Care Home: The Newlands

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well People are fully involved in planning their care and the support that they may need. The information is recorded in a care plan so that staff have details of the care required and are able to support people in the way they prefer. People are supported to go out when they want to and do the things they enjoy doing. People are helped to keep in touch with their family and friends. This helps them to keep relationships which are important to them. People are supported to make decisions and choices. This means people have control over their lives. The staff have training so they know how to look after people and to keep them safe. People told us that they are very happy living at The Newlands, the staff are friendly and helpful, the food is good and they can go out when they wish to. What has improved since the last inspection? The manager wrote to us before we went to the home and told us all the things which have happened to keep on making things better for the people who live at the home. What the care home could do better: It is considered that the service is currently performing well and setting its own objectives for continual improvement - no requirements and recommendations have been made as a result of this unannounced inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: The Newlands Royal Walk Cheadle Stoke on Trent Staffordshire ST10 1EL     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: Joy Hoelzel     Date: 0 8 0 9 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 27 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 27 Information about the care home Name of care home: Address: The Newlands Royal Walk Cheadle Stoke on Trent Staffordshire ST10 1EL 01538752210 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Staffordshire County Council Social Care And Health Directorate care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 12 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) 12 Date of last inspection Brief description of the care home The Newlands is a Local Authority Home providing accommodation and personal care for up to 12 people with learning disability. It is situated in a quiet cul-de-sac close to the local hospital and town centre. The home is set in a private and attractive garden and there is adequate car parking provision. The property consists of two semi-detached houses modified over the years to create four distinct living areas, each with its own lounge/dining and/or kitchen/kitchenette Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 12 Brief description of the care home facilities. One area is self contained and provides accommodation for three people. The home is on two floors with access being provided by stairs and a shaft lift. All bedrooms are single occupancy with all but one being on the first floor. An adequate number of toilets are provided on both floors. The future plans for the home are uncertain, as there are a number of departmental changes being made to the delivery of support services to adults with learning disability. People living at the home, staff and families have been involved in the consultation process. Information of the home and the provision of the service are available in the statement of purpose and service user guide, the documents are available directly from the home. The weekly fees were not included in the documents at the time of this inspection, therefore the reader is advised to contact the home to obtain up date information on the fees charged. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Care Homes for Adults (18-65 years) Page 5 of 27 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: The last key inspection for this service was completed 25th September 2007, with an annual service review 22nd September 2008. The home did not know that we would be visiting on this occasion to conduct a full inspection of the service. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of three of the people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Discussions were held with people living and working at the home. Some people were unable to fully comment about their experience of life at the home. Observations were made of how they spent the day and of the interactions offered by staff in an attempt to obtain an overview of how they may be feeling. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was Care Homes for Adults (18-65 years) Page 6 of 27 posted to the home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document and returned it to us. Comments from the AQAA are included within this inspection report. Care Homes for Adults (18-65 years) Page 7 of 27 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 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 27 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 27 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 use this service can be confident that the care home can support their very individual needs. Evidence: The AQAA tells us that - All Service Users are provided with a Statement of Purpose and Service User Guide and can be in written format, Widget, large print, in brail, or provided on tape. We saw that the copy of the Statement of purpose had been reviewed in May 2009, it contained information telling people who the service is for and how the service works. We were also provided with a copy of the leaflet informing on the financial matters for people needing support for residential care. The leaflet stated that fees for the service range from £326:00 - £401:00 per week. The statement of purpose contains clear details of the planned admission processes. The manager explained how information is collected and that the staff have full details of the care and support needs of the person. This then ensures that when a person Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: decides to live in the home they can be assured that their very individual care needs will be fully met. The manager told us that there have been no new admissions for the past six years. People told us that they were very happy with the service that they were receiving and felt to be very much at home. Care Homes for Adults (18-65 years) Page 11 of 27 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 use this service can be assured that they will be fully involved in making choices and decisions about their lives. Evidence: The AQAA informs us that - Each service user has a comprehensive 24hr service user person centered plan, which is agreed with the individual at their six monthly person centered plan meeting. Within the plan the service user has agreed services and facilities that are provided by the home, and how these services will meet the current changing needs. The person centered plan covers all aspects of personal and social support and health care needs. We looked at the care plans of two people living at the home in depth with another plan looked at briefly, this confirmed the information recorded in the AQAA. We saw that the plans were very individual with copious risk assessments, support plans and monitoring documents. All plans are reviewed at regular intervals with either the persons, their relatives or advocates involvement. