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Inspection on 14/08/07 for Alistre Lodge Nursing Home

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

This inspection was carried out on 14th August 2007.

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

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

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

The home provides personal and nursing care which is of a good standard. People spoken with thought that the staff were very helpful and attentive. Their comments included; `I`d recommend anyone to come here.` `The staff are all nice, there are certain ones who are exceptionally pleasant.` `Things have improved dramatically over the past 8 months.` `The staff treat me very well and always respect my wishes.` `Very good food and choice offered at all meal times.` `I would shift Dad out right rapid if it was no good, but it even comes up to my wife`s standards-miracles do happen!` `I feel they manage a difficult task with compassion.` The home is now able to offer services to those who require personal care and those who need nursing care. The home provides a staff group with a range of nursing and social care qualifications and experience. People who live at the home are regularly consulted about their views, most recently they have been involved in the revamping of the menu. Every person was asked for their favourite dish and these were then incorporated in the new menu. The staff feel well supported in their roles. New members of staff commented that they were welcomed into the staff team. There are staff members from a number of different ethnic backgrounds, one of whom commented that he had felt part of the team from the day he started which was not always the case in other places he had worked. The management team of the home promote open communication and good practice through their own example.

What has improved since the last inspection?

The amalgamation of two homes to create Alistre Nursing Home with Care has been successfully achieved. The good practices from both services have been identified and a consistent approach is being developed. The pre admission assessment practices at the home have been improved. All prospective people who may come to live at the home are visited and an assessment of their needs is completed. This assessment then forms the basis of the plan of care. The care needs of all people living at the home are now reviewed on a monthly basis. The involvement of medical specialists and support services has been increased. This ensures that people living at the home receive appropriate treatment. The administration and monitoring arrangements of medication at the home have been improved. The activities on offer at the home have been improved. There is a regular programme of entertainment and events that include trips out and visiting artistes. The home now has an activities coordinator who ensures that the entertainment and activities on offer reflect the interests of the people who live at the home. The complaints procedure has been revised. The new procedure is displayed in the home. Staff understand their responsibilities with when dealing with complaints and adult protection. Improvements to the environment have continued. There have been a number of rooms which have been redecorated. The kitchen has been resited. The two homes have been joined together and this has created an additional sitting area. The working patterns and routines of staff have been revised. This has allowed for greater flexibility and choice for the people who live at the home. The number of staff with a National Vocational Qualification in Care has exceeded the recommended minimum. Staff member shave benefited from regular training opportunities. The management tasks of the home have been shared between the two established managers. The policies and procedures have been amalgamated. The views of people who live at the care home have been sought in formal and informal ways; this ensures that the management team are aware of the level of satisfaction with the service provided.

What the care home could do better:

The care planning at the home could be improved by ensuring that people using the service or their representative are consulted and sign to show their agreement when the care plan is drawn up. This will ensure that all parties understand the support needs of the individual and agree on a consistent way in which these needs can be met. The risk assessments relating to the use of bedrails should be written in accordance with the latest advice regarding safety. The current risk assessment does not identify in detail the placing of the bedrails and the need for daily checks to ensure they continue to be safely fitted. The management team of the home have identified a number of areas for continued improvement, which include the development of an easily accessible website, a brochure and continual upgrading of the facilities at the home.

