CARE HOMES FOR OLDER PEOPLE
Lodore Nursing Home Lodore Nursing Home 9 Mayfield Road Sutton Surrey SM2 5DY Lead Inspector
Alison Ford Key Unannounced Inspection 9th October 2007 11:00a 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 Lodore Nursing Home DS0000019104.V352069.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. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Lodore Nursing Home Address Lodore Nursing Home 9 Mayfield Road Sutton Surrey SM2 5DY 020 8642 3088 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) Mr Stephen Pittman Post Vacant Care Home 36 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0), of places Physical disability (2), Terminally ill (0), Terminally ill over 65 years of age (0) Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. A maximum of ten service users in the DE(E) category. A maximum of eight service users in the TI and TI(E) categories aged 40 or over A maximum of two service users in the PD category aged 40 or over. Date of last inspection 21st February 2007 Brief Description of the Service: Lodore is a nursing home, registered with The Commission for Social Care Inspection, to provide nursing care for up to 36 older people. Up to eight of these beds may also be used for younger service users requiring palliative care. The home has forged strong links with the local hospice to develop a level of expertise in this field and is part of a community-based programme The Gold Standard Framework. The home is situated in a pleasant tree-lined road in Sutton within walking distance of the town centre. It is an Edwardian building, which has been tastefully extended to provide accommodation over three floors. Since being acquired by the present owners there has been an extensive programme of redecoration and refurbishment and this has been completed to a very high standard. There are eighteen single and nine double rooms. All but two of the rooms are accessible by means of a passenger lift and a stair lift is provided for those two. There are well appointed bathrooms on each floor and a variety of aids and adaptations have been provided. The home is staffed twenty-four hours a day by a mix of trained nurses and care staff supported by a range of ancillary staff. Fees at the time of this latest inspection range from £675 - £815 dependant on the choice of room and the level of dependency of the resident. Extra costs may be incurred for personal items and services such as hairdressing and these would be discussed prior to admission. Further information including copies of the homes Statement of Purpose and Service User Guide may be obtained from the home and a copy of their latest inspection report can also be downloaded from the Commission for Social Care Inspection website.
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This is an overview of what the inspector found during the inspection. This key inspection visit was unannounced and contributes to the inspection process of the home for the year 2007/2008. In compiling this report consideration has also been given to information received about the home throughout the year such as comment cards, complaints, visits made by The Registered Provider and the notification of any incidents. Pre-inspection surveys were sent out, both to people who use the service and to staff members to gain their views of the home and there was an extremely good response to these. In addition, the Registered Providers had completed an Annual Quality Assurance Assessment which is a document that they are obliged to return to let us know about their service and how well they consider that they are performing and meeting the needs of those people that they are caring for. During the visit a tour of the premises was undertaken and several residents, relatives and members of staff were spoken with. A sample of care plans was assessed and various records and documentation, required to be kept by the home as evidence of their commitment to the health and safety of their residents, was seen. Staff files of those who have been employed since the last inspection were also checked, to ensure that appropriate pre - employment checks had been completed. The home has just appointed a new manager who has undergone a period of induction and is just about to take up her new role. An application is awaited by The Commission to approve her registration. Unfortunately she was not on duty during this visit. While the home was without a manager, the Registered Providers undertook the management of the home supported by a team comprised from the head of care and senior staff members both from this home and another one owned by them. In this way they have been able to ensure that the outcomes for residents have remained good during this time. What the service does well:
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 7 This home has a very warm and friendly atmosphere and at this visit staff were welcoming and cheerful. As usual, those residents who wanted to join in were undertaking various activities while others were watching television or chatting with visitors or staff. Since the current providers acquired this home they have decorated it to a high standard and there is a planned programme of redecoration and refurbishment in place to address areas where paintwork is now becoming chipped and carpets slightly worn. As usual, all areas were clean and free from odour on the day of the inspection. Additional measures have been put in place to help with infection control issues. All of the residents appeared well cared for and the majority were very happy. Those who were able to communicate expressed their satisfaction with the home and the staff who were described by several as being “lovely” and “so helpful “ One commented on the dedication of staff and said that they just had to ring the bell and someone was always there. The food served in the home and the choices offered were praised and menus seen were varied and nutritious. One resident commented that the food served was “excellent” and another that “it was always beautiful “ Special occasions are marked and residents and their visitors had recently enjoyed a barbecue. Particular diets and preferences can be catered for. Those maintenance records that were seen were in good order as were all of those records required to be in place to ensure the protection of residents. Staffing levels are sufficient to ensure the safety and comfort of those living in the home. Many of the staff have been in post for some while and there is a positive commitment to training and development. Staff displayed an awareness of the issues and problems experienced by this client group and were observed treating them in a respectful manner. Resident’s views about the home and the services that they require are very important and the Staff and Residents Administrator visits all residents daily. As she is not a part of the nursing team and residents are assured of confidentiality, they are able to comment on all aspects of their care and comfort knowing that she will be able to liaise with the relevant staff members on their behalf. The home has forged strong links with the local hospice to develop a level of expertise in palliative care and is part of a community-based programme The Gold Standard Framework. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 8 No complaints have been raised about the service since the last inspection and one concern that was raised was dealt with swiftly and appropriately to the satisfaction of all those concerned. What has improved since the last inspection?
