Care Home: Summerfields Residential Care Home

What the care home does well The needs of the residents are well documented in their care plans giving staff the information they need to appropriately support them. The health needs of the residents are well met. Visitors are made welcome to the home. Well-balanced and appealing meals are provided. A good range of activities are available for residents to take part in should they so wish. The home has a clear complaints system and the procedures at the home and training provided to staff around adult protection safeguard residents. The home is clean and well presented and provides a comfortable and pleasant atmosphere. A number of staff have worked at the home for several years and know the needs of the residents well. This promotes continuity of care. The home is managed in the best interests of the residents. The home has a calm and supportive atmosphere and residents are treated with respect. What has improved since the last inspection? No requirements or recommendations were made following the last inspection. What the care home could do better: Improvements need to be made to the assessment processes to ensure that a thorough assessment is carried out before new residents are admitted to the home. This will ensure that only residents whose needs can be met are offered a service. The quality assurance systems in place would be improved if the responsible individual continues to produce a written report of their findings following their statutory visits to the home. CARE HOMES FOR OLDER PEOPLE Summerfields Residential Care Home 52-54 Rock Lane West Rock Ferry Wirral Merseyside CH42 4PA Lead Inspector Beate Field Key Unannounced Inspection 10:20 16 and 22nd January 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfields Residential Care Home Address 52-54 Rock Lane West Rock Ferry Wirral Merseyside CH42 4PA 0151 645 1573 0151 643 1503 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) Willowbrook Health Ltd Phyllis Valerie Lloyd Care Home 50 Category(ies) of Dementia (50) registration, with number of places Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of people who can be accommodated is: 50 Date of last inspection 8th August 2006 Brief Description of the Service: Since the last inspection of the service the home has been extended and Summerfields is now registered to provide personal care to 50 older people with dementia. The older part of the home consists of two large Victorian semi-detached houses that have been converted into one home. The building has four storeys, including a basement that provides offices, kitchen, dining room, laundry and other facilities used by staff. All storeys are served by a passenger lift. There are 22 bedrooms, one of which is available for sharing and all but one have en-suite facilities. There are two lounges and a number of assisted baths and showers around the home. The new extension has 27 single bedrooms with en-suite facilities, which are situated on 4 floors of the home. Communal areas are situated on the lower ground floor and consist of a spacious lounge, dining area and an activity room. All floors are accessible by passenger lift and there is access to bathing facilities on 2 floors of the home. Summerfields has a garden area to the front and a yard area to the rear. Parking is available at the front of the home. At the time of this inspection, the weekly fee for the home was £406.00. Additional charges are made for hairdressing, chiropody, physiotherapy, complimentary therapy and personal items. A service user guide and a statement of purpose, which describe the services offered at Summerfields is made available to new residents, their relatives and professionals before a resident comes to live at the home. A copy of the most recent inspection report can be obtained from the manager. Summerfields Residential Care Home DS0000061741.V358142.R02.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 inspection report is based on a visit to the home, information received about the service since the last inspection, by a questionnaire completed by the manager that gave essential information about the day-to-day running of the home and questionnaires completed by relatives, a health care professional and staff. During the visit to the home time was spent looking at a sample of records and policies and procedures and talking to the manager. A tour of the home was undertaken. The inspector spoke with some of the residents and made observations of the care provided to them by the staff. The inspector spoke with some staff and with the responsible individual for the service. What the service does well: What has improved since the last inspection? No requirements or recommendations were made following the last inspection. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A thorough assessment has not been carried out of the needs of all new residents before they are admitted to the home. This means that the residents cannot be assured that their needs will be met. EVIDENCE: Each of the residents has a contract/terms and conditions of residence a copy of which is kept in the home. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 9 Four resident’s care files were examined during the inspection. Each contained a pre-admission assessment completed by a senior member of staff at the home. Assessment documents from the placing authority or hospital were also available on some of the resident’s files. The records of the assessments carried out by the home showed that a thorough assessment had not taken place of the needs of two new residents. The mobility needs of these residents and what each resident can do independently had not been appropriately assessed. Essential information provided by a relative had not been documented which meant that this was not available for staff. At present staff refer to the assessment document to meet a residents needs until the care plan is drawn up which is generally between 4 – 6 weeks of admission. It is therefore very important that this assessment is thorough. This was discussed with the manager and responsible individual during the visit who is taking steps to address this. Prospective residents (and their families) are invited to visit the home and to spend some time there before making a decision to move in. They are also given time to settle into the routines of the home before taking a decision to stay. The home is not contracted to provide intermediate care. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the residents are well-documented giving staff the information they need to appropriately support them. The health needs of the residents are well met. EVIDENCE: 4 residents’ care plans were seen. These were detailed and provided clear guidance to staff on how to meet the needs of the people who live at the home. Daily write-ups refer to particular elements of the plan and thereby confirm they are used by staff on a day-to-day basis for the delivery of care and support. Care needs to be taken to ensure that when a personal care task has been undertaken this is recorded so there is a clear record as to when staff will need to provide this assistance again. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 11 The 4 care plans seen had been recently reviewed. Records show that relatives, social workers and advocates are invited to contribute to the review. A clear record is made to any changes to the residents needs and the care plan is then updated. The home has good support form GP’s, district nurses, a visiting optician, a local dentist and a chiropodist. The continence adviser is supportive to the home but it was reported that it can still sometimes take up to eight weeks for appropriate products to be delivered. The home provides secure medicine storage facilities. Staff who administer medication have received appropriate training. A sample of medications and the corresponding records were examined and were found to be in order. Staff interviewed were aware of how to handle medication safely. Staff receive training and guidance around how to meet a residents needs in a dignified manner and how to respect their privacy. The staff were observed to address residents in a respectful and polite manner. All personal care tasks are carried out in the privacy of a residents’ own room or in one of the bathrooms. The 4 relatives who returned questionnaires made positive comments about the care provided. Some comments included “We have always found the standards of care good – on our unannounced visits which are regular.” “Staff provide the care and support needed.” Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents being able to make choices, a range of activities being available, visitors being made welcome to the home and the provision of well balanced, appealing meals, promotes the wellbeing of residents. EVIDENCE: An activity co-ordinator is employed for 40 hours per week and organises daily activities such as board games, cards, crafts, film shows and trips out on an individual and group basis. In addition a mobility therapist visits the home twice a week and an entertainer comes to the home every Friday. Residents were observed taking part in a mobility therapy session, they appeared to be enjoying this and were keen to take part. Records indicate the interests of residents, which inform the activities offered. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 13 Relatives who returned questionnaires made positive comments about the activities available. Information provided by the home identifies that some of the residents are supported with small gardening projects and with baking. A new 12 seater mini bus has been purchased to enable more activities to take place outside of the home. The inspector spoke with the activity co-ordinator and was impressed with the range and frequency of activity at the home and with the research carried out by the activity co-ordinator to enable them to undertake their role effectively. Relatives and friends are encouraged to visit the home at any reasonable time but are asked to avoid mealtimes if possible. 4 relatives returned questionnaires and said that they are made to feel welcome when they visit. 2 visitors spoken with confirmed this. A number of visitors were observed visiting the home during the inspection and were greeted warmly by the staff. Residents are encouraged to exercise personal choice and to remain as independent as possible within the scope of their ability. Care plans show what residents can do/should be encouraged to do for themselves. A sample of the homes menus were seen. They showed that a wide variety of foods are provided that reflect the cultural and preferred choices of residents. Staff are aware of particular likes and dislikes but residents who do not wish to take the main meal on offer are provided with an alternative. The food being served at the time of the inspection appeared well prepared and presented. When asked about the food provided, residents were complimentary. Relatives who completed questionnaires also praised the food provided at the home. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place to deal with complaints and to protect residents from abuse. EVIDENCE: The home has a complaints procedure in place that is available to residents and their families or supporters. The procedure is displayed in the home and is detailed in the resident’s contract and in the service user guide and statement of purpose. 4 relatives returned questionnaires and said that if they needed to make a complaint they have been informed of how to do so. A record book is maintained to confirm the details and outcome of any matters raised. Records showed that a complaint made to the home had been thoroughly investigated and appropriate action taken. The CSCI has received one complaint about the service since the inspection in August 2006 and has asked the responsible individual for the home to look into this. The home has policies and procedures in place to deal with any concerns about the treatment of residents inside or outside of the home. Staff are familiarised Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 15 with the procedures during their induction to the home and appropriate formal training has been provided. Staff spoken with were aware of the procedure to follow in order to protect older people from abuse. A copy of Wirral Borough Council’s adult protection procedure is available at the home. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and there is a good standard of cleanliness and hygiene, providing residents with a pleasant environment to live in. EVIDENCE: Since the last visit the home has been extended. The extension provides a good standard of furniture and fittings and all areas seen were well decorated. The older part of the home has benefited from an ongoing programme of refurbishment. At the time of the visit a programme of replacing the windows Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 17 had begun. The homeowner’s future plans include replacing the patterned carpet in the communal areas and modernising the basement area, which contains the dining room. Communal space is provided in two lounges on the first floor and a dining room on the ground floor in the older part of the home. In the new extension the communal areas are all situated on the ground floor. The new extension has a large lounge, activity room and a dining room. Communal areas are furnished in a domestic style. All of the resident’s bedrooms (except for one) have en-suite facilities that include a WC and wash hand-basin in the older part of the home and a WC, washbasin and shower in the new extension. Many of the bedrooms are quite spacious with sitting areas. All of the bedrooms seen were decorated and furnished to a good standard and had been personalised by the resident with items brought in from home. Assisted bathing facilities are available in both the older part of the home and in the new extension. Steps have been taken to ensure the safety of the premises. The temperature of water is regulated. All of the radiators are fitted with protective covers to prevent residents coming into direct contact with hot surfaces. The responsible individual was asked to take steps to improve the safety of the patio area at the front of the new extension. The gate to this area was not secure. The responsible individual reported that this would be attended to within a week and in the meantime the patio door is to be kept locked. The home is maintained to a good standard and on the day of this inspection was free from any offensive odours. Relatives who returned questionnaires remarked on the good standards of cleanliness at the home. One comment made was: “It is remarkably fresh and clean. This was a deciding factor in choosing this home.” Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the residents’ are met by the training provided to staff and by the way staff are recruited to work at the home. EVIDENCE: Relatives and staff who returned questionnaires said there are usually enough staff available. Staff spoken with said that with the opening of the new extension they feel that at the busier times of the day more staff are needed. The manager and responsible individual recognised this and reported that more staff are in the process of being recruited and that no further residents are to be offered a service until more staff have been assessed as appropriate to work at the home. There is a clear staff structure in the home that includes the manager, deputy manager, senior care staff, care staff and ancillary staff. Staff spoken with were aware of their responsibilities at the home and the responsibilities of the senior staff and manager. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 19 The 4 relatives who returned questionnaires made positive comments about the care provided. Some comments included: “Residents can move around freely, there is a good relationship between residents and staff. I cannot speak highly enough of the home.” “If I had to go to a home this is where I would choose.” All staff receive an induction which includes first aid, manual handling, food hygiene, fire safety, health and safety, safeguarding adults from abuse, completing care plans, respecting privacy and dignity, maintaining confidentiality and the general operation of the home. Although the induction appears to cover all the areas identified in the standards of Skills for Care. A more detailed evidence based recording system should be put in place to identify that the Skills for Care workforce training targets have been met and any learning needs identified for staff. All staff are provided with a health and safety handbook and employee handbook when they begin their employment, which provides essential information about working at the home. Staff have received a day of training in meeting the needs of older people with dementia and a further 5 half day training sessions have been planned. Over 50 of staff hold an NVQ Level 2 in Care of Older People. An examination of a sample of staff files identified that appropriate procedures are being put into place for the recruitment and retention of staff. Overseas workers had all of the required checks and permissions. Files contained an application form, two references, confirmation of identity and confirmation that POVA and CRB clearances had been obtained. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents. EVIDENCE: The home’s manager is qualified and experienced in the care of older people and is registered with the Commission. The deputy manager was managing the home at the time of the visit. The deputy manager has an NVQ Level 4 qualification and has undertaken training to keep her knowledge and skills up to date. The deputy manager has undertaken a training day in dementia care Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 21 but should receive more thorough training in this area to ensure they have a sound knowledge base. The deputy manager reported that this currently being looked into. On the day of this inspection the home was busy and staff were getting on with their everyday work without constant reference to the deputy manager. Overall there was a calm and relaxed atmosphere and staff were observed to be supporting residents in a calm and respectful manner. There are quality assurance systems in place. There are arrangements for obtaining the views of residents and their relatives. The views of relatives are obtained by encouraging them to make their views about the service known to the management team. A questionnaire is also sent to relatives every 12 months. A member of staff said that their views are taken into account in relation to the operation of the home. Staff meetings are held. The responsible individual makes weekly visits to the service and provides verbal feedback to the manager. A written report is not made available. A written report needs to be made available as this provides evidence that the operation of the home is being overseen by the organisation that has the ultimate responsibility for it. The responsible individual agreed to address this and had begun this process at the second visit to the home. The home’s staff manage only small amounts of money on behalf of residents. The records of this were seen and were accurately maintained. Deposits were recorded and withdrawals supported by receipts. The staff records seen showed that staff had received supervision within the last 2 months. Arrangements are in place to ensure staff receive one-to-one time with a senior member of staff on six occasions each year. A record of the sessions is maintained. A sample of records of accidents were seen, these indicated that appropriate action had been taken when an accident had occurred. It is recommended that a monthly audit of accidents at the home is undertaken to enable any patterns to be identified and action to be taken where needed. A sample of safety check records were seen for servicing of the fire safety systems, electrical wiring, bathing aids and nurse calls and were appropriately maintained. Training records showed that staff are given appropriate training in safe working practices, including fire safety training. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 23 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 OP3 Regulation 14 Requirement The registered person must ensure that a thorough assessment takes place of a prospective residents needs before they are offered accommodation at the home. The registered person must ensure that the patio area at the front of the new extension is made secure before this area is used. Timescale for action 22/01/08 2. OP19 13 22/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations A more detailed evidence based recording system should be put in place to identify that the Skills for Care workforce training targets have been met and any learning needs identified for staff. Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 24 2. OP31 The deputy manager should undertake a more intensive programme of training around meeting the needs of older people with dementia. It is recommended that a monthly audit of accidents is undertaken to enable any patterns to be identified and action to be taken where needed. 3. OP38 Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Summerfields Residential Care Home DS0000061741.V358142.R02.S.doc Version 5.2 Page 26 - 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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