Inspection on 11/07/05 for Abbottswood Lodge

This inspection was carried out on 11th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Abbottswood Lodge 14/05/08

Abbottswood Lodge 03/07/07

Abbottswood Lodge 30/11/05

Abbottswood Lodge 03/02/05

Abbottswood Lodge 06/09/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbottswood Lodge 226 Southchurch Road Southend on Sea Essex SS1 2LS Lead Inspector Bernadette Little` Unannounced 11th July 2005 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbottswood Lodge Address 226 Southchurch Road Southend on Sea Essex SS1 2LS 01702 462541 01702 462541 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Eversley Peters Mrs Kamini Peters CRH Care Home 12 Category(ies) of MD(E) Mental Disorder - Over 65 (12) registration, with number DE(E) Dementia - Over 65 (12) of places Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 Brief Description of the Service: Abbottswood Lodge provided accommodation and personal care for up to twelve elderly people who may suffer from a mental disorder or dementia. All bedrooms were single and fitted with a call bell system, and a television and telephone point. Residents bedrooms were on two floors which were accessed by a passenger lift. Residents have a lounge and dining room on the ground floor. The home is owned by Mr & Mrs Peters and managed on a day-to-day basis by Mrs Peters. It is situated in the Southchurch area of Southend on Sea and is therefore in close proximity to the town centre, as well as local community facilities and amenities. The home had forecourt parking facilities and a pleasant garden with a patio area to the rear of the property. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place on a Monday morning at about 10:30 a.m. Time was spent sitting with and talking to the residents, and looking at and listing to the everyday routines of the home. The manager was on annual leave at the time of the inspection, and while she did call in to do the staff wages, the deputy manager assisted throughout the inspection. Three other staff and a visitor were also spoken with. All parts of the home were looked at, as were lots of records and documents. The help given by the residents, staff and visitor was appreciated. What the service does well: What has improved since the last inspection? What they could do better: The home need to make sure that all the records that tell staff how to care for the residents have all the information needed. Staff need to be helped to get more training. Records that help to keep residents safe, such as thinking about anything that might be a risk for them, or checking staff are suitable to look after them need to be available in the home all the time. Residents could be given a choice of food and it could look nicer. Some parts of the premises could be improved. The people who manage the home need to look at the list of things to do at the end of this report and make sure that they are all done within the time set. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 6 Some of the documents about the home provided lots of information for those considering Abbottswood Lodge as a potential placement, however the service users guide would benefit from development. The homes pre-admission assessment process was appropriate. EVIDENCE: The service user guide was written in small print that may not be easy for prospective/ residents to read. The last inspection required more information to be in it and for a copy to be sent to the commission. This is still awaited. The pre-admission assessment documents for the most recently admitted resident demonstrated appropriate information and that it was completed prior to admission. A statement of terms and conditions/contract was not available for this resident, who had been at the home for about 16 weeks. The deputy manager advised that the placement review for this resident had not yet taken place, but was booked. Abbottswood Lodge did not offer intermediate care. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, The lack of any care plan for a resident who had been at the home of some 16 weeks did not support good care management for this person. The good detail of the available care documentation sampled needed to be extended and kept up-to-date, to ensure that all aspects of the residents health-care, personal and social care needs are identified and managed safely. The homes procedures in relation to medication did not best protect residents. EVIDENCE: Care plan aims sampled provided clear instruction for staff and how best to assist the resident, which is positive. Care plans needed to be extended to include all aspects of the resident’s assessed needs, and the wealth of knowledge clearly known by staff about each person’s needs. Risk assessments were not in place, or current, for issues such as tissue viability, nutrition and moving and handling, where these were clearly identified issues for a resident. Several omissions were noted on the medication administration recording sheets. A sample list of staff signatures was not available. A record of drugs returned was not available. A current medication directory, or the Royal Pharmaceutical Society guidelines on medication in care homes were not available. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 10 While certificates were not available, several staff were said to have attended formal medication training recently. Two senior staff were advised as never having had formal training on medication. Containers seen in the medication cupboard and labelled with residents’ names were advised as no longer being used to decant medication, which is considered inappropriate and unsafe practice. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents were provided with some meaningful activities that could be developed further through the care plans. The home supported residents to maintain relationships outside the home. Residents’ enjoyment of food could be enhanced by improved choice and presentation. EVIDENCE: A member of staff was seen to play a floor game of Ludo with the residents in the lounge. Financial records showed that some residents had attended the theatre recently. Care plans did not identify residents’ social and leisure preferences. A visitor stated that they were always made welcome. One resident explained that they had had a lay in that morning. Another resident was having a rest in their room later in the day. Care plans in place clearly identified that staff were to offer residents choices and to support them to maintain skills in areas of daily living, which is very positive. Any restrictions, for example the stair tread alarm, needed to be recorded. The nutrition record showed that residents all have the same meal generally and so there is no active choice offered to them. The planned menu of roast chicken could not be offered as there was no chicken available. Where a liquidised meal was offered, all foods were liquidised together, which would not offer the best appeal in terms of presentation or taste. An alternative to sandwiches for tea could also be considered on occasion. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The homes policies and procedures generally protected residents. This could be enhanced by the introduction of a recording system and additional staff training. EVIDENCE: A clear and informative complaints procedure was available. Staff had no way of recording a complaint if it was made to them. Staff were aware of the whistleblowing policy. The homes policy and procedure on abuse did not identify different types of abuse. Staff spoken with were not fully clear on what constituted abuse, or on reporting it. Staff said that they had had some training on this issue when they had started NVQ training, but had had no specific training on protecting vulnerable adults. The person registered may wish to contact the local authority to ascertain if any local training courses would be available to the home. Staff confirmed that some residents demonstrated challenging behaviour. Staff spoken with stated that day had not had any training on this issue. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 25, 26 The premises generally met the needs of the residents but needed to improve in terms of equipment and more attention to detail. Some aspects of hygiene in the home did not best to protect residents and staff. EVIDENCE: The premises was warm and clean. The lounge had been decorated. Residents had access to the garden. The wallpaper in some bedrooms was torn in places. A cabinet in one bedroom had the door missing and this was laying on the floor. Many of the towels in residents’ bedrooms were in poor condition, frayed, torn and discoloured. One sink did not have a plug fitted. It was not clear whether this was intentional. Window restrictors were fitted but not always in use, and this presented a possible hazard. The shower facility had been disabled and the hydraulic bath lift was out of order. One resident was having bed baths as there was no facility to assist them. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 14 Used incontinence pads were placed in ordinary bins and disposed of in the domestic waste. The local environmental health office was since contacted and confirmed that this is inappropriate. They can be contacted for advice on 01702 215000. The home had a mechanical sluice facility that was sited in the laundry. It was difficult to access this without having to touch other items, for example the clothes airer and residents clothes, should a commode need to be emptied. Staff confirmed that soiled water from soaking buckets is poured into the other sink. This is also the hand washing facility. No soap was available. Shared soap was available in the staff toilet. Staff were provided with disposable gloves for undertaking personal care. No disposable aprons were seen to be readily available in the home. Staff involved in food preparation and serving wore a red tabard. The home can obtain advice and information on Infection Control by contacting Essex Health Protection Unit on 01376 302282. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staffing levels were adequate to meet the needs of residents, with the exception of cleaning staff. The lack of access to training and staff recruitment records could not reassure that the homes practice protects residents. EVIDENCE: The roster and discussion with staff confirmed that agreed minimum staffing levels of three staff all day and two awake staff at night are maintained. Additionally, a cook was on duty each day from 10am to 2pm. The domestic post was vacant, and many of these tasks were being done by the care staff. Staff advised that they had started NVQ 3 training over a year ago, but they were unable to continue this due to an issue with funding. Most staff spoken with advised that they had not had formal training on dementia, although an in-house session was provided by the registered manager. Staff also confirmed that they had not had fire training or continence management training. One staff had had infection control training. Displayed certificates showed that many staff had undertaken food hygiene training as well as training on care of the elderly. Certificates were also available that stated that four staff had current first aid training, and that five staff had had moving and handling training in 2003, but this latter had not been updated annually. The registered manager said that the key was not available to allow access to staff records, including recruitment and training. She confirmed that a Criminal Record Bureau check had not been undertaken for the hairdresser. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 37, 38 The management style was open and accessible to both staff and residents. The home would benefit from more effective management systems relating to health and safety issues and delegation of responsibility for the keys. EVIDENCE: The registered manager advised that she had started NVQ4 Registered Managers Award, and had today attended training in moving and handling. Staff spoken with that said they found the registered manager approachable. Residents were seen to approach the manager freely and interact with her. Details were available of one staff meeting that had taken place since October 2004. A residents meeting took place in January 2005. Records were retained of the money managed for residents and of how it was spent. Receipts were available. The registered manager said that the key was Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 17 not available to the safe and so the records could not be audited against the amount of money available. The accident record showed an incident that had not been reported to the Commission as required under Regulation 37. Recent care notes showed an accident to a resident that had not been recorded in the accident book. Safety inspection certificates were seen for the fire alarm system, call bell points, fire equipment, fixed electrical wiring and the passenger lift. A current certificate was not available for the emergency lighting. A risk assessment was not available in relation to the safety of the water system and regular checks were not being undertaken. Information on this can be obtained on the booklets “ Essential Information for providers of residential accommodation” and “A guide for employers” on 01787 881165 or at www.hsebooks.co.uk Checks of the fire alarm and emergency lighting systems were not always undertaken regularly. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 2 2 3 3 x 2 2 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 2 2 x x 2 x 2 2 Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 5 Requirement The registered person must ensure that the service user guide contains all the elements required by regulation and must supply a copy of this to the Commission for Social Care Inspection. (Previous timescales from 12/03/03 not met). The person registered must supply each resident with a written contract of the statement of terms and conditions to be provided and of any fees. A care plan must be in place for each resident at the home. This must include details of how all aspects of the residents needs in relation to the health and welfare are to be met. The person registered must ensure that any unnecessary risks to the health of service uses are identified and as far as possible eliminated. This refers to issues such as nutrition, tissue viability and moving and handling assessments. The registered person shall make arrangements for safe recording of administration and disposal of medication in the care home. Timescale for action 1 September 2005 2. 2 5 and Schedule 4 (8) 15 1 September 2005 1 August 2005 3. 7 4. 8 13(4)(c) 1 August 2005 5. 9 13(2) 1 August 2005 Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 20 6. 12 16(2)(m) &(n) 7. 14 17(1)(a) Schedule 3 (3) (q) 8. 9. 15 18 16(2)(i) 18(6) 10. 18 18(7) 11. 19 23(2)(d) 12. 20 13(4) (a) 13. 21 23(2) (c), (j), (n) 14. 25 16(2)(c) The person registered must consult with residents about their social interests and the programme of activities arranged by or on behalf of the care home. These must then be reflected in the residents care plan. The person registered must keep a record for each resident of any restrictions agreed with the resident regarding their freedom of choice, or liberty of movement etc. This includes the infringements of residents rights noted in his report. The person registered must provide residents with a varied and well presented diet. The person registered must ensure the safety of residents by the provision of training for staff in protecting vulnerable people. The person registered must ensure the safety of staff and residents by the provision of training in management of challenging behaviours and positive responses. The person registered must ensure that all parts of the premises are kept reasonably decorated. The person registered must ensure that all parts of the purposes accessible to residents are kept safe. This refers to ensuring that opening upstairs windows are safe. The person registered must ensure that are adequate and appropriate bathing facilities to meet residents need and that any equipment is kept in good working order. The person registered must ensure that there are adequate towels for all residents of a 1 September 2005 1 August 2005 1 August 2005 1 September 2005 1 September 2005 1 September 2005 11 July 2005 1 August 2005 1 August 2005 Page 21 Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 15. 26 13(3) 16. 26 13(3) 17. 29 17(2) and 17(3) 18. 29 7,9,19 19. 30 18(1)(a) &(c) 20. 35 20 & Schedule 4 reasonable quality that respected residents and supported quality skin care management. The person registered must sure that an appropriate system is in place for the management and disposal of clinical waste. The person registered must ensure that appropriate arrangements are in place at the home to prevent the spread of infection. This refers to staff having training in infection control and to the siting of, and use of, the sluice facilities within the home laundry. The person registered must maintain in the care home records relating to staff as identified in Schedule 4. These records must be kept up-to-date and must be available at all time for inspection. The person registered must demonstrate robust recruitment procedures and have available records relating to staff recruitment as required by regulation and scheduled to as amended. The person registered must ensure that all the staff are suitably qualified and trained for the work that they are to perform. This includes regular and updated basic mandatory training for all staff, for example in moving and handling as well as other specialist training, including that identified in this report. The person registered must ensure that access is available to money kept for residents to be audited against the records, to ensure appropriate management of residents money. 1 August 2005 1 August 2005 11 July 2005 11 July 2005 1 September 2005 1 August 2005 Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 22 21. 22. 23. 37 37 38 17(2) & Schedule 4 37 23(4)d 24. 38 13(3) 25. 38 23 The person registered must keep an up-to-date record of all accidents to residents. The person registered must inform the commission of all issues required by regulation. The person registered must ensure that staff working at the care home receive suitable training in fire prevention. The person registered must ensure the safety of the water storage system and undertake appropriate risk assessment and actions. The person registered must ensure regular maintenance of fire equipment. A copy of the certificates pertaining to emergency lighting safety to be sent to the commission. 1 August 2005 1 August 2005 1 August 2005 1 August 2005 1 August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard 1 9 9 16 28 31 32 Good Practice Recommendations The service user guide should be written in a way that would be easy to read and understand for residents. A sample list of staff signatures and initials should be maintained with the Medication Administration Records. A copy of the Royal Pharmaceutical Society Guidelines for medication in care homes and an up-to-date medication directory should be available. A formal system for recording complaints should be put into place and made available to staff. A minimum of 50 of all staff should obtain NVQ level 2. The registered manager should achieve NVQ level 4, Registered Managers Award. A system should be introduced that designates responsibility to senior staff to allow them to provide access to all the records required by regulation at all times. I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 23 Abbottswood Lodge 8. 38 Regular checks of the emergency lighting and fire alarm system should be undertaken and recorded. Abbottswood Lodge I56 I06 S15491 Abbottswood Lodge V238524 110705 Stage4.doc Version 1.40 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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