Inspection on 06/09/06 for Amber Lodge Residential Care Home

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Amber Lodge Residential Care Home 05/09/07

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 Home 394 – 396 London Road South Lowestoft Suffolk NR33 0BQ Lead Inspector Jan Davies Key Unannounced Inspection 6th September 2006 12:30 Amber Lodge Residential Home DS0000024325.V311044.R03.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 Home DS0000024325.V311044.R03.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 Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Lodge Residential Home Address 394 – 396 London Road South Lowestoft Suffolk NR33 0BQ 01502 572586 01502 572650 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) registration, with number of places Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Amber Lodge provides residential care for 13 Adults with learning disabilities. The building comprises 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 service offers all single bedrooms, two large communal rooms and a dining room. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection, which focused on the core standards relating to younger adults. The report has been written using accumulated evidence gathered prior to and during the inspection. This unannounced inspection of Amber Lodge House took place over three hours and was the first statutory inspection visit in the inspection programme for 2006/7. All core standards were assessed. All requirements have been fully or partly addressed and two have been restated in this report with a new timescale for compliance. The home’s manager and two staff were present during the inspection. Their assistance during the inspection was appreciated. A tour of the home was undertaken, including a visit to all communal areas and individual residents’ rooms with their permission. Records were viewed during the inspection, which included care plans, medical and health records, training records, staff records and menus and the home’s policies and procedures and related information. What the service does well: What has improved since the last inspection? There is a stable staff team with the home operating a policy of continuity of care of staffing arrangements for residents with staff that are well known to them. Supervision of individual staff and staff training has been developed in line with the home’s training plan and Topps guidance. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 6 What they could do better: 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. Amber Lodge Residential Home DS0000024325.V311044.R03.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 Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. Residents and their families can be assured that choices are offered and that there are good arrangements in place to support the admission and care planning of residents in the home. Some information in residents’ contracts about the home is not up to date. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a statement of purpose that and set out the aims and philosophy of the home, its services and facilities and terms and conditions. However information about the home contained in the residents’ contracts was not up to date and not correct. Each resident was provided with a service user guide to the home. The guide was appropriate and comprehensive in relation to the service user group accommodated and their assessed needs. This had been produced in larger print and carers ‘talked’ this through with residents to increase awareness. One resident told the inspector that they, together with their family, had chosen for them to come here because of the pre-admission stay that they had enjoyed. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 9 Copies of assessments carried out at the time of referral were available on file, care plans demonstrated that appropriate pre-admission visits had been arranged and contracts of terms and conditions were available. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is adequate. Residents can expect to make informed decisions about their lives and matters in the home. They can also expect to be consulted about their plan of care, however care plans need to be developed to ensure residents needs and aspirations are met. Residents and staff cannot be assured that all risks relating to safety have been identified. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection four residents care plans were examined. Each plan contained detailed information about the resident’s needs, wishes and aspirations. The home had then used the information to formulate a list of priority goals, action plans and risk assessments. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 11 Generally, the four care plans examined were of a good standard and demonstrated the fact that residents had been involved in the development of their plans. However it was noted that daily records were not always detailed enough and did not reflect the action required from the support plans. Individual risk assessments were in place in each of the care plans seen. However the Inspector found that the ‘missing person’ risk assessments in place in the event of residents going missing were not individualised nor specific to the resident concerned referring instead to staff ‘acting accordingly’ in the event of residents going missing and did not give sufficient information to enable staff to respond to that resident safely and effectively. There was evidence that the home gives assistance to enable residents to make informed decisions about their lives. Residents had been consulted about their care plans and there were also records of residents meetings that had been used as a process to consult residents about matters in the home. Where residents’ decisions had been limited for their own safety and protection records were held within their care plans and supported by risk assessments. On the day of inspection staff were encouraging residents to participate in the domestic routines of the home and enabling them to make decisions about their daily lives, for example meal times and preparation, shopping and leisure activities. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. Residents can expect to have opportunities for personal development and be encouraged to participate in appropriate social and leisure activities. Furthermore, residents can expect to be fully involved in the planning and preparation of their meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans evidenced that residents have access to a wide range of opportunities to maintain and develop social and independent life skills. Staff confirmed that residents are given opportunities within the house and wider community to fulfil their needs and goals. On the day of inspection residents were observed being actively encouraged to practice their skills with appropriate support. Residents were seen participating in the day to day activities within the home but were also seen coming and going throughout the day to day care centres and the local shops. