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Inspection on 03/04/07 for Beech Lodge Residential Home

Also see our care home review for Beech Lodge Residential Home for more information

This inspection was carried out on 3rd April 2007.

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

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

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

What the care home does well

The home is clean and tidy and residents are able to make their rooms more homely if they wish with their own personal effects. Staff are well trained, attentive and responsive to the needs of residents. They provide care in a sensitive way, which respects residents` privacy and dignity. Visitors are made to feel welcome and there is a lot of information on display about the home and entertainment, which they can refer to if they wish.Comments such as "we are pleased with the care and attention received" and " staff seem to have the welfare of residents as a priority and treat them as human beings" indicate satisfaction with the care provided. The home has achieved this year an award indicating excellent standards after a kitchen inspection by an environmental health officer.

What has improved since the last inspection?

All matters that were raised at the previous "key" inspection have been satisfactorily addressed. These related to ensuring all residents had been issued with a contract and a letter confirming the outcome of any preadmission assessments; regularly reviewing care plans and improving consultation with residents if able or their relatives and ensuring staff have had training about safeguarding residents from abuse. There continues to be improvements to the environment with areas of carpet being renewed. New equipment has been purchased for the laundry and new freezers and a deep fat fryer have improved the kitchen equipment. The manager has developed an improved document to record any significant information in relation to the actions taken and outcomes of any concerns and complaints raised.

What the care home could do better:

Whilst information about the home is readily available to residents and visitors the statement of purpose would benefit from some minor review to ensure that information is fully reflecting aspects of the service. Records of the teatime meals would be improved if they demonstrated the full range of options that are provided for residents. Whilst it is acknowledged that some social and leisure activities are provided service users and relatives comments varied about whether these were meeting the needs of all residents for example a comment was made that these would be improved if there were more opportunities for outings.

