Inspection on 05/07/08 for Tollington Lodge Care Home

This is the latest available inspection report for this service, carried out on 5th July 2008.

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

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

Tollington Lodge Care Home 03/10/06

Tollington Lodge Care Home 01/12/05

Tollington Lodge Care Home 14/07/05

Tollington Lodge Care Home 14/12/04

Tollington Lodge Care Home 22/09/04

Tollington Lodge Care Home 18/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Tollington Lodge Care Home 146 Milton Road Weston Super Mare North Somerset BS23 2UZ Lead Inspector Juanita Glass Unannounced Inspection 09:30 6 August 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 Tollington Lodge Care Home DS0000008068.V363952.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. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tollington Lodge Care Home Address 146 Milton Road Weston Super Mare North Somerset BS23 2UZ 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) 01934 620630 01934 620630 Mrs Carole Eileen Cotter Mrs Christine Neuenschwander Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 23 6th August 2007 Date of last inspection Brief Description of the Service: Tollington Lodge is a private residential care home registered to provide personal care only for twenty-three residents. They are unable to accommodate residents who are wholly dependent on a wheelchair or confined to a wheelchair, however they can take residents who can transfer from or to a wheelchair independently weight bearing. Tollington Lodge does not provide nursing intervention but they do have input and advise from the local community nursing team. Tollington Lodge has 21 bedrooms 18 of which are en-suite. These are arranged over two floors, there is passenger lift access to the top floor. The home is situated in a quiet residential area of Weston-Super-Mare within reasonably easy reach of the town centre, sea front and local shops. The facilities at Tollington Lodge include two lounges, dining room and access to a well laid out garden. The home operates a no smoking policy. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use the service experience good quality outcomes. This inspection took place over one day and a total of six hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also looked at surveys returned to us by people living in the home and people with an interest such as relatives, social workers and GPs. We received 10 surveys, 5 from people living in the home, 2 from relatives, 2 from staff and 1 from a health care professional. Once we had received this information we carried out a visit to the home and spoke to people living there, staff and relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, service records and health and safety. What the service does well: Tollington Lodge continues to provide a homely, caring and supportive environment. Staff are dedicated to meeting the needs of people living in the home in a personal, Person Centred way. The opinions of people in the home are valued, encouraging independence and taking into account the need to respect dignity and privacy. A very full and meaningful programme of activities is provided which people can take part in if they wish. The programme includes a choral group, poetry group, craft and geography groups as well as musical entertainment and quizzes. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 6 Comments received about Tollington Lodge were very positive. Comments on the surveys were, ‘I am very happy living here the staff are very helpful,’ ‘Generally it is a very caring home the staff are good and the food is good,’ and ‘there is always a warm welcome for visitors.’ One resident spoken to said they felt ‘very well cared for and involved in the day to day running of the home.’ Whilst another said they had nothing to complain about they had plenty to do and were very well supported. Relatives indicated that they were very happy with the care provided. One person commented that ‘the care given to residents is excellent and the staff are cheerful kind and very approachable.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 8 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 Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 9 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, 3 and 5. 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from adequate written information, a chance to visit the home and a full assessment of their needs. This means they can make an informed decision before moving in and their needs are fully met. EVIDENCE: We the Commission looked at a copy of the homes Statement of Purpose and Service user guide. This was readily available in the home and provided immediately. We saw that it was well written and contained all the information a person would need to tell them about what care the home can and cannot provide. It also states clearly the fees and what they pay for with a list of extra charges clearly mentioned. We saw in a resident’s room a copy of the service user guide, people spoken to did not comment on the guide. The guide also stated that there would be regular Holy Communion for those who wished Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 10 to attend, however it also states that they can accommodate the religious or cultural needs of people with other beliefs or cultural backgrounds. We spoke to the manager about how they would assess a person who wished to move into the home. She said they would visit the person either at their home or in hospital. They would talk to them, a relative or advocate and staff at the hospital or a social worker. They would also look at existing care plans for the person. We then looked at the records held in the home for people who had not lived there very long. They all had completed assessments and community or hospital care plans. We spoke to the people living in the home, but they did not mention how the experience of moving into Tollington Lodge had been for them. People wanting to move into Tollington Lodge can visit and spend some time there to meet other residents and the staff who will be looking after them. This is often done by a relative or advocate on their behalf. If the manager and staff feel they can meet the needs of the person they will offer a trial period when both the person moving in and staff can decide whether the home is really the best placement for them. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 11 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. People living in the home benefit from personal and specialist healthcare support that is provided in a person centred way respecting their privacy and dignity. They benefit from and are protected by the homes policies and procedures for the administration of medication, however unsigned handwritten entries do not show that staff are fully aware of the policies and procedures. EVIDENCE: Since the last inspection a person centred approach recording the care provided has been introduced. We looked at the care plans for four people they all showed that the staff at Tollington Lodge understand the way to record the personal way a resident likes to be cared for. All the care plans seen reflected this approach with clear guidelines for staff about peoples likes and dislikes and the way in which they preferred to receive their care. Staff had written care plans that reflected the person’s personal preferences and the way Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 12 they wished to be cared for. Staff spoken to said they knew each individual, their preferences and when they preferred to be helped or left alone. We observed staff chatting and laughing with residents in an easy and relaxed way. People we spoke to said they felt staff ‘knew how they preferred to be looked after.’ One person said the staff were ‘always kind and attentive,’ and ‘they know what I want before I do sometimes.’ During the day we noted that residents felt very relaxed and at ease coming to the managers office for a chat or to make a request. All the care plans included appropriate risk assessments and showed signs of regular review. Care plan reviews also reflect the changes in people’s lives, which are also agreed with the resident or their relative People living in the home have access to health care specialists and care plans showed that the district nurse could be consulted when the home felt they needed some expert advise. Residents were helped to attend out patient appointments, the dentist and the chiropodist. Regular reviews are carried out with the GP looking at specific health needs and medication. The home has very clear policies and procedures for the receipt storage and administration of medication and staff receive training before they can give medication to people. We looked at the records kept by the home for medication. We found that they were up to date and showed clearly when staff had given medication to people. We saw that some hand written entries made on the medicine charts were not signed or witnessed by another person. This puts people at risk of receiving either the wrong medication or the wrong dose. We have recommended that two signatures need to be on handwritten medicine charts when staff write them up. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the development of meaningful activities which recognises their diverse needs, likes and dislikes enabling them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the community. A well-balanced menu means people benefit from a healthy and nutritional diet. EVIDENCE: We discussed the provision of activities in the home with the manager staff and some residents. We saw that there was a very clear record kept to show that people had plenty of opportunities to join in an activity. The manager explained that the staff ran groups that residents could join in or opt out of at will. The groups included, a choral group, poetry group, craft and geography groups. Residents had requested the poetry group continue as they enjoyed it. They have also been following a programme similar to the Cradle to Grave project carried out in prisons. This involves residents creating a collage of ‘what shaped their lives.’ Such as major events, both personal and national, careers and their youth and families. People spoken to said they had plenty to Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 14 do. In the afternoon we observed a well-attended quiz which one resident said they always looked forward to. We saw residents going out for walks with relatives or informing staff they were going out for a while. Several residents asked if they could go as a group to see the damage caused by the fire on the pier and the manager said they would arrange it. A residents meeting is held every two months in which people suggest a trip or activity they would like to take part in. One resident commented on the ‘Travelling Teddy’ a small teddy bear is taken by staff or a resident when they go on holiday and when they return the places they visited are discussed in the Geography Group, where people try out the language discuss the culture and sometimes try the food. People spoken to said they can attend the monthly Holy Communion or attend their preferred place of worship if they wished. The Statement of Purpose says that they will welcome any religious leaders that may wish to visit the home. People spoken to confirmed that their relatives and friends are made welcome in the home. During the inspection relatives were seen to come and go throughout the day. They commented on the friendly and welcoming approach of staff who would assist them to find the person they were visiting and make the visit a pleasant one. Residents are asked on a daily basis about their meal preference. This is then conveyed to the cook. If a person does not want either choice another option can be offered. There is a good range of hot and cold options offered at each meal. The menus continue to contain a variety of well-balanced meals that reflect the preferences of the people living in the home. People spoken to and the written surveys indicated that the meals were of a good standard. Staff in the home carried out a food survey; alterations were made following residents suggestions. A focus group meets once a month that includes residents to discuss the food provided and any preferences for menus. One day a week is ‘meet the cook day’ when all residents can comment on the meals in the home. One resident said ‘we can tell them what we like and don’t like and they listen.’ Tollington Lodge Care Home DS0000008068.V363952.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. EVIDENCE: Tollington Lodge has a very clear complaints policy and procedure, which is easy to read. It shows a clear timeline and action to be taken if some one wishes to raise a concern or complaint. A copy is clearly displayed in the hall. The manager has also set aside a specific time when people know they can meet with her to discuss any concerns they have and not be interrupted by the day to day running of the home. People we spoke to said they knew who to approach and felt they could raise any issue with the manager if they so wished. The manager keeps a full record of all concerns, complaints and compliments they receive. We saw a copy of the North Somerset policy and procedure for Safeguarding Adults under No Secrets, which is available for all staff to read. Staff spoken to said they knew who to inform if they suspected abuse and they all knew Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 16 about the homes whistle-blowing policy. Staff records showed that they had all received appropriate training in Safeguarding Adults. Tollington Lodge Care Home DS0000008068.V363952.