Care Home: Uplands House

Similar services:

• Insight - Eastchurch
• Southfields
• Thorndene
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well Staff are competent and were observed working with the service users in a friendly, supportive and dignified manner. Most staff have some previous background skills or training that enables some of them to undertake NVQ3 as well as mandatory training. The acting manager has a background of training in the sector and has made good attempts to meet the previous requirements made. Comments from one service user indicated that his favourite things were regularly arranged for him to go and see and that he enjoyed regularly going out with a member of staff. All staff have been given individual responsibilities in the home such as health and safety and medication procedures. What has improved since the last inspection? The acting manager has undertaken to meet the requirements made at the previous inspection and has sourced suitable recording formats for pre admission assessments, health care recording and risk assessments. General maintenance of the property has been undertaken and there is a planning programme for further redecoration as well as some new flooring and furniture. The AQAA states that the service is continuing to explore new ways of providing a comprehensive person centred planning that reflects the care that is given. The acting manager said that she and the area manager would continue to seek suitable recording formats that meet the needs of uplands House. What the care home could do better: The activities programmes and daily reporting about activities could include more detailed information about the amount and variety of actual activity taken. The planner states for example Walk, But the comments from a service user inform us that other activities that meet his particular choises are undertaken during this walk time and that his recorded aspirations are met to his satisfaction. Likewise, daily recording indicates basic activity throughout the day but could include more detail about the events that the individual has enjoyed. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Uplands House 2 Tyndale Park Herne Bay Kent CT6 6BP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Gabriel     Date: 0 4 0 3 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.csci.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: Uplands House 2 Tyndale Park Herne Bay Kent CT6 6BP 01227283749 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) : Dyzack Limited care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 4 The maximum number of service users to be accommodated is 4. The registered person may provide the following category/ies of service only: Care home only - (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). Date of last inspection Brief description of the care home Upland House is a care home registered to provide care and support to four adults with learning disabilities. The property is located in a quiet residential street and it is within walking distance of Herne Bay town centre. To the rear of the building there is an enclosed garden. Currently, both the Area Manager and the Acting Manager oversee the day-to-day operation of Uplands House. A prospective manager has applied for registration. The range of fees for this home is between £1200 and £2000. Please contact the Provider for further information. Care Homes for Adults (18-65 years) Page 4 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 service had 36 hours notice of the inspection due to the nature of the service users needs. The visit lasted for five hours. We (the Commission for Social Care Inspection) also visited the local office to view confidential staff files that are not held in the home and this took approximately half an hour. This is what we did when we were at the home. We looked at some of the policies and procedures in the home and at two individual service user files to cross reference them with recorded information about each service user. We met the staff and talked to the acting manager about what sort of things the staff do to help meet peoples needs. We were introduced to the service users and one person in particular spent time sitting and talking to us about his life at the home. Before we visited, the acting manager sent us information about Uplands House in the Annual Quality Assurance Assessment (AQAA) that told us about how it is Care Homes for Adults (18-65 years) Page 5 of 27 run and how people are supported. Requirements made at the previous inspection have been met. Everyone who lives at Uplands House has a person centred plan. Service users are able to talk about what they want to happen through meetings with their housemates or key worker. The acting manager informed us that someone had applied for registration as manager of the home and was awaiting the next part of the process. Management in the meantime had been organised by the company to ensure management support was readily available. The home was fully staffed and previous comments from families have suggested that they consider the home to have enough staff to meet the service users needs. Although recorded activities are fairly basic, information told to us from a service user indicated that his aspirations were met and that the activities record could be enhanced to include actual activities taken. It is recognised that formal activities are undertaken very much depending on the choice of each service user at the time due to their individual needs and wishes. We would like to thank the service users for their hospitality and for letting us view their home. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 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 8 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. Prospective service users and their representatives know their assessed needs will be assessed. Evidence: The home has a statement of purpose and service user guide. The service user guide is simple to read and includes photographs and pictures, this helps prospective service users and their representatives to choose where to live. A minor change is to be made to both to update the complaints procedure. The acting manager agreed to do this. A requirement had been made at the previous inspection regarding pre admission assessments. These are important documents because they include information about the individual obtained by the home and from other sources. The home can then make a decision about whether they can offer the support that meets the prospective service users needs and aspirations. The documents therefore have to contain information all about the person including risk assessments and cultural, physical and mental health care. Individual dreams and aspirations must also be included. A formal pre admission assessment has been developed for the home to use when Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: assessing prospective service users. As there have been no new service users for some time this new document has not yet been put into use. The home also uses the listen to me assessment that is person centred and contains further information about individual choices. Prospective service users and their family or representative will be invited to visit the home for a meal or perhaps for a