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: We saw that the plans were based on the care needs and preferences of the individual. For example one person experiences periods of distress and anxiety that is uncomfortable for themselves and possibly for other people. The plan recorded the possible triggers that may cause the distress and the actions that staff could take to support this person through these periods. Staff explained the distraction techniques they use when helping and supporting them. Another plan detailed the support needed with effectively communicating with a person, it included symbols to support the text and details of non-verbal cues for assisting with this. We observed people at the home interacting very well with each other, both verbally and non-verbally. Staff explained the many ways that they are able to communicate with people. Each person has a twenty four hour support plan that details the way that people like and prefer to spend their day. This ensures that staff have the full details of peoples preferences and are able to provide the care and support in the way that they prefer. Through out the time we were at the home we observed people being offered choices to make decisions of how they wish to spend the day. Some people deciding to go out shopping, spending time watching television or attending to their household chores. We saw risk assessments informing staff how to support people to take responsible risks whilst ensuring that they could be as independent and as safe as possible. Care Homes for Adults (18-65 years) Page 13 of 27 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 using the service can be assured that they will have the opportunity to be involved in daytime activities of their own choice and according to their individual interests and capability. Evidence: The AQAA informs us that - Day service activities are provided dependant on the individual needs, likes and dislikes. Service users have their own interests and beliefs, four attend the conservative club, five attend the over 50s pensioners club, and people enjoy the theatre, bowling and going to the pictures. Most people living at the home attend the local day services at regular times during the week. One person stated that they were looking forward to going back after the summer break, and went on to say how much they enjoy going. The home is situated close to the town centre and as such is very convenient for people to use and access Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: the local community and amenities. People told us that they enjoy going shopping and visiting the local pubs and restaurants. Staff support people who wish to go to church each week, one person stating how much they enjoy meeting with their friends at the church each week and having the opportunity for regular worship. The main front door is kept locked for security reasons; staff answer the door and allow entry. Some people have a key to their bedroom and are able to lock their door when they go out. We saw staff knocking on bedroom doors before entering and people were asked their permission before we went to look around the building. People living semi independently in the flat are supported and encouraged to attend to the domestic and household chores. People told us that they like being in the flat and able to do things for themselves. The AQAA informs us that- Three service users who live in the flat have their own food provision budget and shop weekly for their own choice of food, cook and clean with minimal support. The meals for the other people are prepared by staff and served in each of the dining areas within the lounges. People told us that they enjoyed the food provided. Staff told us that they prepare a choice of meals which includes hot and cold food. We saw that there was a good variety of food available for the midday meal and people were offered a choice of sauces and gravies for the different meals available. We saw one member of staff asking a person if they could join them for lunch, they appeared to be enjoying each others company and the quality time they spent together. One person has recently had an assessment by the speech and language therapist for difficulties with swallowing. We saw that this was fully documented in the care plan and we observed staff carrying out the instructions in a discreet but supportive way. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service can be confident that they will receive the support and care in the way they prefer. Evidence: The care plans documents the amount of personal support a person requires and in the way that they prefer. One person requires a very individual approach for personal support and the preparations needed for getting ready for the day. This person becomes very anxious and distressed at certain times and on occasions. Staff described the plan of care for this person and the action they take each day to ensure the well being of this person. This person was unable to communicate verbally but appeared to be well and happy during the day. People are supported with their healthcare needs and accessing the specialist services that are needed from time to time. The manager explained that one person does not like to attend any services and becomes extremely anxious and distressed when they require NHS healthcare facilities. A health care facilitator has recently been appointed to assist people when they need to access healthcare services. The manager explained how with the facilitators input and support, any appointments that are necessary are Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: well thought out, carefully planned and arranged so making the experience not so distressing for this person. We looked at the storage of the medications and a selection of the Medication Administration Records and found that arrangements are in place for ensuring a safe system is in operation. Some people are able to keep their own medications and have been provided with a lockable drawer for the safekeeping of their medicines. Staff described the action they take to ensure that the person takes the medications correctly. Care Homes for Adults (18-65 years) Page 17 of 27 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. The home has a complaints procedure, which provides people with information so they know how to complain