Inspection on 21/11/06 for Summerfield Residential Home

This inspection was carried out on 21st November 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Summerfield Residential Home 31/01/06

Summerfield Residential Home 04/10/05

Summerfield Residential Home 18/11/04

Summerfield Residential Home 15/07/04

Summerfield Residential Home 26/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Summerfield Residential Home 94 Skipton Road Silsden Keighley West Yorkshire BD20 9DA Lead Inspector Nadia Jejna Key Unannounced Inspection 10:00 21st November 2006 X10015.doc Version 1.40 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 Summerfield Residential Home DS0000001157.V312245.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 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. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfield Residential Home Address 94 Skipton Road Silsden Keighley West Yorkshire BD20 9DA 01535 653219 01535 657611 shorfall@summerfield1807.fsnet.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) Mr Stephen Horsfall Mrs Samantha Lee Care Home 32 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (3) Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Summerfield is a care home in Silsden, which provides personal and social care for up to thirty-three men and women over the age of 65. Care and support can be provided for up to four older people with dementia and three older people with physical disabilities. The home stands in its own grounds with pleasant gardens and there is a car parking area. Accommodation is provided in twenty-six single and three double bedrooms. There are two large, comfortable lounges and a combined dining room and conservatory. Information about the home is given to people on request in the homes brochure and Statement of Purpose. At the time of writing this report weekly charges for staying at the home are from £350 to £490 a week. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two visits were made on 21st and 28th November 2006. The home did not know that this was going to happen. Feedback was given to the manager at the end of the second visit. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. Before visiting the home the inspector asked for information from the manager (the pre inspection questionnaire – PIQ) which included asking about what policies and procedures are in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. The views of doctors and district nurses who visit the home were also asked for. At the time of writing this report fourteen resident, ten relatives and four doctors and district nurses responses had been returned. In order to find out how well staff knew residents, care plans were looked at during the visit and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, training records and complaints received. What the service does well: Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. The home is well maintained. It has been nicely decorated and furnished to provide residents with a pleasant, comfortable and homely place to live. Residents said that they can bring in their own belongings to personalise their rooms and that the home was always clean and tidy and it did not smell. They said that the food was good, they enjoyed the meals and alternatives to the planned menu are offered if they want them. Visitors said that they could visit the home at any time and they were made welcome. They said that staff kept them informed and up to date with any changes in their relatives care needs and that they were satisfied with the services provided by the home. Relationships between staff and residents were warm and friendly. Residents said that the staff were pleasant, friendly, helpful and did ‘a wonderful job’. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 6 One resident was very pleased and said that ‘staff respect me as an individual and don’t treat me like a child which is very important to me.’ Residents said that they can choose how and where to spend to their time and whether or not they want to join in with the planned social activities. There is a regular programme of activities, which includes bingo, party/dance afternoons, film afternoons, trips out, walks in the village and arts and crafts. Visiting district nurses and comments from GP questionnaires said that they were called in appropriately in order to meet resident’s healthcare needs and that they could see the residents in the privacy of their own rooms. This shows that resident’s privacy is respected. What has improved since the last inspection? 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. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 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 the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that their needs will be met from the information they are given by staff, from visits made and the brochure and Statement of Purpose. EVIDENCE: Most residents living at the home are partly funded by the local authority and three way contracts are in place between them and the home. If residents are paying privately, a contract of the terms and conditions of residence is agreed. Information from residents and their relatives confirmed that they had contracts. If residents are funded by the local authority their needs are assessed by a social worker and copies of these are assessments are sent to the manager so that the manager can see if the home will be suitable for them. In all cases, the manager or her deputy will visit the person to meet them, talk about the home and assess their needs before an agreement is made for them to come and live at the home. Information from residents said that the manager had Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 9 visited them while they were in hospital, asked about their needs and told them all they wanted to know about the home. Information about the home is in the brochure and the Statement of Purpose, which has not been altered since the last inspection in January 2006. Copies of these are given to people on request and when they come to look round the home. Residents and relatives said that they were given enough information to be able to decide that the home would suit them and were offered a trial visit. Resident’s comments about the home were very positive and included: * The home is very nice and the staff do a wonderful job. * The staff are very pleasant, friendly and helpful. * ‘I am very happy here and settled.’ Relatives said they were very satisfied with the services provided by the home. Information from GP and district nurse surveys said that the manager and staff took appropriate action when they could no longer meet the care needs of residents. There was an example of this during the visit. A privately funded resident had been admitted for a few weeks as their regular carers were on holiday. The pre admission assessment had been completed with the resident, their carers and a social worker, which did not show that there might be a problem. Within a few days it was clear that the resident had mental health problems and needed specialist care. The manager and staff worked closely with the GP and relatives to make sure that they received the proper care and support needed and were moved to a more appropriate place of care. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are met but this is not shown clearly in the care plans and there is a risk that some needs may be overlooked. EVIDENCE: Staff had a good understanding of individual residents needs and the care and support they needed. The care plans seen provided basic information about what an individual’s abilities are and where support is needed. The plans would benefit from more information and detail about how care and support is to be provided and what the individual’s likes, dislikes and preferences are. For example, the plan for a resident with dementia did not say how it affected them or give any detail about life history and interests and what staff could do to help them in their daily life. Another care plan for a resident with moving and handling needs did not say which hoist was to be used or what size and type of sling to use. The manager reviews the care plans every three months or more often if needs change. She talks to the resident, their relatives and staff when doing this. An Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 11 annual review is carried out using the summaries of the last twelve months and sent out as a letter to the resident’s relatives inviting their comments and any additional information they want to add. Copies of these were seen in the care plans. Residents and their visitors said that they were kept up to date and informed of any changes that needed to be made. The manager said that the district nurses are contacted for advice and support about resident’s healthcare needs, including falls prevention, as needed. She said that she would also contact the specialist falls prevention team for advice about a resident who had had a high number of falls. Comments from GPs and district nurses were positive. They said that staff work with them and follow instructions and advice given and that they could always see residents in the privacy of their own rooms. Medication is kept in a lockable metal trolley. The home uses the NOMAD system where tablets are pre dispensed into sectioned boxes that are used over a seven-day period. Senior staff give medication out and have received certificated training. It was found that Temazepam tablets were issued in the NOMAD boxes. The manager was advised that the pharmacist should be dispensed separately and treated as controlled drugs. Residents said that: * The staff were kind and friendly, * They were very good in ‘all the care and help functions’, * They received the care and support they needed, * Staff respected their privacy. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can exercise choice and control over their daily lives and the lifestyle of the home meets their social and recreational needs. EVIDENCE: The atmosphere in the home was warm and friendly and it was clear that there were good relationships between staff, residents and their visitors. Visitors were coming in and out throughout the day and said they were always made to feel welcome. Residents said that they could choose when to get up, go to bed, where to spend their time and where to eat their meals, be it in their own room or one of the lounges. They said that the staff were wonderful and very helpful. One resident was very pleased and said that ‘staff respect me as an individual and don’t treat me like a child which is very important to me.’ The PIQ gave a list of social and recreational activities that take place, which included bingo, party/dance afternoons, film afternoons, trips out, walks in the village and arts and crafts. One of the care assistants has taken on the role of organising activities and was very positive about this role and looking at Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 13 different activities that she could do. The manager said that in the New year they were hoping to find a training course that would help to develop this role further. Residents’ comments about activities were: * There were enough arranged that they could choose to take part in, * ‘The activities are good and help stop us from getting bored’, * ‘They are arranged but I do not always want to join in.’ Residents said that they enjoyed the food. The menus sent with the PIQ showed that only one choice of main course is offered at lunchtime. The cook said alternatives are offered and that they were aware of individual’s food likes and dislikes and these were taken into account when planning menus. It was clear that they were aware of the importance for enriching foods with full fat cream, milk and butter for people at risk of losing weight. They said that they would be told if a resident was losing weight and staff would monitor what the resident was eating and drinking and ask for the GP to come and see so that appropriate action could be taken. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know how to raise concerns and are confident that they will be listened to and acted upon. EVIDENCE: There is a complaints procedure in place that is clear and easy to follow. Not all relatives who returned survey cards were aware of the actual procedure but knew who to speak to if they had a concern. Residents said that they would raise any problems with the manager or person in charge and were happy that they would be listened to and dealt with. There have been two complaints received and dealt with since the last inspection. One was about missing items, which were found and returned to the resident. The other was about a care issue which was investigated but unfounded. In both cases appropriate investigations had been carried out and written responses sent to the complainants. There is a copy of the local authority adult protection procedures in the manager’s office. Eight staff have recently done some training around abuse awareness and adult protection and there are plans for the other staff to do this in the near future. Staff said that they would not hesitate to report actual or suspected abuse. Residents said that they felt safe. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 19, 20, 21, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable, clean and well-maintained home that is suitable for their needs. EVIDENCE: The home was very clean and tidy. It has been furnished and decorated in a very comfortable, homely style. Since the last inspection the lounge, dining room and some of the bedrooms have been redecorated. The conservatory in the dining room has been rebuilt to make it brighter and provide better views of the gardens. The owner is committed to making sure that the home is well maintained and there is continual cycle of redecoration and refurbishment. There are two large, comfortable lounges and a dining room, which provide residents with pleasant sitting areas along with views of the gardens. The gardens are attractively planted and have been provided with garden furniture so that residents can enjoy being outside in better weather. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 16 There are twenty-six single bedrooms, thirteen of which are en-suite and three double bedrooms. Nine communal toilets, three bathrooms and two showers have been provided which are suitable for older people with disabilities. The bedrooms seen were clean and comfortable and it was clear that residents can bring in their own belongings to personalise their rooms. Residents said that they were pleased that the home was always clean and there were no smells. The last fire safety officer’s visit was in March 2006 and an agreement was made that any work listed in the report would be completed by March 2007. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough trained and competent staff on duty to meet residents needs. EVIDENCE: Four weeks of staff rotas were sent with the PIQ. These showed that there were enough staff on duty to meet the needs of residents. Information from residents and their relatives confirmed this. Three staff files were looked at which showed that the recruitment process was thorough and safe. The manager was advised that the application forms should be altered to make sure that a full employment history is asked for and that any gaps are accounted for. Pre employment checks had been carried out which included two satisfactory written references and enhanced Criminal Records Bureau checks. Where staff were from overseas the manager had proof of identity as well as evidence that they can work in the United Kingdom. Staff said that they had been provided with training to help them do their job. Recently employed staff said that they had done an intensive two-day induction course, which was to Skills for Care standards. This training included: • Emergency first aid • Manual handling • Infection control Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 18 • • • • Fire safety Principles of care Protection of vulnerable adults Health and safety. The manager said that eight staff have completed this course and so that all staff work to the same standard it is intended that all staff do it. This is good practice. Plans are in place to provide all staff with basic food hygiene training in the near future. Some of the senior staff have been to training sessions about nutrition for people with diabetes, foot care and palliative care. Because some residents have dementia, the manager must look at making sure staff receive training in this area along with other topics such as dealing with challenging behaviour and pressure area care. The manager should also make sure that ancillary staff receive training that will help them to fulfil their role such as health and safety and infection control. From a team of twenty-one staff seven have got NVQ 2 and four more are doing this training. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 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, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed and run in the best interests of residents. EVIDENCE: The provider is very ‘hands on’ and comes in to the home most days. Residents and staff said that he spends time with them and is interested in their views. He deals with all financial issues. The manager said that the home does not look after any monies at all for residents and that if they need something the home will pay for it and then send a bill to the resident or their relative. The manager has been at the home for many years and is very experienced in caring for the elderly. She has almost completed the registered managers award and will send a copy of the certificate when it has been awarded to her. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 20 Residents, their relatives and visitors and staff said that the manager has an open door policy and is always available to talk to them when she is on duty. Staff said that the management team were very supportive and that there was a good team spirit. The home is accredited with a quality management systems award and there is an annual internal audit of all management systems. The last one was in June 2006 and the results can be seen on request. The manager said that a survey of resident’s views has not yet been done but plans to do one in the near future. Staff one to one supervision sessions are done monthly along with an annual appraisal. Records are kept and these are used to look at and identify any training and support needs staff may have. Information sent with the PIQ showed that safety and maintenance checks of appliances and electrical/gas installations were carried out at least annually and were up to date. Records of checks made on fire safety systems and equipment were up to date. Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X X 4 4 4 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 3 X 3 Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15 Requirement The manager must continue working on the care plans making sure that they give staff clear and detailed guidance about how individual residents needs are to be met. The manager must make sure that written information about residents is recorded and kept in a way that maintains confidentiality. The manager must make sure that a survey of resident’s views of the home is carried out at least annually and that the results are made available to interested parties. Timescale for action 30/05/07 2. RQN 12 28/02/07 3. OP33 24 30/05/07 Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP9 Good Practice Recommendations The manager should contact the pharmacist to ask that Temazepam tablets are dispensed separately from other tablets so that clear records can be kept of the number of tablets received, given to residents and returned to the pharmacy. The manager should make sure that staff continue to enrol on and complete NVQ level 2 training in order to meet the target of 50 of staff with this qualification. The application forms should be revised so that a full employment history is asked for and any gaps should be accounted for. The manager should make sure that the good start made on providing care and ancillary staff with training around maintaining the health, safety and well being of themselves and residents is continued. Training about specialist care needs of residents should also be provided to care staff, for example dementia, challenging behaviour and pressure area care. The manager should make sure that a copy of the certificate for the registered managers award is sent to the CSCI when she receives it. 2. 3. 4. OP28 OP29 OP30 5. OP31 Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Summerfield Residential Home DS0000001157.V312245.R01.S.doc Version 5.2 Page 25 - 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!