Care Home: The Oaks Russell Lane, 42

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What the care home does well We found that this home continues to be well managed, and the registered manager, sets high standards. This was confirmed by the many letters we saw from relatives and medical staff and discussions with staff and a resident. The home provides excellent care by ensuring that residents who have health problems are referred promptly to the G.P and relevant consultants. Each resident has an individual care plan and activity programme, which clearly identify the persons needs, particularly those people who are non verbal. The home is very proactive in providing activities that are varied and stimulating, with an emphasis on fully accessing amenities in the community Residents and their representatives are fully consulted about how the home is run through meetings and through annual surveys. The staff team has been together for a long time and they have a thorough knowledge of the residents needs and they communicate very well with them. The home is well maintained and care is taken to ensure that residents health and safety is safeguarded. All records pertaining to residents and the running of the home are well structured and easy to understand. What has improved since the last inspection? At the last inspection we made two requirements which have been complied with. The upstairs corridor in the home has been redecorated and the appearance of the garden has improved by more regualr maintenance. What the care home could do better: The window sill in the upstairs kitchen needs to be repainted to improve the environment in that area for the residents. Caretech should provide a personal computer in the home to assist the manager with communications and enable her to be more effective in the running of the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Oaks Russell Lane, 42 The Oaks Russell Lane, 42 Whetstone London N20 0AE     The quality rating for this care home is:   three star excellent 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: THOMAS McKERVEY     Date: 2 3 0 7 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 27 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 27 Information about the care home Name of care home: Address: The Oaks Russell Lane, 42 The Oaks Russell Lane, 42 Whetstone London N20 0AE 02083616500 02083686704 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): CareTech Community Services (No.2) Ltd care home 6 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 42 Russell Lane, also known as The Oaks, is a registered residential care home for six adults with a learning disability. The home was opened in 1998 by CareTech Community Services Limited, a company that also owns other residential care homes in Barnet. The home is divided into two units: a ground floor flat and a first floor flat. Each flat has three bedrooms, a kitchen, dining room, quiet room, a separate toilet and bath and a toilet and shower. The front garden is paved and used for parking, and there is a back garden which is extended around both sides of the premises. The home has its own 7-seater vehicle for taking the residents out on trips and Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 Brief description of the care home appointments. The home is located on a busy road, with easy access to shops, cafes, restaurants and public houses. At the time of this inspection, all residents were males. The fees for the service are £1177 per week. A copy of this report and the homes Statement of Purpose can be obtained from the manager of the home. 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection, which took place over a period of four hours, was carried out as part of the Commissions inspection programme and to check compliance with the key standards. The registered manager was present throughout the inspection and fully cooperated in the process. The inspection consisted of a tour of the home, including visiting the residents bedrooms. We observed staff and residents and looked at case files, staff records and all documents relating to the running of the home. The inspector spoke to a resident who had verbal skills and saw two other residents. Three members of staff was also spoken to about their work and the management of the service. Before the inspection, we received an Annual Quality Assurance Assessment, (AQAA) from the manager. This is a self assessment that describes what the home does well and where improvements are needed. This document also gives us numerical Care Homes for Adults (18-65 years) Page 6 of 27 information about the people who live in the home and the staff. Reference is made to the AQAA in relevent sections of this report. 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 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. Potential users of this service can be confident that a thorough assessment of their needs will be carried out at the time of admission and annual reviews will ensure that their needs continue to be met. The home is designed to meet the individual needs of all the residents. Evidence: No new people have been admitted to the home since the last key inspection and there are no vacancies. At the last inspection we found that all residents had been thoroughly assessed by local authority placement teams and by the home manager. We saw evidence in the case files that all residents had their care reviewed by care managers annually. These indicated that the home continues to meet peoples needs very well. This is also confrmed by letters of appreciation by relatives. For example, a relative wrote; Thank you for your very hard work and exceptional care of A. I know he has been extremely difficult over the past few months and without your kindness and undertanding I dread to think ofo the outcome. We interviewed one of the residents who said that they were very happy in the home Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: and they enjoyed their lifestyle. The layout of the home is designed to provide two virtually separate units. The downstairs level contains three bedrooms and a security coded entrance protects the upstairs level, where three residents who are more independent live. The home has its own vehicle for taking people out on trips and appointments. There is a nucleus of staff, including the manager who have worked at the home for many years and know the residents very well and have built up excellent relationships with them. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents can be confident that their preferences are respected and they are fully involved in how the home is run on their behalf. Evidence: We examined three care plans in detail. These documents contained assessments of the main areas of the persons needs and provided guidance about how to meet these needs in a person centred way. For example, one care plan states; It is very important to me that you discuss with me what is going to happen step by step. I like having a bath in the morning. I can bath myself but need assistance with shaving. Please leave me for some time as I need that. The residents are dependent on staff support to varying degrees, but there are good risk assessments in place to ensure that reasonable risks are taken to allow residents to be as independent as possible. This was particularly important if a resident displays challenging behaviours when out in the community, where very good guidelines are provided for staff to follow. A resident showed the inspector their room. The resident said that they had chosen Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: the colour scheme themselves. They also said they chose their meals and activities. The residents choices were recorded in their daily records and minutes of residents meetings. We witnessed a resident discussing their choice of holiday for next year. They said they wished to go to Canada and the manager was explaining how the resident could save towards the cost of this. In discussion with the staff, it was evident that they know the residents well, which is important especially for those who are unable to communicate verbally. Again, there are good guidlines about how each resident communicates their wishes and preferences non verbally; eg, facial expression and gestures. The residents are dependent on staff support to varying degrees, but there are good risk assessments in place to ensure that reasonable risks are taken to allow residents to be as independent as possible. This is particularly appropriate if a resident displays challenging behaviours when out in the community, where very good guidelines are provided for staff to follow. The care plans are reviewed regularly by the key worker and the resident and a daily record is made of how the care plan is being followed. We observed a resident discussing with staff about what to have for lunch before deciding to have cheese on toast. We saw minutes of meetings between staff and residents where they are consulted about the day to day running of the home, and the resident who was spoken to, said their opinions were listened to. The manager states in the AQAA that weekly one to one quality talk time takes place with residents where they are asked their opinions about various issues; for example, whether they are enjoying their activities. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff enable residents to maximise their potential by supporting them to access a wide range of educational and leisure activities in the home and the community, which provide stimulation and interest. Meals are nutritious and varied with plenty of choice. Evidence: During the inspection, staff accompanied two of the very dependent residents on going out for walks, having lunch outside and going to the shops. Two people were at day centres. Each residents likes and dislikes are documented in their care plans in their Social Story. This often includes pictures for residents to help them to understand what is written about them. Each person has a programme of activities for the week. We noted that one person is currently working at a stables in addition to attending college. All activities are recorded in individual social diaries. The residents who are able to, have a holiday every year. Three people went to Las Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Vegas recently for a week. Those residents who are less able, had several day excursions to places of interest. Birthdays are celebrated with parties or going out for a meal or to the theatre. Some residents have frequent contact with their families and often go and stay with them for weekends etc. Relatives who come to the home record their visits in the visitors book. One relative wrote; My brother has a good quality of life in clean and safe surroundings with porfessional staff at hand to look after him. There were records of some residents being supported to attend religious services. In the AQAA, the manager states; We liase with the local MOnday Club, St Josephs Pastoral Centre and church to provide a more structured activity programme. Our residents also use the Saturday Club. The menus showed a good variety of food, and there was evidence that non verbal residents had pictures to help them to choose meals. There was fresh fruit in both kitchens. Some residents are supported to cook their own meals when they are not at their day centre or college. Both dining rooms were clean and nicely decorated. The home has a seven seater vehicle for taking residents out. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents healthcare needs are being met and medication is stored and administered safely. The residents can be confident that their wishes about their personal care are respected. Evidence: Some of the residents are able to provide their own personal support with encouragement from the staff. The residents individual wishes are documented in their care plans about how they like their support to be provided. The resident we spoke to, said that the staff were sensitive when supporting them in their personal care. We noted during the inspection that a member of staff was supporting a resident with a bath and she took care to ensure that the door was closed during this procedure. We also noted that staff always knocked on the residents doors before entering their rooms. At the time of the inspection, we were informed that all residents were well. We examined the health records. In the past year, one resident had serious health problems relating to bowel problems and epelipsy, which necessitated several admissions to hospital. The manager was very diligent in ensuring that prompt referrals were made to the G.P. This residents family contacted the Commission to Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: express their appreciation about how the home supported and cared for him. The case files showed that all residents have a Health Action Plan which provides a medical history and relevant information, for example, any allergies. All residents are reviewed by the G.P and an O.K health check is carried out each year by the Community Learning Disability Team, to which relatives are invited. We saw monitoring charts for incidents of epilepsy, and residents are weighed monthly. Accident records were up to date and appropriately completed. We saw a letter from a residents consultant which stated; I am writing this unsolicited letter in recognition of the superb care you and your staff give A.W.. His management is extremely problematic and he has complex medical needs. Your staff do a magnificent job in giving him the maximum possible quality of life and care. We checked the medication standards. None of the residents are able to self medicate. Medicines were appropriately stored and all medication coming into the home and returns to the pharmacy were recorded. There was information about each medication used, including what it was for, side effects and contraindications. The administration records were complete with no gaps in staff signatures. 