Inspection on 11/10/07 for Haven Lodge

This is the latest available inspection report for this service, carried out on 11th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haven Lodge 18/11/05

Haven Lodge 27/07/05

Haven Lodge 29/12/04

Haven Lodge 07/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Haven Lodge Haven Lodge 54 Terrace Road Plaistow London E13 0PB Lead Inspector Ms Harina Morzeria Unannounced Inspection 10:00 11 October 2007 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 Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haven Lodge Address Haven Lodge 54 Terrace Road Plaistow London E13 0PB 020 8472 3032 020 8470 8959 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) Pridegold Ltd Dhunraz Ramjeawon Care Home 15 Category(ies) of Dementia - over 65 years of age (15) registration, with number of places Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th April 2006 Brief Description of the Service: Haven Lodge is registered to care for 15 elderly residents , including those who suffer from dementia. The home has been registered to provide both respite and permanent care. There are thirteen single rooms and one double room. Eleven rooms have ensuite facilities. The building is located in a quiet residential area in Plaistow, close to public transport and other amenities such as shops and a local park. The proprietors are Pridegold Ltd. The rooms are situated on the ground and first floor which is served by a lift and stairs. Bathing and toilet facilities are suitable for the needs of older people. There is a lounge plus a separate dining area and a conservatory leading to a large well-kept garden. The external grounds and premises are well maintained and secure. The home employs sufficient numbers of experienced and skilled staff to meet the needs of the residents. Personal care is provided on a 24-hour basis, with health needs being met by visiting professionals or by staff accompanying residents to hospital appointments and other healthcare specialists as required. A variety of activities and entertainment are enjoyed by the residents provided by the staff as well as inhouse entertainment and outings. A Statement of Purpose is available upon request and located in the hallway at the entrance to the home and a Service Users Guide is given to each prospective service user, which details the service the home can provide. The home will display a copy of the Commission for Social Care Inspection report in the foyer and make it available at the request of the service user or their relative/representative. The scale of fees charged by the home is between £486 - £520 per week. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and the manager was present through the inspection. A tour of the home was made and four residents were spoken to. Six relatives/visitors, nine staff, eight residents’ and four health professionals’ comment cards were received. Feedback received was positive and further reference to this is made in the report. A variety of records, including care plans, staff files and health and safety documents were looked at. AQAA information was also received. What the service does well: What has improved since the last inspection? What they could do better: Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 6 Although no requirements have been made as the result of this inspection, the manager and staff team should consider how they can achieve the highest standards of care as set out in the Commission’s Key Lines of Regulatory Assessment. 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. Haven Lodge DS0000028357.V347285.R01.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 Haven Lodge DS0000028357.V347285.R01.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): 1,2,3,4,5 (6 not applicable) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A detailed Statement of Purpose and Service Users Guide are available to prospective residents to help them make an informed choice about where to live. Residents have an opportunity to visit the home and assess the quality and facilities and how the home will meet their needs. An accurate and comprehensive pre-admission assessment is undertaken for all prospective residents prior to their admission to the home. Residents and their representatives know that all their care needs are understood and can be met by the home. EVIDENCE: Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and Service Users Guide include detailed information about the service provided by the home, in order to enable other prospective residents and their representatives to make an informed choice about where to live. Evidence was seen that prospective residents and their relatives/representatives are encouraged to visit the home, talk to the residents and staff about the service prior to making a decision to live there. The home has a standard format for assessing prospective residents. Assessments by social workers are received by the home together with referrals and care needs assessments. The residents spoken to said that they enjoyed living at the home and thought that their needs were met. Feedback received via the relatives/visitors comment cards , “ I believe the good level of service is provided by Haven Lodge to the residents.” “ they look after my mother very well at the home.” The health care professionals stated that “ I observed that care, especially personal care is given in the privacy of individual’s own rooms and they provide adequate individualised care, respect service users and give them opportunity to express their feelings and make informed choices.” The files checked for two of the most recently admitted residents had a preadmission assessment form, as well as an assessment by the social worker of the needs and wishes of the resident. Privately funded residents have a contract and a statement of terms and conditions with the home. A separate contract exists with residents placed by the local authorities. The home does not provide intermediate care. Haven Lodge DS0000028357.V347285.R01.