Inspection on 04/04/08 for Summerview

This inspection was carried out on 4th April 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Summerview 19/04/07

Summerview 15/12/05

Summerview 24/05/05

Summerview 23/11/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Summerview 35 Pembury Road Westcliff On Sea Essex SS0 8DU Lead Inspector Carolyn Delaney Unannounced Inspection 4th April 2008 10:00 Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerview Address 35 Pembury Road Westcliff On Sea Essex SS0 8DU 01702 348310 01702 348310 cathy.sutton@summercare.org 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) SummerCare Homes Ltd Kevin Patrick Sean Hart Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Personal care to be provided to 6 residents with a learning disability. Maximum number to be cared for 6 (six). The age of the service users will be between 18 and 65 years. Date of last inspection 19th April 2007 Brief Description of the Service: Summerview is a care home, which provides accommodation for 6 adults with learning disabilities. The home is situated close to the seafront and within close proximity to the town centre and local community amenities. Service users resident at the home are provided with single bedroom accommodation and access to communal areas including a large lounge area, dining room and garden to the rear of the property. There is limited off road parking but adjacent streets can also be used for this. The fees for a place at the home range from £458.78 to £1773.75 (one to one support) per week. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a routine unannounced inspection, which was carried out between the hours of 10.00 and 17.00 on 4th April 2008. As part of the inspection three residents and four members of staff were spoken with to obtain their views about the home. Records including residents care plans and staff records were sampled and examined during the site visit. A brief tour of the home was carried out. Information provided in the Annual Quality Assurance Assessment (AQAA) was used in determining how the home meets the needs of the people who live in the home. The AQAA is a self-assessment document where proprietors and managers assess and provide evidence as to how they provide outcomes for people living in the home. When inspecting we use the information in the AQAA to help us make judgements about outcomes for residents. What the service does well: Staff working in the home assess the needs of residents and develop individualised care plans which detail how each person is to be supported. Information about residents is reviewed regularly so as to ensure that treatment and support is effective and appropriate. Residents are supported and encouraged to make decisions about how they receive their care. Residents have access to a range of activities, which suit their needs, capabilities and wishes. This includes access to day centre facilities, local college courses and leisure activities within the local community. Resident’s healthcare needs are well met and risks to each individual’s health and welfare are assessed and reviewed as needed. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 6 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. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can be assured that the home will be suited to their needs before they are offered a place there. EVIDENCE: Outcomes for residents were judged to be good when these standards were assessed at the last inspection in April 2007. There have been no new admissions to the home for some years. As part of the review of policies and procedures within the home the process for assessing a persons needs prior to them being offered a place in the home are revisited and any amendments made as necessary. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Summerview benefit from good staff support and risks to their health and welfare are well managed. EVIDENCE: From the AQAA we were told that staff offer choice to the residents by holding regular residents meetings and involving them in all aspects of the running of the home. We were told that Person Centred care planning ensures that residents are enabled to develop their chosen skills and opportunities and aims and objectives in life. Residents’ needs were recorded in a detailed care plan and these were written in a way, which reflected the individuals’ choices about how they receive support. Care plans were reviewed regularly and every month residents and staff review what activities etc the residents had participated in and what they had achieved. Two residents who were spoken with during the inspection Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 10 confirmed that staff enable them to make decisions and choices about how they spend their time and the activities they participate in. Residents are involved in the day-to-day running of the home including planning menus, rotas for tasks such as daily chores etc. Residents said that they could make decisions about their days and what happens in the home. Residents have regular meetings with staff and discuss issues regarding the home. Risks to residents’ health and safety are assessed and recorded. Where there are risks identified staff plan with residents specific and individual actions to minimise these risks. Two residents who spoke with the inspector during visit had an awareness of potential risks to their safety and wellbeing and understood the need for interventions to minimise these risks. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have access to appropriate amenities within the local community and live their lives as independently as their capabilities allow. EVIDENCE: From the AQAA we were told that staff enable and support residents to live their lives according to their wishes and to enable them to be part of their community and to maintain and develop relationships. At the time of the inspection, none of the service users were undertaking any paid employment. One resident worked voluntarily at a local charity shop and another regularly manages the tuck shop at the Summernights club. Staff record residents preference for activities in their care plans and include any details of specific support residents may need in order to access and participate in these activities. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 12 Residents told the inspector that they attend college, AVRO day centre, Summerdays and Summernights clubs for recreation and socialising. One resident who was spoken with said that they attend the local college to study drama, literacy and mathematics, which they enjoy. All residents have been included in the electoral register so that they may vote in local and national political elections should they choose to do so. Residents maintain regular contact with family and friends and some residents spend weekends visiting family. Staff respect residents’ rights and where action is needed to protect a person, which would infringe upon a persons rights then this is recorded with the reasons for this action. In such instances the action would be agreed with the individual. Residents go shopping once or twice a week for food and there were ample stocks of fresh fruit and vegetables, fresh and frozen meats available in the home on the day of the inspection. Residents rely upon staff to cook and prepare meals. Some residents can make snacks with support from staff. Menus are planned in advance and there was a good range of meals available. The menu is displayed in the kitchen with a task rota for preparing and clearing up after meals. Residents who were spoken with said that the food is good. Where residents have specialist dietary requirements details of these are recorded within their individual plan of care and meals are prepared so as to meet the individual’s needs. Residents go out regularly for pub meals or to local restaurants and have ‘take away’ meals on occasions as they choose. Residents’ weights are checked regularly as part of the overall monitoring of each individual health and records are maintained in respect of each person’s dietary intake. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Summerview have their health and personal care needs met. EVIDENCE: Each person living in the home has a detailed plan of care in respect of the support they require in maintaining personal care and healthcare. The care plans for two people were examined and residents were spoken with. Care plans were very detailed in respect of the care and support required for both individuals. Care plans were reviewed and updated regularly and at any time there had been changes to the persons condition or the treatment they were receiving. In addition there were records to monitor specific conditions so as to determine if treatments were effective. People living in the home are encouraged to be as independent as possible and to be involved in the planning and review of their care. Care plans included details of what each person was capable of and their wishes for how they would like to receive care and support. Both residents who were spoken with felt that staff supported them well. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 14 The majority of residents living in the home rely on staff to retain and administer their medicines. Residents are assessed as to whether they can manage their own medication safely. At the time of the inspection two residents were administering their medication. Any potential risks associated with this had been identified and were regularly reviewed so as to ensure the wellbeing of both residents. Staff working at the home who are responsible for administering medicines receive training periodically. The Medication Administration Records (MAR) for all six residents were viewed during the inspection. Records were well maintained and receive medicines as prescribed for them as part of their treatment. Resident’s medication is regularly reviewed and care plans had been updated where there had been any changes to the resident’s treatment. It was noted that where medicines are handwritten on MAR that entries are not checked with a second member of staff and that both sign the records to minimise the risk of potential errors. Handwritten entries on MAR should be checked by two people. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and relatives cannot be sure that their complaints and concerns will be dealt with in accordance with the organisations polices and procedures. EVIDENCE: From the AQAA we were informed that there is a user friendly pictorial complaints procedure for residents. This was seen on the day of the inspection. Three residents who were spoken with during the inspection visit confirmed that they were aware of whom to speak to if they were unhappy or wished to make a complaint. Two residents who were spoken with did not feel that staff always dealt with issues. Staff record complaints received in a book. From observation of these records there have been no complaints made since the last inspection. However residents and relatives have raised issues and concerns on a number of occasions during meetings, mostly about the homes environment. From the brief tour of the home and discussion with the manager and staff it was confirmed that these had not been addressed at the time of the inspection. The practices for recruiting new staff to work at the home are not consistently robust (as highlighted in the staffing section of this report) and may put residents at risk. Staff receive information and training in respect of safeguarding residents from harm, neglect or abuse. Two staff members who were spoken with were aware Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 16 of what action to take if the suspected or witnessed any ill treatment of residents. Three residents who were spoken with confirmed that staff treated them well. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environmental issues within the home detract from the experience of residents and may put them at risk. EVIDENCE: The home is a large 3 storey detached domestic style house situated in Westcliff on Sea, close to the seafront and Hamlet Court shopping area and restaurants. Residents’ bedrooms, which were seen, were clean and furnished to the taste of the occupants. Residents have access to communal areas including a large bright lounge, dining room and kitchen. The home is an older property and in need of redecoration and repair in a number of areas. One resident said that ‘sometimes there is not enough hot water to take a bath or shower in the mornings’. The manager confirmed that there are problems with the hot water system. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 18 There were a number of issues raised by residents, staff and visitors to the home. For example light bulbs had blown in some areas of the home and these had not been replaced. Staff are not permitted to change the bulbs and must requisition a maintenance person to do this. Some staff who work during the night had raised concerns about working in areas of the home in the dark. Staff had raised concerns that the electricity ‘keeps tripping’ resulting in a temporary loss of power. This had been investigated however the cause had not been found. These issues had not been dealt with despite being reported to the manager who in turn informed senior managers at the organisations head office. This potentially puts both residents and staff at risk. Residents and staff spoken with during the inspection said that there are plans for refurbishment of the home later this year. Some residents and staff expressed disappointment that the kitchen and bathrooms were not to be included. Some areas within both were noted to be in need of redecoration and refurbishment. The floor covering in the kitchen was raised and broken in places and one cupboard door was broken. Residents have access to a washing machine and tumble dryer, which are situated, in a shed in the garden. At the time of this inspection the tumble dryer was not working. Some relatives commented that the home is not always clean and that more could be done to keep the home tidy both internally and externally. On the day of the inspection the home was noted to be generally clean and tidy. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Poor recruitment practices may put residents at risk. The reliance on temporary agency staff affects the support received by people living in the home. EVIDENCE: From the AQAA we were told that all staff have clearly defined roles and job descriptions and these were evident within the staff files, which were seen during the inspection. Staffing levels at the home are reviewed regularly and more staff are employed on days where residents need extra support such as attending appointments where they require an escort etc. The staff duty rotas were examined for the four week period prior to the site visit and it was evident that staffing levels are maintained. At the time of the inspection the acting manager was reliant on the use of temporary agency staff as there was a vacancy for two full time members of staff. A local agency was used and wherever possible the agency provided staff who had worked at the home previously. However one resident said that they ‘could not go out as much as they should because of the lack of regular staff’. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 20 The acting manager confirmed that up to ten shifts per week were being covered by temporary agency staff and that this did have an impact on residents and that more staff were being recruited. We were informed in the AQAA that the staff recruitment process is thorough. As part of the recruitment process candidates attend two interviews, the second where residents attend so that they can be part of the process and meet prospective staff. The recruitment files for two members of staff who had been employed to work since the last inspection were viewed. It was disappointing to note that checks had not been made in respect of both person’s previous employment histories and where there were gaps in work history that these had not been explored. Referees provided by candidates did not correspond to where these persons had indicated in their application form that they had worked. There was no evidence for one person that they were entitled to work in the United Kingdom. PoVA First checks had been obtained. However there were no Criminal Records Bureau (CRB) disclosures available for inspection. The acting manager said that these are kept at the organisations head office. The acting manager was advised that the recruitment of staff was not carried out in a consistent way and failure to carry out all of the appropriate checks could potentially put residents at risk. Some of these issues had been identified at the last inspection. A copy of the staff training matrix was requested and provided at the time of the inspection. This showed that staff receive a detailed induction, which includes training in respect of understanding the needs of residents, safeguarding vulnerable people from harm, maintaining safety at work and effective communication. Staff receive training to help them meet the needs of people living at the home including training for recognising and managing aggression, managing diabetes and epilepsy. Residents who were spoken with during the inspection said they felt that staff knew them well and knew about their illness and could care for them well. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in Summerview benefit from an open and inclusive style of management. EVIDENCE: The registered manager had been promoted to another role since the last inspection and an acting manager had been appointed. The acting manager spent two to three days at the home and the remainder of the week working on other projects for the organisation. The acting manager said that they were leaving the organisation in the near future and another member of staff was to be promoted to manager. Residents who were spoken with said that they had been informed of these changes. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 22 From the AQAA we were told that the management approach of the home promotes a positive and inclusive atmosphere and this was evident. Regular meetings are held with staff, residents and relatives. These give residents and their families the opportunity to discuss any issues and raise any concerns they may have. From the minutes of these meetings there were a number of issues, which were regularly raised, particularly regarding the environment and had not been dealt with. Regular checks are carried out on a weekly and monthly basis so as to assess the working order and suitability of equipment etc within the home. Records indicate that there are a number of environmental issues throughout the home, which require attention. A fire risk assessment had been carried out recently and staff working at the home receive regular fire safety training and carry out fire drill exercises so as to help ensure that staff know how to act in the event of an outbreak of fire within the home. Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 1 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 2 X Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA22 Regulation 22 Requirement Concerns and complaints must be received and dealt with in accordance with the homes policy and procedure so that residents and their relatives can feel assured that concerns are taken seriously. The home must be maintained and essential repairs made so that the environment is safe for residents and staff. All of the checks as required so as to determine the fitness and suitability of staff to work in the home must be carried out before a person commenced work at the home so as to help protect the welfare of residents. A manager must be employed to manage the home so as to ensure that it is run in a consistent way for the benefit of residents. Timescale for action 30/06/08 2. YA24 23 30/06/08 3. YA34 19 30/06/08 4. YA37 8 (1) (a) (b) 30/07/08 Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Summerview DS0000049099.V361602.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Summerview DS0000049099.V361602.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!