Care Home: Amber Lodge Residential Care Home

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What the care home does well "It is a very nice place and the staff are always kind to me here." The service offers a high standard of individual care to a group of residents with varying needs and abilities in a homely environment. There is a commitment to helping residents achieve their potential and lead independent lives. Support and encouragement is given so residents can manage as much of the daily running of the home as possible. Residents are consulted about the home and the service they receive. What has improved since the last inspection? The policy for the protection of vulnerable adults has been updated to include the correct referral process, to ensure that any concerns are raised in a timely and proper way. The manager has been registered with the Commission. Some residents have been supported to be more independent in going out and visiting relatives and surgeries. Hand washing facilities have been improved in the communal toilets and bathrooms, and the televisions have been changed to digital for better reception and greater choice. What the care home could do better: No specific requirements have been made as a result of this inspection. The manager told us they want to increase the access for residents to activities and interests of their choice, including becoming part of local groups that are not specifically for people with a learning disability. CARE HOME ADULTS 18-65 Amber Lodge Residential Care Home Amber Lodge 394 - 396 London Road South Lowestoft Suffolk NR33 0BQ Lead Inspector John Goodship Unannounced Inspection 5th September 2008 14:15 Amber Lodge Residential Care Home DS0000024325.V371246.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 Amber Lodge Residential Care Home DS0000024325.V371246.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. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Lodge Residential Care Home Address Amber Lodge 394 - 396 London Road South Lowestoft Suffolk NR33 0BQ 01502 572586 T/F 01502 572586 sharonhughes@ambercare.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Amber Care (East Anglia) Ltd Mrs Nicole Wisken Care Home 13 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (13) of places Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2007 Brief Description of the Service: Amber Lodge provides residential care for 13 Adults with learning disabilities. The building is comprised of two large interlinked terraced houses on the main road into Lowestoft and is a short walk from the beach. Local shops and amenities are approximately half a mile from the home and there are good transport links into central Lowestoft. The accommodation consists of thirteen single rooms, some with en suite and some with a wash hand basin. The communal rooms are all on the ground floor and as well as a large lounge there is a dining room and games room. Outside is a patio area and a lawn in an enclosed garden. The fees for the home range between £355.00 and £1100.00 weekly depending on the level of care needs required by the resident. The fees do not include residents’ clothing, toiletries or entertainment. Amber Lodge Residential Care Home DS0000024325.V371246.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 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection which focused on the outcomes for residents and assessed all the key standards. The visit lasted four and a quarter hours and covered the afternoon and early evening when residents were returning from their daytime activities. The manager was present, and the area manager was there for part of the visit. We were introduced to all the residents and spoke to four residents, two visitors, and two staff about the home. We also toured the home, and examined two care plans, staff records, and maintenance records. This report has been compiled using information available prior to the visit and evidence found on the day. Prior to the inspection, we sent out ‘Have your say’ surveys to the manager for distribution to residents, staff and relatives. Six were returned from residents, and five from staff. Their comments have been used in the report. We also sent the manager an Annual Quality Assurance Assessment. The information in this has also been used in the report. What the service does well: “It is a very nice place and the staff are always kind to me here.” The service offers a high standard of individual care to a group of residents with varying needs and abilities in a homely environment. There is a commitment to helping residents achieve their potential and lead independent lives. Support and encouragement is given so residents can manage as much of the daily running of the home as possible. Residents are consulted about the home and the service they receive. Amber Lodge Residential Care Home DS0000024325.V371246.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. Amber Lodge Residential Care Home DS0000024325.V371246.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 Amber Lodge Residential Care Home DS0000024325.V371246.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): 1,2,4. Quality in this outcome area is excellent. People who use this service can expect to have the information they need to make an informed choice and have the opportunity to ‘test drive’ the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a statement of purpose that included all the required information, including the aims and objectives of the home, details of the staff and their qualifications, and admission criteria. It had been updated in May 2008 when the manager became registered with us. The service users’ guide, which was produced in a pictorial format, was also updated. Copies of both documents were evident in the entrance hall of the home. There had been no new admissions to the home since the previous inspection. The report of that inspection had confirmed that the home had followed its preadmission procedure, and obtained all the information needed to ensure that the home could support that person’s needs. It also described the trial visits made to test out the home. Amber Lodge Residential Care Home DS0000024325.V371246.