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): 7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Close attention is paid by staff to meet residents’ health, personal and social care needs. The standard of care planning is consistent for all residents so that staff know how to meet residents’ individual needs. Residents medication is administered safely and regularly. Personal support in this home is offered in a way which promotes and protects residents’ privacy, dignity and independence. EVIDENCE: Feedback from both residents and relatives was very positive about the commitment of the home to keeping residents as well as possible. Records confirmed residents are seen by a dentist, opticians, chiropodist, district nurses and doctors. Residents said that they able to see their GP upon request. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 11 Feedback from residents and relatives was positive about the commitment of the staff to keep residents as healthy as possible. A monthly health check routine is established as well as nutritional and weight charts being kept. Residents also appreciated the weekly visits to the hairdresser accompanied by staff. The records for three residents were looked at and showed that for each one there was a current plan of care which set out the individual needs of the residents and how they were to be met by the staff. Evidence was seen that the care plans are person centred and have been agreed with the individual. A key worker system is in place and staff work on a one-to-one basis with the residents in order to meet their individual needs. Discussions with the staff and the manager as well as daily records indicated that residents’ needs are being identified and met by the staff. The care plans are being regularly reviewed and updated to reflect residents’ changing needs. Risk assessments are attached to each individual care plan so that staff and residents are aware of their limitations as well as being encouraged to be as independent as possible. Sufficient aids and equipment are provided to encourage independence for the residents, these are regularly reviewed and is replaced to accommodate changing needs. Specialist advise is sought as and when required and evidence of this was seen on one residents of file who is being regularly monitored by the district nurse. A dietician has been consulted for one resident who requires a gluten free diet. The homes medication policy and procedure states that only staff who have completed medication administration training will be responsible for administering medication. Evidence was seen that thirteen staff have received medication administration training. None of the residents are responsible for administering their own medication and staff adhere to the home’s policy and procedure regarding medication administration. A policy and procedure is also in place to ensure compliance with the administration, safekeeping and disposal of controlled drugs. Haven Lodge DS0000028357.V347285.R01.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, 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a varied and suitable programme of activities available in the home for the residents. The home is good at being able to meet the cultural and religious needs of people from different backgrounds living in the home. Visiting times are flexible and people are made to feel welcome in the home so that residents are able to maintain contact with their family and friends. A well-balanced and wholesome diet is provided to the residents in a pleasant environment. EVIDENCE: The inspector spoke to a number of residents to seek their views about living at the home. All the residents spoken to stated that they receive good care from the staff and all their needs are being met in a caring and professional manner. Relatives comments include the following, “ care workers fully take care of the service users and help them to meet their individual needs. The care home provide a good choice of food to the service users. Staff are friendly and polite.” Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 13 Another relative stated that, “ mum has a choice of what she wants to eat and do and bed times etc.” There are a range of activities provided within the home by the staff. Some of the activities residents have participated in included daily newspaper reading by staff, and going out for walks to the park and shopping, reminiscence, playing games such as the skittles, watching films on DVD and listening to music as well as going to the hairdresser with staff. The inspector was informed that an activities co- ordinator had been employed to carry out activities which the residents, however she was unable to take up her post due to illness. An advert has been placed to appoint a replacement for this position. Plans are already in place for a Christmas party and lunch for the residents and their families, as well as outings. During the festive period outside entertainers will be visiting the home as well as outings being planned. Residents confirmed they were consulted about activities and outings they wish to do. Evidence was seen that the residents went to Southend and a Little Minster during the summer and a residents and relatives barbecue was also held. Complimentary cards were received from members of family who attended the barbecue. Residents are also encouraged to go out with relatives when possible. The inspector was informed that any residents who wish to participate in church activities, or to follow any other religious activities are encouraged and enabled to do so. The care plans contain information about preferred activities, including spiritual and cultural activities. Residents have a choice of where to see their relatives, either in one of the lounges or in their own bedroom. Residents are encouraged to bring their own personal possessions with them when coming to live at the home and this was evident when the inspector