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. Residents and their representatives can be confident that any concerns or complaints will be taken seriously and acted upon. Residents well being is safeguarded by appropriate procedures, staff training and awareness about abuse issues. Evidence: The complaints procedure is in pictorial format for the benefit of the residents, and there is a copy in their files, which is good practice. The complaints book showed that the last complaint was in 2002. The residents spoken to, said they were happy, well cared for and liked all the staff. We were shown many letters and cards from relatives expressing praise and gratitude about the care the home provides. The home has a copy of the local authority adult protection procedures. The manager is an accredited trainer in adult protection procedures and staff records showed that they had all attended training in this subject. The three staff who were interviewed were able to demonstrate a good knowledge and awareness of their responsibilities in relation to issues about abuse. Care Homes for Adults (18-65 years) Page 18 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. The residents can be confident that they live in a home that promotes their independence, is comfortable and homely. Bedrooms reflect residents preferences about their own personal possessions. The home is attractively decorated, well maintained and clean. Evidence: We visited all areas of the home , including bedrooms and communal areas. The home supports small group living and promotes a non institutional environment. The home is divided into two flats on the ground and first floors, each accommodating three residents in self contained units. Each flat has its own kitchen and lounge. Three residents who require more intensive support, live downstairs, and the other three, who are more independent, live in the upstairs flat, which they enter via a coded entry pad. The upstairs residents have keys to their rooms. The furniture and fittings throughout the home are of a good quality. The downstairs lounge looked attractive and welcoming. The dining furniture in both flats was in good condition. Both lounges and dining areas were spacious and had a good standard of decoration. New carpets and an armchair had recently been purchased for a resident. We noted that there was a record of all maintenance requests, which had been responded to promptly. The only deficit we noted was that the window sill in the Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: upstairs kitchen needs to be repainted and we have made a requirement to address this. The garden was well maintained and contained some garden furniture for residents to use when the weather is good. A resident invited the inspector to visit their bedroom. This was spacious and very attractively decorated and there were many personal items to reflect their interests. The home was very clean and tidy, and free from offensive odours. Cleaning materials were stored safely. Care Homes for Adults (18-65 years) Page 20 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. The residents can be assured that there is always sufficient staff on duty to meet their needs. Care staff are well trained and supervised, and there are thorough systems in place for recruiting and screening new staff. Evidence: The rotas showed that there were always four staff on duty during the day and two waking staff at night. The manager generally works office hours. This shows there are sufficient numbers of staff on duty to meet residents needs, including supporting them on outings. Staff are allocated to individual residents as their key workers. One member of staff who was interviewed, displayed a thorough knowledge of the residents and their role as a carer. Since the last inspection, a new member os staff had been recruited and we looked at their records. These included an application form, health screening and job description. There was proof of identity, two references and clearance from the CRB. All three staff who were inteviewed, said how much they enjoyed their work, even though some residents were quite demanding. The inspector observed staff interacting with residents. They were warm and caring in the manner they approached the residents, and it was evident that they had a very good relationship with each other. Staff records showed that all staff had undergone a written induction and we saw up Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: to date records confirming that the staff had received training in all areas relevant to the care of the residents. This includes health and safety subjects and epilepsy. The manager is an assessor for the National Vocational Qualifications programme, and five staff have attained at least NVQ level 2. Several more are currently undergoing this training. All staff receive formal supervision every month, at which their work performance and training needs are discussed. The staff told the inspector that they valued their supervision as an opportunity to discuss their development. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents and their representatives can be confident that manager is very experienced and they can also be assured of having a say about how the home is run. Records and important documents are consistently of a high standard and kept up to date and there are good systems in place to safeguard the health and safety of residents, staff and visitors. Evidence: The registered manager has been in post since the home opened in 1998. She has achieved the Registered Manager Award at NVQ level 4 and is an assessor for the National Vocational Qualification programme. The manager is also an accredited trainer in adult protection procedures. We saw several written tributes from residents relatives attesting to the managers skills and abilities. All records pertaining to the residents, staff and the running of the home were well structured and up to date. The home does not have a computer, which would enable the manager to review and update records and policies and communicate with outside organisations by email. We recommend that the company provides a P.C in the home. The staff we spoke to, said the manager was very competent and sets high standards. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The staff also said there was a very high morale among the team. The AQAA states that the home achieved Caretechs top team award which was awarded in December 2008. Residents and staff meetings to discuss the running of the home are held monthly and we saw the minutes of these. We examined the records of three residents financial transactions. We noted that receipts were kept for all purchases and the amount of cash in the residents cash tins, reconciled with the recorded balance. We saw the records of monthly monitoring visits by a senior manager from Caretech and the results of the last annual survey of residents and stakeholders views about the service, all of which indicated a high quality service was being provided. There were good records of accidents and incidents which the manager always informs the Commission about. There were certificates of safety for fire, gas, electric and water installations in the home. Fire alarms were tested weekly and regular fire drills were held. A fire risk assessment for the home was seen and the employers liability insurance certificate was current and on display. 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 1 28 23 The window sill in the upstairs kitchen must be repainted. t To improve the environment for the residents. 31/08/2009 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 37 The organisation should install a personal computer in the home to support the manager in the effective management of the home. Care Homes for Adults (18-65 years) Page 26 of 27 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 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. 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