Inspection on 19/03/07 for Blacklake Lodge Residential Home

This inspection was carried out on 19th March 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.

Other inspections for this house

Blacklake Lodge Residential Home 16/04/08

Blacklake Lodge Residential Home 19/01/06

Blacklake Lodge Residential Home 18/07/05

Blacklake Lodge Residential Home 21/03/05

Blacklake Lodge Residential Home 22/11/04

Blacklake Lodge Residential Home 04/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Blacklake Lodge Residential Home 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 19 March 2007 14:00 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 Blacklake Lodge Residential Home DS0000004918.V322759.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. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blacklake Lodge Residential Home Address 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS 01782 388881 01782 396597 blacklake-lodge@virgin.net 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) Mr Eric John Dudley Mrs Sylvia Dudley Mr Eric John Dudley Care Home 39 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (39), of places Physical disability (10), Physical disability over 65 years of age (39) Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 - PD - 2 minimum age 30 on admission and 8 minimum age 50 on admission 19th January 2006 Date of last inspection Brief Description of the Service: Blacklake Lodge is an extended detached house which provides 24 hour residential care for up to 39 older people, all of whom may have a physical disability, and 11 of whom may have dementia. Additionally there is registration for 10 younger adults with physical disability. Located just off the Hilderstone Road and surrounded by open country, it is less than a mile from Meir Heath where there are local shops. More extensive services are available at either Longton or Stone. A bus service passes the home and the nearest railway station is two miles distance as Blythe Bridge. The accommodation includes two units built independently of the main property where formerly 24-hour care was provided. The home offers a permanent service to elderly and physically disabled people of both sexes and when a bed is available will also provide respite care in the same categories. The home has 35 single rooms and two shared rooms, 31 of the single rooms have ensuite facilities, as have the shared rooms. All rooms meet current size requirements, and eight of the single rooms are large enough to be used for wheel chair accommodation. Bathrooms and toilets are to be found conveniently located around the home. Two communal lounge areas are provided, and two dining areas. Extensive gardens surround the home and there is substantial off road parking. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out during the afternoon and early evening of Monday the 19th of March 2007, at which time 27 people were resident in the home. The proprietor/care manager was on duty, as were his wife and son, who are both co-directors. On a very wintry day (with thunder and lightning, hail, and occasional snow) the home was warm, as well as being tidy, and clean, and well maintained throughout. One resident chose to receive the visit of her family in the residents lounge, and some members of staff who were not on duty were attending the home to receive NVQ training in the dining-room. In addition to reviewing care plans and other documentation, information for this report was gathered from talking to residents and staff, discussions with the care manager/proprietor, observations of the environment and dynamics between residents and staff when touring the building, from contacts made with the home since the last inspection, (as recorded on the files maintained that the CSCI Stafford Record Management Unit) and from a formal interview with a carer. In the wake of a complaint that had alleged that had to be insufficient staff, an exercise was undertaken with the management to determine the dependency levels of those people resident in the home, and to match this against the recommended minimum standard for provision of staff for care tasks, and it was determined that the home did in fact provide sufficient care hours for the assessed needs of the existing residents. Residents confirmed that they were very pleased with the standard of care in the home, and also commented on the quality of the environment, and the picturesque location. The current fees were confirmed as being from £370 per week to £399 per week. What the service does well: The service continues to provide a comfortable home for physically disabled, and frail older people who are no longer able to live independently. It sets Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 6 particular store on the quality of the environment. The providers have shown themselves to be open to advice, and always ready to consider measures to improve the service they offer. What has improved since the last inspection? What they could do better: There will be a recommendation that the care manager undertakes some relevant training to demonstrate his commitment to update his knowledge, skills, and competence. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 7 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. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 8 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 Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 9 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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A proper assessment had been made prior to the admission of residents to ensure that their needs and choices could be met. Intermediate care was not provided. EVIDENCE: A review of the care plans for the person who had been most recently admitted to the home showed that a proper assessment of all her needs and expressed and known choices had been undertaken using the Care Management Arrangements. She had been visited by a senior member of staff at her previous location (in hospital) and the person had carried out her own assessment to confirm that the home would be able to meet all the ladies needs. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 10 The lady and her relatives had received information about the home and been able to make a preliminary visit in order to establish the compatibility of the facility with their expectations. Black Lake Lodge does not currently provide intermediate care as detailed in national minimum standard six, and has no plans to offer this service. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were assessed to have a proper working plan of their personal, health, and social needs, and as well as access to all appropriate health care including a much more robust system for the administration and storage of their medication, and to be treated with respect, and sensitivity, and to have their dignity up held. EVIDENCE: At the beginning of the inspection the proprietor/care manager acknowledged the recognition that concentrating on providing a good service to elderly people would be the most appropriate future for this home, and that younger adults with physical disability would no longer be admitted. He agreed to revise the statement of purpose to reflect this, and to negotiate for this category to be removed from his registration. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 12 Since the last inspection there had been an allegation against the then deputy care manager regarding the disposal of medication, as a result of which the home had undertaken a robust review of its policies and procedures, and had initiated changes to improve these. The current deputy care manager described the improved schedule of training for members of staff administering medication, and confirmed that nobody currently received medication at night, and that some residents had been risk assessed so that they could administer such things as inhalers, and Angina sprays. A review of the storage of medication and some MAR sheets did not identify any concerns, and the schedule of training was felt to be satisfactory. As stated above examination was made of the care plan of the person most recently admitted to the home, and also of several other care plans chosen at random. The continuity of these plans had been based upon the initial assessment, and any changes that had been indicated by regular or event inspired reviews. There were a selection of entries detailing the imput of various health professionals, both by direct intervention and advice within the home, and at clinics and hospital appointments by either regularly arranged because of ongoing health needs, or because of emergent problems. Contact with and advice from such people as the continence adviser, tissue viability nurse, community psychiatric nurse, and district nurse, were recorded at different places in the plans of the individuals. In a lengthy discussion with one of the residents and the lounge, it was confirmed that the privacy and dignity of residents was upheld at all times, including those when the staff were being particularly taxed by the attitude or behaviour of a resident. In the words of the lady herself: The staff still have a smile, even when theyre been given the run around, by some of the more confused . Later, during a formal interview with a member of staff, this caring attitude was again reiterated, when she described how she would assist somebody to have a bath. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, on 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents confirmed that they had satisfactory meals at the times they want to them, contact with their family and friends, the choice to do things when they wanted to do them, or not do them if they didnt, and sufficient activities to satisfy them. EVIDENCE: In a protracted conversation with a more able resident, one of the subjects covered was the availability of activities both within and outside the home. This lady was adamant that, in spite of being one of the most able people in the home, she was perfectly satisfied with the level of provision of activities on offer. She pointed out that both she and most of her fellow residents were in the eighth or ninth decades of their lives, (and one lady was 104) and that: At my time of life dear you dont want to be bothered with gallivanting about, youre just content to have your meals cooked for you, have nice people around you who will do your nails or fix your cup of tea if you want, and the occasional quizzes, game of bingo, and that man coming in who sings and plays the organ . Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 14 She confirmed what had already been seen in care plans, that family and other visitors came into the home on a regular basis, and another lady had been seen receiving a visit from her grandchildren earlier during the inspection. The inspector was told that visitors were always offered a cup of tea if they wanted it, and that as long as reasonable notice was given, were able to join a loved one for a meal. In response to questioning, the inspector was told that she and other residents were able to get up and go to bed was only time they wanted to, to have a milky drink and either a biscuit or some sandwiches when they went to bed. This lady concluded the conversation by saying: Everyones is very happy here, its a very nice home . Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were seen to have an appropriate complaints procedure which was responded to, and to be cared for by staff who had been trained to be aware of, and work to protect them from, abuse. EVIDENCE: In the wake of a complaint that had alleged there had been insufficient staff, an exercise was undertaken with the management to determine the dependency levels of those people resident in the home, and to match this against the recommended minimum standard for provision of staff for care tasks, and it was determined that the home did in fact provide sufficient care hours for the current number and assessed needs of the existing residents. The provider demonstrated where a comment had been made in one of the quality assurance questionnaires returned by a relative to the home, that this had been responded to as if it had been a complaint, and that the items identified as being a possible source of danger (the tea urn in the visitors room) had been the subject of a risk assessment and had then been moved to a place were confused residents could not have access to it. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 16 In a separate incident, a complaint had been made against the then deputy manager of the home regarding her guardianship of medication, and when this had been brought to the attention of the providers they had co-operated with the investigation of this matter, and had then taken appropriate action to strengthen the procedures within the home, and to remove the member of staff from a senior role, and access to medication. (This person has since left the home) In a formal interview with a member of staff the subject of complaints and the protection of vulnerable adults was discussed in depth, and the answers given were indicative of a culture of real concern to ensure that nobody was abused, and that any concerns they might have were made known. She correctly identified who the residents of the home are at risk from, what sort of things were abusive, and the procedure that she should follow should she suspect that anybody was being abused. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefited from a home that was safe and well maintained, in a pleasant environment, with all the facilities and communal and private spaces that they needed, and was furnished and maintained to a high standard, the with acceptable provision of heating, lighting, cleaning, and measures to ensure infection control. EVIDENCE: The service has now been concentrated within the main building of the home. The two bungalows that formerly housed residents in the younger age, physical disability categories, are not currently being used for residents, and the proprietor/care manager has moved into one of them. The other is being used for storage. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 18 In discussion with the inspector, he indicated his intention of seeking a variance in the registration to accommodate the provision of new bedrooms on the main site, as a result of both new building, and the change of usage of some rooms currently providing administration space. (He also intends to concentrate on the care of the elderly, and has given an undertaking not to admit anyone in the younger physically disabled category again, and to include deregistration of that category in his application for variation.) He was also pleased to introduce the inspector to a married couple who are occupying one of the (2) shared bedrooms, as in his own words: There is very little call for shared accommodation these days . The home was clean and tidy and warm and welcoming throughout, with a good standard of decoration and maintenance that reflects the proprietors enthusiasm and experience in these areas. The residents that the inspector spoke to said that they found the home comfortable and particularly commented upon the idyllic location with views into woodland or open country from almost all windows. As evening drew on, the popularity of the conservatory/garden room waned in favour of the adjacent lounge, both of which were comfortably furnished and pleasantly warm. During the tour of inspection something that was particularly gratifying to see was the placement of a double mattress on the floor beside a low bed, the purpose of this being to reduce the possibility of injury to that particular resident, who had a history of falling out of bed. This provision was felt to be far more acceptable than bed guards both on grounds of dignity, and of independence, as well as providing a solution that did not impose further risks to the resident. Those private rooms that were visited displayed a high level of individualisation, with personal effects from residents past lives helping to make the room their home, by providing them with treasured memories of family, special occasions, outings, and holidays. Pictures and photographs and ornaments abounded, and all rooms seen displayed a very high level of decoration and furnishing. The provider informed the inspector that in addition to having a diesel standby generator to provide power for the home, since the last inspection they had obtained water from their own bore hole, and he was able to provide certificates of purity. (In line with other private bore holes, this will need to be repeated every six months.) Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 19 The home was clean, free from unpleasant odours, and warm throughout, with adequate steps being taken to ensure the proper disposal of any waste materials, thus limiting any possibility of the spread of infection. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents were seen to be in the care of sufficient stuff with a mixture of experience and qualification that enabled them to meet the assessed needs and choices of the people in the home. They had received appropriate training with periodic refreshers, and had been recruited using proper procedures that respected both the quality and diversity of perspective staff, and protected the vulnerability of residents. EVIDENCE: A complaint had been made during the previous inspection period relating to the adequacy or otherwise of the numbers of staff employed. It was therefore a significant part of this inspection to undertake an exercise to assess the dependency level of the current residents of the home, and using the most upto-date government advice on measuring this against staff hours provided, to see if sufficient hours were being provided to meet their assessed needs and individual choices. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 21 At the time of the inspection were 27 people resident in the home, whose dependency level indicated that there should be a minimum of 510 care staff and hours provided each week. Copies of staff rotas received on the day showed that 532 care staff hours had been provided each week over the last four-week period. During discussion it was shown the some staff were working extra hours currently whilst the providers awaited confirmation from the Criminal Records Bureau of a clear record for a prospective member of staff recently interviewed. Record show that in the month of February 10 members of staff undertook specialist Dementia awareness training, and that the home now has a supply of packs to be used in the house for all new starters and those who had been unable to attend. It was also confirmed that protection of vulnerable adult training for two of the senior managers had been booked for the 27th of March, to enable them to become trainers in their own right. It was further determined that Staffordshire Fire and rescue service had provided Fire safety training in November, and that all but the latest recruit had emergency first aid certificate. It was encouraging to see that all staff had been included in the food safety training, not just those working in the kitchen. The district nurses were providing in-house training on pressure care, and on breathing difficulties. All except two members of staff either already have NVQ level 2 or above, all are currently working towards that. The external verifier was due at the home the day after the inspection, and as previously mentioned in this report two sessions of training were taking place in different parts of the home as the inspection proceeded. In a formal interview with a member of staff and it was confirmed that the registered person operated through recruitment procedures that were based on equal opportunities that ensure the protection of the residents. She stated two written references had been required before she was engaged, together with a clear Criminal Records Bureau check. She outlined the induction training and awareness that she had received, and confirmed that she has a statement of our terms and conditions, and a written contract. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management of the home was being undertaken in a satisfactory manner, with regular exercises to determine satisfaction, resulting in improvements where indicated, and regular maintenance and servicing of all equipment necessary for the health, safety, welfare of everybody in the home. EVIDENCE: Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 23 Following a period during which the home was managed more at arms length by the proprietor whilst he recovered from a domestic accident, resulting in major damage to his leg, Mr Dudley is now attending the home full-time and undertaking hands on management. In this he has been assisted by two deputy managers, both of whom are near to the end of their first year of training for the NVQ level 4 in care (a necessary component for being approved as a fit person to become manager). Questionnaires had been distributed, and as a result of opinions expressed in these when they had been analysed, the home had taken action to improve their performance, as has already been referred to in the matter of re-siting the tea urn. A selection of service contracts, risk assessments, certificates of safety, medication records, and staff rotas and files were examined, and these confirmed the attention paid to the safety of the environment and the appliances used therein. A very full examination of matters relating to residents finances had been undertaken at the previous inspection, and all things had been found to be satisfactory, and a further review of this area was not undertaken during this inspection. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X 4 X 4 X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 25 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. 1 Refer to Standard OP31 Good Practice Recommendations it is recommended that the care manager undertakes some relevant training to demonstrate his commitment to updating his knowledge, skills, and competence. Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Blacklake Lodge Residential Home DS0000004918.V322759.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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