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Inspection on 15/08/07 for Belton Lodge Nursing Home

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

This inspection was carried out on 15th August 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents in the home are happy and content and satisfied with the care and approach of the staff. The staff know how to care, support and provide the needs for the residents and are supported in their work. There is a friendly and relaxing atmosphere in the home.

What has improved since the last inspection?

The conservatory has been renovated with new windows and a door and made more comfortable. Some new windows have also been installed in the home. The garden has been made more accessible to enable residents to sit outside. A new bath hoist has been provided to enable each resident to have a bath in safety. Records are now being kept of food provided.

What the care home could do better:

Some of the outstanding requirements have been addressed. There are however still outstanding requirements, which have not been addressed. As has been stated in previous inspection reports the owner is in continuous breach of regulations. He has failed to comply with notices, failed to address outstanding requirements and dates, which he set to address these issues. The owner must again ensure that the statement of purpose and information about the home accurately describes the registration certificate. The owner must address the many outstanding issues in the home.

CARE HOMES FOR OLDER PEOPLE Belton Lodge Nursing Home 213 Belton Lane Grantham Lincs NG31 9PW Lead Inspector Tobias Payne Unannounced Inspection 15th August 2007 08:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Belton Lodge Nursing Home DS0000002587.V344634.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. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belton Lodge Nursing Home Address 213 Belton Lane Grantham Lincs NG31 9PW 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) 01476 579798 01476 579798 R S Medicare Limited Mrs Indra Nathan Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration The maximum number of service users in the home with nursing does not exceed 10 and the maximum number of service users with personal care only does not exceed 3. 4th January 2007 Date of last inspection Brief Description of the Service: Belton Lodge is registered as a care home with nursing for 13 older persons. On the day of the inspection there were 13 people living in the home. The home is a bungalow situated in Belton, a village located on the outskirts of Grantham. A garden area is located at the rear of the home and there is car parking space to the front of the property. All accommodation is situated on the ground floor. There are 7 single bedrooms one with en-suite and 3 shared bedrooms each with en-suite. The home has one lounge/dining room and an adjacent conservatory. The fees at the inspection on the 15/8/2007 ranged from £400 to £500 per week. Extras are for hairdressing which ranged from £9.75 to £23, chiropody £10, toiletries and personal newspapers and magazines. Information about the home together with the statement of purpose and service user’s guide can be obtained from the manager. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second key inspection was unannounced and started at 8.00 am. It was undertaken using a review of all the information available to us about Belton Lodge Nursing Home. We spoke with 7 residents, one visitor, 3 staff and manager. The main method of inspection was called “case tracking”. This involved selecting one resident and tracking the care they received through the checking of records, discussion with them, the care staff and observation of their care. We made an unannounced random inspection on the 21/6/2007 as a result of continued concerns about the environment in the home. Following this an improvement plan and later a warning letter was issued to the owner concerning his failure to address outstanding issues. This was followed up at this inspection visit. Residents told us that they liked living in the home. What the service does well: 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. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 6 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. Belton Lodge Nursing Home DS0000002587.V344634.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 Belton Lodge Nursing Home DS0000002587.V344634.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, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information available about the home but it does not accurately describe the type of person able to be admitted to the home. People receive an assessment, which results in their needs being met. EVIDENCE: The home had a statement of purpose and service user’s guide. A copy was in each resident’s bedroom. This gave information about the home, including the aims and objectives, philosophy of care and each resident’s rights. At the previous key inspection we asked the provider to remove references to the home being registered to admit people with dementia. A response was received agreeing to this removal. However at this inspection we saw the same document giving information that the care speciality included the elderly mentally ill. This is again not stated on its registration certificate and again by admitting people out of category the home was breaking the law. This needed to be further amended. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 9 No new resident had been admitted to the home since the last key inspection. There was a detailed admission procedure, which described the needs of residents coming into the home. All residents were assessed before entering the home and written confirmation was sent to them that the home was able to meet their needs. The home did not provide intermediate care Belton Lodge Nursing Home DS0000002587.V344634.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. Residents’ health and welfare needs are met by comprehensive care planning and staff who knew the needs of the residents. Medication is safely given by people who know what they are doing. Residents are protected by clear medication procedures. EVIDENCE: All residents had care plans outlining their needs. Records included an assessment record, quality assurance questionnaire, dependency assessment, a letter to confirm the home could meet the residents’ needs, schedule of risk assessment with the signature of the resident/relative, member of staff and dated, specific care plans outlining the care and support, daily record and evidence of a monthly review. There was sufficient information to give staff information about how to care and support the resident. Throughout the inspection we saw staff showing knowledge about the needs and care approaches for each resident and carried out their tasks in a calm, kind and friendly manner. Residents commented, “staff are very nice and helpful”. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 11 Medication records were well maintained for receipt, administration and disposal. A medication round was observed. The medication was dispensed from a trolley, checked against the chart, given to the resident and signed for after this. There was no concern about the medication arrangements. The manager made occasional audits of the medication in the home. Belton Lodge Nursing Home DS0000002587.V344634.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 good. This judgement has been made using available evidence including a visit to this service. Social activities were varied and provide daily stimulation and interest for people living in the home. Visitors were made to feel welcome. Meals provided were nutritious and varied. EVIDENCE: Staff provided activities in the home. There was a written activities programme. These took place each day. Activities provided included pass the ball, hand massage, gentle movements to music and hairdressing weekly. During the inspection we saw staff gently encouraging activities with throwing a ball and gentle exercises for residents in the lounge. This was followed by a hand manicure for 2 residents. Conversation and laughter was taking place. We saw residents were sat in the lounge, a number dozing, some talking and taking an interest in the activities and their surroundings. A resident commented, “I don’t want to do anything thank you” and the staff respected the residents views. Since the last inspection, action had taken place to ensure records were now being kept of the food provided in the home and the first aid box had been restocked. There was a new nutrition policy for meal planning and nutrition dated March 2007. The manager acknowledged this had not yet been Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 13 introduced. However, dietary needs were highlighted in the care plans. The menu was displayed on a white board in the dining area of the lounge. Meals were served to residents who were satisfied with the food served. Fresh fruit and vegetables were available. We also saw that staff sat and assisted those residents who could not feed themselves in a calm and kind manner. Belton Lodge Nursing Home DS0000002587.V344634.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. Complaints received were treated properly and residents and visitors knew that any complaints they had to make would be addressed and taken seriously. Staff were recruited correctly to ensure that residents were protected from abuse. EVIDENCE: Each person received a copy of the complaints procedure, which was in the service user’s guide and statement of purpose in their bedroom. It was also displayed on the notice board at the entrance to the home. We had been made aware of concerns about the storage of clinical waste and environment in the home and as a result of this we made a random unannounced inspection on the 21/6/2007. As a result there were serous concerns about how clinical waste was stored and we required the owner to address this. This was followed up at this inspection visit. As a result of concerns about adult protection issues at the previous key inspection the manager had ensured that staff knew about abuse and their role and training had been provided for all staff on abuse prevention in March 2007. The home also had a copy of the new Lincolnshire Adult Protection Policy issued on the 1/5/2007. None of the residents, visitors or staff had any complaints about the home and felt they could discuss any concerns with staff or the manager. A visitor commented, “I can visit whenever I wish to do so and always find a warm welcome. The staff are kind and considerate and I feel I can approach staff if I have any concerns”. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment does not provide the residents with safe, well maintained and comfortable accommodation. This is affects their overall quality of their lives. EVIDENCE: We had been concerned since 2006 about the state of the home in particular the external woodwork, internal decoration, paintwork, conservatory and garden. As a result of the last key inspection we received a response from the owner with dates and a programme of improvements. At the last random inspection this was followed up and it was found that very little had been done to address these outstanding issues. During the random inspection we were told about concerns about the storage of clinical waste and it being a hazard to residents, staff and neighbours. Our concerns were discussed with the Environmental Health Dept. of South Kesteven District Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 16 Council and Lincolnshire County Council. We had since then received confirmation that this issue had been addressed and it was confirmed at this inspection. We also saw and confirmed with staff that as a result of the bath hoist failing a service on the 20/4/2007 no resident apart from one had had a bath for 2 months. The owner told us on the 21/6/2007 that a new hoist would be installed on the 26/6/2007. This was also confirmed at this inspection and all residents could now have a bath safely. At the previous inspections the garden was found to be overgrown and the grass at both the front and rear had not been maintained. The residents could not therefore use the large garden at the rear of the home. The owner told us that this work would be completed by the 15/6/2007. At this inspection this had taken place and the lawn had been cut and made tidier and accessible for residents to use. As a result of these concerns a warning letter was issued to the owner to address these outstanding issues on the 6/7/2007. No response was received to this. At this inspection the manager confirmed that no action had taken place to address the external woodwork and internal decoration. We again saw paintwork was worn, carpets worn and stained. One bedroom carpet was not complete around the edges and needed to be replaced. However the conservatory had new PVCu windows and a door to the sloped ramp to the garden had been installed with a new wood floor. The roof had not be replaced but the manager told us that this was due to take place on the 13/8/2007 but this had not taken place. She did not know when this would happen. The work was not complete, plastic protective covering was on 2 panes of glass and packing had not been finished between the new windows and inside window ledges. The room was now however more comfortable. Externally the conservatory had been partly completed with new guttering. No other improvements apart from some new windows had taken place to the decorative state of the home. The manager told us that the owner had told her that a major decoration programme was to take place at the end of August 2007. The call system was tested and noted to be faulty in one room. The indicator on the central panel would not cancel and no buzzer sounded. The manager did not know when it was last serviced. We asked the manager to address this by the 24/8/2007 and to tell us when this had taken place. We examined the maintenance book and could see concerns about the functioning of the call system had been noted since the 12/2/2007. We asked that this was addressed as soon as possible and after the inspection we were told this would be repaired on the 24/8/2007. It was noted that there were now bed protectors to bed rails. At the previous inspection concerns were expressed about an odour from the soil pipe to the enclosed sluice. At this and the previous inspection we noticed no odour. The manager again expressed concern about this. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The home was adequately staffed with employees who were experienced and competent to care for older people. Residents are protected by robust recruitment practices. EVIDENCE: Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to residents needs. There were no staff vacancies and no new staff since the last key inspection. All new staff were correctly recruited with the correct criminal records bureau checks. Care staff provide the laundry, and cleaning. However, the manager told us that she has interviewed 2 staff, one as a care assistant and one as cleaner/handyperson. The staff were awaiting Criminal Records Bureau checks before they could start in the home. Training had included since the last key inspection, abuse prevention, venepuncture and training about care (National Vocational Qualifications). Out of 5 care staff, one person had achieved NVQ level 2 and one was hoping to start in the future. This was 30 of the workforce. Four care staff were also working through a new induction programme to skills for care common Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 18 induction standards and were using a booklet “how to be a great care assistant”. The manager said some staff were reluctant to undertake NVQ. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The persistent breach of regulations is affecting the overall quality of the home. However, the day to day needs of residents are met by an experienced competent manager and staff team. EVIDENCE: The manager was a registered nurse and had extensive care and management experience. She continued to study for a management qualification. Staff and residents had confidence in the manager. Staff received supervision regularly and spoke of the support received from the manager and deputy manager. There was evidence of a quality assurance file. This contained sections for each month of 5 residents and 5 visitors questionnaires to be sent out. The manager acknowledged this had not yet taken place. However surveys from relatives were examined of questionnaires, which were sent out in Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 20 February/March 2007. Out of 5 examined, all rated care and services good to excellent. Three rated the décor fair. Specific comments were, “I think the management and staff are pleasant and caring”, “I am very happy” and “the conservatory has needed repairs for 3 years”. A visitor commented, “the home is let down by the standard of decoration. This needs attending to”. A quality assurance audit was undertaken by one of the owners on the 22/6/2007 on this last visit. The manager had introduced audits of medication care records, care practice and adult protection. The last fire officer audit was on the 11/4/2007 and as a result of this the fire risk assessment was reviewed on the 22/6/2007. The home had policies and procedures. A number of new procedures had been provided in March 2007. The manager acknowledged she had not yet introduced them. Again we are very concerned that it had been an outstanding requirement since the 15/5/2006 that monthly unannounced monitoring visits must be made to this home and reports of these visits must be sent to either to the commission or available in the home. Again there was no evidence to show that monthly visits were taking place or reports of these infrequent visits were available. There was a detailed equal opportunities policy, which referred to discrimination, disability and victimisation. The majority of the staff were from outside the UK. There were no communication issues and staff at all times approached and cared for the residents in a calm and polite manner. There were no concerns about equality and diversity. The last South Kesteven District Council Environmental Health Officer’s inspection was on the 9/3/2007. As a result of concerns about the decorative state of the kitchen an improvement notice was served. This was followed up by a further visit on the 19/7/2007 at which all requirements had been addressed. However the home was advised to carry out a major refurbishment of the kitchen. The manager told us this was to take place during August/September 2007. There was also evidence that the fire alarm, fire drills, emergency lighting checks and testing of hot water have been undertaken. Care staff also received fire training as part of the homes initial training and as a regular training event. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 2 X X x 1 2 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 3 2 X X 3 X 2 Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 22 Yes 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. 1. Standard OP1 Regulation 4 and 5 Requirement The statement of purpose and service user’s guide and information about the home must accurately describe the registration category of people able to be admitted to the home. References to the home being specialised to provide care for the elderly mentally ill must be removed. This will ensure that the correct category of residents will be admitted to the home. Timescale for action 15/10/07 2 OP19 23(2)(b)( d)(j) All people living in the home 15/09/07 must live in comfortable, well maintained accommodation. All the outstanding issues relating to the state of the, external windows, external woodwork, internal decoration must be attended to as well as providing a suitable second bathroom and patio area to the rear garden. In addition work already carried out must be completed to a satisfactory standard. This will ensure that residents live in safe, well maintained, comfortable and pleasant accommodation. The timescales of the 15/5/2006, DS0000002587.V344634.R01.S.doc Version 5.2 Page 23 Belton Lodge Nursing Home 19/10/2006, 4/3/2007 and 20/7/2007 have not been met. 3 OP33 26 To ensure that the owner has 15/09/07 regular up to date knowledge about the home including residents and staff. Visits must be made to the home unannounced at least once a month in accordance with this regulation. Reports of this visit must either be available for inspection at the home or sent to the commission. 15/5/2006, 19/10/2006, 4/3/2007 and 21/6/2007 have not been met. The call system must be accessible and function correctly at all times and have regular tests and maintenance. This to ensure that in case of an emergency a resident can summon assistance, staff know from the central display where the assistance is required and can cancel the request. 4 OP22 23(1)(c) 24/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP38 Good Practice Recommendations Efforts should be made to investigate the reason for the occasional odour from the soil pipe to the enclosed sluice. This to ensure that waste is safely and correctly disposed of. Belton Lodge Nursing Home DS0000002587.V344634.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Belton Lodge Nursing Home DS0000002587.V344634.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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