short stay. This enables current service users to meet them and for staff to see if the home can meet the persons needs and aspirations. Care Homes for Adults (18-65 years) Page 10 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. Service users know that their assessed needs will be reflected in their individual care plan. They know that they will be supported to take risks as part of their lifestyle. Evidence: The home uses person centred care plan, risk assessments and behavioural guidelines based on listen to me booklets. Service users are involved with the content as much as they wish and are able. The plans also detail how staff are to meet those needs. A key worker reviews the plans each month. The home has recently accessed a new and detailed health recording format that would be ideal for service users to take with them to health care appointments as it includes information about their particular health history and issues and has a clear picture format for service users to point to, to indicate what and where pain or discomfort is being felt. Risk assessments are in place, these are underpinned by behaviour management guidelines for staff and are based on positive approaches. These are ongoing. This means service users are not restricted but are supported to take risks as part of Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: an independent lifestyle. Reviews are undertaken where service user, family, care manager and the homes representative are involved. The acting manager spoke with knowledge and understanding of the complex needs of the service users and of strategies to meet those needs. A previous report states that families have commented that they felt some challenging behaviours have decreased since their relative moved to Uplands House. A written comment seen from a family member said that she was happy with the care given to her relative in the home. Care Homes for Adults (18-65 years) Page 12 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. Service users know that their choices will be respected. Service users are encouraged to enjoy their preferred activities including community activities and engaging in family and personal relationships. Service users enjoy a varied diet and dietary needs are met. Evidence: Each service user has an individual activity plan. Two plans were viewed. These were very basic and often included going for a walk several times a week. However, a service user whose activity planner we viewed, spoke to us about walks he went on with staff and how they included going to look at his most favourite things, visiting cafes and other public places locally, where he could go in and access information that he particularly liked. The walks included seeing people and then talking about this back at home. They also at times included visits to people he and the home knew. This met Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: some of his recorded aspirations. The acting manager was recommended therefore, to include further detail in the activity plans and in the daily recording to indicate that the activities undertaken are more fulsome than indicated. Service users can access local amenities and facilities, including shops and leisure centres. One person said he enjoyed swimming and this had been recorded in his person centred plan as well as his activity plan. The current service users needs are such that it is sometimes difficult for them to cope with information too far in advance of the outing or activity. Staff are aware that even a favourite outing may be refused at the last moment and are ready with a choice of other activities that a service user may prefer. The home is developing community options and has made arrangements to open a Cyber Cafe at the company offices in the local town. This is expected to be ready in a few weeks. This will be open all week. The cafe will offer art and craft, words and numbers, music, life skills, and games and there will also be a computer suite for service users. Because the current service users tend to opt for activities according to their preferences at the time, the cafe will be available when the individual feels like accessing it rather than being restricted to a rota. We visited the offices and noted that the building is spacious, light and airy and offers a variety of different rooms and spaces. A service user called in during our time there and enjoyed spending time at a table top game before setting off for the rest of his outing. Family and friends details are recorded in service users plans. One letter seen from a family member said that she is always made welcome when she visits the home. Staff were observed interacting with service users in an appropriate and respectful manner. Service users indicated by their behaviours that they were happy with the pace of life. The atmosphere was relaxed yet busy as the service users went to their respective days out, each supported and accompanied by staff. Although staff guided the service users, it was noted that staff worked alongside people at their own particular pace. The acting manager has undertaken Deprivation of Liberty training and stated that staff will be involved with this in the future. Service users are encouraged to access the kitchen supported by staff and the kitchen has been called the hub of the home. One person was seen sitting in there and was busily occupied at the kitchen table while a member of staff was ironing. There was evidence of a variety of fresh, frozen and stored food in the home. Menues vary according to individual choice on the day. The atmosphere in the home was warm, light hearted and friendly. Care Homes for Adults (18-65 years) Page 14 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. Service users know their physical and emotional needs will be met and supported in a way they require. Service users are protected by the homes medication procedures. Evidence: Personal care needs are recorded as indicated previously in care plans. The home has new formats for recording the history of and any ongoing mental and health care needs in a format that will be useful for taking to health care appointments as it gives a good clear picture of the individuals needs. This meets the requirement made at the previous inspection. It also includes a very simple to understand picture and diagram format for people to point to to indicate where they are feeling pain or discomfort. Each service user is registered with a GP. There are records kept of health care appointments including with a psychiatrist, chiropodist, and dieticians. It was evident through records seen, that service users are assisted to access a range of health advice and support. Medication is stored appropriately and only trained staff may administer medication to service users. No service user self medicates. Each care plan has a current list of service users medication with information about Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: side effects. Guidelines are in place for the use of when required medication. The staff signature list has been updated since the last inspection. Care Homes for Adults (18-65 years) Page 16 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. Service users are listened to and protected from harm by the homes policies and procedures. Evidence: The home has a