Inspection on 15/12/08 for SummerLodge

This inspection was carried out on 15th December 2008.

CSCI found this care home to be providing an Good service.

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

SummerLodge 07/12/06

SummerLodge 28/02/06

SummerLodge 13/09/05

SummerLodge 07/02/05

SummerLodge 28/10/04

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: SummerLodge 20 Grosvenor Road Westcliff On Sea Essex SS0 8EN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Hannington     Date: 1 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: SummerLodge 20 Grosvenor Road Westcliff On Sea Essex SS0 8EN 01702343139 01702343139 hooliejoman@talktalk.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Julie Ann Homan Type of registration: Number of places registered: SummerCare Homes Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Maximum of five (5) service users to be cared for. Personal care to be provided to five (5) service users with a learning disability. The age of the service users will be between 18 and 65 years. Date of last inspection Brief description of the care home Summer Lodge presents as a family style premises in a residential area of Westcliff. It is within walking distance of the seafront and local shops and bus and train routes are easily accessible. There is some parking on the front driveway. The home is registered to accommodate 5 people with learning disabilities. There are 4 single rooms on the upper floor and one on the ground floor. A separate lounge, dining room and a music room are also available. Limited parking is available to the front of the property. The home was first registered in April 1998. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced site visit took six hours to complete and was carried out as part of the annual inspection programme for this service. The site visit was conducted with assistance from the registered care manager. As part of the process a number of records relating to people who live at the home, care staff and the general running of the service were examined. The site visit also focused on any requirements and recommendations from the last key inspection. We looked at all of the information that we have received, or asked for since the last key inspection. Prior to the site visit the manager completed an Annual Quality Assurance Assessment Care Homes for Adults (18-65 years) Page 5 of 28 form and forwarded it to the commission. This is a self-assessment form that registered services are required by law to complete. This form provided us with information of how well the provider feels that the service meets the needs of the people who live at Summerlodge and how the service are performing against the National Minimum Standards and what the outcomes for people are. On this site inspection two residents and two staff were spoken with as part of this process. Prior to this visit we sent out surveys to the people who use this service and staff for them to express their views about the service provided. Comments from these surveys will be included as part of this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clear and comprehensive assessment process assures people that their needs could be met prior to moving in their home. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, We arrange for people to have a number of visits to the home and spend time getting to know the other residents and staff, these can include visits at mealtimes, outings and overnight stays. We at present have a statement of purpose available with all the information included. We were informed by the manager and by looking through records that once a person is referred and has shown an interest in the home, a service user guide will be provided to them. (Additionally a statement of purpose can also be provided) The service user guide is a document that gives a quick snap shot of what the home and staff provides. The service user guide can also be provided in picture form, braille, Care Homes for Adults (18-65 years) Page 9 of 28 Evidence: large print and upon request different languages. Both these documents are annually reviewed and updated. By providing these documents it allows people to make a decision to see if the home can provide for their individual needs before any visits or admission are arranged. The statement of purpose is a more in-depth document produced by the manager that describes what people can expect the staff and home to provide. It includes information such as, aims and objectives, policies and procedures, services that are provided, care that can be provided, the number of staff they have and their qualifications, specialist services that may be provided, costs, contracts, complaints assessment process, hours of operation and general information about the organisation and Summerlodge care home. We looked through both of these documents and found that detailed and sufficient information is provided in both the statement of purpose and service users guide and described well all information that would be of benefit to all interested parties. Once this information is given, then a date will be set for the manager or another qualified member of staff to carry out an assessment of need, with the individual and their representatives. As part of this process a number of visits will be arranged to the home so that the person can meet the other residents and the staff. They will also have the chance to see what the home is like, how many communal rooms are available, bathing, kitchen and laundry facilities, look at the garden and general things they would like to know before making a decision. It also gives the person a chance to sample the food provided and ask about any issues that are important to them. Just as important is that the person can see if the room they would be offered if accommodation were to be provided. Looking through documentation and speaking with people it is clear that a person can choose their own colours, fabrics, decoration and furniture for their private rooms. Additionally by having the different types of visits as suggested by the manager, a person can get to explore the local area and sample what is provided within the local and wider community. The assessment process is recorded onto the managers assessment document which is then kept and forms part of a persons care plan. Looking through two peoples care information it showed us that the manager has a good assessment process in place. The assessment showed us that the process is carried out initially to look at a persons well being, such as, their personal, physical, mental and any specialised needs, communication needs, any related risks, social, educational and leisure interests, dietary needs, people that are important to them and general vital and information that is important to that individual person. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: Additionally if a person is to be funded through the local authority or health or primary care trust, then these agencies will also supply their own assessment to the manager upon referral. The purpose of this assessment is not only to identify the persons needs, but to also allow the manager to consider if they can provide a service for the person who has made a referral. If they can do so, then a letter is written to the individual confirming this. These letters were evidenced within two of the peoples care information looked at. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be confident that their identified needs will be met appropriately and that they will be able to live the lifestyle they choose. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, We offer choice to the residents by holding regular meetings and involving people in all aspects of the running of the home. We have Person Centred care planning ensuring that we are enabling them to develop their chosen skills, opportunities, aims and objectives in their daily life, their lifestyle and their future goals. In the documentation looked at by us during this site inspection it revealed that the manager has a good clear process when support plans are recorded. Two support plans looked at showed us that they give clear information and guidance to the staff and ensure that the safety and welfare of all people being supported in their care is protected. These were all signed by the person they are about and the staff who would Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: be supporting them. All support plans were written from the persons point of view and managed to highlight how a person wishes to be supported. They also promoted a persons independence according to their individual abilities and skills. Detailed information describing a persons requirements, such as, when a person likes to get up or go to bed, how they like to be supported whilst taking their medication, any goals and aims they have, are recorded and explained well. Considered also within the support plans are any, religious, cultural, age, disability, dietary, communication and personal preferences. The support plans highlighted any associated or potential risks and how these can be reduced. Each need that had been identified at the assessment stage is also addressed within the support plan. Both the assessment process and support plans are reviewed each year or before then and any significant changes are recorded. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be assured that they will have the opportunities for personal development and build upon their daily living skills so that they are able to lead a lifestyle that they choose. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, We offer people the opportunity to maintain and develop social, emotional needs, communication and individual living skills. We also support people to have an active role in the community and to participate in leisure activities and hobbies of their choice. Our residents are supported to maintain close relationships with friends and relatives. We promote all of the health and well being of the individuals we support. We looked at two of the residents care files. We found that needs that were initially Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: identified during the assessment process and that had been addressed within the care plans. Included within this guidance is the involvement of the person within the daily routines of the home, such as, their personal laundry, cleaning of rooms, shopping for meals and general requirements specific to them as an individual. Records looked at showed us that people are encouraged to shop for, prepare and cook meals. Records also showed us that the food provided is of the residents choice. Cross referencing records held on, peoples likes and dislikes, care plans, records kept of menus, nutritional value of meals and what is actually consumed by people, confirmed to us that people are well looked after. In each file we saw a break down of the skills that people have and how they were to be encouraged to maintain these. This would include things such as, peoples general involvement within the home. Included in all records are if people hold keys to their rooms, if they need additional support to read or access their mail or support they may need in using the telephone. This showed us that people are encouraged to maintain regular contact and links with their friends and families. Additionally records held on activities and within care plans revealed to us that individuals are encouraged to fulfil personal goals, attending community and educational, leisure based activities. Some included meeting friends at local clubs and social events. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be confident that their personal care and health needs will be met. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, We carry out a full assessment of need with each individual ensuring their health needs are fully addressed. We then ensure that staff have relevant training in relation to specific health needs, such as, epilepsy and medication. We support individuals with their health needs and attend regular appointments, such as, dentist, opticians, chiropodist and any specialist appointments. We assist people to access specialist services, such as the speech and language therapy team and the behaviour therapy team as required and ensure that we work collaboratively with these agencies. All of the care plans looked at included health care needs such as, nutrition,diet, weight monitoring, mental state, medication and social interests. In the care plans looked at there had been notes on a persons health history. This gave staff a background knowledge of individuals support needs and the break down of the health Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: care areas gave a basic outline for staff in what the issues are and how they should work with that individual. Care plans showed us that residents had been included as views and requests form part of this process. Two of the care files looked at held very concise information such as, how to work with a person, their preferences, likes and dislikes, histories and the present situation and risk assessments reflected the current care plan. There was evidence that annual reviews are held including professionals with all residents and their representatives and regular reviews of documentation is held for all of the residents. Within daily notes held for individuals it was clear to see that staff are developing recording styles by expanding on how the residents spent their day and what conversation or activities they had carried out. All residents have full access to specialised care, GP, district and community nurses, chiropody, dentist and eye care professionals. All appointments are recorded well. Policy and procedures are in place for the correct receipt, recording, storage and handling, administration and disposal of medications. We checked the records and noted that any medication changes had been recorded accurately. All MAR record sheets had been correctly recorded, signed for and there were no gaps in vital information needed. The administration records are maintained in accordance with agreed procedures and the royal pharmaceutical legislation. Evidence of documentation and the fact that no incidents around medication issues or practice would suggest that medication is kept to a strict protocol and is maintained consistently to a good standard. Signatures of staff who administer medication are present. Medication is stored in a locked cabinet and is held securely that protects all of the residents at Summerlodge. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Summer Lodge are protected by staffs knowledge, training and understanding of safe guarding procedures of the homes policy and procedures dealing with complaints. Evidence: There have been no complaints made to the home or reported to the CSCI office since the last inspection. All complaints that had been received in the past are collated well, maintained appropriately and the outcomes recorded. We were told by the manager in the Annual Quality Assurance Assessment that,We provide people with a pictorial complaints procedure. We also have a detailed policy and procedure in place to deal with complaints which includes the stages and timescales for the process. The staff have a whistle blowing policy and our residents have individual key workers who they can discuss things with in private should they have any concerns. Additionally people have access to an advocacy service should they wish to discuss any issues. We have a detailed Adult abuse policy that is discussed with staff during their induction and all staff are encourage to read and sign this. All staff are provided with the protection of adults against abuse training.We are currently producing a pictorial abuse policy for people who live at summerlodge. The manager had informed us that all staff have attended safe guarding (protection of Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: vulnerable adults) training. Speaking with most of the staff they had good awareness around these issues and overall all staff knew where they could get advice from if they had concerns about safe guarding issues. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that live within this service are cared for in an environment that is homely, safe and comfortable. Evidence: The home itself is located in a nice residential area of westcliff. The sea front is easily assessable by foot. There are a number of local shops for people to use and a main high street is nearby. The local bus routes and train facilities are within walking distance. Overall the home is comfortable and suitable for the needs of the present resident group. There is also a good cleaning programme in place. On the day of inspection the home was observed to be clean and all areas were odour free. Peoples bedrooms were personalised and clean. We were told by the manager in the Annual Quality Assurance Assessment that, We ensure all people who live at summerlodge have the required fixtures, fittings and relevant specialist equipment to meet their individual needs. Each persons bedroom reflects their individual personality though their choice of furniture and fittings, decor and personal belongings. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: One of the improvements the manager has achieved since the last key inspection is that the home has had a complete redecoration and repainting overhaul. Every communal and private areas of the home have been updated and repainted. Within the home colours, new carpets and a major refurbishment of the kitchen has taken place. As a result the home is clean, smart and attractive. It is practical for the use of the people that live there. This piece of work,has been carried out as sensitively and inclusively as it possibly could and the manager has been successful in achieving this. It was evidenced that all people who live at Summerlodge are happy with the end results. This was well recorded by the manager in individuals files. Records also showed us that all people were involved in the choosing of the colours, fabrics, furniture and textures used within the home. The only area of the home that stills needs some attention is the back garden. This has a number of items used to refurbish the home left in the garden. Additionally the lawn and shrubbery could do with a general attention to smarten it up. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at summer Lodge benefit from the care and support they receive from a competent and qualified staff team and are protected by recruitment policy and practices. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, All our staff have clear job description in relation to their roles. All staff undertake relevant and specialist training to meet the needs of the individuals they support. We are working toward having 50 percent of our staff NVQ trained. Our home has a very stable staff team and adequate skill mix and regular staff meetings take place on a monthly basis, staff supervisions are carried out on a two monthly basis and we implement yearly appraisals for all staff. New staff have both induction training and work through a probationary period. The manager operates a thorough recruitment and selection process where we request two references and undertake Criminal Record checks. Staff files were reviewed and recruitment records evidenced that application forms were completed, interviews were held, two references obtained, criminal records bureau checks undertaken and proof of ID and photograph kept. Contracts of Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: conditions of service and job descriptions were issued to new staff. All required documentation needed to maintain the safety of the residents at Summerlodge Care Home is in place. Training opportunities for all staff are good and include manual handling, health and safety, first aid, fire awareness, safeguarding and infection control. Staff spoken with reflected that courses undertaken had developed a better understanding of the residents that they worked with. The Manager is being proactive in booking numerous courses and then identifying who is to attend through the supervision process. Speaking with staff ,they told us that they receive good support through handovers, staff meetings, supervision and training. At present, the records looked at around information on induction,show us that, the skills for care induction criteria is in place and will be used for any new staff that may be recruited in the future Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Summer Lodge can be assured that their health, safety and welfare are protected by the systems and practices in place. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that, The Registered Manager at present has 8 years experience of working with people with learning Disabilities and has completed a NVQ Level 4 and the Registered Managers Award. The Managers approach to the home promotes a positive and inclusive atmosphere. The Manager ensures effective quality assurance by means of residents and relatives feedback in line with the standards set by CSCI. The home has written policies and procedures that comply with Current legislation. The Manager ensure all records are in good order and are maintained and used in accordance to Data protection Act 1998.The Registered Manager ensures safe working practice for the staff and the health safety and welfare of the residents is maintained. The manager is knowledgeable and is highly organised and efficient in her role. There Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: are clear accountability of roles among the team and she has through good recruitment procedures secured an experienced staff team, which in turn has provided a strong support system for the people who live there. The manager through discussion, by keeping regular contact with us, records looked at, shows us that she managers the service well. The manager showed us that she leads by example whilst encouraging the staff team to practice in terms of a residents rights, that all people are protected and well supported. Practice is continually changing and adapting according to individual and group need which in turn moulds the service provided. Through discussion with the manager and staff surveys received, showed us that they have a dedication to improve the quality of life for the people who live at Summerlodge. Policy, procedures and documentation evidence that resident finances are protected. All health and safety checks that were inspected are up to date. Within the fire records looked at were found to be to a good standard, risk assessments are in place for all residents and staff carried out annual fire training and regular fire drills. Fire safety officers visit every year and checks made by the team are regular and promotes the safety of all residents. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!