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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a comfortable, well-equipped and homely environment, which is well maintained and decorated with access to well maintained garden areas and local parks. People are protected by staff awareness of appropriate infection control guidelines. EVIDENCE: We carried out a tour of the home; we looked in people’s rooms with their consent. The home is well furnished in such a way that people living there can sit in small groups if they wish. The furnishings and lighting are domestic in style whilst providing adequate light to read by. The furniture and fittings are Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 18 of good standard and communal areas are pleasantly decorated. The facilities include a separate dining room, two lounge areas and gardens. A programme of re-decoration is being followed as and when rooms become available. People spoken to said that they liked their rooms and had bought in their own furniture and possessions which made them feel more at home. We sat talking to a resident in their room, it was comfortably furnished and brightly lit, they said they really liked the room and no pressure was put on them to sit in the communal areas if they did not wish to. The resident said that the member of staff that did the cleaning was very thorough and everything was dust free and clean. People living in the home also have access to outside areas. At the last inspection a requirement was made that when planning permission was agreed a room must be provided for the sleeping night staff. Planning permission has not yet been agreed so we have recommended that the provider continues to consider the provision of a room. The home shows a good standard of housekeeping and no offensive odours were apparent. The manager and staff showed a clear awareness of infection control policy and guidelines. Protective clothing was being used when appropriate and the manager can obtain guidance from outside agencies if required. Tollington Lodge Care Home DS0000008068.V363952.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect them from the possibility of abuse. EVIDENCE: We looked at the personnel files held by the home for some of their staff. We looked at the employment records for two recently employed members of staff. We also looked at the staffing rota and the training records for people working in the home. The staffing rota showed that there is always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing is flexible so extra staff could be bought in to cover extra busy times such as activities or trips out. People spoken to said there were always enough staff in the home and they never had to wait long if they rang their bell for help. The manager confirmed that staff are encouraged to attend the NVQ In Health and Social Care training. This has resulted in the home having 90 plus of their staff qualified in an NVQ 2 or 3 and other staff working towards the Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 20 qualification. Care staff were also attending training in Customer Awareness which will give them a clear understanding of the way to approach and communicate with relatives and people contacting the home. Staff surveys indicated that they were well supported with training. Staff personnel records showed that all mandatory training had been attended and dates for further updates were advertised in the office. Staff had also attended training that was considered relevant to their role in the home and the diverse needs of people living there. Staff said they felt well supported by the manager in attending any training they were interested in that would also benefit the home. Tollington Lodge has strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed showed that the manager follows these guidelines as all the relevant checks such as references and a CRB (Criminal Bureau Records) check had been completed before the person started work. This protects people living in the home from possible harm or abuse. Tollington Lodge Care Home DS0000008068.V363952.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, 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. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. They are protected from financial abuse through safe and stringent policies for managing resident’s money. Both people working and living in the home are protected by robust health and safety procedures. EVIDENCE: The registered manager is Mrs Christine Neuenschwanderand who is assisted by one deputy manager. She is an experienced manager who has completed the Registered Managers Award and training in managing supervision and is currently doing the NVQ2 in Team Leadership with her deputy manager. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 22 People spoken to said that they felt able to approach the manager and deputy if they wanted to raise issues. Residents meetings continue to be held and the minutes we looked at showed that residents attend and discuss their views on the way the home is run and the facilities provided. An annual survey of residents’ views is carried out; when these are returned and put together a meeting is held to discuss any issues raised. The Annual Quality Assurance Assessment (AQAA) returned to the CSCI was clear about the homes continued commitment to maintaining improvement and providing an environment that recognises the diverse needs of the people in their care. The manager confirmed that the home currently does not directly handle residents’ financial affairs. People either manage their own money or have a relative or power of attorney to act on their behalf. Staff personnel files showed that regular supervision is planned and carried out. Staff discuss with the manager their progress with training and their working practices. Any training and development needs are identified and plans put in place. Staff surveys indicated that they felt well supported and received adequate supervision. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included the COSHH records, which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents have personal risk assessments. Generic risk assessments are in place and reviewed regularly including hot water checks. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. Tollington Lodge Care Home DS0000008068.V363952.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 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 3 3 X 3 Tollington Lodge Care Home DS0000008068.V363952.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. 1 2 Refer to Standard OP9 OP27 Good Practice Recommendations Handwritten entries of medication charts need to be signed and witnessed to protect residents from potential drug errors. The registered provider needs to consider the provision of night staff sleeping facilities when the planning permission is agreed. Tollington Lodge Care Home DS0000008068.V363952.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Tollington Lodge Care Home DS0000008068.V363952.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. 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