Inspection on 04/04/07 for Bury Lodge Nursing Home

This inspection was carried out on 4th April 2007.

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

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

Other inspections for this house

Bury Lodge Nursing Home 06/12/05

Bury Lodge Nursing Home 02/06/05

Bury Lodge Nursing Home 03/11/04

Bury Lodge Nursing Home 14/06/04

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

CARE HOMES FOR OLDER PEOPLE Bury Lodge Nursing Home 77 Bury Road Alverstoke Gosport Hants PO12 3PR Lead Inspector Nick Morrison Unannounced Inspection 4th April 2007 10:00 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 Bury Lodge Nursing Home DS0000042003.V334381.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. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bury Lodge Nursing Home Address 77 Bury Road Alverstoke Gosport Hants PO12 3PR 02392 528135 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) www.numadahealthcare.co.uk Numada Healthcare Ltd Mrs Elizabeth Richardson Care Home 22 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (22), Learning disability (1) of places Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 4 service users can be admitted between the ages of 55 and 65 years. That only 1 service user within the category of learning disability with the DOB 15/03/41 can be accommodated. That there is at least one full time registered mental nurse employed as part of the staff team. 6th December 2005 Date of last inspection Brief Description of the Service: Bury Lodge is situated in Alverstoke, opposite the Gosport Memorial Hospital, close to shops and other local amenities. It is a care home providing nursing care for service users over the age of 55 years who have dementia. The home may also take one service user with a learning disability. The accommodation is over two floors and consists of fourteen single and three shared bedrooms, with two communal areas on the ground floor. There is a shaft lift for access to the first floor bedrooms. The home has a secure and attractive garden that is easily accessed by residents. The home is decorated to a high standard and is well maintained. The current fees for the home are between £575 and £650 per week. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 23rd March 2007 and lasted six hours. During this time the Inspector toured the premises, looked all service users’ files and met with five relatives of service users, three staff, a representative from the Primary Care Trust, the Registered Manager and the Provider. All records and relevant documentation referred to in the report was seen on the day of inspection. Consultation with service users was difficult, but observation throughout the day showed that all service users appeared to be happy with the service they were receiving. 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. 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. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 6 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 Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 7 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. Service users benefit from having their needs assessed prior to moving into the home. EVIDENCE: Examination of service users files showed that each person living in the home had had an assessment of their needs prior to admission. Families of service users spoken with during the inspection visit confirmed that they had been consulted during the assessment process. This included having the opportunity to write detailed information about the wishes and preferences of the service user. The home liaised with health and social care professionals during the assessment process and feedback from these professionals showed their opinion of the home’s approach to pre-admission assessment was thorough. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 8 Service users had the benefit of trial periods in the home before deciding to move in permanently and the Manager had organised, where possible, for some service users admitted from hospital, to have staff from the home visit the person in hospital to get to know them before they moved in. The home does not provide intermediate care. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 9 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. Service users benefit from having their needs identified in a care plan and from having their healthcare needs met. They are protected by the home’s medication policies and procedures and are treated with dignity and respect. EVIDENCE: Examination of files showed that there were care plans in place for each service user. The plans had clearly been written in response to those needs identified in the pre-admission assessment, as well as to those needs identified as staff in the home got to know service users better. All care plans were written clearly and were easy to follow for care staff. Staff spoken with said that the plans were accessible at all times and that they understood the care plans for each person living in the home. The plans were all reviewed on a monthly basis and changes made where necessary. Changes were also made to the plans in-between the monthly reviews if it was clear that needs had changed. Staff recorded, on a daily basis, against each of the care plans and Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 10 information was shared with other staff as necessary. Family members spoken with said they were consulted about care arrangements and were kept fully informed of any changes. The healthcare needs of service users were monitored daily and formally monitored on a monthly basis. Records were kept to demonstrate any changes in the person’s health and staff in the home liaised with other healthcare professionals whenever necessary. Family members spoken with confirmed that staff in the home were very attentive to the health needs of people living there and responded immediately to any concerns. One visitor was impressed with the nursing care in the home as her father had been in bed for a year and had had no pressure sores at all within that time. The