Since the last inspection all of those issues of concern raised at the last inspection have been addressed and no new requirements have been made as a result of this inspection. . The Statement of Purpose and Service User Guide have been updated and the latter has been produced in a more user-friendly format, which allows additional information to be added as necessary. This means that residents and their families are able to have access to all of the information that they might need about the home and there is copy left in each resident’s bedroom for future reference. A photograph album is also being developed which is taken to show potential residents if they are unable to visit prior to admission. It contains pictures of the home and of key personnel to give a feel of how daily life is, for those living there. Work has begun on liaising with residents and their relatives to produce each residents “life story ” with information about their previous lives and achievements. This has developed a greater awareness of resident’s needs and behaviour patterns and allowed staff to gain more understanding of the people they are caring for and to develop activities, which suit their interests. A great deal of work has been done to improve residents care plans. These now include additional documentation, which reflects resident’s social needs and preferences, risk assessments and evidence that residents or their relatives have been involved in their compilation and that they have been able to influence the way that care is given. There is also information available to reflect the wishes of those using the service should they become increasingly unwell or in the event of their death. This information is shared with the “out of hours doctors deputising service” in order to avoid unwanted hospital admission. This is especially important when residents are admitted to the home for palliative care and considerable effort has been made to ensure that they will be cared for at the end of their lives in the way that they prefer.
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 9 The home has recently purchased a new digital piano, which was being played by one of the residents during the inspection, and also several games and pieces of equipment to provide interest and stimulation. A new wireless network is currently being installed and laptops and web cams are to be purchased which will allow communication between residents and their families, some of whom are overseas. 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. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 10 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 Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 11 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): Standards1, 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service are given all of the information that they require prior to admission to the home so that they can make an informed judgment as to its suitability and a comprehensive assessment ensures that their assessed needs can be met. This home does not offer intermediate care. EVIDENCE: There is a Statement of Purpose and Service User Guide for the home, which have been compiled, in great detail and have now been revised in line with current legislation. These ensure that the people who use the service have information about the services that are offered, which helps them decide if the home will suit them and whether they would be happy living there. Copies of the Service User Guide, which has been produced in an attractive format suitable for this client
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 12 group, are available in resident’s bedrooms. A photograph album has also been produced so that when the senior staff member undertaking the pre-admission assessment visits a potential resident they are able to see what the home is like. It is considered that the quality of the information that is given to residents and their families is particularly good in this home although consideration to producing this information in audio format in the future would further enhance its usefulness. . Pre admission assessment documentation provides a comprehensive assessment of potential residents nursing needs. This then forms the basis for care plans some of which were seen during the inspection. There has been an increase in the detail that is obtained about resident’s social preferences and expectations as well. This has lead to the home identifying a need for more musical equipment and a new piano has been purchased. One resident explained how much he enjoyed playing this and demonstrated his skills during the afternoon by leading a singsong. For those residents funded by the local authority a care managers assessment is also present. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 13 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): Standards7, 8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use this service consider that their healthcare needs are met in the way that they prefer and that they are treated with dignity and respect. Medication policies and procedures are in place to ensure their protection. EVIDENCE: Seven care plans were seen at this visit. These included residents who had been admitted to the home recently and others who were being supported in accordance with The Gold Standards Framework for palliative care. The plans had been generated from the initial assessment and showed evidence of regular review so that any changes are identified. A great deal of work has been undertaken to improve these so that they are reflective of resident’s social preferences, likes and dislikes. They have now become a