CARE HOMES FOR OLDER PEOPLE Beech Lodge Residential Home Frogs Abbeygate Holbeach St Johns Holbeach Lincolnshire PE12 8QJ Lead Inspector Sue Hayward Key Unannounced Inspection 3rd April 2007 12:15 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 Lodge Residential Home DS0000002671.V333392.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 Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Lodge Residential Home Address Frogs Abbeygate Holbeach St Johns Holbeach Lincolnshire PE12 8QJ 01406 423396 01406 490975 beech.lodge@btconnect.com www.countrycourtcarehomes.com Mr Abdulaziz Ali Kachra 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) Tena Lascu Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr Abdulaziz Ali Kachra is registered to provide personal care at Beech Lodge Care Home for service users of both sexes whose primary needs fall within the following categories:Dementia DE(E) over 65 years (22) 2. Old age not falling within any other category (OP) (22) The maximum number of service users to be accommodated at Beech Lodge Care Home is 22 5th April 2006 Date of last inspection Brief Description of the Service: Beech Lodge Residential Home is a large two storey former farmhouse with a purpose built extension. It is situated in farming land in Holbeach Fen approximately three miles from the town centre of Holbeach. It is currently being extended to provide 7 further bedrooms, a larger dining room and conservatory and staff living quarters, the latter the manager said, would be separate from the facilities used by residents. There is some car parking space to the front of the property. The accommodation has 16 single rooms, 12 providing en-suite facilities and 3 double rooms with en-suite facilities. The home is registered to give personal care and accommodation for up to 22 residents who require support due to the needs associated with older persons or dementia. Information about the home including a copy of the inspection report is on display in the entrance hall. The fees confirmed by the manager range from £397 - £500 per week. Charges for hairdressing, chiropody, toiletries, magazines and newspapers are additional to the fees. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. The visit lasted five and a half hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including previous inspection reports, the history of the service and records of any incidents that had been notified to the CSCI since the last inspection. Prior to the visit ‘Have your say about’ questionnaires were received from fourteen persons, all except one being completed on behalf of residents by their relatives or representatives. One relative also telephoned the CSCI to give their views about the quality of the care and accommodation provided. In addition a pre-inspection questionnaire, completed by the manager giving important information about the service was received after the site visit but prior to the completion of this report and information from this was also used in the compilation of this report. A previous visit had been made on 27th September 2006 to check on the progress made towards resolving issues raised in the inspection report of 04th April 2006. All had been satisfactorily addressed. This visit consisted of following the care of four residents through their records, talking to them, and to a staff member on duty. In addition a residents visitor was spoken to and staff were observed at different times whilst assisting residents. The visit focussed on key standards, which have the potential to affect residents’ health, safety and welfare. The manager was present throughout and discussion was held about the findings at the end of the visit. What the service does well: The home is clean and tidy and residents are able to make their rooms more homely if they wish with their own personal effects. Staff are well trained, attentive and responsive to the needs of residents. They provide care in a sensitive way, which respects residents’ privacy and dignity. Visitors are made to feel welcome and there is a lot of information on display about the home and entertainment, which they can refer to if they wish. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 6 Comments such as “we are pleased with the care and attention received” and “ staff seem to have the welfare of residents as a priority and treat them as human beings” indicate satisfaction with the care provided. The home has achieved this year an award indicating excellent standards after a kitchen inspection by an environmental health officer. 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 Lodge Residential Home DS0000002671.V333392.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 Lodge Residential Home DS0000002671.V333392.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): Standards 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to introduce and assess residents to ensure care needs are identified and can be met prior to admission. Information about the home is readily available. EVIDENCE: The records of four residents were checked, including a resident who had been admitted to the home within the last twelve months. Information demonstrated that a needs assessment had been completed for each resident, which was sufficiently detailed to enable a plan of care to be developed. The manager confirmed that residents and their relatives are welcome to visit the home to help them decide whether Beech Lodge is the right place for them. She also said that she visits residents in hospital or at their homes to assess. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 9 Important information about the home is included in two booklets, “The statement of purpose” and “The service users guide”. The latter was available in each resident’s bedroom checked. The statement of purpose is also on display in the entrance hall along with other important information such as the services certificate of registration, insurance certificate and complaints procedure. Aspects of the statement of purpose relating to the terms and conditions of registration and quality assurance systems in place need further clarification, which the manager agreed to do. Of the questionnaires returned and discussion with relatives all but one confirmed that they were in receipt of a contract. All records checked contained contracts. All but two felt they had had sufficient information about the home, although as previously stated information is on display and readily is available to residents or visitors. All residents records checked on this occasion contained a letter confirming the outcome of the assessment. Beech Lodge Residential Home DS0000002671.V333392.