Inspection on 17/01/07 for Beech Lodge

This inspection was carried out on 17th January 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

Beech Lodge 01/11/05

Beech Lodge 07/07/05

Beech Lodge 25/01/05

Beech Lodge 29/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Chestnut Grange Care Home

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

CARE HOME ADULTS 18-65 Beech Lodge Stanley Avenue Mablethorpe Lincolnshire LN12 1DP Lead Inspector Wendy Taylor Unannounced Inspection 17th January 2007 09:20 Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 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 Lodge DS0000002608.V323302.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 Adults 18-65. 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 Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Lodge Address Stanley Avenue Mablethorpe Lincolnshire LN12 1DP 01507 479781 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) julie.oneil@freeuk.com Linkage Community Trust Mrs Janet Elizabeth Skinner Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Beech Lodge is a modern detached house built on the same site as Oak Lodge in Mablethorpe, a small coastal resort on the east coast. The home is run by Linkage Community Trust and forms part of their long-stay project providing eight residential placements for younger adults with a learning disability. The home provides accommodation in single rooms for eight younger adults of both sexes. The home has a large lawned area to the rear of the property and car-parking space to the front. It is centrally placed for service users to access shopping, recreation and work opportunities within a very short distance of their home. Public transport is readily available to Skegness, a larger resort, fourteen miles away. There is a community centre, bowling green with hire shop, café and amenity area directly opposite the home, also developed by Linkage, which provides further occupational options for the resident. The home is part of Linkage Trusts long-stay project, which also operates a day centre facility at Scremby Grange, approximately nineteen miles from Mablethorpe. The residents are able to access this facility and as part of their personal development, are also involved in community work experience projects. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during January 2007 and the visit to the home was carried out over approximately 5 hours on one day. The care received by two residents was followed in detail. Residents spoke about their experience of living at the home and they showed the inspector their individual care records. General house records and staff records were also looked at. Staff and the registered manager were spoken to and the care being provided was observed. Information already held by the commission was also used as part of the inspection process. Residents said they like living at the house and they are very comfortable, one resident said that ‘it’s a very nice house’, and another said that staff are ‘lovely’. Other comments made by residents and staff can be seen in the main body of the report. What the service does well: What has improved since the last inspection? At the last inspection the registered manager was asked to keep records of when, and how much residents paid for making phone calls from the home. This was to make sure that there was a fair system. This is now being done. The registered manager and staff said that they think that they way care plans are looked at every month has improved; they are looked at in a lot of detail now. They also think that the risk assessments have got more detail in them and this helps to make things safer for the residents. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 6 They think that residents have better support to look for a job because there is now a person called a ‘job carver’ who helps them. Residents said that they think their bedrooms have improved as they have been decorated and they are now eating a more healthy diet. 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 Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of accessible information about the service they receive, and involvement in a robust assessment process. EVIDENCE: The statement of purpose and service user guide are available in each resident’s personal file, and pre inspection information indicates that the statement of purpose has been amended to contain the name of the new registered manger. Pre inspection information also shows that there are policies for referrals and admissions, and the admission policy is available in DVD format. Surveys received from residents’ show that they had all chosen to live at the home, and they had enough information available to help them make that choice. One resident said that they had visited for tea and were able to look around before they moved in. Contracts are available for each resident, and there is evidence in records that they also have of a full needs assessment carried out, written as a need profile. The profile is very clearly cross-referenced with care plans and risk Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 9 assessments and signed by the resident so as to indicate their involvement. There are also personal profiles that provide a detailed account of the resident’s personal history and, for example, their next of kin and doctors details. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are comprehensive and detailed care plans that enable staff to meet all needs, in a way that suits the resident. The resident’s benefit from support that allows them to take control of their own lives in a safe and supported manner. EVIDENCE: Care plans and risk assessments (see also Standards 18-21) are crossreferenced with need profiles so that all information is easy to locate. Care plans are divided into three sections covering daily living, behavioural management and medical support. The plans are very detailed and provide clear guidance to support workers about how to meet needs. Records show that the plans are reviewed every month by the key worker and the resident, and then annually with everybody involved in the resident’s life, such as their family and social worker. Care plans, risk assessments and review documents are signed by residents. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 11 Pre inspection information shows that there are policies and procedures available for risk management; and the values of privacy, dignity, choice and independence. Care plans refer to the resident’s privacy, dignity and choice, and records show that staff are trained in risk management and the principles of care. Personal wishes/arrangements for end of life support are recorded in personal files but they are stored in a manner, which maintains their confidentiality. During the visit residents said that they can choose who their key worker is; and they made comments such as ‘I can choose how to live my life’, and ‘I do my care plan with my key worker and then I sign it’. Surveys received prior to the visit indicate that all residents feel that they are able to decide what they want to do in their daily lives. Also during the visit it was observed that decisions on how to manage daily needs were being made by the residents themselves, and staff provided support and encouragement if it was needed or requested. Respectful and confident interactions were observed between residents and staff. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have access to a wide range of work and leisure activities, and they are fully supported to maintain and develop their independence. They benefit from having a healthy and well balanced diet, and from the information and support to maintain such. EVIDENCE: Weekly timetables of activity are available for each resident containing, for example, house days for cooking and laundry, social inclusion/community based activity and leisure activities. Residents are also helped to find work placements if they wish, by the ‘job carving’ co-ordinator from the provider organisation. The co-ordinator supports residents to find suitable vacancies and to go to interviews, and they also help the resident to settle into the job if they need it. Residents said that they have the opportunity to go swimming, Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 13 bowling, to the cinema, to work, and do crafts like making cards. Records show that residents are supported to maintain contact with their family and friends, and residents confirmed this during discussions. There is also evidence in the regular organisation newsletter that if they wish, residents are supported by the provider to join in activities such as fund raising for charities and the Special Olympics. Surveys indicate that residents can choose whatever activity they like to do, and they are involved in planning their weekly timetables. They also said that they complete their household and work based responsibilities before they engage in their leisure activity. During the visit, staff were observed to support residents to meet their responsibilities of living with others, for example, respecting every ones privacy. There are housework rotas and menus in place, and staff said that the residents decide what is included in both. There is also a ‘healthy eating’ file with information to help residents make healthy choices of food. During the visit residents demonstrated their understanding of healthy eating when making their lunchtime meal. Residents said that they decide what they want to eat and make meals for the others when it’s their house day. They also said that they take turns to go shopping for the food, and they can make snacks and drinks whenever they want. Pre inspection information shows that there are policies available for food safety and nutrition, and that staff have training in basic food hygiene. Records show that residents meet every three weeks, with the support of staff. Minutes of the meetings show that areas such as leisure activities, complaints, recycling activity, road safety, the operational plan and holidays are discussed. Residents also sign the minutes to show that they took part. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from comprehensive health care arrangements and support, and they are protected by robust policies and record keeping practices. EVIDENCE: Care plans are in place for specialist medical needs, dental care, foot care, eyesight, vaccinations and emotional and behavioural needs. Again, the plans are very detailed, and there is also general information available about health conditions such as eczema, allergies and healthy eating plans. There is evidence of regular monthly reviews, and also amendments following input from relevant health professionals. There are health action plans in place, and clear records for attendance at, for example, well woman/man clinics and GP/Consultant appointments. Residents said that they could see their doctor whenever they need to and that staff will go with them if they wish. Administration of medication is clearly recorded, and records are completed in full. Any medication changes are appropriately highlighted, and there are detailed protocols for residents and/or staff taking medicines out of the home, Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 15 for example, to work. Stock levels of medication are checked and recorded at each change over of staff to make sure that there is always an adequate supply in place. The registered manager said that she or her deputy audits medication records on a monthly basis to make sure that policies and procedures are being followed. There are very detailed risk assessments in place for areas such as self-medication and infection control during administration. Residents described how staff support them to take their medication, and they demonstrated that they knew where, and how their medication is stored. Pre inspection information shows that there are policies in place for issues such as medication, continence and pressure relief. Since the last inspection the commission has received three notifications regarding health care issues for residents, which show that they have been managed appropriately. Records show that staff receive training in areas such as medication, epilepsy, behaviour management and first aid. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to freely express their concerns and complaints in a supportive atmosphere, and they are protected by robust and accessible policies and practices. That protection is enhanced by knowledgeable and welltrained staff. EVIDENCE: Pre inspection information shows that there are polices available for complaints, safeguarding adults and whistle blowing. The complaints policy is available on DVD so that all residents are able to access it. Records show that no formal complaints have been made about the service since the last inspection. Residents said that they could talk to staff if they are not happy with anything, and one resident said ‘they (staff) always listen and help’. Surveys indicate that residents know how to make a complaint, and again they feel that staff listen to what they have to say. Records in individual files show that residents are asked on a monthly basis if they have any concerns or complaints, and any actions that are taken to resolve issues. Staff demonstrated a detailed understanding of the processes and principles of adult protection, and records show that they receive training and updating in the subject. A copy of the safeguarding adults policy is kept in each residents file for them to access whenever they want. Advocacy services information and Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 17 contact numbers are also available in individual files for residents to use if required. Residents have pooled bank accounts held with the provider organisation and money is requested from the accounts when they require. Residents said that they keep their own money to use as they wish, and one resident said that they have a small safe in their room to keep their money in. Records show an audit trail from request to receipt of the money (see Standards 37-43). Records are also available for telephone call payments made by residents as required at the last inspection. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents help to maintain and develop a comfortable, homely and family like environment, which promotes both safety and independence. EVIDENCE: A resident showed the inspector around the home on the day of the visit, and described the choices they made for the décor and furnishings in their bedroom. They said that the furniture is arranged how they want it. They said that they like to spend time in their room but they also like going in to the lounge with other residents because it’s nice and comfortable. As well as the main lounge, there is a second smaller lounge, a conservatory area and a dinning room for residents to use. The environment was presented as very clean and tidy, with comfortable and homely décor and furnishings. Personal photographs and locally produced artwork decorate the home, adding to a family like atmosphere. Surveys show Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 19 that all residents feel that the house is kept clean and tidy, and that they help to keep it that way. Records show that residents take turns to undertake household chores, with the support of staff if they need it. A resident described the chores they had been doing that morning such as vacuuming and polishing. The building, décor and furnishings are very well maintained and records show that maintenance requests are resolved in a timely manner. There is also a well-maintained garden that residents said that they like to use in the summer. Risk assessments are in place for areas such as infection control issues, substances that could be hazardous to health, the use of knives and sharp utensils, falls and Legionella. All substances that could be hazardous to health are stored appropriately and a resident demonstrated their understanding of safety issues in relation to the substances. Residents have begun to engage in recycling activity for household waste, which is again stored and managed appropriately; and aprons and gloves are accessible around the house for infection control measures. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected by a consistent, well-trained and supported staff team, whose selection and training they are able to influence. EVIDENCE: Residents said that there are plenty of staff to help them do what they want to and rotas confirm this. Rotas show that there is a consistent staff team who are all well known to the residents, and no staff have left since the last inspection. Surveys indicate that residents feel that staff treat them very well, and one resident said that the manager is ‘lovely’. Records, and the annual training plan, show that staff have access to and receive specialist training in, for example, Aspergers syndrome, Downs Syndrome, epilepsy, loss and bereavement and behaviour management. Staff confirmed this in discussions and added that they receive training in food hygiene, principles of care, infection control and appraisal methods as well. There is also evidence of a six week long induction process. The registered Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 21 manager said that some residents now take part in the induction process for new staff, and help in interviews. Records of regular monthly supervision sessions for staff are available, and annual appraisals of work performance are also recorded. Staff said that they are very happy with the supervision process, and they feel supported by the manager in all aspects of their work. They said that there is also very good peer support and teamwork; and there is evidence of regular staff meetings. They demonstrated an in depth knowledge of residents needs and said that there are enough staff on duty to meet the resident’s needs. One member of staff said that the team is always looking for ways to improve the service. Pre inspection information shows that there is a policy in place for recruitment and selection, and recruitment files contain appropriate information such as application forms, references, criminal record bureau checks and photographic identification. Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This is a very well run service that protects the health, safety and welfare of residents with robust record keeping practices and comprehensive policies and procedures; and residents are able to influence the development and the quality of the service they receive. EVIDENCE: Since the last inspection a new registered manager has been appointed to the home. She has previous experience in the role of deputy manager and is currently undertaking a nationally recognised management qualification. Pre inspection information shows that policies are in place for areas such as accidents/incidents, quality assurance, substances that are hazardous to Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 23 health, first aid, health and safety, management of service users finances and fire safety. Up to date fire safety records are in place including evacuation events, weekly system checks and equipment checks. There is a fire risk assessment in place and residents demonstrated a clear understanding of fire safety issues and described the evacuation procedures. There are records in residents’ files to show that their personal electrical equipment has regular safety checks, and there is the same for general household electrical equipment. Up to date records are also kept for things like fridge/freezer and meat temperatures. Records show that staff receive training in risk assessing, health and safety and fire safety. Daily records for residents are very clear and detailed, and they contain information that refers directly to care plans and activity. Specific or more important information is highlighted for ease of access, such as medical appointments. Clearly completed accident/incident records are in place, as well as up to date personal property lists. Quality assurance systems are in place that include regular audits by registered managers from other homes within the organisation, annual resident and family/carer surveys, and surveys generated by the ‘Pointers Committee’, which is run by and for residents and people who use the organisations wider services. This committee helps them to influence the development of the services they receive, and it organises social events such as a Halloween disco. The registered manager said that one resident represents the house at the regular committee meetings and they feedback to the others. The results from the latest survey for residents and families/carers show that people are satisfied with the overall service provision, with 43 expressing that they think the organisations service provision is ‘excellent’. There are also regular monthly visits to the home by a senior manager, who assesses areas such as staffing issues, complaints, social and community issues and building/maintenance issues. Reports of these visits are forwarded to the commission. There are clear accounting records available for household budgets, including food, travel and general housekeeping needs. Staff said that extra money could be made available on request for things such as bulk buying of cleaning products and party goods. A clearly recorded handover of money and records takes place at each staff changeover, and money is securely stored in the administration area. Beech Lodge DS0000002608.V323302.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 Adults 18-65 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 X 28 4 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X 4 4 X Beech Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Lodge DS0000002608.V323302.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Lodge DS0000002608.V323302.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!