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Inspection on 31/01/07 for Summerfields House Rest Home

Also see our care home review for Summerfields House Rest Home for more information

This inspection was carried out on 31st January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has strong, motivated leadership from the Registered Manager who provides the staff with extensive and focused training. As a result the care staff are well informed resulting in a motivated team, who are able to provide good quality care. The home prioritises residents` needs ensuring that their wishes and feelings are continually assessed and met. The home operates a service user centred approach and demonstrates a very good understanding of the residents care needs. The home provides an excellent range of individualised care planning documents and risk assessments for each resident, demonstrating a commitment to enabling residents to have some control over their lives.The home works in partnership with other professional bodies to ensure the best outcome for the residents. Communication and information exchange with all relevant parties is excellent. Residents` descriptions of the home were as follows: "I feel at home." " Kind staff." "The food is nice." "I feel independent." The home ensures staff are not employed without full employment checks therefore confirming they are suitable people to work with older people. All newly appointed staff undergo an excellent induction programme to promote good practice, confidence and understanding in the service delivery, there is a commitment to National Vocational Qualification training for all staff. Constructive, efficient and effective systems have been implemented with the resident at the heart of the decision making process, this was considered to be a very positive inspection.

What has improved since the last inspection?

One requirement was made at the last inspection and this has been met, the registered manager ensures all members of staff are in receipt of all pre employment checks to meet with the requirements. Two recommendations were made and both have been addressed, the home has ensured that all monies arriving within the home are receipted. Also the residents were, and will continue to be able to hold relative/resident meetings should they request it. The home is kept exceptionally clean and is a credit to all the staff, the residents, visitors and questionnaires and a tour of the premises verified this.

What the care home could do better:

One minor requirement was made on this visit, and two recommendations. The home continues to provide a high standard of care.

