Inspection on 30/10/07 for Ashley Lodge Residential and Nursing Home

This inspection was carried out on 30th October 2007.

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

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

Other inspections for this house

Ashley Lodge Residential and... 04/01/06

Ashley Lodge Residential and... 15/08/05

Ashley Lodge Residential and... 12/01/05

Ashley Lodge Residential and... 15/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Ashley Lodge Residential and Nursing Home Golden Hill, Ashley Lane Ashley New Milton Hampshire BH25 5AH Lead Inspector Anita Tengnah Unannounced Inspection 3oth October 2007 10:00 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 Ashley Lodge Residential and Nursing Home DS0000011413.V347499.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. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley Lodge Residential and Nursing Home Address Golden Hill, Ashley Lane Ashley New Milton Hampshire BH25 5AH 01425 611334 01425 619320 millars@bupa.com www.bupa.co.uk BUPA Care Homes (CFC Homes) Ltd 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) Mrs Joanna Collins Care Home 77 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) (E)- maximum number of places 20 Old age, not falling within any other category (OP) 2. Physical disability (PD). The maximum number of service users to be accommodated is 77. Date of last inspection 04/01/06 Brief Description of the Service: Ashley Lodge Nursing Home is registered with the Commission for Social Care Inspection to provide nursing and personal care top 77 people in the older person category. The service comprises two separate houses on one site. BUPA Care Homes Limited owns the service and the service benefits in pleasing and well-maintained grounds, offering pleasant views from many bedrooms. The home is located in Ashley, within close proximity of New Milton, a small country town that offers a range of amenities including library, places of worship, a leisure centre, shops and restaurants. Both houses provide accommodation on two floors and have passenger lifts providing access to their first floor accommodation. The service has communal lounges and dining rooms to meet the needs of the people living there. There is one laundry and one main kitchen that serve the service. There are extra charges for items such as chiropody, hairdressing, toiletries, and private telephone. The current fee charged is £675-£925 per week. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 30th October 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, laundry room and bathrooms were viewed. As part of case tracking 8 staff and 9 service users views were sought and care records were looked at. Information gained from the Annual Quality Assurance Assessment (AQAA) was used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. The commission received 5 comment cards from the service users and some contained input from their relatives. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. What the service does well: What has improved since the last inspection? Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 6 The service has recently been extended and the house was decorated and equipped to a high standard. The access to the external ground provides people with a well-maintained gardens and suitable for people with limited mobility. The old part of the service was in the process of being refurbished and will provide people living at the home with well-maintained and homely environment. 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. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 3,6 The pre assessment process is good and ensures that care needs are identified and the home can meet them prior to admission. EVIDENCE: The care records of two recently admitted service users were looked at as part of case tracking. This indicated that detailed pre admission assessments of needs were carried out and staff reported that this information was used to formulate their initial care plans on admission. Assessments of needs included dietary needs, likes and dislikes, manual handling assessments, skin integrity. Other information included mental state and cognition and end of life care. Another record of a planned admission on the day of the visit seen indicated that the pre-assessment included information from the primary care team, past medical history, dependency score and a list of current medication. The Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 9 manager said that this also allowed the team to plan for staffing as needed to help settle the resident. There was some evidence that the service users were involved in the assessments, as appropriate in order to ensure that all care needs were identified. The manager reported that the service users are offered the choice of visiting the home prior to admission. The service users’ family visited, as most of them were unable to do so due to their frailty. Other assessments included inputs from care managers as appropriate and records of these were maintained at the service. A visitor spoken with stated that he was provided with adequate information prior to his relative moving into the service and was “very happy” with the care. The manager confirmed that the service does not provide intermediate care and only has people for respite care. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 7,8,9,10 The care plans and records of care given were excellent. Staff had clear information about the support that the service users required with their care. The health care needs and access to external agencies are well managed. The medication management was good and ensured that the service users were protected. The service users are treated with respect and dignity and their right to privacy maintained EVIDENCE: Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 11 The home has recently introduced a new care planning for all the people living there. The care plans of 3 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. The care plans were detailed and contained information about the assessed needs of the residents and actions required in order to meet them. These included assessments such as manual handling, dietary needs, continence, medication, and the psychological needs. Risk assessments included falls assessments and measures to prevent this were recorded in care plans and consent gained for the use of bedrails as appropriate. Care plans including night care were put in place to demonstrate how these needs would be met. Daily records were maintained of the care given. Comments from the service users included “the staff are very kind and know what I need” Another service user said,“ I am very comfortable and well cared for by all the staff. A relative stated that his relative had been recently admitted and was very well cared for and that the “staff were very good”. The care plans were reviewed regularly to reflect any changes in the needs of the service users. At the time of the visit the home was providing care for a person in the younger adult category with a learning disability. The manager reported that the home had three