Inspection on 15/05/07 for Buxton Lodge Care Home

This inspection was carried out on 15th May 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

Buxton Lodge Care Home 04/11/08

Buxton Lodge Care Home 19/09/06

Buxton Lodge Care Home 15/11/05

Buxton Lodge Care Home 01/06/05

Buxton Lodge Care Home 31/01/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Buxton Lodge Care Home Buxton Lodge Care Home 53 Buxton Lane Caterham on the Hill Surrey CR3 5HL Lead Inspector Mavis Clahar Unannounced Inspection 15th May 2007 08:35 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 Buxton Lodge Care Home DS0000063422.V339159.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. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Buxton Lodge Care Home Address Buxton Lodge Care Home 53 Buxton Lane Caterham on the Hill Surrey CR3 5HL 01883 340788 01883 350498 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.newcenturycare.co.uk New Century Care (Caterham) Limited Mr Satya-Prakash Bundun Care Home 38 Category(ies) of Dementia - over 65 years of age (12), Learning registration, with number disability over 65 years of age (8), Old age, not of places falling within any other category (38), Physical disability (6), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (8), Terminally ill over 65 years of age (10) Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to ten (10) service users from the age of 50 may be accommodated. One named service user under 49 years may be accommodated. Date of last inspection 19th September 2006 Brief Description of the Service: Buxton Lodge is a private care home with nursing situated in a quiet residential area of Caterham on the Hill. The large detached Victorian building was extensively refurbished in 1985 and extended in 1992 to provide 38 places. The home changed ownership in January 2005 and is owned by New Century Care. The home is a short distance by car to the local shops and all community amenities. Service provision includes permanent, respite, convalescent and palliative nursing care for older people, some of whom may have dementia, learning or physical disabilities. The bedroom accommodation is arranged on two floors served by passenger lifts. The majority of bedrooms are single with en-suite facilities. The home has seven shared bedrooms. All bedrooms have hand wash basins, emergency call system, telephone and remote controlled coloured televisions. The communal lounge and combined dining facilities are situated on the ground floor. The room overlooks a south facing furnished patio and attractive and well-maintained garden, which includes a koi pool and waterfall. The range of fees of the home are £600.00-£850.00 per week. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the home’s first key inspection to be undertaken by the Commission for Social Care Inspection (CSCI) was undertaken by Mrs Mavis Clahar on the 15th May 2007 and lasted for seven hours and fifteen minutes; commencing at 08:35 hours and concluding at 15:50. The majority of the service users spoken to at the home on the day of the inspection were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with two relatives on the phone, speaking with a number of service users, and speaking with care staff. Further information was gathered from records kept at the home, and from the pre inspection questionnaires completed by relatives and service users of the home, and from the pre inspection questionnaire and data sent to CSCI from the home. The first part of the inspection was spent discussing the inspection process with the Registered manager and deputy manager; (the operation manager joined the group later) followed by a tour of the home which included time spent in discussion with service users, care workers and the Chef. The registered manager and operation manager are aware of the Laws regarding equality and diversity. However, no one at the home is currently undertaking the course. The home does not have an Equality and Diversity policy in place, but the operation manager told us all policies are currently being revised and Equality and Diversity policy is one of the new ones to be written. Recommendations of good practice were made to have these issues rectified as soon as possible. All service users in this home are Caucasian by race including one from an ethnic minority background by nationality. Service users and relatives spoke highly of the care they received at the home with some acknowledged criticism of the lounge, which appears to be overcrowded. The management are fully aware of this, and are in the process of making preparations to have the lounge enlarged. All records sampled were up to date with care plans being signed by the service users or by relatives. No requirement was made on this inspection. The final part of the inspection was spent giving feedback to the manager, deputy manager and operations manager about the findings of the visit. The inspector would like to thank all the service users, care staff relatives who completed the pre inspection questionnaire and those who took time out of Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 6 their busy day to speak with the inspector for making the visit so productive and pleasant on the day. What the service does well: What has improved since the last inspection? What they could do better: The home continues to offer a good service to the service users and the service users relatives also acknowledged this. We observed that not all care workers were wearing their name badge on the day of the visit, and one service user also spoke about this during the post visit telephone conversation. A recommendation of good practice was made. Staff spoken to were aware of the law regarding Equality and Diversity, but no one at the home had completed the training and the Equality and Diversity Policy has not yet been delivered to the home from head office. Recommendations of good practice were made to have these issues dealt with as soon as possible. Buxton Lodge Care Home DS0000063422.V339159.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. Buxton Lodge Care Home DS0000063422.V339159.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 Buxton Lodge Care Home DS0000063422.V339159.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&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs EVIDENCE: Random sample of service users files, care plans and personalised daily workbook, along with selected case tracking has demonstrated the homes ability to assess service users needs. This was supported by discussion with the manager, and the service users themselves. Review of carers’ training files have shown care workers had the knowledge suitable to meet the care needs of the service users in their care. Buxton Lodge Care Home DS0000063422.V339159.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): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good and clear care plan in place for service users, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the service users ensuring that competent staff supports service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. Care workers were observed treating service users with respect and to maintain their dignity and privacy when delivering personal care. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 11 EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to service users. It was noted that care plans were signed and where possible in agreement with the service users, relatives were encouraged to be involved with the development of the service users’ care plans. The majority of the pre inspection questionnaires and in telephone discussion with relatives and the individualised daily work log along with discussion with service users demonstrated that service users care needs are fully met. One service user said” I have not needed medical support, but have noticed prompt help to others when needed.” Each service user is registered with a General Practitioner who visits the home on a weekly basis and more often if needed. Arrangements are in place for service users to access the wider health care provision, as their care needs demand. No service user at the time of inspection was responsible for their medication, but the manager was knowledgeable about what to do should this situation arise. Good clear records are kept of medication receipts, storage, administered and returned for destruction. There were no visitors to the home who wished to speak with the inspector, but relatives’ response to the pre inspection questionnaire indicated they are satisfied with the care services users received at the home, and some relatives requested to speak with the inspector. Telephone conversations were held with relatives on the 16/05/07 where they said “they were very happy with the care provided by the home, the manager was very approachable and understanding and any issues raised would be dealt with immediately”. One relative was concerned about the possible loss of the use of the garden to her relative in the summer months due to the proposed addition to the home. Service users spoken to, rated the personal care they receive at the home as very good. Most of them said they were contented, they had enough to eat and can do as they like. One service user said, “ I do not know who my named nurse is, but you can speak directly to any member of staff who will listen and help in any way she can”. Service users said they are treated with respect and their privacy is upheld in their bedrooms, but there is no privacy when speaking with their relatives in the lounge. We observed that the lounge was indeed very packed and in discussion with the manager, he told us that the company has recognised this and have decided to extend the lounge. The application for the extension is being dealt with as we speak. He said he did not foresee the building work being commencing before the autumn. Buxton Lodge Care Home DS0000063422.V339159.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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyles do not always meet their needs and preferences but where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way EVIDENCE: The manager told us the home employs an activities coordinator who is also an occupational therapist, and although some service users do not like some of the activities, the majority does. During the relatives meetings some service user praised the activities coordinator for the work she has been doing with them as evidenced in the minutes. The manager told us that the activities co-ordinator provides a range of activities based on the needs of the service users. This activity can be one to one or in a group. It was noted that service users were sat in the lounge, some watching the TV whilst others were unoccupied. In discussion with service users they said some days were very long and some days are so Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 13 packed they enjoy the quiet now as in the afternoon the music man will arrive and then it becomes very noisy full of laughter and singing. Arrangements are in place for service users to practice their faith and receive spiritual guidance as they wish. There is a notice on the front door informing all visitors to the home that there is no restriction to visiting the service users and this was supported by the service users and the care staff and by relatives in the pre inspection questionnaires completed by relatives. Service users can take their relatives to their bedrooms for privacy or when the weather is good they can go out into the garden or patio where ample seating are provided. It was observed that the lounge became very congested when visitors remained in the lounge with their relatives. Service users said they are able to make choices and control over their care. This was reflected in the care plans, which were signed by the service users to show they were consulted about their care needs. Some service users commented on the lack of privacy in the lounge during visiting with their relatives. However, they told us although they can use their bedrooms they did not wish to be moved from the lounge. Service users and care workers interactions were observed as friendly but firm with no one overstepping the social boundaries. The inspector did not sample the food, but the service users said the food is good, and plentiful. In discussion with the Chef, it was apparent he was knowledgeable about the dietary needs of the service users and prepared their food to their tastes. The Chef operates from a four-week menu. There is always a choice of two hot meals per day at mid-day, or salad at mid-day or the service user can choose their own food e.g. omelette etc. The evening meal is always soup followed by hot meal or sandwiches filled with service users choice. There were ample amount of fresh fruit, dry food and frozen food available in the home. Buxton Lodge Care Home DS0000063422.V339159.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): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place. However, service users and relatives had not made any complaints or raised any concerns. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: Data received in the pre inspection questionnaire indicated the home received three complaints since the last inspection, which were dealt with in accordance with the homes’ complaints policy and procedure. A requirement was made on this standard at the previous inspection visit and this has been actioned satisfactorily. The manager told us he is in touch with service users on a daily basis and issues raised are dealt with immediately; this reduces the incidents of formal complaints. Service users spoken to said they have no need to complain, as they are able to discuss everything with the manager. The relatives’ questionnaire indicated some relatives had no knowledge of the homes’ complaints procedure, whilst other relatives said they had knowledge of the homes complaints policy and procedures but they were never used, as relatives indicated they had no reason to make any complaints as they were in daily contact with the manager. The home has a complaints procedure and policy, which is updated yearly, and care workers spoken to are aware of how to make and take complaints. On entering the home in the front hall on the Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 15 notice board we observed a copy of the homes complaints policy and procedure. The care workers were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager and the Owners of the company would support them. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Buxton Lodge Care Home DS0000063422.V339159.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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home continues to work within its planned programme of refurbishment and upgrading. The kitchen has been totally refurbished with new flooring, new cooker, new fridge, new stainless steel shelving and central worktable. There is also a new instant hot water boiler. The manager told us that the management and staff encourage residents to see the home as their own home. It presents as a comfortable, attractive homely home, which has all the specialist adaptations, needed to meet the service users needs. It was observed that care workers were interacting with the residents both in the lounge and dining area, so that residents’ needs are quickly attended to. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 17 The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some residents told us that they try to go out daily weather permitting to enjoy the gardens and watch the various birds visiting the garden. We noted that adverse weather would not stop residents enjoying the garden, as the windows are low enough to allow them to view the gardens from their armchairs, whilst sitting in the lounge diner. It was observed that some resident’s bedrooms were personalised with small items of furniture, paintings on the wall and many family photographs Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. Buxton Lodge Care Home DS0000063422.V339159.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and skilled competent staff met Service users needs The number of staff on duty was sufficient to meet the service users needs. The service recruitment policy is adequate and generally meets the regulations and national minimum standards. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was adequate to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Over 50 of care workers have attained the L2 NVQ with some staff undertaking NVQ L3 course. Staff are encouraged and enabled to undertake developmental training as well as the mandatory training. . All newly appointed staff undertakes an induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers and from evidence gained from the homes training records. The manager was knowledgeable about equal opportunities and how this relates to recruitment and retention of staff. At the moment there isn’t any one Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 19 undertaking the Equality and Diversity training but this is being remedied as soon as they can obtain a place on a course. Recommendations of good practice were made on this standard. We were told that the recruitment of staff is in line with the Government and the homes policies on Equal Opportunities it was observed that the current staffing team mirrors the population of the area in which the home is based. We observed that all service users in this home are Caucasian by race with a minority from an ethnic minority background by nationality. It was noted that staff turn over at the home is relatively low. All staff are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment. All care workers’ records reviewed included an induction programme that the carer had completed during their first three months of employment. Regular supervision and yearly appraisals are conducted as evidenced in their randomly selected files. We observed that not all members of staff wore their name badges and this was supported during telephone conversation with service users’ relatives. A recommendation of good practice was made on this standard. The manager told us that staff supervision records were up to date and this was verified during random sampling of care workers files. The manager had shown us his planned programme of improvements in training and development of staff. Buxton Lodge Care Home DS0000063422.V339159.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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems to ensure service users views are obtained and acted upon. The manager ensures that care workers follow the policies and procedures to maintain the health, safety and welfare of the service users EVIDENCE: The home has a manager registered with Commission for Social Care Inspectorate, who is a registered nurse with many years experience in caring for and managing care needs of older people and those with a learning disability. In discussion with care workers and the senior staff, and as supported in the relatives pre inspection questionnaires it was evidenced that Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 21 the manager displays a strong ethos of being open and transparent in all aspects of the running of the home. The manager is service user focused and leads and supports a strong staff team who have been recruited and trained to a high standard. Documented evidence from service users/relatives meetings that highlighted areas of concerns raised by service users and relatives, with a time scale for actions was available for review. Although all service users were present on the day of the visit not all of them were able to answer questions asked by the inspector. However, those service users who were able to answer commented in a balanced way about the good things about the home such as the care they receive, the food, which they say is good and plentiful. The majority of them spoke about the cramped conditions of the lounge and that they were looking forward to the intended enlargement of the lounge. The inspector observed that service users were relaxed in the company of care workers and although the service users were not communicating with each other, they would smile at the inspector during attempts at conversation. The home has sound policy and procedure to ensure that no one employed at the home will become involved in any aspect of service users finance. On the day of the visit the company was managing two-service users finance. Bank statements and receipts for items purchased were made available for inspection. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day of the visit was properly maintained. Records indicated that the fire drills, fire alarm, water temperature, fridge and freezer readings were regularly checked and recorded. Random sample of care workers records indicated that regular mandatory and other relevant training were carried out by care workers on a regular basis to protect service users health, welfare and safety. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP29 OP30 Good Practice Recommendations It is recommended that all care workers wear their identification badges whilst on duty. It is recommended that the home train staff in Equality and Diversity and that a Policy to be in place as soon as possible. Buxton Lodge Care Home DS0000063422.V339159.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Buxton Lodge Care Home DS0000063422.V339159.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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