CARE HOMES FOR OLDER PEOPLE Alistre Lodge Nursing Home 69 St Annes Road East St Annes on Sea Lancashire FY8 1UR Lead Inspector Mrs Felicity Lacey Unannounced Inspection 10:00 14 August 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Alistre Lodge Nursing Home DS0000063623.V340140.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. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alistre Lodge Nursing Home Address 69 St Annes Road East St Annes on Sea Lancashire FY8 1UR 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) 01253-726786 J Parker (Care) Limited Mrs Charlotte Brennan Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 43 service users to include: *Up to 43 service users in the category of OP (Old age not falling within any other category). 2nd November 2006 Date of last inspection Brief Description of the Service: Alistre Lodge Nursing Home with Care offers care and nursing to 43 people. Accommodation is arranged over three floors on one side of the home and two floors on the other. There is a passenger lift at one side of the home and a chair lift at the other. Accommodation is in a mix of single and double rooms, most of which have ensuite facilities. There are a variety of communal rooms and a garden to the front of the home. The home is situated within ten minutes walk of the town centre of St Annes and is well served by public transport. Local shops and community facilities are within easy reach. The weekly charges at the home at the time of the site visit ranged from £396.00-£507.00. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process included information gathered from the owner and management team of Alistre Lodge Nursing Home with Care through the completion of an Annual Quality Assurance Assessment. Surveys were sent to people who live at the home, their relatives and health and social service representatives. Seven completed surveys were returned. An unannounced visit to the care home took place during which people who use the service, relatives and staff were spoken with and records relating to the care provided and the working practices of the home were looked at. Since the last inspection the merger of two homes to become Alistre Lodge Nursing Home with Care has been successfully completed. What the service does well: The home provides personal and nursing care which is of a good standard. People spoken with thought that the staff were very helpful and attentive. Their comments included; ‘I’d recommend anyone to come here.’ ‘The staff are all nice, there are certain ones who are exceptionally pleasant.’ ‘Things have improved dramatically over the past 8 months.’ ‘The staff treat me very well and always respect my wishes.’ ‘Very good food and choice offered at all meal times.’ ‘I would shift Dad out right rapid if it was no good, but it even comes up to my wife’s standards-miracles do happen!’ ‘I feel they manage a difficult task with compassion.’ The home is now able to offer services to those who require personal care and those who need nursing care. The home provides a staff group with a range of nursing and social care qualifications and experience. People who live at the home are regularly consulted about their views, most recently they have been involved in the revamping of the menu. Every person was asked for their favourite dish and these were then incorporated in the new menu. The staff feel well supported in their roles. New members of staff commented that they were welcomed into the staff team. There are staff members from a Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 6 number of different ethnic backgrounds, one of whom commented that he had felt part of the team from the day he started which was not always the case in other places he had worked. The management team of the home promote open communication and good practice through their own example. What has improved since the last inspection? The amalgamation of two homes to create Alistre Nursing Home with Care has been successfully achieved. The good practices from both services have been identified and a consistent approach is being developed. The pre admission assessment practices at the home have been improved. All prospective people who may come to live at the home are visited and an assessment of their needs is completed. This assessment then forms the basis of the plan of care. The care needs of all people living at the home are now reviewed on a monthly basis. The involvement of medical specialists and support services has been increased. This ensures that people living at the home receive appropriate treatment. The administration and monitoring arrangements of medication at the home have been improved. The activities on offer at the home have been improved. There is a regular programme of entertainment and events that include trips out and visiting artistes. The home now has an activities coordinator who ensures that the entertainment and activities on offer reflect the interests of the people who live at the home. The complaints procedure has been revised. The new procedure is displayed in the home. Staff understand their responsibilities with when dealing with complaints and adult protection. Improvements to the environment have continued. There have been a number of rooms which have been redecorated. The kitchen has been resited. The two homes have been joined together and this has created an additional sitting area. The working patterns and routines of staff have been revised. This has allowed for greater flexibility and choice for the people who live at the home. The number of staff with a National Vocational Qualification in Care has exceeded the recommended minimum. Staff member shave benefited from regular training opportunities. The management tasks of the home have been shared between the two established managers. The policies and procedures have been amalgamated. The views of people who live at the care home have been sought in formal and Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 7 informal ways; this ensures that the management team are aware of the level of satisfaction with the service provided. 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. Alistre Lodge Nursing Home DS0000063623.V340140.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 Alistre Lodge Nursing Home DS0000063623.V340140.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): 3 Quality in this outcome area is good. Admission procedures have been improved and this ensures that the needs of people using the service are understood and can be met at Alistre Lodge. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records seen showed that the pre admission information gathered is sufficiently detailed to ensure that the personal and nursing care needs of the individual are understood. The people spoken with and who completed questionnaires indicated that they had sufficient information to make an informed decision when considering moving to the home. People who were admitted to the home in an emergency situation confirmed that they were given full information shortly after their admission. The manager of the home is currently revising admission procedures and forms to ensure they reflect the requirements of the Mental Health Capacity Act. There are also plans to produce a new brochure and develop an easy to use web site. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Improved review procedures ensure that the health and personal care needs of people living at the care home are monitored and met in a consistent way. Some aspects care planning should be improved to ensure that people using the service are involved in planning their own care and that risk assessment are sufficiently detailed, in this way the welfare of people using the service will be promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans seen were detailed, however some identified needs were not included in the plan of care. Some care plans were signed by the person living at the home or their representative, however this was not found to be the case for all people. It is important that people who use the service are fully consulted about their care needs and that they have the opportunity to sign their care plan, this ensures that all parties are in agreement with the plan of care and the way in which support is to be provided. The risk assessment relating to the use of bedrails were not sufficiently detailed, it is important that risk assessments are drawn up in line with current guidance from the Medicines and Health Care Products Regulatory Agency. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 11 All care plans are now being reviewed on a monthly basis or more frequently if required. The people spoken with were confident that the staff understood their particular needs and preferences. Specialist services are sought when needed, for example the use of the dietician, hearing aid clinic and District Nurse services were documented in individual case files. There was evidence that people were receiving regular visits from the optician, chiropodist and dentist. The health and social care professionals who completed questionnaires indicated that they were satisfied that the home provides a safe and caring environment. People who live at the care home are able to choose their own General Practitioner, and information is provided to enable an informed choice. Medication practices have improved at the home. New systems for monitoring and auditing medication have been introduced. Staff members who are responsible for the administration of medication have received training. Records seen were completed appropriately and accurately. Handwritten entries on Medication Administration Records should be witnessed and countersigned to reduce the risk of any transcription error. There is a system in place to allow self-medication in line with an individual assessment. The people spoken with felt that their privacy and dignity was respected by all staff at the home. The new alarm call system allows people to summon assistance discretely. Staff were observed talking to people in a respectful manner and attending to their needs appropriately. Staff induction procedures include consideration of the importance of providing care in a way which respects and promotes the privacy and dignity of the individual. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. The activities on offer at the home are based on the interests and preferences of the people who live there, this ensures that they are reflective of their social and cultural interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An activities coordinator has been designated at the home, and this has led to an increase in organised regular events. The people spoken with were happy with the level of organised activity, some people enjoyed regular trips out, most recently on a country run with a meal out. The social and cultural interests of people are recorded at the time of admission. A social history is also gathered and this provides a valuable insight into a person’s life experience and lifestyle. Regular planned events are advertised on the notice board and included in a monthly newsletter. People spoken with confirmed that their preferences were respected, for example one person likes to spend time playing cards on a laptop and to watch sport, other people likes to be involved in group events. The staff are aware of the need to ensure that activities are accessible and suitable for all people at the home. Staff spoken with confirmed the range of activities on offer and also Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 13 explained that they made time to accompany people out in the local community. The spiritual needs of people living at the home are met through involvement with the local community. Currently the local Church of England minister visits the home regularly and conducts a service. Visitors are welcome at any time. The relatives who contributed to this inspection indicated that they were made to feel welcome and were kept informed of events at the home. The people living at Alistre Lodge are encouraged to handle their own private financial affairs as long as they feel able to do so. The manager of the home does not act as an agent for residents. Advice and information is available on local advocacy services. Meals and mealtimes are considered to be an important part of life at Alistre Lodge. The dining room is well presented, and tables were laid with cloths and napkins. People living at the home have been involved in redesigning the menu. A choice is always available, and each individual’s favourite dish has been included. The majority of people spoken with considered the food to be of good quality. Dietary needs are understood and nutritional intake is monitored. Staff assist those who need assistance in a discrete and unhurried way. Equipment which enables people to manage at meal times independently was seen to be in use. Visitors are able to enjoy a meal with their relative or friend. The manager is hoping to develop facilities which will allow people who live at the home and visitors to make snacks and drinks. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Quality in this outcome area is good. The policy of the home promotes consistency and understanding when dealing with complaints which safeguards the welfare of people living at Alistre Lodge. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints records maintained at the home showed that concerns raised have been investigated in line with the policy of the home. The action taken in response to concerns raised was recorded. People who contributed to this inspection were confident that any concerns they may have would be sorted out by the staff and manager. The complaints procedure has been given to each person at the home and is on display. Staff spoken with understood the complaints procedure. Staff receive training in their induction and through National Vocational Qualifications relating to adult protection and safeguarding procedures. The manager and owner are aware of their responsibilities under local procedures. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 15 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): 19,26 Quality in this outcome area is good. The successful amalgamation of two previous homes has been completed and this provides a pleasant and well presented place for people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new owner has continued to improve the environment. The management team aim to provide a ‘Home From home’ and in the view of people spoken with they have achieved this. The standard of furnishings at the home is very good. Efforts have been made to provide excellent quality bedding and furnishings. There is an ongoing programme of maintenance and refurbishment, which will ensure that all parts of the home are upgraded. Parts of the home have been redecorated. Funding from the Local Authority has been successfully applied for by the owner, which will be used to upgrade and improve some communal bathrooms. The amalgamation of the two homes has Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 16 provided more communal rooms and allows for greater choice for people living there. The home was warm and clean. There are infection control procedures in place. Pro-active infection control procedures are encouraged through staff awareness and understanding of hygiene measures. Training is provided for staff on a regular basis. There is a new system in place for the laundry, there is now a laundry assistant who ensures that clothes are laundered and returned to the people who live at the home, previously there had been some issues with clothing going missing in the wash. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Improvement in staffing ratios and the number of competent trained staff ensures that the needs of the people living at the home are met in a timely way and care practices reflect an understanding of good practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who contributed to this inspection thought that there were enough staff on duty to ensure that their needs were met. Staff spoken with understood their roles and responsibilities and felt able to carry out the duties required of them. The revision of staff rotas and routines has improved the flexibility and choice for people living at the home. Now people are able to rise and retire as they wish, previously some people had been going to be very early, this is no longer the case. Additional staff are on duty at peak times in respect of the needs of the people living at the home. There has been an improvement in the ratios of trained staff. The home now exceeds the recommended National Minimum Standard with 80 of care staff having achieved a National Vocational Qualification in Care. There is a system in place to ensure that all nurses at the home have maintained their registration. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 18 The recruitment procedures at the home are robust. The staff files seen contained all the relevant information and checks. References are obtained. Staff spoken with confirmed that they had been recruited in line with the homes policy. All staff spoken with thought that training was promoted by the management team of the home. The home has a thorough induction process, which ensures all key areas are covered and key policies are understood. All staff members are expected to complete a National Vocational Qualification. There are other opportunities for continued personal development. There is a programme of mandatory health and safety training, including Moving and Handling, First Aid and Basic Food Hygiene. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 19 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): 31,33,35,38 Quality in this outcome area is good. The home is managed in an open and inclusive way, the views of people living at the home are regularly sought and acted upon which ensures that the people living and working at the home feel valued and that their opinions matter. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of the home is a trained and experienced nurse. She is assisted by a former registered manager who has extensive experience and qualifications in the field of social care. Together with other member of the management team they provide an atmosphere, which is built on openness and respect. There is a clear understanding of the management role. People Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 20 spoken with during this inspection felt that the management team were approachable and interested. The home has Investors in People Award. The information provided for this inspection through the Annual Quality Assurance Assessment was of a high standard. The home has an annual development plan and the progress towards meeting objective is monitored through regular meetings. The views of people who use the service are sought on a day to day basis through regular contact with the management team, and through an annual survey. All policies and procedures are reviewed annually or in light of any new professional or government guidance. At present the manager of the home is not responsible for any person who lives at the homes finances. There are systems in place to ensure safe keeping of and valuables on behalf of a service user. The health and safety of people who live and work at Alistre Lodge is promoted through the policies and practices at the home. Staff receive regular training and refreshers in health and safety topics. The information provided by the manager indicates that all required safety checks have been completed. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 13(4)(c) Requirement Detailed risk assessments must be devised in line with professional guidance. Timescale for action 21/08/07 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 OP7 OP7 Good Practice Recommendations Care plans should address all care needs identified during the initial assessment. Care plans should be signed by the person using the service or their representative. Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Alistre Lodge Nursing Home DS0000063623.V340140.R01.S.doc Version 5.2 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. 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