CARE HOMES FOR OLDER PEOPLE Summerfields House Rest Home 12 Burton Road Branston Burton On Trent Staffordshire DE14 3DN Lead Inspector Rachel Davis Key Unannounced Inspection 31 January 2007 10:30 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 Summerfields House Rest Home DS0000005009.V325289.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. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfields House Rest Home Address 12 Burton Road Branston Burton On Trent Staffordshire DE14 3DN 01283 540766 F/P 01283 540766 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) Mrs Annette Gilliland Mr Mark Gilliland Mrs Annette Gilliland Care Home 21 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (3) Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Summerfields House care home is a privately owned large Victorian detached house that has been extended to provide accommodation for 21 older people with needs associated with old age, seven of which may have dementia care needs and three of who may have physical disability. The home delivers a very good standard of residential care, for older people and people with dementia related conditions, in a safe, clean and homely atmosphere. The home is not registered for service users with nursing needs. Care staff are trained to meet the needs of residents and the inspection process confirmed the home is well equipped to meet individual requirements. Summerfield House charges its residents between £280 and £364.16 per week; this information was accurate on 18/01/07. Health service professionals such as district nurse, community psychiatric nurse, and physiotherapist are accessed when required and local GPs and a pharmacist service the home. The home is situated on a main road in a residential area of Burton on Trent, within a short distance of the town centre with all its amenities, a bus route passes the door and parking is available. Accommodation is provided on two floors the first floor being accessible by shaft lift as well as a staircase that is fitted with a stair chair lift. On the ground floor there are ten single bedrooms and one double bedroom, and on the first floor there are seven single and one double bedroom. Three of the single bedrooms on the ground floor have en-suite facilities. There are two assisted bathrooms, one on each floor, plus a domestic style bathroom and seven separate toilets located throughout the premises. Communal facilities consist of two lounge areas and a dining room. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 5 Externally there are secure garden areas to the rear that include a pleasant patio area that has been fitted with garden furniture. The Statement of Purpose, Service Users’ Guide & inspection report are available on request (these provide information on how the home is organised and what services they provide). Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 31/01/07. This visit was a key inspection and therefore covered all of the core standards. The Commission has not made any additional visits to the home since the last inspection held on March 8th 2006. The inspection included an examination of records, direct observation of care staff, and discussions with residents, the registered manager, staff and visitors. A partial tour of the building was also undertaken. Evaluations from feedback received both verbally and within questionnaires are included within this report. All those returned offered positive feedback. One relative stated: “I am really pleased with the care my relative receives and I feel it has contributed significantly to enabling my parent to reach a great age.” Nineteen residents were in residence on the day of inspection. People living at Summerfields House are referred to as residents throughout this report, except under the regulations where they are referred to as service users. What the service does well: The home has strong, motivated leadership from the Registered Manager who provides the staff with extensive and focused training. As a result the care staff are well informed resulting in a motivated team, who are able to provide good quality care. The home prioritises residents’ needs ensuring that their wishes and feelings are continually assessed and met. The home operates a service user centred approach and demonstrates a very good understanding of the residents care needs. The home provides an excellent range of individualised care planning documents and risk assessments for each resident, demonstrating a commitment to enabling residents to have some control over their lives. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 7 The home works in partnership with other professional bodies to ensure the best outcome for the residents. Communication and information exchange with all relevant parties is excellent. Residents’ descriptions of the home were as follows: “I feel at home.” “ Kind staff.” “The food is nice.” “I feel independent.” The home ensures staff are not employed without full employment checks therefore confirming they are suitable people to work with older people. All newly appointed staff undergo an excellent induction programme to promote good practice, confidence and understanding in the service delivery, there is a commitment to National Vocational Qualification training for all staff. Constructive, efficient and effective systems have been implemented with the resident at the heart of the decision making process, this was considered to be a very positive inspection. 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. The summary of this inspection report can be made available in other formats on request. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 8 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 Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Summerfield House delivers a professional, flexible, reliable and focussed service. Information offered ensures that residents and prospective residents can make an informed choice about the home. EVIDENCE: The Commission for Social Care Inspection is aware that Summerfields House has a statement of purpose and service user guide as required by regulation but these documents were not inspected on this occasion. Residents’ files contained both the Staffordshire County Council Social Services Community Care Comprehensive Assessment, a robust and detailed assessment by the Registered Manager and regular reviews, which demonstrate a multi agency/partnership approach to ensure that the residents’ Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 10 needs are fully met. Each care plan reflects the needs of the individual and evidence was available to confirm how the home takes into account cultural, religious and social preferences. The registered manager confirmed that Summerfields House sends the required letter following admission confirming the home is able to meet the individuals’ needs. Standard 6 is not relevant to this home and therefore not assessed. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents health, personal and social cares needs are met. The homes risk assessment practices ensure residents’ safety is maintained. EVIDENCE: The residents have a significant care plan and the home has effective systems in place to ensure the care plan is reviewed and updated monthly, additional reviews are requested when changes take place. There was evidence to substantiate that feedback is a continuous ongoing process, staff spend time with individual residents to ensure they understand decisions and actions, and robust quality monitoring systems were evident. Professional questionnaires returned to the Commission for Social Care Inspection confirmed that the home communicates clearly and works in partnership. They also verified that the care staff are able to demonstrate a clear understanding of the care needs of the residents. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 12 Residents that were spoken with were very positive about the care provided at the home and one resident stated that it was “second to none.” Residents had access to a wide range of health care services according to their individual need and assessments were in place that looked at residents’ tissue viability, pressure areas, nutritional needs, continence needs, hearing and sight. Medication policies and procedures were sound and residents receive their medication as prescribed. Medication is stored in a locked cabinet in the office. Each resident has a medication file with details about known allergies and all medication being administered. Staff receive medication training, which is regularly updated, the manager also ensures audits and competency checks are undertaken. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 ands 15. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. There is a well-planned approach to supporting residents with social, community based and recreational activities. There was evidence to confirm that good attention was taken with the standard of catering and the promotion of choice. EVIDENCE: Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has sought the views of residents (available to read on the notice board) and considered their varied interests and abilities when planning and arranging activities. The home is in the process of starting a key worker system, which would enable closer resident staff relationships where likes, dislikes and needs are shared. Key workers could then use the information to plan activities and update information required within risk assessments and daily living. Families, staff and residents confirmed that routines are flexible and residents can make choices in major areas of their life. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 14 “We are given the time to spend with the residents in a group or on an individual basis.” “ Through training we have a better understanding of dementia related conditions, they are all very different, and we understand body language and receive professional guidance.” The home has a member of staff who co-ordinates activities on a daily basis. Photographs were seen of activities within the home that the residents had taken part in, through observation it was evident that both residents and the staff team enjoyed these activities. The activities provided by the home included: • • • • Quizzes Concerts Visits to garden centres and other local places. Craft work- often-seasonal crafts were made, the manager stated that all residents who chose to participate could do so, this included residents whose physical or mental health was deteriorating and in such cases craft materials were used to assist them, such as sticky back plastic. Baking Painting Bingo Visits from the local church and Priest. • • • • Residents spoken to were very positive about the activities provided and felt the home offered plenty of opportunities for them to join in with if they so wished. A record of all activities undertaken, and by whom, is available within the home. Residents were able to receive visitors whenever they chose, as the home had an open visiting policy, this was verified by a visitor on the day of the inspection. Residents could choose to see their visitors within their own private accommodation if they preferred to do so and this was also evidenced during the inspection process. Residents are actively encouraged to keep in contact with family and friends living in the community. Three residents attend a local luncheon club on a Monday and another 3 residents attend on a Friday. Two residents attend the local church regularly and other residents visit the local supermarket in a group or on an individual basis to make their purchases. Wheelchair taxis are the main source of transport. The menus were examined and ran over a four-week period. Along with cereals and toast, cooked breakfasts were available for residents who wanted them. Two choices were available at lunchtime and choices were also available at Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 15 teatime. The cook confirmed that should a resident prefer an alternative meal that was not available on the menu then this would be catered for. Residents’ requiring special diets such as a diabetic diet was also catered for. All of the residents spoken with were complimentary about the meals provided. The kitchen was inspected and found to be clean and tidy. Food supplies were plentiful and fresh fruit and vegetables were available. Records of fridge and freezer temperatures and probing were kept. The home must ensure all opened jars that have a recorded expiry date are labelled. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 16 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. 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. The home has a suitable complaints procedure and ensures the residents are protected from abuse in accordance with written policies. EVIDENCE: The Commission for Social Care Inspection has received one formal complaint about the home since the last inspection held in March 2006. This has been investigated by the home and was not upheld. The manager is happy to promote the recording of complaints in a transparent manner, and the home will continue to develop this approach. The complaints procedure is also available in the service user guide and by the homes’ notice board. Minor concerns can be recorded in a ‘comments book’, there is also a suggestions box sited in the hall. The staff are trained to recognise the signs and symptoms of adult abuse during their induction and when undertaking National Vocational Qualification 2 in care. No vulnerable adult referrals have been made since the last inspection. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 17 The required policies and procedures relating to this area are available within the home (not inspected on this occasion), staff sign to say they have read and understood them. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well maintained and good standards of hygiene are kept this ensures the residents comfort and safety. EVIDENCE: The home is safe and well maintained with adaptations to suit residents’ specific needs. It is decorated and furnished to a good standard that creates a comfortable and homely environment. The home was fresh and clean throughout on the day of the inspection. The bathrooms provided sufficient moving and handling equipment for those residents who required assistance and support. The laundry area is now locked and has the required sluicing facilities. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 19 The residents’ private accommodation seen was kept to a good standard of cleanliness and reflected individual residents personal tastes. The home employs a maintenance person who carries out any required maintenance on an ongoing basis. The home meets infection control standards, the Commission was advised that the home has a policy and procedure, uses soap dispensers, paper towels, protective clothing and has a weekly clinical waste collection. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff at the home are well trained, competent and sufficient in numbers to meet the residents’ needs. Recruitment procedures are robust and supports the need to protect vulnerable adults. EVIDENCE: The number of staff on duty during the inspection was satisfactory to meet the needs of the residents within the home. Two staff files were examined and all demonstrated that a thorough recruitment practice was in place, this included 2 written references, criminal records bureau checks, application forms that covered gaps in employment and the required identification certificates and photograph. Male staff was also recruited to the home, this promotes equality and choice. All staff within the home have received positive and meaningful training, the registered manager prioritises training and enables staff members to undertake external qualifications beyond the basic requirements. This ensures a consistent and needs led service is offered to the residents. National Vocational Qualification training is high priority for the management and staff working at Summerfields House, out of 10 staff 4 have National Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 21 Vocational Qualification 2, 2 have National Vocational Qualification 3 and the deputy manager has recently completed National Vocational Qualification 4. Regulation states that 50 of the workforce must be trained, Summerfields House exceeds this level. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An experienced manager manages the home and offers leadership. The home is run in the best interests of the residents. EVIDENCE: There is an ethos of warmth and openness in the home and staff deliver a good standard of care and are well organised. The health, safety and welfare of staff and residents are as far as reasonably practicable protected. The home has a well developed quality assurance process which covers all aspects of living within residential care. The results are available on the notice board. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 23 The manager confirmed the results were evaluated and any areas which demonstrated that residents or their significant other were dissatisfied was discussed with the individual resident or their representative. This demonstrates that the home strives to ensure that residents are aware of the services and activities available to them. If they wish and are able to, residents are helped to take responsibility for managing their own money and are provided with facilities to keep their valuables and money safe. Where the home is responsible for resident’s money it works to a rigorous system and maintains very clear records. Individuals’ money was not inspected on this visit. Staff have received fire training including regular fire drills. The manager was informed of the changes to fire safety legislation and the need to undertake individual fire evacuation procedures for each resident. It is recommended that she seek advice from the fire safety officer. The pre inspection questionnaire verified that all necessary servicing and checks required within the home were undertaken and in date. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 24 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 X 4 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 25 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 OP15 Regulation 12(1)(a) Requirement The registered person must ensure all opened jars with expiry information provided are labelled and dated. Timescale for action 01/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP14 OP38 Good Practice Recommendations The registered manager may wish to consider introducing a Newsletter offering up-to-date information on the home, residents, staff, forthcoming events etc. It is recommended that the registered manager seek advice from the fire safety officer to ensure that the home’s fire risk assessments meet with current legislation. Summerfields House Rest Home DS0000005009.V325289.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Summerfields House Rest Home DS0000005009.V325289.R01.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!