents told us that the house is always fresh and clean, this as we saw was the case at the time we visited. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: Care Homes for Adults (18-65 years) Page 25 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home benefit from a well trained and supportive staff team that enables their needs to be effectively met by the home Evidence: We looked at the homes staffing arrangements and found that these are appropriate for a small family run environment. The providers work as part of the care team and are support by a longstanding and established group of staff that are familiar with the home and the people that live there. Where additional support is required this is brought in from a nearby care home that the providers used to own and has shared close links with the Lodge over a number of years. The manager did tell us that she would like to employ additional staff although this is dependent on an increase in funding from the local authority paying for the care of people living at the home. To this end the proprietors have requested reassessments to reflect peoples changing needs. The home has not recruited any new staff for a number of years. We discussed recruitment practice with the manager and she showed that she has a good understanding of what she need to do to ensure that any staff that maybe employed are safe and appropriate for the job they do. She has updated herself with changes in national guidance. We saw that this knowledge is reflected in the homes recruitment procedures. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: We saw from sight of numerous training certificates that the staff at the home are well trained, and the proprietors said that they encourage staff to attend regular training courses. Staff told us in surveys that they have the right skills and experience for the job and one confirmed that they are encouraged to attend training sessions. The home has achieved the Investors in People award. All staff hold a vocational qualification in care to at least level 2, with a number also holding 3 and some 4. Care Homes for Adults (18-65 years) Page 27 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Lodge is well managed by an experienced, qualified and competent manager, who with support from the staff team ensures that people living at the Lodge have their needs and aspirations met, and are safeguarded. Evidence: We looked at the homes certificate of registration and saw that this was up to date and reflected the service offered to people living at the Lodge. From discussion with the proprietors (one of which is the manager) we saw that they are very informed as to national developments, the needs of people living at the home and how to manage the Lodge so as to promote excellent outcomes for people living there. The manager/proprietor is very experience in care home management and has appropriate qualifications. She is supported by a deputy who is also experienced in management of the home and who also holds a management qualification. We saw through the homes quality management system that there is regular consultation with families. There are also regular staff and resident meetings in place, these seen to be documented. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: We saw that the home has a health and safety policy and numerous procedures in place to promote safe working practices. These are easily accessible in the home, with staff training further promoting the safety of working practices. We saw that there are regular checks on areas of risk carried out. We looked at the homes accident book and saw that there have been no recent accidents at the home. Parents of the people living at the home showed a high level of confidence in the management with statements like ensures personal needs always taken into account, warm safe and caring environment and I could not have found a better home for (their relative). Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 32 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 1 20 To ensure that there is evidence that staff have appropriate input from health personnel so as to be able to administered rectal valium safely and appropriately. Care Homes for Adults (18-65 years) Page 31 of 32 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. 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