staff with learning disability experience. Care plan seen indicated that her care was being reviewed and information about meeting her communication needs by using facial expression. Referral to the speech and language therapist was in place to assess her swallowing reflex and advice acted upon. A diet care plan was maintained and the resident had progressed from pureed meals to soft diet. Further assessments and the development of care plans to look at meeting her social and recreational/ educational needs would ensure that all her needs are met. All the people using the service are registered with the local surgery. The manager reported that the home had good relationship with the local primary care trust and the service users were supported to access health care services as required. The GP did not undertake regular visits to the home but was available on request. Advice was sought as required from external healthcare professionals, such as referrals to speech therapist for swallowing assessments and advice on nutrition as needed and also physiotherapist. Staff reported that there was no one with pressure ulcer at the time of the visit. Measures for the prevention of pressure ulcers such as pressure relieving mattresses were in place for people following assessments. The home has a medication policy and procedure and staff practices were observed while dispensing medication. The home maintained Medication Administration Record (MAR) sheets where all prescribed medications given were recorded. The manager reported that the registered nurses were responsible for medication management. All medication was stored safely and included controlled drug. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 12 Comments cards received and 6 of the service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. Comments included ”a very good home”. Another service user said “everyone of the staff is so kind” and that she “always felt safe”. Three of the service users stated that there were no restrictions about what time they went to bed or got up. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 12,13,14,15 The social and recreational facilities for the service users are very good and well managed for the older people accommodated. The service users are supported to maintain links with the community and their family and friends. The service users autonomy and choices are respected in their activity of daily living. The meals are excellent and meet with the satisfaction of the service users. EVIDENCE: The home has a planned and varied programme of activities for the service users. The home employs a social carer who supported the carers with the activities. A group activity was observed in one of the houses prior to lunch Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 14 that appeared well organised and interactive and people appeared to enjoy. Staff ensured that other people who were less able were included and encouraged to join in. Comments about activity included “ there are plenty of activities but I am not up to taking part.” Others said that this was good and one person commented that she preferred not to take part and enjoyed reading her book. The manager reported that she was recruiting an activity coordinator who would be responsible for activities in the new wing as the post was currently vacant. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Comment received and four people spoken with said that they have autonomy to receive their visitors in private. A relative said that he visited regularly and was “always made welcome”. The five people spoken with said that they have autonomy and choice with their daily living activities. Comments were that “usually” staff were available when they needed them. Others said, “you only have to ask”. The home has a planned menu that is rotated on a regular basis. Comment cards received and the service users spoken with said that the meals were “ very good” and hot and cold drinks were available at all times. Comments included “excellent food” and “good choice “. All the service users are provided with a daily menu and staff supported them in choosing from the menu. The menu was displayed in the entrance hall outside the dining room. The chef reported that cakes are baked daily for afternoon tea and supper menu consisted of soups, a baked dish, selection of sandwiches and dessert. Record of their likes and dislikes were maintained in their care plan. Comment were that the “food is excellent” and “food is very good and I eat it all”. Lunchtime meal was observed and appeared well presented, nourishing and balanced. The service users said that they enjoyed meeting up with the others at lunchtime in the communal dining room. Staff were available to offer support with meals as needed. The chef discussed that the service offers a “nite bite” menu for the suppers and this was very popular. Staff confirmed that they were able to prepare light snacks and that food was always available. The home also benefits for a “galley kitchens” that are attached to the communal dining rooms with facilities for snacks preparation. The chef has an internal monitoring system of daily recording and scoring of food taken and allowed staff to add extra nutrients as needed. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 15 Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16,18 The complaint management is good and the service users are confident that their complaints would be listened to. Staff have clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: The home has a complaint policy and procedure that staff and the service users spoken with said that they were able to use. Comments included “there is nothing to complain about” and “can’t fault the home”. Two service users said that they would speak to the head of care if they were unhappy with anything. Another comment was that “there is always a matron, or sister available” if needed. The manager maintained a complaint log of complaints received. The home had received three concerns since the last visit and a large number of compliments. There was no record of one the concerns raised as head office had dealt with it. A copy of the investigation was received during the visit as requested. Record seen showed that all of them had been resolved. The staff spoken with had clear understanding of adult protection issues and what they needed to do if any allegation was reported to them. The manager Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 17 reported that staff had training in the prevention of abuse as part of their induction using a video, and further training followed at a later stage. Staff spoken with said that they would not hesitate to approach the head of care and the manager if they had any concerns. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 19,26 The home provides the service users with a high standard, clean and wellmaintained accommodation that meets their needs. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: We looked at some parts of the building as part of this visit and included a number of bedrooms, communal lounges, dining rooms, toilets, bathrooms, laundry and the kitchen. The service had undergone a major extension and was in the process of renovating the older part of the building. The home was warm, bright, clean and homely. Furnishing was of very high standard and appropriate to the needs of the service users. The service users are provided Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 19 with ample communal areas where a variety of activities are undertaken. Most of the bedrooms seen have views of the garden. The service users’ bedrooms were highly personalised with pictures, televisions, small item of furniture and family photos. It was evident that the service users are encouraged to bring in items of personal belongings on admission. There was no inventory of the items that the people brought in on admission and should be put in place. All the people with nursing needs were accommodated in the new extension and the other house accommodated people with dementia. Staff reported that the dementia wing had been refurbished about a year ago. Comments from staff and the people living at the service were positive and included “this is a very nice home”. Comment cards indicated that the home was “always clean”. Others commented “ excellent place to live.” The service benefited from well -maintained and accessible gardens with easy/level access for people in wheelchairs. The garden was secure and seating was provided in different areas. It was noted that two of the communal toilets in the new build did not have grab rails; this was brought to the attention of staff and the manager confirmed that this would be rectified. The home has an infection control procedures in place. Staff practices observed indicated that they were aware of them. Gloves and aprons were available. Staff were using different coloured aprons for mealtimes. The home has a new well- equipped laundry in place that was appropriate for the needs of people using the service. There was no offensive odour in the home except for one area in the dementia wing. Staff reported that they were trying to deal with this problem and regular shampooing of the carpet of the resident’s room was undertaken. Staff stated that other means of reducing this adverse odour was being explored and may need alternative flooring. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing numbers are adequate to meet the present needs of the service users. The home has system in place to ensure that staff have the skills to deliver care safely. The recruitment process is very good. All checks are undertaken prior to employment to ensure the safety of the service users. EVIDENCE: The home has a duty roster for nurses and carers and a separate roster for ancillary workers. A sample of the staff roster indicated that there are 2 trained staff and 6 carers on the early shifts, and 2 trained staff and 6 carers on the afternoon shifts. The night staff included 2 trained staff and 2 carers with a twilight carer that helped out as needed. . Staff and service users spoken with confirmed that they felt that there was adequate staff to meet their needs. Comments from the service users were that there was “always” staff available when they needed assistance. The manager reported that staffing levels are reviewed continuously to meet with the assessed needs of people in particular in the dementia wing. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 21 The manager discussed that she was in the process of recruiting an activity co-ordinator and the social carer were used in the dementia care wing. Information received showed that home has 15 of the permanent carers who carers who have completed National Vocational Qualification (NVQ) 2 and above. TWO other carers were undertaking the course at present. Of the 3 bank staff, 1 had achieved NVQ 2 and 2 were in the process of working towards this qualification. The home has a recruitment procedure and the manager interviewed all the applicants. A sample of newly recruited staff seen indicated that the home had a robust recruitment process that staff followed. Checks were undertaken and references secured prior to employment. All the new employees were provided with a detailed two-day in house induction programme. The manager confirmed that the induction programme met the Skills for care guidance. The home has an ongoing training programme in place to ensure that all staff have mandatory training in health and safety. The manager kept a training matrix to help monitor training achieved and reflect any shortfalls so that these could be addressed. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a manager who is highly regarded and has clear lines of accountability for the service. The financial interests of the service users are safeguarded through good accounting. The process of seeking the service users’ views is well managed and ensures that the home is run in their best interests. There is an excellent procedure in place to ensure the health and safety of the service users is promoted. EVIDENCE: Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 23 The home has a registered manager who is also a registered nurse with a number of years experience in the care of the elderly. The manager has an open and inclusive management style and demonstrated clear lines of accountability within the home. She undertook regular updates to maintain her skills and to upkeep her nursing registration. Service users spoke highly of the manager and the head of care who supported her. Staff were complimentary about the manager and the head of care. They were confident to raise any concerns and appreciated the support and open door policy that the manager operated. It was evident from interaction observed that the staff and the service users had developed good relationships with each other. Comments from residents included “the staff are kind and attentive”. A relative said, “staff are always helpful.” The manager reported that the home did not manage any of the residents’ finances. Their family/ advocates were responsible and dealt with the people’s financial transactions. Invoices are raised for hairdressing, chiropody, telephones as needed and these were sent to them. Information received indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. There were detailed and up to date records of all servicing for equipments such as hoists, emergency lightings, fire equipments and lifts. The records of fire training, fire drills were in place and up to date. Two fire training sessions were undertaken on the day of the visit. The health and safety of people using the service was well managed and records of regular checks such as hot water temperatures were recorded. A fire risk assessment for the building was in place and all substances that are detrimental to the welfare of people and classed as COSHH were maintained safely. Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 24 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 4 X 3 X 3 X X 4 Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ashley Lodge Residential and Nursing Home DS0000011413.V347499.R01.S.doc Version 5.2 Page 27 - 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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