Inspection on 05/09/07 for Amber Lodge Residential Care Home

This inspection was carried out on 5th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Amber Lodge Residential Care Home 06/09/06

Amber Lodge Residential Care Home 03/11/05

Amber Lodge Residential Care Home 12/07/05

Amber Lodge Residential Care Home 07/02/05

Amber Lodge Residential Care Home 14/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Amber Lodge Residential Care Home Amber Lodge 394 - 396 London Road South Lowestoft Suffolk NR33 0BQ Lead Inspector Jane Offord Key Unannounced Inspection 5th September 2007 09:30 Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 1 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 Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 2 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 Adults 18-65. 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. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Lodge Residential Care Home Address Amber Lodge 394 - 396 London Road South Lowestoft Suffolk NR33 0BQ 01502 572586 T/F 01502 572586 sharonhughes@ambercare.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Amber Care (East Anglia) Ltd Post Vacant Care Home 13 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (13) of places Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Amber Lodge provides residential care for 13 Adults with learning disabilities. The building is comprised of two large interlinked terraced houses on the main road into Lowestoft and is a short walk from the beach. Local shops and amenities are approximately half a mile from the home and there are good transport links into central Lowestoft. The accommodation consists of thirteen single rooms, some with en suite and some with a wash hand basin. The communal rooms are all on the ground floor and as well as a large lounge there is a dining room and games room. Outside is a patio area and a lawn in an enclosed garden. The fees for the home range between £280.00 and £1100.00 weekly depending on the level of care needs required by the resident. The fees do not include residents’ clothing, toiletries or entertainment. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care homes for adults took place on a weekday between 9.30 and 13.30. The manager was present throughout and assisted by supplying files and information. Only one resident was at home briefly, the rest were on holiday or attending day care centres. This report has been compiled using information available prior to the visit and evidence found on the day. During the day a tour of the home was undertaken and the resident present was proud to show their own bedroom. The files and care plans of two residents were seen, the policy folder, two new staff files, the complaints log and some medication administration records (MAR sheets) were looked at. The duty rotas, menus and some maintenance records were also inspected. Prior to the inspection CSCI had received an annual quality assurance assessment (AQAA) and a number of ‘have your say’ surveys from residents, relatives and staff, which will also form part of the evidence used in this report. The home was clean and tidy with no unpleasant odours. The building has tall ceilings and large windows giving it a light airy feel. All the residents’ rooms were individualised showing evidence of their personal interests. Food was stored correctly and there was ample stock and variety. What the service does well: What has improved since the last inspection? What they could do better: The policy for the protection of vulnerable adults (POVA) needs updating to include the correct referral process if there are any concerns raised. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4. Quality in this outcome area is excellent. People who use this service can expect to have the information they need to make an informed choice and have the opportunity to ‘test drive’ the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a statement of purpose that includes all the required information and was updated in August 2007. The service users’ guide, which is produced in a pictorial format, was also updated. Copies of both documents were evident in the entrance hall of the home. The group of residents has remained mainly unchanged for a long period. There has been just one new admission this year. The file for that resident was seen and contained a pre-admission assessment of need completed with the resident, their family and social worker. There was evidence that the manager had also had information from the manager of the day care facility the resident attended. The information recorded included a past medical history, the next of kin, present medication, any known allergies and a brief life history. Health needs covered sight, hearing, mobility, personal grooming, continence, sleeping, communication and general behaviour. Leisure and social activities and interpersonal skills were also detailed. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 9 Consideration was given to the impact the new admission would have on the existing group of residents and whether the present staffing would be adequate to meet the needs of the new resident. Whether the accommodation that was available would suit the prospective resident was also considered. There were records of visits made to the home by the potential resident with family and other relatives. They came on four separate occasions for varying periods of time and on one occasion stayed and had tea with the residents. One resident in the survey received by CSCI said, ‘my Mum decided I would come here but I was shown the home first’. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Quality in this outcome area is excellent. People who use this service can expect to be encouraged to make their own decisions and participate in the life of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has a key worker assigned to them and there was evidence that they spend time together on a weekly basis when all aspects of the resident’s support can be discussed as well as spending time in more social pursuits such as, ‘listened to music and danced’ or ‘gave her a girly makeover’. Two residents’ files were seen and they both had a care plan and they were reviewed and signed by the resident and key worker. The care plans covered the residents’ preferred routines on waking, going to bed and during the day. Likes and dislikes were noted so for personal hygiene it was recorded for one resident that they, ‘prefer to bath in the morning’ and for another that they, ‘do not like the dentist’. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 11 Residents’ meetings are held regularly and the minutes are available on the notice board. The most recent one covered subjects such as taking care after staff have washed the kitchen floor, keeping all rooms clean and tidy, the fire assembly point and suggestions for outings. These last included a visit to Norwich, a pub meal, Pleasurewood Hills, ten-pin bowling and seeing an airshow. There had also been a questionnaire for residents in February 2007 about their experience at Amber Lodge. All responded that they were happy with their room and were clear who to speak to if they had a complaint or concern, most were happy with the staff. On the day of inspection one resident was using a vacuum cleaner in the dining room before they left for their daytime occupation. They said they did a lot of the work in the garden and the manager agreed that it looked as nice as it did due to the work they had done. Household tasks were recorded in the residents’ files with their ability to perform them. One entry said, ‘can prepare snacks and drinks but needs support for larger meals’ another said, ‘managed own laundry and ironing with encouragement and praise’. The home has the use of a minibus to take residents out and about but the manager has encouraged residents to make use of public transport so they have more freedom about the times they can leave the home. Risk assessments are in place and specific training has been given to those residents able to manage public transport on their own. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16, 17. Quality in this outcome area is good. People who use this service can expect to be part of the local community and be offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of inspection only one resident was in the home briefly but they said that five residents were away on holiday in Derbyshire for the week. All the others were at day care facilities and they were about to join the maintenance person of the organisation to do some work at a sister home a short walk away. They said they had already had two holidays this year. The first one had been a sports break and they had played Crown bowls and won a trophy that was later seen when visiting their bedroom. The most recent holiday had been a stay at a Butlin’s camp in Lincolnshire. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 13 All the residents accessed day care facilities several times a week and were encouraged to get out for shopping, visits to the cinema and social clubs such as the Thursday Club and an organisation called Learning through Leisure that offers a range of activities including horse riding. The care plans seen had a weekly planner for the resident’s activities and there was evidence of reviews of the day services with the resident, their key worker, their social worker and family. Records showed that if a resident wished to practise their religion they were helped to do so by facilitating access to church services. One resident attended Trinity Methodist church for morning service regularly. In the surveys received by CSCI one resident has listed places they have visited from the home including Banham Zoo, Thrigby Hall, Kessingland Wild Life Park, the Pleasure Beach in Great Yarmouth and Pleasurewood Hills. Another resident said, ‘I enjoy activities at week ends and my day service’. Two residents had expressed the wish to attend courses at the local college rather than day care services. Their key workers and the manager have actioned that and collected the information needed. The residents have been enrolled at the college and begin courses at the start of the autumn term. One resident spoken to said they were excited and looking forward to it. Each resident had a community care service plan that looked at potential risks or teaching opportunities when the resident was out in the community. One said the resident had, ‘limited road safety sense but could learn to promote their safety when out and about’. A sample of the menus was seen and showed that during the week the main meal was served in the evening as most residents took a packed lunch to their daytime activities or some money to buy a lunch. Main meals were varied with dishes such as fish in parsley sauce with new potatoes and two vegetables, meatballs and pasta and gammon, egg and chips. There was a full roast dinner planned for every Sunday. The main food stores were kept in the cellar. The manager said that they have a weekly bulk order but if anything special was required or they ran out they could always go to the local shops. Residents would sometimes want to go out with the staff for items. The temperature records of the refrigerators and freezers were seen and showed that they were functioning within safe limits for food storage. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. People who use this service can expect to have their health needs met and be protected by medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents’ files seen contained a personal profile completed by their key worker on admission. The information covered any medical condition and their present medication regime. It included the resident’s abilities to meet their own needs for hair care, foot care, dental care, managing the toilet and personal grooming. Contact details for any health professional involved with the resident were noted such as GP, chiropodist, dentist, hospital consultant and optician. Records were made of any health related appointments and changes to prescribed treatment or medication. One resident had a history of self-harming when they were upset or unhappy. This had generated a care plan with interventions to protect the resident from their behaviour and a risk assessment to help staff manage it. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 15 Other residents have epilepsy and need careful monitoring in circumstances when a seizure could cause harm such as during a bath or while sleeping. One resident has a programme of nighttime monitoring every half an hour and the signed check form was seen fully completed. Another has a member of staff to stay outside the bathroom while they are bathing and talk to them to ensure they are all right. This means help is at hand if needed but the resident’s privacy is maintained. Both had risk assessments for managing stairs, road safety and one had one for carrying hot drinks. As there were no residents in the home at lunchtime it was not possible to see medication being administered but the MAR sheets were inspected and the medication storage seen. There was a specimen list of signatures of staff able to give medication attached to the MAR sheet folder. There was also a clear note if a resident had a known allergy recorded on their MAR sheet. No signature gaps were noted, codes were correctly used if a medication was not given for any reason and homely remedies were recorded when they were used. The manager said they did not hold any controlled drugs (CDs) in the home and had up till now never had any but they were aware of the necessary procedures to follow if some were prescribed. Staff survey forms received by CSCI all state that they had medication training when they started their job and have had yearly updates since. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. People who use this service can expect to have their views listened to and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy for the home is available in the entrance hall and in pictorial form too on the notice board. Replies from residents in the ‘have your say’ comment cards showed that they all were clear about who they would go to if they were unhappy or had a concern. The complaints log was seen and contained one complaint received this year from a day centre. It concerned two residents who had arrived one day with no packed lunch and no money to pay for food. A full investigation was done and it seemed the residents had not wanted to prepare their lunches the previous evening. Procedures have now been adjusted to ensure that the day centre has the money to pay for meals if a resident arrives without one. The policy for POVA was seen although the manager is aware of the changes taking place at the moment and the transition to Safeguarding Adults. They have been unable, to date, to access new material however the policy as it stands does not give the correct details to make a referral if there were concerns raised. Two staff files were seen and both showed that the members of staff had attended POVA training during their induction period. As numbers of residents were low due to the holiday no staff members were available to ask about their understanding of their duty of care. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30. Quality in this outcome area is good. People who use this service can expect to live in a clean, pleasant environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Amber Lodge is two terraced houses that interconnect. There are three floors above ground and a large cellar that is used for administration offices and food storage. The communal rooms are all on the ground floor and consist of a lounge with a payphone cubicle in one corner, a large games room with a football table and organ and a dining room that has patio door access to the garden. The kitchen is located on the ground floor too but the laundry is on the first floor. All the rooms have high ceilings and are large and well proportioned. The furniture and soft furnishings were homely and appropriate for the resident group. Much of the home has recently been redecorated and recarpeted. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 18 A number of residents’ rooms were seen and they were very individually furnished and decorated. One resident said that they had chosen the colour for their room and redecorated it themselves. The rooms were personalised with posters, ornaments and evidence of the resident’s interests. One room had some smaller pieces of furniture that belonged to the resident and a large mounted collection of silver teaspoons. Another room clearly belonged to a football fan and a further one to a Star Wars fan. The laundry was seen and was clean and tidy. The manager said that residents were encouraged to put laundry in the plastic bins provided in their rooms and bring them to the laundry to do when they needed to. Staff helped and/or encouraged residents to do as much of the laundering and ironing of their own clothing as they were able. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. People who use this service can expect to be supported by correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of two staff were seen. One was recruited this year the other had been in post for more than a year but, as the staff team is stable, was the next newest member. Both files contained evidence that identification checks had been undertaken and each had a full work history. POVA 1st checks had been done before the person commenced work and one file had a criminal record bureau (CRB) check. There was evidence that the other had applied for a CRB and that the administrator had been finding out why it was taking such a long time to arrive. Three references had been taken up for each person. The files contained a contract with the terms and conditions of employment and one had a risk assessment for the worker who had epilepsy. There was documentary evidence that the staff had undergone an induction using the Skills for Care pathway. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 20 When the home has all the residents present it is staffed with three during the day and an administrator who works for the organisation. One waking and one sleeping member of staff cover nights. The waking member of staff is to meet the needs of one resident who has epilepsy and needs half hourly monitoring throughout the night. The duty rotas were seen and it was noted that there is always a named senior person on call. The manager said that training for staff was ongoing and dates for future courses in first aid, fire awareness and food hygiene were seen on the notice board. The staff files seen had evidence that they had had POVA training. The manager said the organisation takes POVA training very seriously and all staff including ancillary staff receive it. The staff surveys received by CSCI stated that they receive training that is relevant to their role and keeps them up to date with new ways of working. Eight of the nine care staff hold an NVQ level 2 in care. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. People who use this service can expect to be consulted and have their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The present manager has been in post a few months but also works as area manager for Amber Care (East Anglia) Ltd and has their office based in the home. They are intending to apply to CSCI for registration. They are a registered mental nurse (RMN) and hold a degree in mental health nursing and have achieved their NVQ level 4 in management. In discussion with them they were knowledgeable about the residents and their needs but clear that trying to help residents achieve their potential was the aim of the service. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 22 The CSCI received ten ‘have your say’ survey forms from residents prior to this inspection. For the question ‘do carers listen and act on what you say?’ six people responded with ‘always’ and four with ‘usually’ one resident added that they felt they could be misunderstood at times. One relative’s form is clear that the service has recently responded to an expressed wish of the resident to go to college and eventually apply for work. They are enrolled at the local college and commence courses in the autumn term. Some maintenance and service certificates were seen and showed that the home had had a gas safety check and an inspection from Flame Skills for fire safety in June 2007. Emergency lighting and fire extinguishers are checked monthly. The AQAA records that portable electrical equipment (PAT testing) was done in March 2007 and the heating boiler was serviced in June 2007. Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 Standard No Score 1 3 2 4 3 X 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO. 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 YA23 Regulation 13 (6) Requirement The POVA policy must be updated to give the correct contact for referral if there are any concerns that abuse may be happening to ensure that residents are rapidly protected. Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor Fairfax House Causton Road Colchester CO1 1RJ National Enquiry Line: 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 © 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 Amber Lodge Residential Care Home DS0000024325.V350648.R01.S.doc Version 5.2 Page 26 - 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. 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