and ensures concerns and complaints are listened to and acted upon. Staff are provided with training to equip them with the skills to safeguard adults from harm. Evidence: Each person using the service is supplied with a complaint and concerns policy in a format most suitable to them. We saw that the document needs updating as it is dated April 2002 and refers to the previous regulatory body. The manager told us that they would ensure that all people receive an updated version of the policy. The AQAA tells us that - There is a suggestion, compliments and grumbles book in place and the Unit Manager reviews this information and acts up on it immediately. The manager told us that two referrals have been made to the safe guarding adults team following some concerns with two people living at the home. The people from different organisations looked into these concerns and found that the home had acted in the best interests of the people and that no further action was needed. We, the commission, have not received any correspondence in relation to complaints or concerns with the service. Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: Some people using the service occasionally experience episodes of unease where they or other people are potentially at risk of harm. Staff explained the specific training they have received to ensure they have the knowledge and skills to deal effectively with these episodes in the least restrictive way. We saw guidelines on peoples care plans which explain how the staff should support people with these needs. Some people using the service need help and support with looking after their finances. Staff explained the procedures in place to make sure that the money is safe and an assessment is completed and agreed with the person. Care Homes for Adults (18-65 years) Page 19 of 27 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. People stay in a safe and well-maintained home that is homely, clean and pleasant. Evidence: The Newlands is a two storey building situated in a quiet area close to the Cheadle town centre. The home is well maintained, comfortable and homely. The routine maintenance of the building is attended to and there is a twelve month programme for the refurbishment and redecoration. People told us that they are very happy with life at The Newlands and are satisfied with their accommodation. The AQAA identifies some difficulties with the environment - The Newlands building is not suitable for wheelchair access. Although there is a disabled access to the front and back of the building, inside the building the corridors are very narrow and bathrooms and toilets are not wheelchair accessible. Two bedrooms are not suitable as they are too small therefore they are not occupied. The statement of purpose also comments that The home has limited wheelchair access. And the bedrooms are not suitable for a wheelchair. The manager explained the difficulties that some of the people currently using the service are experiencing when using their wheelchair inside the home. They went on to explain that the people Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: would benefit from living in a more suitable environment, and that work is ongoing to find alternative accommodation. People commented on the difficulties they are currently experiencing and acknowledge that although they have been at the home for a considerable period it is now time to move on. The areas of the home that we looked at were clean and hygienic. The laundry is well equipped with domestic type appliances. Hand wash facilities have been provided in all areas for general hygiene purposes and for the effective control of the spread of infections. Care Homes for Adults (18-65 years) Page 21 of 27 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 using this service can be confident that the staff have the skills and knowledge to meet their needs. Evidence: When we arrived at the home we were greeted by a member of staff and then introduced to other people so that they were aware of who we were and why we were visiting the home. We were unable to communicate with some people who live at the home so we watched the way they interacted with staff and how staff interacted with them. We saw that staff had a good rapport with people and were very skilled at supporting people with various activities in an individual and personal way. Some staff have worked at the home for a number of years which provides stability to the people the service supports. We sampled staff files and found that all checks had been made to ensure that suitable people are employed at the home to work with vulnerable adults. We saw certificates of training in the files, with each staff member having an individual training profile indicating the training completed, and that which is due. Staff told us that in their opinion they thought that the training they received was sufficient for the job they have to do. Care Homes for Adults (18-65 years) Page 22 of 27 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. People who use this service can be assured that the home is led and managed well. Evidence: Mrs Tracy Joinson is the registered manager for the service and has been in this position for the past five years. Mrs Joinson demonstrated a good sound knowledge of managing a social care home on a day to day basis and discussed the challenges and dilemmas encountered with providing a quality service. It became very obvious during this inspection that good professional relationships have been developed and maintained between the manager, staff and people using the service. People spoke positively about the style of management and leadership. The AQAA was completed by the manager, returned to us within the timescales and contains some excellent information of how the service is running and what improvements need to be made. Observations during this inspection confirm and support the information provided. Quality assurance and monitoring of the home continues with suggestions for Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: improvements acted upon. Unannounced visits by a representative from the council are conducted each month with a report produced. People using the service and their relatives and advocates are encouraged to attend regular meetings to discuss life at the home. Staff meetings are arranged regularly. The service makes sure that people are safe by ensuring that staff are well trained, that the systems, property and equipment are maintained and in good working order and that risk assessments are developed and reviewed. We saw records, documents and certificates relating to this, all were up to date. Care Homes for Adults (18-65 years) Page 24 of 27 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 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!