Inspection on 05/02/08 for Beech Lawn

This inspection was carried out on 5th February 2008.

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

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

Other inspections for this house

Beech Lawn 13/03/07

Beech Lawn 07/02/06

Beech Lawn 06/09/05

Beech Lawn 15/02/05

Beech Lawn 01/09/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Beech Lawn Beech Lawn Nursing & Residential Home Higher Lux Street Liskeard Cornwall PL14 3JX Lead Inspector Mandy Norton Unannounced Inspection 10:00 5 February 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beech Lawn DS0000055098.V351352.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. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Lawn Address Beech Lawn Nursing & Residential Home Higher Lux Street Liskeard Cornwall PL14 3JX 01579 346460 01579 389615 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) Beech Lawn Care Home Ltd Mrs Julie Ann Weale Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability over 65 years of age of places (4), Terminally ill over 65 years of age (2) Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed 30 Date of last inspection 13th March 2007 Brief Description of the Service: Beech Lawn is a care home with nursing, for a maximum of 30 older people (soon to rise to 44 once the new extension is completed). It is a listed property with purpose built extension situated near the centre of Liskeard in a quiet residential area. Accommodation is currently provided in 25 single and 2 double rooms, all rooms have television points, and if required telephones can be installed at the service users expense. People requiring nursing care are provided with ground floor accommodation and first floor accommodation is accessed using a stair lift. There are lounge and dining room facilities on the ground floor and an activities room. Outside there is a variety of recently landscaped areas and paths that are able to be used by people who use mobility aids. A large car park has been built at the rear of the home as part of the ongoing building work. The home has a Registered Manager, Mrs Julie Weale, who is in charge of the day-to-day management of the home. The Registered Providers Mr & Mrs Stratton visit the home on a regular basis. A qualified nurse is on duty at all times and additional health care is arranged as required e.g. dentistry, chiropody. Social and recreational activities are provided. The food is home cooked and locally sourced with choices for each meal time. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place from 10.30 am until 4 pm on the 5th February and 09.40 am to 1.45pm on the 7th February 2008. The inspection included a visit to the administrative office a few miles from the home and a ‘site visit’ of the newly completed extension to assess whether it was ready to be registered for use. The inspection was conducted with the manager, the deputy manager and the providers, with assistance from administrative staff on the second day. A tour of the home was carried out and some of the people living in the home were observed during the visit. This report also contains information taken from the completed annual quality assurance assessment (a document that is completed annually detailing ongoing improvements and achievements), nine (9) completed staff surveys and discussion with staff on the day of the inspection. There were 27 people, 24 of who require nursing care and 4 requiring personal care only, living in the home at the time of the inspection. What the service does well: The home is homely, comfortable and clean and hygienic. The staff are very friendly and work well together to deliver high quality care to the people living in the home. Staffing levels are designed to meet peoples needs at different times of the day for example staff coming in just assist people who need help at mealtimes and more staff at times when the workload is heavy. The care plans are up to date and have a lot of relevant information about peoples assessed needs meaning the care is based on individual need. Medicines management and policies and procedures is to a high standard. Communication between staff, providers and people living in the home is good meaning that there are very few complaints or concerns. The manager encourages staff to have opinions and input into the ongoing changes so that things that are put into place work for everybody. She does this by means of formal and informal meetings. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 6 The manager, and her deputy, spend time making sure that processes are in place and up to date to ensure the smooth running of the home and spend time with the people who live in the home to ensure their needs are being met. The maintenance records and risk assessments are comprehensive and up to date, meaning people are safe living in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beech Lawn DS0000055098.V351352.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 Beech Lawn DS0000055098.V351352.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): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: The manager (and/or her deputy) carries out all of the pre admission assessments. She uses a pre admission assessment sheet to record information about the person and this forms the basis of the care plan should she decide the home can meet the persons needs. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 9 The last inspection report is on display in the entrance foyer. During a tour of the home it was noted that each person had information about the services and facilities at Beechlawn in their bedroom. The manager said that people are encouraged and welcome to come and look around prior to admission. The last person to move in had done so and had been shown the exact room they would occupy. The administrative staff issues each person (or their representative) with a contract and ensure that it is signed and returned. Beech Lawn DS0000055098.V351352.