Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/06/05 for Acorn Lodge Nursing Home

Also see our care home review for Acorn Lodge Nursing Home for more information

This inspection was carried out on 14th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents and relatives were all very positive about the staff at the home and the care provided. Comments from residents included "staff are lovely", "nothing is too much trouble", "staff are A1", " you`ve only got to ask and staff will help if they possibly can" and "staff are exceptionally good". One relative wrote about the home "I have nothing but praise for the home because they never gave up on my father even though he was seriously ill at one point and I am particularly grateful to the nursing section as they constantly look for ways to make him more comfortable. The staff always make time to discuss problems with you". Another relative also commented that they were able to make a drink when they visited and that there was "no regimentation" in the home. The home is very clean and odour free. Residents and relatives praised the cleaning and laundry staff and felt they received a good service. The training programme for staff is varied, well organised and designed to help staff to obtain the skills and knowledge needed to carry out their jobs well. The overall impression of the home is one of friendliness and comfort. One resident said "if you`ve got to go in care it`s the place to be" and another said that the nice thing about living in the home was the fact that "you get attention and you have company". The home was in the process of investigating one complaint and the provider had a positive and helpful attitude in his view of the complaint, using it to look at any shortfalls in the service and improve them. Steps had already been taken to ensure that the same problem did not happen again.

What has improved since the last inspection?

The food given to residents has improved since the last inspection, with more choice being offered and meals being varied, appetising and tasty. Staff training has also improved, with areas of training that were identified as being needed at the last inspection now being delivered. Records of residents` personal finances have been improved so that it is clear what residents` monies have been spent on and residents are not open to exploitation. A new system of recording the care each resident`s needs has been introduced since the last inspection and staff are still in the process of upgrading everyone`s file. Care planning had improved on the general nursing unit but continues to need further work on the ground floor unit. The home has just been given the Investors In People award and has extended the opportunities for residents and relatives to be involved in the home and give their opinions about how it is run, with a residents/relatives association being established and a newsletter started.

CARE HOMES FOR OLDER PEOPLE Acorn Lodge Nursing Home Guido Street Failsworth Oldham M35 0AL Lead Inspector Fiona Bryan Announced 14 June 2005 - 09:00 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 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. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Acorn Lodge Nurisng Home Address Guido Street, Fialsworth, Oldham M35 0AL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 681 8000 0161 688 8088 Mr Aneerood Goorwappa Mr Goinden Kuppan Care Home with Nursing 85 Category(ies) of DE Dementia - 25 registration, with number DE(E) Dementia over age 65 - 25 of places MD Mental Disorder - 30 OP Old Age - 40 PD Physical Disability over age 65 - 20 PD(E) Physical Disability - 20 Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 No more than 45 places to be used for nursing care. 2 No service user aged under 55 years to be admitted home. 3 One RMN to be on duty throughout the 24 hour period. 4 One Registered Nurse to be on duty throughout each 24 hour period plus one additional Registrered Nurse for 12 hours per week. Date of last inspection 12th January 2005 Brief Description of the Service: Acorn Lodge is a purpose built home situated on a main road close to the Failsworth/ Manchester border.The home provides personal care for up to 40 service users accommodated on the ground floor. In addition the home provides general nursing care for up to 20 service users and specialist care for up to 25 service users with dementia. Service users requiring nursing care are all accommodated on the first floor. The home is owned and operated by Mr Goorwappa and a manager who is also a registered nurse assists him in the management on a day-to-day basis. The majority of bedrooms are single ensuite. One double room is provided for couples or service users who wish to share.Seven lounge/dining rooms, two “quiet” lounges and two conservatories offer a variety of settings in which service users are able to receive visitors, socialise and participate in activities. The home is on a main bus route with a bus stop outside. There is ample parking for visitor’s cars. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken by two inspectors who spent time talking to 7 residents, 3 visitors and 7 staff. Other residents took part informally, answering specific questions about the home and their day-to-day lives. The needs of 6 residents were looked at in detail, with a particular focus being their experiences in the home from their admission to the present day. Staff duty rotas, records of care, maintenance records and residents’ financial records were examined. A partial tour of the building was carried out. This inspection concentrated on just 2 of the 3 units within the home – the general nursing unit and the unit for people requiring personal care only (the ground floor). One letter with extremely positive comments was sent to CSCI from a relative who had seen notices advertising the inspection and wanted to express her opinion of the home. Comments cards were left at the home but none had been returned at the time of writing this report. What the service does well: Residents and relatives were all very positive about the staff at the home and the care provided. Comments from residents included “staff are lovely”, “nothing is too much trouble”, “staff are A1”, “ you’ve only got to ask and staff will help if they possibly can” and “staff are exceptionally good”. One relative wrote about the home “I have nothing but praise for the home because they never gave up on my father even though he was seriously ill at one point and I am particularly grateful to the nursing section as they constantly look for ways to make him more comfortable. The staff always make time to discuss problems with you”. Another relative also commented that they were able to make a drink when they visited and that there was “no regimentation” in the home. The home is very clean and odour free. Residents and relatives praised the cleaning and laundry staff and felt they received a good service. The training programme for staff is varied, well organised and designed to help staff to obtain the skills and knowledge needed to carry out their jobs well. The overall impression of the home is one of friendliness and comfort. One resident said “if you’ve got to go in care it’s the place to be” and another said that the nice thing about living in the home was the fact that “you get attention and you have company”. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 6 The home was in the process of investigating one complaint and the provider had a positive and helpful attitude in his view of the complaint, using it to look at any shortfalls in the service and improve them. Steps had already been taken to ensure that the same problem did not happen again. What has improved since the last inspection? What they could do better: Although efforts have been made to improve the record keeping in the home, instructions and advice about how to manage some of the residents’ needs, especially on the ground floor unit, were sometimes incomplete or vague and must be improved. As the home has regular staff who communicate with each other well verbally and know the residents well, the majority of residents needs were met, but better written records would reduce the risk that needs are overlooked. Although some residents were happy with the social activities that were provided for them, these residents tended to be the more mobile and independent. There remains a need to develop meaningful activities and opportunities for social stimulation for residents with dementia and other highly dependent residents. Staff need to develop social histories and care plans for all residents which would help them and the residents consider the type of pursuits they would enjoy. Please contact the provider for advice of actions taken in response to this Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 Residents are assessed before they come into the home. The majority of residents have all their needs met. EVIDENCE: Six residents’ care files were looked at in detail. Detailed physical assessments had been undertaken for residents on the general nursing unit, although social histories were in some cases only partially completed. Community care assessments were available on all the files on the ground floor unit. Staff knew the residents well and were able to describe their preferred routines, explain family contacts and demonstrate their understanding of the care needs of each resident. Staff said that when a new resident came into the home they would read their assessment information and discuss their needs with the unit manager. Following this they would add to their knowledge of the resident each day by talking to them and their families and finding out how they liked things done for them and what they could do for themselves. Comments from residents and relatives, the appearance of the residents, observation of the interaction between staff and residents and examination of care files provided evidence that in the majority of cases the home was able to Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 10 meet the needs of the residents. However, care needs to be taken to ensure that residents are appropriately placed, as it seemed from talking to one resident and looking at the file for another that they may have been better placed on other units within the home. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 10 Although the healthcare needs of residents are met, more rigour is required in ensuring that care plans and risk assessments detail all needs and the actions required to address them. Residents felt they were treated with respect and their privacy was upheld. EVIDENCE: Staff on all units were in the process of upgrading files as a new care planning and documentation system has been introduced at the home since the last inspection. Care plans and risk assessments were detailed on the general nursing unit and had been reviewed monthly or more often when needed, although one resident whose nutritional risk assessment identified them as being at risk and had who had lost weight had not had a care plan developed. Appropriate action had however been taken, which indicated that whilst written documentation was sometimes lacking, other factors such as the stability of the workforce, and good verbal communication in the form of handovers, ensured that residents’ needs were acknowledged and addressed. However, where written records are not up to date this puts the resident at risk that issues affecting their healthcare could be overlooked. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 12 On the unit for residents requiring personal care only, there were no social care plans or reference to social stimulation and activity in the daily records. Care plans were vague and interventions for risk management provided minimal detail. One resident did not have a care plan to meet his psychological needs. Relatives confirmed they were kept fully informed of changes in the condition of residents and one relative said the resident they visited had improved very much since coming into the home. Residents said they had been seen by opticians, dentists, chiropodists, CPN’s and dieticians and the records confirmed this. Residents said that staff were friendly and courteous. One relative wrote that her father “praised the staff all the time and admits he feels well looked after and cared for”. A resident said “I only have to ask and staff will help if they possibly can”. Staff have received training in “The principles of care” which includes discussion about ways in which the privacy and dignity of residents can be upheld. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The home satisfies the social and recreational needs of residents on the ground floor but needs to do more to meet these needs for residents on the first floor. Residents are able to maintain contact with family and friends and are encouraged to make decisions about their lifestyle. Meals are plentiful, appetising and tasty. Residents are offered a variety of dishes. EVIDENCE: One carer said she arranged bingo, crafts and singsongs each week and had organised trips out to garden centres and the airport. Residents confirmed this, however most of the activity takes place on the ground floor and residents from the general nursing unit and the unit caring for people with dementia do not always have the same opportunities or capacity to join in social events. Newspapers are purchased daily for residents to read. One visitor said he visited nearly every day and was always made welcome. Acorn Lodge Residential Family and Friends Association has recently been set up to raise funds for trips out and various activities, and residents have opportunities through this to put forward suggestions for trips out etc. A social evening was held on 10/6/05. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 14 One relative wrote that the resident they visited “ feels he is given a choice about issues such as what time he wishes to go to bed and what he wears”. Residents said they were able to have a cooked breakfast every day if they wished and some residents were observed enjoying egg, bacon, sausage and tomatoes. One visitor said that if he came to the home early to accompany his relative to a hospital appointment he was also offered breakfast. At lunchtime, tables had been set nicely and appropriate background music was playing creating a pleasant atmosphere. One resident knew what was for lunch and had been given a choice. Residents at lunchtime were offered a choice of chicken drumsticks, beef stew and dumplings or fish with carrots, peas, butter beans, mashed, roast and new potatoes and gravy. The beef stew was tasted and was hot and flavoursome. Residents were offered a choice of syrup sponge and custard or chocolate mousse for dessert. A lighter meal was served at teatime with residents being served either cheese omelette, sandwiches or salad. One resident said “the food has improved recently”. The chef was very positive about his job and all aspects of the service provided to residents at the home. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents and their representatives are confident that their complaints will be dealt with effectively. Residents are protected from abuse. EVIDENCE: One resident said he had complained in the past and had been satisfied with the response from the manager. Other residents said they would speak with the nurse in charge if they were unhappy about anything and were confident that any problems would be dealt with properly. Since the last inspection one complaint had been received by CSCI and passed to the home to investigate. The investigation was still ongoing but the provider had already instigated some staff training in response to the complaint and was proactive in seeking to improve the service as a result of it. Staff demonstrated knowledge and awareness of abuse and protection of vulnerable adults and the training programme incorporates teaching sessions covering these topics. Consent had been obtained for permission to use bed rails for those residents who had been assessed as requiring them to maintain their safety. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is well maintained, safe, clean and pleasant for residents to live in. EVIDENCE: The home was very clean and tidy at the time of the inspection and residents and visitors said that they were pleased with the standard of cleanliness within the home. A large number of rooms have been redecorated and two residents said they had chosen the new colour scheme for their rooms. During the inspection sections of the hallways were being repainted and it is planned to decorate the reception area next. Some carpets in the hallways were frayed but the provider stated that these were due to be replaced. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 The numbers and skills of staff and the training provided to them ensure that they are able to meet the residents’ needs. EVIDENCE: Staff and residents said that staffing levels were usually satisfactory. Residents said that staff answered the nurse call system promptly and that they were cared for by regular staff who they knew well and felt comfortable with. The home has developed a comprehensive training programme, which includes topics such as prevention of abuse, management of continence and enteral feeding. Training needs are identified during staff supervision sessions and records showed that staff had received training and updates in moving and handling, fire safety, food hygiene, first aid, risk assessment, health and safety, infection control, principles of care, abuse and neglect and challenging behaviour. Each training session is repeated several times to give all staff the opportunity to attend. The company is trainer has a teaching certificate and is fully qualified to deliver the training to a high standard, Examples of lesson plans and information about the contents of the training sessions provided were provided. In addition to the home’s in-house training programme 15 staff are undertaking a distance learning package on dementia care and 17 staff are undertaking NVQ’s. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 Residents have the opportunity to give opinions on how the home is run. Financial procedures ensure that residents’ interests are safe guarded. The health and safety of residents is put at risk due to shortfalls in fire regulations and procedures. EVIDENCE: The home achieved the Investors In People award in June 2005. Relatives/residents questionnaires are distributed six monthly and one resident and one relative confirmed they had been asked to complete a satisfaction survey. The provider said that questionnaires had been sent out recently and responses were being analysed. Residents said that they had recently received a newsletter, which they thought was a good idea as it gave them information about forthcoming events. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 19 Staff were enthusiastic and positive and felt that they had a good working team. Staff meetings are held and minutes taken. Staff said that they felt they were well supported by their managers and that they had the opportunity to make suggestions about how the home was run. Examination of residents’ financial records showed that receipts had been retained for all transactions, however two signatures were not consistently recorded for all debits. This was discussed with the provider who agreed that this would be done in future. Maintenance records were up to date and staff were observed to be working using safe working practices. Residents who needed to use the hoist to move said that staff always used the correct equipment. Accident records had been completed satisfactorily and are audited monthly. A recent inspection from the fire officer identified five areas of non-compliance with workplace fire precautions legislation, which must be addressed. A record of fire drills undertaken in the home did not provide the times that the drills were held and many of the same staff had attended several whilst other staff had attended none. All staff must participate in fire drills to ensure that they are confident about the procedures to follow in the event of a fire. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 2 Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 21 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 13, 15 Requirement Timescale for action 31/7/05 2. 12 16 3. 38 23 4. 38 23 The registered person must ensure that residents care plans and risk management plans set out in detail the action which needs to be taken to ensure that all aspects of the health, personal and social care needs of the residents are met. (Timescale of 28/2/05 not met). The registered person must 30/8/05 ensure that a programme of activities is arranged that provides facilities for recreation for all residents including those that are more dependent and those with dementia. The registered person must 31/7/05 ensure by means of suitable training, fire drills and practices that all staff are aware of the procedure to follow in case of fire. (Timescale of 28/2/05 not met). The registered person must 30/8/05 ensure that the areas of noncompliance identified by the Fire Service are addressed. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 3,4 Good Practice Recommendations The registered person should ensure that the residents discussed during the inspection have their care needs reviewed to ensure that they can be fully met on the units on which they live or to determine if a move to another unit would be beneficial to them. Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Porland Place Ashton-under-Lyne OL7 0QD National Enquiry Line: 0845 015 0120 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 Acorn Lodge Nursing Home F54-F04 S25427 Acorn Lodge v223268 140605 Stage 4.doc Version 1.30 Page 24 - 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!