representative from the Primary Care Trust said that the home was very good at responding to healthcare needs and that there were noticeable improvements in the health of many people who went to live in the home. The home’s own quality assurance process contained testimony from local GP’s who were positive about the service; one said the home had provided “excellent care for many years”. Medication in the home was well managed. There was a clear medication policy and staff spoken with understood it fully. Trained nurses administered all medication within the home and other staff in the home had the opportunity to undertaking training in medication as well. Training was considered useful even for staff not directly involved in administering medication as it gave them some understanding of medication issues and how medication might affect service users. All medication was stored safely and securely in the home and good records were kept of all medication administered. Records were also kept of all medication coming into and going out of the home. The policy was clear about service users’ right to refuse medication and clear about the issues surrounding the covert administration of medication. Staff spoken with understood these issues. The Manager was of the view that people sometimes get admitted to the home having been prescribed more medication than they really needed. The medication of each service user was reviewed a few months after they entered the home in order to identify any medication that may no longer be needed. The home liaised closely with the GP to look at reducing medication where possible. Where medication had been reduced there was close monitoring of the service user to find out whether or not the reduction in medication was successful. Issues highlighted during this monitoring process were responded to quickly. Observation throughout the inspection visit showed that staff understood how to respect the privacy and dignity of service users. Staff were extremely courteous at all times to all service users and this was confirmed by family members spoken with. The induction training for staff provided them with guidance on the rights of service users and on ways to actively demonstrate respect and maintain peoples dignity. Both staff and service users’ families said that the Manager was dedicated to ensuring that service users were respected at all times and that her approach and leadership encouraged and supported staff to demonstrate respect at all times; the representative from the Primary Care Trust confirmed this. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 11 Bury Lodge Nursing Home DS0000042003.V334381.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): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from excellent support to maintain contact with friends and families and an excellent approach from the home to their nutritional needs. EVIDENCE: Many people living in the home had difficulty in communicating their choices and wishes. Staff had received training in communicating with people who have dementia and were skilled in communicating with people at the home. Service users’ methods of communication were recorded and there was close liaison with families over the needs, choices and wishes of each service user. Families spoken with confirmed that all the staff in the home were very good at communicating effectively with their relatives and that they were respectful of the choices they made. Observation of staff on the day of the inspection visit showed that they gave time and consideration to all service users and attempted to respond to their wishes at all times. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 13 The home provides a variety of activities. An external company comes into the home twice a week to do musical activities with service users. Staff undertake one-to-one activities with different service users throughout the week as group activities can be difficult for the people living in the home. Records were kept of all activities, including who participated, what their level of participation was and to what extent they enjoyed the activities. Activities included videos, music, discussions, books, going for a walk and going to the local shop. The home had also developed a range of activity resources for reminiscence and musical activities with service users. In addition to the actual activities offered, staff were mindful throughout the day of the need to ensure that service users were receiving sufficient stimulation. There was a lot of interaction with service users and there were sensory items throughout the building to add to the stimulation for people. Healthcare professionals and service users’ families had commented that the home provided good stimulation for people. Visitors were encouraged to come to the home at any time and all those visitors spoken with confirmed that they felt able to visit whenever they wanted to. There were many visitors during the day of the inspection visit and the doorbell was ringing throughout the day. Families spoken with said they were always made to feel very welcome in the home and that staff ensured they were made comfortable and had everything they needed, including a tray of tea whenever they came. They said it was a very friendly and homely atmosphere and that the whole process of visiting their relatives was made very comfortable for them. The home also organises fetes and barbeques to encourage families to meet with each other and share experiences. Some visitors spoken with during the day had obviously developed very friendly relationships with each other. Information was available within the reception area for visitors and this included the Statement of Purpose, Service User Guide, Newsletter, information on the local Alzheimer’s Disease Society, information on local advocacy services and a copy of the last report from the Commission for Social Care Inspection. The home had a very positive attitude to supporting service users to maintain contact with their friends and families. They had even been working with one service user to enable her to go home to spend some weekends with her