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 13 The staff confirmed that they were supporting residents in the development of structured weekly programmes and gave examples of some of the activities being considered including voluntary work and further education courses. Care plans evidenced that residents are supported to ‘get out and about’ on a daily basis. As well as local facilities such as the shops, cinema and football ground, the residents have enjoyed travelling further a field in the homes transport. Residents spoken with said that they had enjoyed visiting local towns, the cinema, Colchester and the zoo, bowling and pub meals. Conversations with staff and residents indicated that the home provided good support to maintain family relationships and offer opportunities to create and maintain social networks. However, this was not always reflected in the care plans and daily records. On the day of inspection staff were observed respecting service users rights to privacy. Bedrooms were not entered without resident’s permission and all communication observed between staff and residents demonstrated that staff were respectful and polite. The home had a communal kitchen, which was seen to be clean and hygienic with sufficient facilities. Staff reported that the residents are encouraged to participate in preparing and cooking their own snacks. Staff and residents confirmed that residents are involved in shopping for groceries and able to chose their own meals with encouragement and advice about healthy and balanced diets. Records of meals taken and choices offered were seen and satisfactory. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. The home has appropriate arrangements in place for ensuring residents health needs are met and personal support is provided according to individual’s needs and wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans; daily records and conversations with staff and residents indicated that staff provides personal support appropriately to individuals. Support was being provided flexibly and in consultation with residents. Staff reported that there were no fixed times for meals, getting up, going to bed or any other activities. Observations on the day of inspection were that residents were supported according to their needs and wishes. Individual care plans identified health care needs and included formats for monitoring health and weight and records of medical visits such as GP’s, community nurses and outpatient appointments. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 15 Medication records were examined and seen to be accurate but lacked full explanation of one resident’s health. One resident’s personal file included information that referred to their being allergic to penicillin. This could not be clarified by staff and was not referred to on the corresponding MAR sheet for them. On the day of inspection medication was appropriately stored in a locked cabinet in the office and held in the original containers marked with the date of opening. There were also clear protocols in place providing guidance to staff on the administration of ‘as required’ medication. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this area is good. The home has appropriate complaints procedures in place but residents cannot be assured that there are sufficient strategies in place to protect them from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place and this is summarised in the Statement of Purpose and Service User Guide. It includes information on how to make a complaint and the stages and timescales of the complaints process. The complaints procedure was available in different formats to ensure that residents could understand it. Staff spoken to confirmed that they had training on the protection of vulnerable adults as part of their induction and the deputy manager confirmed that the home works within the guidelines of the Suffolk Inter Agency Policy and Procedures for the protection of vulnerable adults. Staff also confirmed that they had training in relation to dealing with challenging behaviour and physical restraint. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is adequate. Residents can expect to live in a clean, comfortable and safe environment with a good standard of facilities to meet their individual needs. They cannot always be assured that premises risk assessments ensure their maximum safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People using this service can be assured that it is clean, bright, airy and well decorated with many homely touches. It was suitable in many ways for the needs of the service users who lived there and met their individual and collective needs. Two bedrooms were seen during the inspection at the invitation of residents. Both were individually decorated and reflected the resident’s likes, dislikes and interests. Residents had been supported to personalise their rooms with their own belongings, for example photographs, computers and televisions. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 18 Residents were able to have a key to their own room unless identified as a risk and agreed in their care plan. Residents spoken with on the day of inspection indicated that they were happy with their rooms and seemed to enjoy the privacy and independence they offered. All bathrooms and WC’s were well decorated and with suitable working locks. The home has no lift that provides access to the first floor and second floors and all residents are currently mobile and able to access stairs or alternatively have ground floor rooms. Since the last two inspections when water temperatures have been erratic, the registered person has been required to provide close monitoring of this situation. The providers have since they took over the home installed thermostatic controls to hot water outlets. There was evidence that the home is monitoring the temperatures. However the temperature at some outlets on the day of inspection were inconstant varying from 42---45 degrees centigrade. Following a meeting with the providers after the inspection they have informed us they intend to check water temperatures daily. There was a lack of robust monitoring to the premises in relation to areas that could present physical risks to more vulnerable residents. For example the home is currently caring for an older resident who has some mobility difficulties and this should be reflected in a risk assessment in relation to accessing the stairs. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good. Residents can expect that their individual and joint needs are met by appropriately trained staff. They can not be assured that all records demonstrating that staff are appropriately recruited are in place in the home to demonstrate this. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with on the day of inspection were clearly committed to training and development and reported that they had received comprehensive induction programmes to ensure that they were equipped to ‘do the job’. Training records reflected that training had taken place and included Moving and Handling, Health and Safety, Fire Safety, Abuse Training, Medication training, Understanding Epilepsy, Foundation Certificate in Food Hygiene, First Aid. Of the present staff team 7 had completed their NVQ level 2 training. Another 4 members of staff were currently undertaking NVQ training and when completed will increase the present percentage from approximately 55 to Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 20 well over the minimum required. The manager has appropriate qualifications and experience to run the home. She must apply to be the registered manager for the home if she continues to run the home for the organisation. There was also good evidence of new staff undertaking a detailed induction programme. The staff recruitment procedure was examined at the last full inspection and new staff members’ files were inspected this time. Not all the required information was available in the home at the time of the inspection and a requirement has already been made about this. There was evidence that references had been requested and received. From examination of records and discussion with staff it was evident that since the last inspection formal supervision sessions were being provided for staff on a regular basis. Staff expressed the view that supervision was a useful way of discussing work and/ or other issues which may impact on work and that it provided support to enable them to carry out their work effectively. The inspector examined staff rotas, spoke to staff and residents and concluded that staffing levels were currently adequate but that these should be reviewed regularly in the light of residents changing needs and that quality monitoring should take account of this when families and residents are canvassed for their views. Two recently appointed staff files were examined during the inspection. They contained evidence of two written references, but no record of satisfactory Criminal Record Bureau Disclosure Checks and personal identity documentation was available in the home. Staff records also included copies of supervision contracts and individual supervision’s. Staff spoken with confirmed that they had regular supervision and felt supported by the management team. Following a separate meeting with the providers we were provided with evidence that CRB checks had been undertaken and the providers have assured us that this information will be a the home for inspections. Amber Lodge Residential Home DS0000024325.V311044.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. Residents can expect to be consulted about life in the home. Care practices indicated that the overall health, welfare and safety of the people using the service were being promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents care plans, daily records and minutes of residents meetings demonstrated the homes commitment to actively seeking the views of residents. However the home should complete an annual quality assurance review which includes some consultation with residents, relatives / advocates, other professionals and staff and what the home plans in relation to those findings. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 22 The inspector found that the home’s quality assurance report was a general summary of achievements since the opening of the home and did not include an action plan based on the results of the review. Staff spoken with and training records examined also evidenced that the home ensured staff had essential health and safety training during their induction programme including Manual handling, Fire Safety, Food Hygiene and First Aid. As noted in the previous section there were risk assessments in relation to the premises but they did not identify all potential risks to service users. There were regular house meetings held which service users and staff both attend and separate staff meetings with minutes taken. The inspector was satisfied that the views of service users and staff were actively sought and acted upon. Policies, procedures, and codes of practice records (apart from those already mentioned that did not fully comply) were signed by the registered manager, dated, monitored, reviewed and ammended as appropriate and demonstrated that these were current/up to date. Amber Lodge Residential Home DS0000024325.V311044.R03.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 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x 3 x 3 X X 3 X Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 24 NO 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 YA5 Regulation 13 Requirement The registered persons must update the information provided in contracts with residents. The plan of care must be reviewed with the service user at least every six months and reflect changing needs and agreed changes are recorded and followed up. The registered persons must ensure that individual risk assessments are carried out for all identified health risks to residents. Information in personal files and corresponding medical records must be consistent to reflect when residents have significant allergies i.e. to penicillin. Premises risk assessments and codes of practice records should be dated, monitored, reviewed and amended as appropriate to demonstrate that resident’s health and safety is being fully promoted. DS0000024325.V311044.R03.S.doc Timescale for action 01/12/06 2. YA6 15 01/12/06 3. YA9 13.4 13.6 01/12/06 4. YA19 13 01/12/06 5. YA24 13 01/12/06 Amber Lodge Residential Home Version 5.2 Page 25 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. Refer to Standard YA6 YA3 Good Practice Recommendations The registered person should ensure that arrangements are in place to support a resident in the management of their allergy. The Registered Manager should ensure that needs assessments are kept under review and revised any time that it is necessary. Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. Extracts may not be used or reproduced without the express permission of CSCI Amber Lodge Residential Home DS0000024325.V311044.R03.S.doc Version 5.2 Page 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!