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 & 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The practice regarding the planning and delivery of care means that people can be sure that their health and personal care needs will be always be fully met. EVIDENCE: Peoples health and personal care needs are met by the well trained, effective and friendly staff team. During a tour of the home it was observed that people’s privacy and dignity was respected by staff knocking on doors before entering rooms, personal care being carried out behind closed doors and conversations being held that were appropriate to the individual. Care plans examined had information about what a person likes to be called and their personal likes and dislikes. Any radios or Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 11 TV’s on in the home were on appropriate channels for the people listening to and watching them. Care plans examined were up to date and had been reviewed. They contained a very comprehensive profile of the person and their care needs including a robust wound assessment tool, manual handling, nutrition and tissue viability and bed rail risk assessments. The daily evaluation sheets had ongoing information about a persons day to day welfare. All visits by GP’s and other health care professionals are recorded separately for easy access when needed by staff. The manager said that the care staff are very good at reporting changes to people so that the trained nurses can reassess their needs. The nurses, including the manager, work with the care staff regularly so that they can support them and ensure their ongoing development. Care is planned and delivered using a ‘person centred’ approach, meaning it is individual to each persons needs. Feedback from the nine (9) completed staff surveys included comments such as: there is thorough care, nice place to work, good working atmosphere, encouraged to read care plans and give feedback on Service Users, good rapport with relatives and good handovers. The manager demonstrated the systems in place for management and administration of medicines. they were found to be in accordance with laid down legislation. There is a file containing up to date information (data sheets) from all the medicines in use for staff to refer to at any time. This was noted as good practice. The manager said that all creams and lotions have the date they need to be used by written on the box/pot to ensure they are not being used inappropriately (this was confirmed during a tour of the home). The medicines management policies and procedures include information about how to manage instructions given over the phone or via a fax from a GP. The policies and procedures have been recently updated to reflect changing practice. The annual quality assurance assessment states that 3 nurses have attended a drug administration course. A recent inspection by the local pharmacist found the medicines management to be in order and made no recommendations. Everybody who moves into the home (and/or their representative) is given a questionnaire, at an appropriate time, to record their wishes when it comes to dying. This has been well accepted and has ensured that as far as possible peoples wishes are respected when they reach the end of their life. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 12 Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities within the home and community meaning the people have a range of opportunities to participate in stimulating and motivating activities. Meals and mealtimes are not rushed making them an enjoyable, social occasion for people. EVIDENCE: Discussions with the manager and comments on the nine (9) completed staff surveys confirmed that various recreational activities take place, either individually or in groups. The home has an activities co-ordinator who is responsible for arranging various activities. The activities are displayed at beginning of the week and people are reminded of what is happening on the day and can chose to take part or not. She also has time for one to one Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 14 activities with people who may not be able to join in with others due to being too frail or bed bound. One completed staff survey indicated that people could be helped more to keep up with their faith. When this was discussed with the manager she produced an information pack that she had compiled which listed all of the local churches and information held locally about numerous religions and special arrangements that may be required. She said she would make this available to all staff who may not know that the home has this information available. Communion takes place once a fortnight. A number of completed staff surveys (sent by the commission) and quality assurance surveys (sent out by the home) indicated that they liked the food provided in the home and can choose what they want. Personal preferences and special diets are catered for. Meal timings are flexible and service users said they are able to enjoy their meals in an unrushed atmosphere. People who need assistance with eating usually eat in one of the dining rooms where staff are on hand to help as required, here there is a chance to warm food up if it gets cold during the meal and fresh drinks can be made at any time during the meal. Fresh fruit available to everybody was seen in both dining rooms during the inspection. The annual quality assurance assessment states that people are offered’ their ‘5 a day’ and there are always at least 3 choices. The menu was seen displayed in the entrance foyer. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Formal complaints and reporting of abuse policies and procedures are in place. They are available to all staff and people visiting the home at all times. People feel their concerns are listened to and acted upon meaning that they raise concerns or make complaints when they should meaning people don’t accept a service if it doesn’t meet their needs. EVIDENCE: An up to date complaints procedure is displayed in the entrance foyer. The complaints and adult protection (safeguarding) procedures are available to staff at all times. The Commission has received no complaints about Beechlawn since the last inspection. There is a complaints book in the entrance foyer and the manager sees all the people that live in the home daily when she is on duty to ensure that they have no concerns or worries. There have been no complaints for a long time but the manager feels confident that the staff would deal with any concerns ‘effectively and efficiently’. Any concerns that are raised on Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 16 completed satisfaction surveys are responded to individually with information about how it is to be resolved. Eight (8) of the nine (9) completed staff surveys indicated that they knew what to do if a Service User or their relative had a concern about the home. Staff files examined had evidence that a number of staff have attended adult protection training. The manager intends for staff to have an annual update in house using a video training package and feedback from senior staff who should attend Cornwall County Council updates when possible. The manager has a ‘policy of the month’ that she displays on the staff notice board and adult protection procedures have been the subject of this recently. The complete policies and procedures book, that includes the policies and procedures for adult protection alerts and whistle-blowing is available to staff at all times. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the existing home has been improved since the last inspection and the improvements mean that people have a homely, comfortable and safe environment in which to live. EVIDENCE: A tour of the home found a homely, comfortable and safe environment. There is currently ongoing refurbishment of the original home and a 14 bedded extension nearing completion. According to the owner the people who live in the home and their visitors have been kept informed of the ongoing work and Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 18 any disruption that may occur. The extension includes a new kitchen, staff room, 14 bedrooms, 2 lounges and bathrooms and toilets. Once completed there will be space in the existing home for an activities room and the old kitchen will be turned into storage space. There is a stairlift to the first floor, so people who live upstairs have to have some degree of mobility to manage the lift. This is taken into consideration when a person is assessed prior to admission. The communal rooms are comfortable and decorated in a style in keeping with the age and purpose of the home. The garden areas around the home have been recently landscaped and offer paved walkways suitable for people who use mobility aids. Seating and tables will be provided in the near future when the new extension is open as there is a patio area leading from the dining room/lounge. All the bedrooms have been redecorated, have had new vanity units fitted, which have a lockable draw in them, and have had new curtains and bedspreads. Water outlets have had temperature control devices fitted. Bedrooms are individually furnished and contain many personal possessions. A number of rooms and a bathroom in the home have been fitted with overhead/ceiling hoists, which, according to the annual quality assurance assessment, are popular with service users and staff. Beds are adjustable and there is a variety of pressure relieving equipment for use as required. Decoration and refurbishment of the upstairs was ongoing during the inspection and is near to completion. Observation showed that the home is kept clean and there were no unpleasant odours. The new laundry was clean and tidy and has equipment sufficient to meet the needs of the number of people currently living in the home. A new mechanical sluice has been fitted. Gloves and aprons are readily available throughout the home. Infection control clinical waste policies have been updated and are available to staff at all times. One of the nurses has recently taken responsibility for infection control issues the home and will attend local link meetings with the health protection team and update all staff on any new developments. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management team and manager show a responsible attitude and implement changes and improvements in order to keep improving quality and outcomes for people living in the home. The staffing levels ensure peoples needs are being met at all times. The staff should have all statutory training, as required and have training also in conditions and common problems affecting older people with nursing needs and supervision and appraisals in order that people feel confident that they are being looked after by people who are trained appropriately. EVIDENCE: A tour of the home and feedback from eight (8) of the nine (9) completed staff surveys indicates that there are enough staff on duty at all times. .One survey indicated that more ‘twilight’ staff would be good. The manager said that staffing levels have already been increased at this time of day. There is a nurse on duty 24 hours a day. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 20 The nurses and care staff are supported by domestic, catering, laundry and maintenance staff. The company has an office nearby where administrative staff deal with contracts, fees, completion of recruitment procedures and peoples personal allowances. The annual quality assurance assessment states that 75 of care staff have achieved at least a National Vocational Qualification level 2 in care. Staff files examined (4) showed that all proper procedures have been carried out when recruiting new staff including a criminal records bureau (CRB) check and 2 written references being obtained. New staff follow an induction process based on the recommended ‘skills for care’ system. A newly employed nurse was on an introduction period during the inspection and was observed getting help and advice form other members of staff. The staff files included completed appraisals and supervision session notes. A number of completed staff surveys stated that career development is encouraged and supervision and appraisals are completed. Each person has a training file that includes all certificates gained. Files examined contained certificates for Protection of Vulnerable Adults (POVA) training, manual handling, fire safety and infection control. The manager has a system in place to record training and ensure people are updated as required. Training opportunities were advertised on the staff notice board. Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The changes the manager has implemented are designed to meet the needs of the service, and to continually improve the service the home offers to meet the needs of the people that live there EVIDENCE: The manager has been in post for some time and is qualified, competent and experienced to run the home. The owners were available throughout the 2 days of the inspection and it was clear that the manager works well with them. Other staff commented that the owners are easy to get along with and Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 22 supportive. A number of the completed staff surveys stated that the manager is approachable and that there is a good working atmosphere. The manager is keen to include staff in any changes that are implemented and relies on their feedback as to whether it is working or not and how it could be improved, she does this through formal staff meetings (minutes examined during the inspection), informal chats with staff and appraisal and supervision sessions. The staff have been kept informed of progress at all times during the refurbishment and building of the extension. There is a formal quality assurance process in place consisting of satisfaction surveys sent to people who live at the home or their representative. Recent responses were seen and the manager explained that she writes to people to say thank you for completing the survey and if any issues have been raised she sends a different letter detailing what can be done to resolve/improve the situation. An up to date insurance certificate is displayed in the entrance foyer. The administrative staff deal with peoples personal allowances and fees. The office is located a few miles form the home and was visited during the second day of the inspection. There is clear system for managing peoples money which includes income and expenditure recording and receipts as evidence of the activity. The office has secure facilities for storage of money and personal information. The home has a small shop where people who cannot get out easily can buy personal items. The money spent is recorded and taken off peoples balance once the administrative staff get the information. The administrative staff also support people who are able to manage their own finances, when this is appropriate. The provider carries out monthly visits to the home, speaking with people who live in the home and staff and generally reviewing the environment. The report compiled following the visit is sent to the manager and the Commission. Staff supervision sessions are carried out at least every 8 weeks. The manager makes appointments for staff which are recorded in the diary and notes taken during the sessions are kept confidentially in their staff files. Peoples records and personal information kept within the home that was examined was in good order and stored securely. The home has a maintenance man who carries out routine maintenance within the home and is responsible for checking safety equipment such as the fire Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 23 alarm. Any ongoing health and safety concerns and required repairs are put into the maintenance book which is checked daily (week days) and the work carried out that day or as soon as possible thereafter. He also carries out regular checks on wheelchairs, bedrails and electrical items in peoples rooms. The records examined were well organised and comprehensive. The accident report book and fire log - book examined were up to date and completed as required. The manager carries out general and individual risk assessments and the file examined had relevant risks assessed and they were up to date. Since the last inspection all hot water outlets have had temperature control devices fitted. Any agency staff that work in the home are given a file that includes information about each person living there and general information about the home and how to summon help if required. A number of staff files seen confirm that staff undergo a formal induction when they start work at the home and are assessed frequently until they have completed the process. All staff then continue to attend statutory training that includes lifting and handling, fire safety and first aid. Beech Lawn DS0000055098.V351352.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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 3 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 3 3 4 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 4 Beech Lawn DS0000055098.V351352.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 Beech Lawn DS0000055098.V351352.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Beech Lawn DS0000055098.V351352.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. 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!