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 14 useful working document, which provides details of exactly how the people who use this service wish to be cared for. Of particular note is the fact that resident’s wishes in the event of them becoming increasingly unwell have been shared with the “out of hours “ doctors deputising service, thus limiting the amount of unwanted hospital admissions. There is evidence of involvement from other members of the multi-disciplinary healthcare team including chiropodists and opticians, regular assessments are undertaken of those factors, which could identify residents at risk from developing pressure sores, and appropriate equipment and interventions are in place. Each resident has an allocated nurse and carer who has particular responsibility for them and is expected to work with them to ensure that their needs remain met. Residents also report any concerns that they have to The Staff and Residents Administrator who talks to them all on a daily basis. Work has also been undertaken to ensure that residents or their representatives have been given the opportunity to contribute to these plans and so influence the way that care and support is given. A new document has been included which allows staff to record details of any contact made with residents and their relatives, which might highlight any concerns and provides evidence of information conveyed between them. Regular assessments are now in place for residents who are using equipment, which may possibly compromise their safety, such as bed rails, and these are regularly reviewed. It is considered that care plans in this home are particularly comprehensive and detailed, reflecting extremely good outcomes for residents with regard to their health and personal care. There is evidence that resident’s current needs, are being met according to their preferences and that they are being given the opportunity to influence that care. Medication storage and administration records were seen to be in order and the supplying chemist now audits these on a regular basis. Residents were observed being treated in a respectful manner and all personal care is delivered in private. All of those residents that were spoken with and their relatives agreed that care is delivered in the way that suits them. One resident commented that “no-one tells you what to do, they let you what you want to ” Pre inspection comment cards also reflected residents and their families appreciation of the staff and of the way that they are cared for. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 15 Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 16 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): Standards 12,13,14,15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use this service say that they are able to exercise choice over their daily lives within the home, they enjoy the food that is served to them and that activities are provided which suit their needs. Relatives and friends are always welcome to visit the home. EVIDENCE: Residents explained that they were able to exercise choice over how they spent their days and whether they took part in organised activities. Some said that they enjoyed “ doing things with the other people “ others preferred to remain in their rooms and watch television or read. The Staff and Residents Administrator coordinates the activities programme, has worked closely with the residents to find out exactly what interests them and is always exploring new ways of providing interest and stimulation to their days. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 17 Recently, additional equipment has been purchased including games and craft equipment. A new electric piano has also been provided and one resident was entertaining everyone with his playing and leading the singing during the afternoon of the inspection. Several residents commented on how much they enjoyed the films that were being put on for them and they have all been registered with Dial-a-Ride so that they can have more trips out. A wireless network has been installed in the home and there are plans now to buy laptops and web cams so that residents can communicate with their families. Some residents who have relatives living overseas will particularly appreciate this. Visitors confirmed that they always made to feel welcome and offered refreshments, there are no restrictions to them coming in to the home. All the residents’ bedrooms that were seen contained possessions from home such as photographs, ornaments and small items of furniture. They would be encouraged to personalise their rooms and make them feel homely. Those residents and relatives that were spoken with were all very complimentary about the food served in the home, menus were seen, they were varied and a choice would be available. The chef works hard to try and provide food suited to individual preferences and special diets can always be catered for. Several compliments were received about the food that she provides for social events in the home. It is considered that the arrangements in place to provide activities for residents and the food that is served are a particular strength in this home. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 18 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): Standards 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service are made aware of the homes complaints policy and say that any concerns would be dealt with promptly. Training, policies, and procedures are in place to ensure that they will be protected from harm as far as possible. EVIDENCE: There is a complaints policy in the home and details are displayed in the hall. Residents and their relatives that were spoken with were generally confident that any complaints would be dealt with however, did not think that they would have any. One concern had been reported to Commission For Social Care Inspection since the last inspection, this was dealt with promptly by the Registered Providers to the satisfaction of everyone involved. Staff were able to demonstrate a clear understanding of issues concerning the recognition and reporting of adult abuse and staff files that were seen, provided evidence that all pre-employment checks are carried out appropriately.