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): 6,7,8,9. Quality in this outcome area is excellent. People who use this service can expect to be encouraged to make their own decisions and participate in the life of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We examined two care plans. Both of them followed the same pattern. They covered the activities which the people took part in each week either at external centres or clubs, and other activities such as going to the pub, or the church and going into town. The daily shift reports were particularly comprehensive covering the names of the staff on duty, the clothes chosen that day by the resident, personal care tasks, washing and grooming, and meals and drinks taken. The care plans covered the residents’ preferred routines on waking, going to bed and during the day. Jobs achieved were recorded. For one person it was recorded that on that day they had washed up Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 10 their own breakfast things. Another resident told us that: “I always do my housework here on a Thursday.” Both persons had had a full care plan review in the last twelve months. One person had been assessed to see if they were suitable for moving to supported living accommodation. The assessment initially found them suitable, but health problems changed their need for support so that the care home remained the best option for them. Staff who responded to our survey told us that the ways that information was passed about the people who use the service always or usually worked well. One person said: “The manager lets all staff know of any changes as soon as they arise”. One staff member said that there was good information in the care plans and shift reports. These together with handovers, staff meetings and supervision ensured that they were always given up-to-date information about people’s needs. The home had the use of a people carrier to take residents out and about but the manager had encouraged residents to make use of public transport so they had more freedom about the times they could leave the home. Risk assessments were in place and specific training had been given to those residents able to manage public transport on their own. Amber Lodge Residential Care Home DS0000024325.V371246.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): 11,12,13,14,15,16,17. Quality in this outcome area is good. Residents can expect to be supported to take part, individually and in groups, in many day and evening activities, inside and outside the home. They are helped to maintain family links, and their wishes are respected. Residents are supported to eat well both inside and outside the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents accessed day care facilities several times a week and were encouraged to get out for shopping, visits to the cinema and social clubs such as the Gateway Club, or local facilities such as the pub. One person attended an arts and crafts workshop in Beccles, which they had been supported to reach by public transport. Some people attended Lowestoft College on skills courses, one person helped carry out maintenance work at a local church. The care plans seen had a weekly planner for the resident’s activities and there Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 12 was evidence of reviews of the day services with the resident, their key worker, their social worker and family. The activities folder for each person included time out with family. Family contact was encouraged, especially for those whose closest relatives lived some way away, and in one case on the other side of the world. The manager described how they supported residents to keep in touch as much or a little as they wished. The AQAA told us that families were kept in the loop with regards to the care and progress of their family member. This was confirmed to us by two parents who were visiting. Records showed that if a resident wished to practise their religion they were helped to do so by facilitating access to church services. One resident attended Trinity Methodist church for morning service regularly. Another went to the Salvation Army services. Residents told us in the survey that they liked going to the gym, going swimming, spending time in their room watching DVDs, and “walking in the town by myself at the weekends”. Some had been to concerts, and the theatre in London and were eager to talk about it to us. A visit to Alton Towers had also been popular. The home used to have a large minibus which could seat all the residents, but this had been replaced by smaller people carriers. Some staff told us that they both sizes were needed. “It is very hard to take them all out on day trips together. Public transport is sometimes not suitable for the places we would like to visit”. The manager told us in the AQAA that they were organising smaller groups and one to one outings to places that were more specific to individual needs and wishes. The day after this inspection, seven residents and three staff were going to the south coast for a week’s holiday. The other six residents had already been away to Derbyshire earlier in the year. The manager told us that this was the normal pattern. We saw staff in constant interaction with residents. As they arrived home from their day activities, they would be asked about their day, reminded of things they needed to do, and supported to do them. Staff introduced us to the residents, who were friendly and happy to talk to us. Staff asked one resident to show us their room and they were happy to do so. A staff member told us that male staff do not support female residents undertaking personal care. A sample of the menus was seen and showed that during the week the main meal was served in the evening as most residents took a packed lunch to their daytime activities or some money to buy a lunch. Main meals were varied with dishes such as fish in parsley sauce with new potatoes and two vegetables, Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 13 meatballs and pasta and gammon, egg and chips. There was a full roast dinner planned for every Sunday. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. People who use this service can expect to have their health needs met and be protected by medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We noted that both residents’ files seen contained a personal profile completed by their key worker on admission. The information covered any medical condition and their present medication regime. It included the resident’s abilities to meet their own needs for hair care, foot care, dental care, managing the toilet and personal grooming. Contact details for any health professional involved with the resident were noted such as GP, chiropodist, dentist, hospital consultant and optician. Records were made of any health related appointments and changes to prescribed treatment or medication. The AQAA told us that the staff were encouraging some of the more able residents to make and attend health care appointments on a more independent Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 15 basis. This was happening for some residents attending routine dental appointments. One resident with epilepsy used a monitoring intercom at night to alert staff. This had been introduced with the agreement of the parents and the social worker. We checked the medicine administration record sheets for evidence that drugs were being given as prescribed. All entries were signed. We randomly checked the stock of one drug against the record and the stock in the drug trolley. The stock was correct. One resident had suffered the loss of a parent and two close relatives within a short time. The manager told us that they seemed to have coped well. The person was autistic but quite independent. They had been supported to travel by bus independently to see another relative, after two trips accompanied by staff. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. People who use this service can expect to have their views listened to and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy for the home was available in the entrance hall and in pictorial form too on the notice board. We also saw a copy in the room of a resident. Replies from residents in the survey showed that they all were clear about whom they would go to if they were unhappy or had a concern. The AQAA told us there had been no complaints made to the home since the last inspection. The manager described to us the efforts the home had made to access an advocate for one of the residents who had no close family. One service they had used in the past had closed down, and another service had a four year waiting list. Since the last inspection, the home had updated its policy on the protection of vulnerable adults to include the correct contact information in line with the County policy. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 17 Training records showed that staff received training in the protection of vulnerable adults both as a separate course and as part of NVQ courses. The manager told us that the home was now using the Skills For Care training package for this topic. All residents have bank accounts, except one whose money is managed by a relative. For those able to sign, the manager was the co-signatory. For the others, the manager and another staff member were signatories. We checked the bank book, and weekly statements for one person. The amounts tallied and were confirmed in a separate Finance Book. Some residents who were able to handle cash were given weekly amounts. Overall the manager told us that no receipts were kept for small items such as drinks but only for larger amounts such as clothes and leisure equipment. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 18 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): 24,25,30. Quality in this outcome area is good. People who use this service can expect to live in a clean, pleasant environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Amber Lodge is two terraced houses that interconnect. There are three floors above ground and a large cellar that is used for administration offices and food storage. The communal rooms are all on the ground floor and consist of a lounge with a payphone cubicle in one corner, a large games room with a football table and organ and a dining room that has patio door access to the garden. The kitchen is located on the ground floor too but the laundry is on the first floor. All the rooms have high ceilings and are large and well proportioned. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 19 The furniture and soft furnishings were homely and appropriate for the resident group. The lounge was decorated with birthday cards and was homely and comfortable. The laundry was seen and was clean and tidy. The manager said that residents were encouraged to put laundry in the plastic bins provided in their rooms and bring them to the laundry to do when they needed to. Staff helped and encouraged residents to do as much of the laundering and ironing of their own clothing as they were able. We visited a room with one resident who proudly showed us their ensuite, and their football table. There were personal items and decorations around the room. The AQAA told us that some residents had bought their own bedclothes and furniture, enabling them to choose the colour and style of furniture and fittings. These owned items were listed in their care plan. We saw that handwash facilities had been improved in the communal toilets and bathrooms. Water temperatures were tested weekly. The TVs in the communal areas had been upgraded to digital for improved picture quality. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 20 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): 32,33,34,35,36. Quality in this outcome area is good. People who use this service can expect to be supported by correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA told us that the staffing level was three people on duty during the day and two at night, one of them waking. The waking member of staff is to meet the needs of one resident who had epilepsy and needed half hourly monitoring throughout the night. The duty rotas were seen and it was noted that there is always a named senior person on call. One of the staff told us that although they worked a set four-week rota, it was kept flexible to cover whatever activities were organised. Staff we spoke to said that there were sufficient staff rostered to meet the needs of the residents. If there was any sickness which could not be covered by the staff of Amber Lodge, they could call on bank staff employed by the provider for all their homes in the district. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 21 The AQAA showed that there was a stable staff team at the home. 80 of them had worked there for over five years, and none had left in the last twelve months. This provided a stability for the residents and would give them confidence that staff knew their needs. We observed how friendly the interactions were between staff and residents, and also with visitors. The previous inspection had confirmed that staff files contained the appropriate identification documents, evidence of qualifications and references. All the staff who completed our survey said that they received training which was relevant to their job, helped them meet the needs of individual residents, and kept them up to date with new ways of working. Staff told us for example that they had recently attended training on equality and diversity, which had made them look at how they worked and what improvements could be made for residents, based on equality and diversity principles. One staff member told us that there were nine female and two male staff. Residents’ wishes for support from a particular gender would always be met if possible. It was the policy of the home that male staff did not support female residents with personal care tasks. We saw the training records for recent courses on fire training, food hygiene, First Aid, and Protection of Vulnerable Adults. All staff were trained in the Unisafe method of dealing with challenging behaviours. A staff member told us of the training they had been on this year, and said that they had started their NVQ level 3. The AQAA told us that eight staff already were qualified to NVQ Level 2. These examples showed that staff were competent to meet the needs of the residents. Staff told us that there were staff meetings every two months. We saw the minutes of recent ones. The change from the large minibus to smaller people carriers had showed that staff had differing views about the change. One person said there could be more staff meetings if particular incident needed to be discussed. We saw the records for the supervision sessions held with staff, covering discussions about resident’s needs, and training needs. A staff member told us that “our supervisions are very good.” These issues showed that residents were supported by trained and competent staff. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 22 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 good. People who use this service can expect to be consulted and have their health, safety and welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager had been registered with the Commission in May 2008. They had worked at the home in various capacities for ten years. They were studying for the Registered Manager Award. One of the staff surveys said: “The manager is always very helpful and easy to talk to.” The manager told us that they were well supported by their area manager as well as other managers within the provider’s company. Amber Lodge Residential Care Home DS0000024325.V371246.R01.S.doc Version 5.2 Page 23 Residents’ meetings were held regularly and the minutes were available on the notice board. There had also been a questionnaire for residents in June 2008, and one for visitors. All the residents responded that they were happy with their room and were clear who to speak to if they had a complaint or concern. All said that they were happy with the staff. Visitors said it was a warm, friendly and comfortable home, rating it good or excellent for the friendliness of the staff. One person said: “All are given help and their own independence.” We examined the accident log which listed five incidents in the last twelve months. The records of fire practices were up to date, the last bone being held in June n2008. This entailed a full evacuation of the residents. The testing of fire alarms and other equipment, and the maintenance of fire extinguishers were up to date. The fire risk assessment had been reviewed in August 2007. these safety checks protected the residents and promoted their well-being. Amber Lodge Residential Care Home DS0000024325.V371246.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Amber Lodge Residential Care Home DS0000024325.V371246.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. Standard Regulation Requirement Timescale for action 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 Amber Lodge Residential Care Home DS0000024325.V371246.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 Amber Lodge Residential Care Home DS0000024325.V371246.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. 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