complaints procedure. The procedure is included in the service users guide and is also produced in widget format. The home has service user meetings and staff support people to make their feelings known. Records of meetings were seen. Reviews with family, care manager, key worker and manager give people the opportunity to express their views. The home has an adult protection policy as well as the local authority multi agency protection policy. Staff receive training on understanding adult abuse and how to report suspicion of abuse. The acting manager was able to discuss clearly the adult abuse reporting procedure. Aggression and self harm is understood and staff guidelines indicate positive approaches. Some relatives have previously commented that a service users aggression and challenging behaviours have reduced since moving to Uplands House. Staff receive information on whistle blowing as part of their employment package. The staff demeanour when working with service users was observed to be of a calm and reassuring approach. Care Homes for Adults (18-65 years) Page 17 of 27 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. Service users live in a clean and safe environment. Evidence: Service users appeared relaxed and happy in their home. There is a large lounge, a separate dining room, kitchen diner with separate laundry area and a WC on the ground floor. The kitchen is clean and tidy and was described as being the hub of the home. A service user was in there relaxing while a member of staff was ironing, other people came into the kitchen at times and there was a general air of calm and friendliness. The laundry is small but well appointed and secure as is the COSHHE storage in the home. All the bedrooms are individual. Service users have their personal belongings in their rooms where appropriate as some service users prefer an uncluttered environment or where some items such as TVs, are secured behind screens for safety yet may still be viewed. The acting manager and the member of staff with specific health and safety responsibilities had recently undertaken one of the homes regular health and safety audits. This included different aspects of health and safety and included the particular needs of each service user whose room was being checked to ensure the room was Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: suitable for that person. The bathrooms and WC suit service users needs. The home was clean tidy and homely. The acting manager spoke about forthcoming plans for redecoration around the house and for new flooring in some areas as well as new furniture. All radiators were covered but a programme of replacing some of these was evident as service users tended to be able to easily damage the original covers. A sturdy cover designed and made by the maintenance man was capable of withstanding such treatment. 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. Service users are supported by trained and motivated staff. The homes recruitment procedures are sound. Evidence: We looked at two staff files. The acting manager stated that suitable employment checks are made on each new person working at the home including CRB and PoVA. We looked at the recruitment files and these were robust and included full application details, job descriptions, references and identification checks. The files also state that each person has to receive their identity card within one week of commencing employment. The acting manager said that the home uses the General Social Care Council code of practice and Skills for Care learning disability sets and that BILD induction is used. There was evidence of certificates for a range of training for staff including mandatory training, NVQ2 or 3 as well as for challenging behaviour. Most of the staff at the home have worked there for some years. This leads to a good continuity of care. There was evidence of supervision and appraisals being undertaken. Key workers complete monthly reviews of service user plans. Staff were observed supporting service users in a positive manner. One service user Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: let us know that he liked all the staff, naming them in turn and telling us who accompanies him when he goes out and who he was expecting to take him out later in the day. 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. Service users know the home is run in their best interests and that these are protected by policies and procedures. Service users know that their health safety and welfare is promoted. Evidence: The acting manager said that a person known to the company had applied for registration as manager for the home. The acting manager spoke with knowledge and understanding of service users needs and had a good understanding of the running of the home. The acting manager has a background of training in the sector and this is evident in the training she is promoting in the home. There are monitoring and audit systems in place to ensure good practice is maintained. The acting manager is head of quality assurance and said that the company sends out questionnaires to families, representatives including social care and health professionals of the service users in the company homes. An audit is made of the responses returned and the home is informed of the findings and what changes Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: should be made if any, to meet any identified shortfalls. This ensures that the service will develop and improve. Recording and reviewing has improved since the last inspection with new formats for health care issues and a better pre admission assessment. Activity plans are a basic statement of an activity undertaken and does not fully explore the good practices undertaken as explained to us by a service user. The acting manager agreed to make the plans more explanatory. The daily reporting includes a record of all care and activities but could be more fulsome regarding actual activities undertaken. A service user who spent some time talking to us and sitting with us told us about a lot of things he enjoyed doing during the day that staff enabled him with. The acting manager has made a positive step to increase service user activities by taking the opportunity offered by vacant office space being made available in the local office and creating the Cyber Cafe. This will provide a variety of activities including computer opportunities for service users at times they prefer to access them. Service users from local company owned homes will also be able to attend and it may possibly be opened to other service users in other homes in the future. Staff are given lead responsibilities for different areas around the home including health and safety or medication. Audits are undertaken by the acting manager and the respective member of staff and a recent health and safety audit took into account the needs of different service users regarding for example their bedrooms. Service users have regular meetings in the home and these are recorded. Maintenance checks and the fire book are in place. Cleaning products are stored appropriately. Staff said it is a big happy family at the home. Service users were noted to be comfortable and relaxed around the staff and the acting manager. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. You have been warned!