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): Standards 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain sufficient information to ensure residents’ health and care needs are met in a sensitive manner, which respects their privacy and dignity. Residents are protected by satisfactory procedures in place for dealing with medication. EVIDENCE: All residents records checked were well organised and up to date. Care plans identified the help and support residents required to meet their needs and were being reviewed on a monthly basis. Where any risks had been identified such as in relation to manual handling assessments these had been documented detailing any actions necessary to reduce any risks. In view of residents dementia care needs it was noted that residents care plans had been signed by their relatives, denoting their agreement with them. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 11 Observation of staff working with residents demonstrated that they knew the individual needs of residents and how to meet them, for example in relation to the equipment they used when assisting a resident to move from chair to chair. All records checked contained information about other relevant professionals involved with residents, such as their social worker, general practitioner and chiropodist. It was noted that a doctor visited a resident on the day of the visit. Outcomes of visits by such persons are recorded. A resident’s comments confirmed that staff arrange appointments as needed. For more dependent residents staff commented they rely on observations and their knowledge of residents as to their general health and welfare. Records were in place to demonstrate ways in which health is monitored such as regular checks on weight and nutritional assessments. All of the current residents need the support of staff to manage their medication. This is included as part of their care plan. There are secure storage facilities provided for medication and the records checked of medication were well maintained. A pharmacist visits the home on a regular basis, most recently the 13th March 2007. No issues were raised at that time. The pharmacist had noted in the report that during the next visit a training update for staff will be provided. Staff were noted to treat residents in a sensitive manner with respect and dignity, for example knocking on bedroom doors before entering. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported to have choice in their daily lives. The meals provided are well balanced and take into account residents personal preferences and special dietary requirements. Visitors are made to feel welcome in this home. EVIDENCE: Well-kept records are in place to demonstrate the recreational and leisure activities that residents participate in and notices are on display advertising events. These include craft activities, games sessions such as bingo, entertainers and social events such as coffee mornings at which relatives are invited to attend. A staff member is allocated four hours a week specifically to provide social and leisure opportunities and the company has its own occupational therapist who works in the home and is in the process of assessing all residents. Questionnaires contained varied comments as to how well residents social and leisure needs were met. 3 said “always” , 4 said “usually” and 5 said there Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 13 were “sometimes” activities residents can participate in. One resident said “ I would like to get out more”. The manager confirmed that a pantomime trip had been arranged at Christmas time although it was felt that not all residents had benefited from this trip. During the better weather and once the building work was completed the manager said residents would be able to use the garden facilities more. Other events advertised for April included a raffle and Easter party and a “sing-a-long”. Staff and a resident commented that a local vicar visits the home every one to two months and the manager said that some residents are taken to Church. Visitors were seen to come and go throughout the day. Relatives said they were made to feel welcome and always offered a drink. The majority of the residents have some form of dementia and they are dependent on the staff to provide all care. The staff were observed chatting to the residents and reassuring them during the day. Staff support residents to make choices for example in relation to what clothes they wear, times they get up and go to bed and the choice of food they eat. On arrival residents were having their lunch. Food was nicely presented. Those needing assistance with their meals were noted to have it provided in a sensitive way, which respected their dignity. Whilst there is a set main meal individual preferences and special dietary requirements are catered for. Care records contained information about dietary needs, which included whether any specific equipment was needed to enable residents to be more independent with their meals. Records are generally well maintained but were not always reflecting the full range of teatime options available. This matter was brought to the attention of the manager to be addressed. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures in place to raise concerns and as far as possible protect residents from abuse. EVIDENCE: There have been no complaints or adult protection matters raised with the CSCI since the last inspection. Most questionnaires completed by relatives indicated they knew how to make a complaint, and one said of her relative “ she speaks to the manager or me with good outcomes”. A resident said they felt “comfortable to tell staff about any problems”. The complaints procedure is on display in the home and there was a copy in all residents’ bedrooms seen. There is also a suggestion book in the entrance hall where any visitors can make comments. One concern had been raised since the last visit. This had related to bins not being emptied. The manager discussed how this had been addressed and rotas confirmed that domestic staff now work daily in the home. The manager has since the last inspection developed a form on which the action in response to any complaints and outcomes can be more clearly documented. Staff said that for more dependent residents who are less able to raise concerns they rely on their Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 15 knowledge and observations of residents to indicate whether there may be concerns. A staff member spoken to gave a good account of the action she would take in the event of a complaint or allegation of abuse coming to her attention. Staff have training relating to adult protection. Copies of Lincolnshire County Councils safeguarding adult’s procedure are available for staff to refer to if needed. Due to the dependency needs of residents staff take on some responsibilities for safekeeping any personal allowances or valuables. There are good procedures in place, which ensure the administration and storage arrangements of money or valuables protect and as far as possible safeguard residents’ interests. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is clean, tidy and hygienic, meets their individual needs and helps to ensure their safety and welfare. EVIDENCE: All areas of the home seen were clean and tidy. The manager confirmed that one of the lounges needs redecorating and that it is planned to do so once the extension has been completed. The company employ a maintenance person and staff confirmed that issues are dealt with promptly. Questionnaires were overall positive in this respect for example one person commented “any ‘accidents’ are dealt with promptly and chairs are sprayed and cleaned immediately. The home always smells clean and fresh”. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 17 Bedrooms were individually furnished and equipped to meet residents’ needs. Residents are able to make them more homely with their own personal effects if they wish. Equipment was seen around the home to assist those residents who need help with their mobility, for example hoists and a variety of slings. An extension is in the process of being built which when complete will provide a further seven en-suite bedrooms and additional dining and conservatory space for residents. There were no safety issues noted. Some comments from relatives expressed concern about parking space in view of the extension, although the manager confirmed there would still be spaces available. Since the last inspection an industrial washing machine and tumble dryer has been provided. There are policies and procedures in place relating to good infection control practices and equipment such as gloves and apron available for staff to use. A fire safety officer visited on 29th April 2005. An environmental health officer visited on 30th January 2007 for a kitchen inspection and awarded ‘three tulips” indicating excellent standards. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff available that have had training to meet the needs of residents. Residents are as far as possible protected by a thorough staff recruitment process. EVIDENCE: Discussions with staff and their training records indicated that there is a rolling programme of training to ensure staff have the knowledge and skills to provide the appropriate care for residents. This year training opportunities so far have included manual handling, fire safety, food hygiene, health and safety and adult abuse. The manager confirmed that training is provided by a combination of internal and external trainers. Information provided prior to the inspection by the manager confirmed that 10 staff have now achieved a National Vocational Qualification award in care at level 2 or above. There is also a training programme in place to induct staff into the work, which a staff member said had taken place over three days. Records kept verified this. Records and discussion with staff indicated that there is a satisfactory recruitment process in operation, which helps to ensure the protection of residents. This includes checking identity, obtaining satisfactory references, Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 19 obtaining a criminal records bureau and protection of vulnerable adults register check and checking qualifications and training prior to appointment. Residents looked well cared for and all staff were attentive to residents needs. Surveys completed by or on behalf of residents indicated residents “usually” or “always” received the care and support they needed and staff were “usually” or “always” available when needed. A relative said “the family have witnessed good responses to requests for help” and their relative “always looks well cared for”. There are well maintained rotas kept of staff on duty, indicating that three staff work in the mornings and late afternoon. At all other times there is a minimum of two care staff on duty. In addition there is a cook and cleaner who work on a daily basis. A staff member spoken to felt valued and supported and felt that staffing levels were satisfactory to meet the needs of the current residents. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is being effectively managed and led to ensure that the health, safety and welfare of residents is promoted. EVIDENCE: The manager confirmed that she has now completed a National Vocational Qualification award at level 4 and is in the process of working towards achieving a registered managers award. Her working hours are additional to the staff rota. In her absence there are senior care staff that are in charge of shifts, with an “on-call” system being operated should they need to seek advice. Staff spoken to felt well supported by the manager. Records Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 21 demonstrated that there is a formal system of staff supervision and appraisal to monitor and develop skills and there is a rolling programme of training to enable staff to develop their knowledge. Information, policies and procedures are readily available for staff to refer to if needed. A relative said they would “feel comfortable to tell the manager if they had a concern”, and questionnaires indicated satisfaction with the management arrangements in place such as “we are pleased with the care and attention”. The sample of records checked were well maintained. Information provided by the manager confirmed that maintenance and associated records concerned with health and safety issues of the environment such as services of the central heating system and of the equipment used were regularly checked. There are satisfactory systems in operation to monitor the quality of the service such as staff meetings and complaint and suggestions record. Questionnaires are used regularly with relatives and residents if able about the quality of the service with results being on display on the entrance hall notice board. Staff said that for residents who are less able to make their views known they rely on observations to monitor whether the service provided is meeting their needs. The manager said that visitors are welcome to speak to staff at any time should they wish to. Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 22 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 X X 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beech Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 23 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 Lodge Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 24 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 Residential Home DS0000002671.V333392.R01.S.doc Version 5.2 Page 25 - 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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