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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): Standards 19,26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use this service consider that the home provides a clean, and comfortable environment, which meets their needs. EVIDENCE: The home is an attractive property, which has been refurbished to by the present owners to a high standard and is well maintained. Adaptations have been provided throughout the home and in bathrooms and showers to aid those with reduced mobility. There is rear garden, which is accessible to all the residents and is much enjoyed in the summer months. A tour of the premises included a sample of resident’s bedrooms, which are comfortable and tastefully decorated. There are appropriate door locks and lockable facilities have been provided. Radiators have been guarded to reduce
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 21 the risk of accidents. Automatic door closers, which operate in the event of a fire, have been fitted to bedroom doors to ensure the safety of residents in the event of a fire. It was noted that in some areas woodwork is becoming chipped and carpets are beginning to look worn however, there is an ongoing refurbishment and redecoration programme in place. On the day of the inspection the home was, as always, clean and free from odour and suitable measures are in place to reduce the possibility of cross infection and contamination. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 22 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): Standards 27,28,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service are supported and cared for by well-trained and competent staff who are able to meet their assessed needs. Robust recruitment policies and procedures help to make sure that residents will be protected from harm. EVIDENCE: The home is staffed 24 hours a day by a mixture of trained nurses, care staff and ancillary and domestic staff. Staffing levels ensure that staff to have the time to spend talking with residents as they care for them and the atmosphere within the home was calm and unhurried. All of the care staff have either undertaken an NVQ qualification at least to level 2 or are enrolled on the course. All of those spoken to were able to detail recent and relevant training that they had undertaken. A senior nurse, who has additional qualifications and experience, does much of this “in house”. New members of staff have an induction programme and work alongside someone withy more experience until such time as they are considered to be competent.
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 23 There is a robust recruitment process in place in the home. Staff files were seen of members of staff appointed since the last inspection and all complied with the standard. There was evidence of Criminal Records Bureau clearance, appropriate references, photographs and contracts. Work permits are applied for as necessary. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 24 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): Standards 31,33,35,38 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. People who use this service can be assured that, despite the current lack of manager, measures have been put in place to ensure that outcomes for them will not be compromised. Policies and procedures are in place to safeguard residents’ money and the home’s health and safety policies and maintenance programmes minimize any risks to their safety. EVIDENCE: The home is still without a Registered Manager however, a new person has just been appointed and it is hoped that an application for her registration will be
Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 25 received in due course. The management role is essential to ensure good leadership, supervision of staff and continuity of care and both staff and residents and their relatives commented that they were looking forward to this post being filled. While the service has been without a manager the providers have endeavoured to ensure that outcomes for residents are not compromised and they have overseen the daily running of the home. The Staff and Residents Administrator is considered to be an innovative role and she has introduced a service quality audit to look at resident’s opinions of the care and services that they receive in the home. She visits them all on a regular basis to gain their views and monitor any concerns that they may have and any feedback is actively considered in order to influence the provision of additional services. The Registered Provider visits the home on a regular basis and completes a report in accordance with Regulation 26. Small amounts of money are held in safekeeping for residents. This is mainly used to pay hairdressing bills or for small items of personal shopping. The records were seen and were accurate and well maintained. In order to maintain the wellbeing of staff and residents the home complies with current health and safety legislation. A selection of maintenance certificates was viewed and was in good order. Fire alarms, hot water temperatures and emergency lighting are checked weekly, staff were able to confirm a recent fire drill and a fire risk assessment has been compiled. Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 26 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 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 4 X X 3 Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 27 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 Lodore Nursing Home DS0000019104.V352069.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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
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