husband. The home also had a very positive attitude to addressing the nutritional needs of service users. Their approach was a lot more comprehensive than just providing very good meals for people. On admission each service user had a detailed and comprehensive assessment of their nutritional needs and individual nutritional care plans and risk assessments were devised in response to the issues highlighted in the assessment. A high importance was placed on service users receiving nutritional food and drinks throughout the day and staff worked to identify different ways in which individual needs could be met. Food was always served in the best way for each service user to consume it. This included the use of liquefied meals, fortified drinks and buffet-type finger food. Service users were also supported to eat whenever it was convenient for them rather than being restricted to specific mealtimes. The home’s approach demonstrated a good understanding of the relationship between nutrition and Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 14 well being for service users. Improvements were noted in service users’ mood and behaviour as a result of improved nutrition and healthcare professionals had commented about this and the general health and weight improvements of people who had gone to live in the home. Bury Lodge Nursing Home DS0000042003.V334381.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. Service users benefit from a clear and effective complaints procedure and are protected by the home’s adult protection procedures and practices. EVIDENCE: The home has a clear and effective complaints policy in place. The policy is made available to service users and their families on admission and a copy is also available in the front entrance of the building. Families of service users spoken with were aware of the complaints policy and how to use it, but those spoken with said they had never had to make a complaint. The home has a very positive attitude to complaints and actively encourages people to complain. However, there had been no complaints since the previous inspection. Good records were kept of previous complaints, including what action was taken and what the outcome was. The outcomes of any complaints, however minor, were consequently considered within the home’s quality assurance processes. Discussion with staff and examination of training records showed that all staff had received training in adult protection issues and were aware of their responsibilities within the adult protection procedures. The manager was clear about the reporting procedures and had used them in the past to highlight concerns. Bury Lodge Nursing Home DS0000042003.V334381.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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in clean, safe, well-maintained environment. EVIDENCE: The home consists of the original part of the building and an extension that was completed two years ago. All parts of the building were kept very clean, but the home retained a homely and comfortable appearance. The garden area was well kept and service users were supported to use it throughout the good weather. In the past few years the home had won awards for the gardens. The Manager said that the owner of the home was very good in responding to requests for necessary expenditure on the building, but usually initiated improvements himself before they were requested. She said the carpets had all been replaced in the four years since the Provider had owned the home – some Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 17 had even been replaced twice in that time. Likewise, all the rooms in the home had been decorated at least once in the last four years. There was also a programme of routine maintenance and records were kept to demonstrate that maintenance issues were responded to swiftly. The home employs adequate numbers of domestic staff and there were two cleaners working on the day of the inspection visit. There were comprehensive cleaning rotas in place, including one for cleaning the kitchen. Infection control procedures were in place and were posted in places throughout the building to ensure that staff were able to refer to them throughout their work. Bury Lodge Nursing Home DS0000042003.V334381.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): 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. Service users benefit from being supported by adequate numbers of sufficiently trained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: The home employs sufficient numbers of staff to meet the needs of service users. Rotas showed that, in addition to the Registered Manager and either one or two registered nurses, there were four care staff on each shift throughout the daytime. Staff and families of service users spoken with confirmed this. In addition to this there were domestic staff including cleaners and a cook. During the night there were two care staff, one of whom was a “sleep-in” who was available if necessary, and a registered nurse. The numbers of staff on duty meant that service users were able to have their care needs met and were also supported to be involved in leisure activities and stimulated throughout the day. All staff had very comprehensive induction training when they first began working in the home and clear records were kept of this. The ongoing training for staff at the home was plentiful and wide-ranging. Staff spoken with said they had excellent access to all the training they wanted and were encouraged and supported to undertake as much training as possible. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 19 Families of service users said all the staff appeared to be very well trained and were competent in their roles. Staff were undertaking a ten week training course in Dementia which covered all aspects of the condition and practical instruction on caring for people with Dementia. Three staff had achieved an NVQ level three in care and one was currently doing the NVQ Assessors Award. Six other staff had an NVQ level two and three further staff were currently undertaking the course. This represented nearly ninety per cent of staff with at least an NVQ level two or equivalent. Staff had also had further training in topics such as communication difficulties for people with Dementia, palliative care, Health and Safety training, personal care, risk assessment and medication. There were also training sessions provided in the home by health professionals such as the Dietician and the Physiotherapist. Domestic and administrative staff had also received training in Dementia in order to help them support service users appropriately. All staff received regular support and supervision sessions with a member of the management team. Records were kept of all sessions and issues were followed through from one session to the next. In addition, all staff received regular supervised practice sessions where a member of the management team would observe them undertaking a practical care task and take notes. Later there was discussion with the member of staff about how well they executed the task and what, if any, things they could do to improve their performance in the future. All staff spoken with said that they were very well supported by the Manager of the home. Examination of recruitment records showed that the home ensured that all necessary pre-employment checks were in place for all staff before they began working in the home. All staff were interviewed before being offered a job and clear records were kept of all interviews. Bury Lodge Nursing Home DS0000042003.V334381.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): 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s financial procedures and by the management of health and safety issues. They benefit from living in a service that is extremely well managed and focussed on their best interests. EVIDENCE: Service users in the home have their finances managed by family members or by other representatives outside the home. The home does look after small amounts of spending money for some service users and has a policy and procedures in place to govern this. Access to the money is limited to a few Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 21 senior members of staff and clear and accurate records are kept of all transactions, along with receipts. Health and safety was well managed in the home. Comprehensive workplace risk assessments were in place and these were monitored and reviewed on a regular basis. The manager was clear about health and safety legislation and specific regulations were accounted for within the home’s health and safety policies. Procedures for safe working practices were posted around the building and were covered in staff induction training. Staff spoken with were clear about the need for ensuring the health and safety of themselves, their colleagues and service users in all the work they undertook. Any incidents or accidents were recorded clearly and these records were regularly reviewed to ensure that practices were changed where necessary. All staff received regular training and updates in health and safety issues. The quality assurance system in place in the home was very comprehensive and focussed on outcomes for service users. The home produces an annual development plan that clearly identifies areas for improvements to the service and establishes exactly what action is to be taken, who is responsible for it and the timescale within which it is to be achieved. The detail of the plan is informed in many different ways. The Provider and Registered Manager highlight some areas they want to improve and also included input from service users, families, staff and other professionals. A lot of information came from questionnaires that were aimed at families, staff and other professionals. These were thoughtfully designed, easy to complete and covered all aspects of the service. The home had a lot of success in getting people to complete and return the questionnaires. Family members spoken with thought this was because they knew the home would respond to any issues raised and also because people wanted to take the opportunity to express how pleased they were with the service. All information about service developments was shared with families and other interested parties through the development plan and through regular newsletters that were positive and informative. The amount of positive feedback received through the consultation process was overwhelming. From the last round of questionnaires the areas where people were most positive were the food, the visiting arrangements, the cleanliness and comfort of the home, the quality of the care and the dedication and leadership of the manager. The Registered Manager is very experienced and has the necessary skills and qualifications to manage the service very well. All staff, service users, families and other professionals spoken with praised the manager wholeheartedly. One family member said the manager should receive an award for the way she manages the home. This was very apparent on the day of the inspection visit. It was clear that the manager knew all of the service users very well and was clear about their needs and how best to meet them. She was very knowledgeable about care practices and kept herself up-to-date with new developments. Staff spoken with said they enjoyed working with the manager because they were able to learn a lot from her and felt that she supported them fully. Everyone spoken with, including staff, family members, other professionals and the Provider were clearly of the view that the service was Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 22 extremely good and that this was largely due to the effectiveness of the manager. Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 23 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 4 14 3 15 4 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 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 24 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 Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Bury Lodge Nursing Home DS0000042003.V334381.R01.S.doc Version 5.2 Page 26 - 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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