visited some of the residents’ bedrooms. Meals are mostly served in the dining room, though some residents choose to eat on their own in the lounge or in their own bedroom. There were two choices of the main meal however the chef stated that she would cook something different if either of the choices were not to a resident’s liking. All the residents feedback received was complimentary about the food served in the home and about the cook. One relative specially commented that “ I was talking to one of the residents and she was telling me about how she likes the different choices of food she is given and says it is cooked exactly how she likes it. She also told me that she gets help cleaning her room when she needs help.” The inspector visited the kitchen. A requirement made at the previous inspection regarding cleanliness of the kitchen and the requirement to change the cooker hood extractor is now met. Appropriate food records are kept as well as a fridge and freezer temperatures recorded. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 14 All other requirements regarding the storage of food made at the previous inspection have now been met and the manager and cook are aware that this must always be adhered to. The cook is aware of specialist diets required by a number of residents and a dietician was consulted about the provision of a gluten-free diet for one resident. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and acted upon. Residents are protected from abuse by the policies, procedures and practices within the home. EVIDENCE: The complaints book was examined during the inspection and no complaints have been recorded since the last inspection. The manager is aware that all complaints must be recorded no matter how minor. All complaints recorded are discussed to identify any trends and action to be taken to resolve them. One previous complaint was appropriately dealt with by the manager following the homes complaints procedure. The residents spoken to, on the day of the inspection, were asked if they were unhappy about anything in the home and if they knew who to make a complaint to. The residents said that they would talk to the staff or the manager. All the residents said that they felt confident that they would be listened to and their complaints would be acted upon. The majority of the residents have relatives, friends or volunteers who can advocate on their behalf, if they so wished. The manager has ensured that an Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 16 advocacy service is offered to residents who do not have any relatives/representatives to represent their views. A relatives comment card states that, “raised concerns are always dealt with and discussed with the managers - no problems”. The home follow the London Borough of Newham safeguarding adults policy and procedure for dealing with allegations of abuse and whistle blowing. All the staff working in the home have completed safeguarding adults training and new staff will be attending the course as part of their induction programme. The manager has planned to provide further refresher training to all the staff. The manager is clear when an incident needs to be referred to the Local Authority as part of the local safeguarding procedures in place. Appropriate risk assessments are in place to enable staff to respond appropriately to physical and verbal aggression. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 17 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): 19,20,21,22,23,24,25,26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a welcoming atmosphere and provides the residents with a safe and well maintained environment. There are sufficient numbers of suitable toilets and bathrooms for the number of residents accommodated. Residents bedrooms meet their needs and are furnished with their own personal possessions. Residents live in a home that is comfortable, clean and hygienic. EVIDENCE: The standard of the decor, furnishings and fittings in the home are maintained to a good standard. There is an ongoing programme of refurbishment and redecoration. On the day of the inspection work men were carrying out repairs Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 18 around the bathroom area. There is an effective system in place for the staff to report items requiring repair or attention. The living area of the home consists of a large lounge and a separate dining area, as well as a conservatory which are appropriately furnished. A redecoration plan is in place to upgrade the furniture and fittings in all these areas to make these areas look user-friendly and attractive. There is a rear garden which is well maintained and planted with flower beddings for the residents’ enjoyment. All the bedrooms are single except one double bedroom. However only one resident was accommodated in this room at the present time. The inspector was informed that although the home is registered to provide respite care they have not accommodated a resident needing respite since the last 18 months. The use of double rooms needs to be carefully considered by the responsible individual and the manager. The manager is aware that shared rooms can only be offered, if people willingly consent to sharing rooms. Eleven rooms have en-suite facilities. The inspector noted that bedrooms are personalised by the residents and contained family photographs, ornaments, and small items of furnishings. On each floor there are sufficient bathrooms and toilets suitable for residents to use. The standard of cleanliness in the home is high and a cleaner is employed to maintain it to this standard. Staff have attended training on infection control and take all the necessary precautions to ensure that there is no spread of infection within the home. There are adequate control systems in place to ensure that the home is free from any offensive odours. The heating, lighting, water supply and ventilation of residents’ accommodation meets the relevant environmental health and safety requirements and the needs of individual residents. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 19 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the residents. Residents benefit from a committed and experienced team of staff in the home who have the skills and training to meet the residents’ individual needs. The home follows a robust recruitment and selection procedure in order to ensure the residents’ safety and well-being. EVIDENCE: On the day of the inspection, staffing levels were observed to be sufficient to meet the needs of the residents. The home have a core group of stable staff who have built up a good knowledge and understanding of the needs of the residents. New staff are inducted and shadow other staff before commencing work. There is an ongoing programme of relevant training courses on offer to staff and evidence was the seen of various in - house courses available to them, which they are encouraged to attend by the manager in order to ensure that they develop the skills necessary to meet the needs of the residents. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 20 Staff files showed that they have done training in essential areas such as health and safety, safeguarding adults, dementia awareness, fire safety, manual handling, infection control, complaints handling, food hygiene, administering medication. Five staff have commenced a twelve week dementia training course and others will be referred to complete this course on a rolling basis. NVQ level 2 has been completed by 80 of the staff with a number of staff completing NVQ Level 3 training. This is good practise. The home is also able to recognise when additional training is needed and attempts to plan over time to provide this training. Staff are competent and trained to do their jobs in an efficient and professional manner. A good deal of positive verbal feedback about the staff at the home was received from the residents. They reported that staff working with them are able to meet their needs in a caring and sensitive manner and know what they are meant to do. A comment received from a relative is as follows, “the care is good and staff seem very pleasant to the people that live here.” A health professional stated that “ I have found the standard of care to be very impressive, I am also made to feel very welcome and they keep me up to date with the service user’s progress.” Evidence was seen that newly recruited staff are receiving induction training, although the manager needs to use the induction book to show that staff receive induction over a period of time and that their understanding was tested during supervision, to ensure that they clearly understood the information given to them. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 21 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, 32, 33, 34, 35, 36, 37, 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is run in their best interests by an experienced and qualified manager. Residents financial interests are safeguarded by the policies, procedures and practices of the home. The staff team work well together to make sure that residents are safe and secure whilst living at the home. Staff are appropriately supervised to ensure they have an opportunity to reflect upon their practice and receive appropriate support and guidance from the manager. Residents’ rights and best interests are safeguarded by the home’s recordkeeping policies and procedures. Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is registered by the CSCI. He is a qualified RMHN, has completed the registered managers award, and is waiting for the outcome. He has the competence and experience to run the home. Feedback from both the residents and staff was positive about the way in which the home is run. Evidence was a seen that regular staff meetings as well as residents meetings take place. A quality assurance system is in place to seek the views of residents, staff and other stakeholders in order to review and monitor whether the home meets its aims and objectives as stated in the Statement of Purpose and a report has been prepared. Any issues identified are recorded for action. Regulation 26 visits (monthly monitoring) are undertaken by the proprietor on a monthly basis and the reports are forwarded to the inspector promptly, showing that the registered providers are monitoring the service provided in the home. The inspector is also notified of any significant events and developments in the home. The home has an appropriate policy and procedures regarding safeguarding residents’ finances. If they wish and are able to, residents are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. Where the home is responsible for residents’ money it maintains clear records that are routinely kept up-to-date and can be used to track individual resident’s finances. The service understands the need to meet external requirements where it acts as agent or appointee for residents. Staff files were checked and all staff receive supervision on a regular basis. Staff members confirmed that they receive regular supervision from the manager. The manager adheres to keeping records up to date. The home has carried out all health and safety checks. Fire drills and alarm testing are undertaken regularly. Residents files examined showed that all risk assessments are in place, reviewed and updated on a regular basis or when a change in need is identified. Haven Lodge DS0000028357.V347285.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 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 3 3 3 3 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Haven Lodge DS0000028357.V347285.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. 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 Haven Lodge DS0000028357.V347285.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Haven Lodge DS0000028357.V347285.R01.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. 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!