Inspection on 09/01/07 for Carlisle Lodge

This inspection was carried out on 9th January 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

Carlisle Lodge 06/02/06

Carlisle Lodge 20/09/05

Carlisle Lodge 15/02/05

Carlisle Lodge 29/09/04

Carlisle Lodge 12/06/03

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 Carlisle Lodge 103 Carlisle Road Eastbourne East Sussex BN20 7TD Lead Inspector Debbie Calveley Key Unannounced Inspection 10:00 9th January 2007 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 Carlisle Lodge DS0000013971.V322469.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. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlisle Lodge Address 103 Carlisle Road Eastbourne East Sussex BN20 7TD 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) 01323-646149 01323-730321 diane@carlislelodge.plus.com The Croll Group Miss Diane Lawson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty (20). Service users must be older people aged sixty-five (65) years and over on admission. 6th February 2006 Date of last inspection Brief Description of the Service: Carlisle Lodge is a detached property situated in a residential area, formerly a large family home that has been extended and adapted for its present use. The home is registered at present to provide care with nursing for twenty residents. The home offers eighteen single rooms, thirteen with ensuite bathrooms and one shared room. There are ample bathing facilities provided with the necessary specialised equipment to meet the needs of the residents accommodated in the home. The communal areas are pleasantly decorated and consist of a conservatory, a lounge area and a dining room. The home has been extensively upgraded and offers attractive, warm accommodation with good quality furniture. The home is situated approximately 1 mile from Eastbourne town centre and the sea front. Meads village provides the nearest shops, the bus runs along the main Meads Road and these are approximately ½ mile away. The car park at the front of the home has been cleared and has increased the parking facility. A large well maintained garden is situated at the rear of the home. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2006 range from £520 to £725, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Carlisle Lodge will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 8 hours on the 9th January 2007. There were nineteen residents in residence on the day, of which five were case tracked and spoken with. During the tour of the premises four other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirement of previous inspection had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the service users guide, statement of purpose, care plans, medication records and recruitment files. Four members of care staff were spoken with in addition to discussion with the Registered Manager and the Responsible Person. The pre-inspection questionnaire was received back from the Registered Manager on the December 2006 completed in full. Comment cards received from seven residents/ relatives were positive and indicated that both groups were satisfied with the services provided. Two comment cards were received from social and healthcare professionals, and two staff surveys were received from staff. The information contained in the returned surveys has been incorporated into this report. What the service does well: The comprehensive Statement of Purpose and Service Users Guide give prospective residents and relatives the information required enabling them to make an informed choice about where they live. Relatives confirmed that they had found the documentation helpful when considering the home. A survey received stated ‘ although my first visit was unexpected I received very positive help from all staff. I was able to make my decision with all the information I was given’. The residents and their representatives were complimentary regarding the standard of care that is received in the home. Comments regarding the care at Carlisle lodge included: ‘Very high standard of care and support for all residents at Carlisle Lodge’ ‘I am very extremely happy with the care at Carlisle Lodge. She is happy and content as she could possibly be. I have absolutely no concerns about her when I leave’, Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 6 The home was found clean, safe and well maintained, which is appreciated by the residents and their relatives. Carlisle Lodge provides an environment that is comfortable and homely and gives residents and their families the opportunity to personalise their bedrooms. The atmosphere of the home is pleasant with good interaction seen between residents and staff. ‘This is the best run home I have seen’, ‘The home is very good, and very well run, the care focuses on people as individuals’, ‘The matron runs an efficient home and the staff fully support her’. The care staff have a good understanding of the residents needs and preferences and respond in a considerate manner to these. The relatives and representatives are welcomed to the home and are kept informed of any changes and are complimentary about the service provided at Carlisle Lodge. The care plans are comprehensive and there was evidence of regular review and clear directions for staff to follow to provide a consistent approach. Satisfactory arrangements are in place to safeguard service users finances. The home works closely with health care professionals to ensure that resident’s health care needs are being addressed. Flexible routines are an important part of daily life at the home with residents choosing when to get up and go to bed. There is a variety of good nutritious food offered and fresh fruit is readily available. Good practice was observed throughout the inspection in respect of promoting the safety and well being of the residents. 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. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: There is a range of well-documented information about the home and the services it provides. This includes a Statement of Purpose and Service User Guide. Copies of these are available in the home. It was confirmed whilst talking to residents that the contract arrangements were clear and understood. One survey received stated ‘ A contract was received when my mother came to Carlisle lodge’. A review of the care documentation confirmed that pre-admission assessments are completed, and are currently completed by the manager or the deputy manager. The information contained in these assessments is then used to Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 9 provide the basis of the care documentation in the home. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. One relative confirmed that they were consulted about the preadmission visit and were given the opportunity to attend. The manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the Registered Nurses employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases. Trial visits/respite visits to the home can be arranged. The manager confirmed that residents are invited to a trial period to ensure suitability of the home; this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. A survey received stated ‘ although my first visit was unexpected I received very positive help from all staff. I was able to make my decision with all the information I was given’. Carlisle Lodge DS0000013971.V322469.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent and provides staff with the information they need to satisfactorily meet residents’ needs. The staff have a good understanding of the residents individual needs. Medication practices are safe and competent. EVIDENCE: The care plans of five residents were viewed and the documentation tracked from pre-admission to the delivery of care. These residents were also met during the inspection. All viewed were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents and include an expected outcome with a clear plan of action to guide staff. Evidence was seen that the care plans and health related risk assessments are reviewed and updated on a regular basis. Consultations with other professionals involved with individual resident care were documented in full. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 11 There is evidence of resident/representative consultation where possible in individual plans. From the information gathered from the care plans and then meeting those residents, it was found that the health and personal needs of the residents were met. Comments regarding the care at Carlisle lodge included: ‘Very high standard of care and support for all residents at Carlisle Lodge’ ‘I am very extremely happy with the care at Carlisle Lodge. She is happy and content as she could possibly be. I have absolutely no concerns about her when I leave’, ‘I am kept fully aware at all times of how my relative is doing and any medical care she needs’. Specialist equipment was found in place where required, e.g. air mattresses, cushions and various hoists with different slings. The clinical room was found clean and tidy with all the cupboards locked appropriately and equipment well maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. Medication practices were seen to be safe and competent and protecting the health of the residents. Throughout the inspection it was observed that residents were treated with dignity and respect. One relative said that ‘ the staff always show respect to residents and nothing was too much trouble’. One survey received from relatives stated, ‘we have always been so grateful for the wonderful care and attention our relative receives from all the staff. My relative is always treated with respect and dignity and included in any decisions that have to be made on his behalf’. Carlisle Lodge DS0000013971.V322469.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 good. This judgement has been made using available evidence including a visit to this service. Staff endeavour to ensure that residents have choices in most areas of their lives and that they remain in contact with friends and relatives. The meals provided are good offering both choice and variety and catering for individual needs. EVIDENCE: An activity programme is in place and demonstrates a variety of events, which are scheduled to take place over the forthcoming month. The activity programme is given to all residents on a monthly basis and also displayed in the home. Residents who take part in the activities spoke very positively about them, ‘I can continue to do things I like’. Relative comments included ‘Special events are arranged during the year. If I am visiting when the activity coordinator is working (she is there every weekday) I can join the activities as well’, ‘for a nursing home, the level of activity is exceptional and very diverse. Family and friends are always included in social events, which are seasonal and add to the community of the home’. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 13 There is open visiting at the home and relatives and friends are encouraged to be involved in the care and support provided for residents. They are invited to residents meetings. Feedback from the inspection and surveys was positive, ‘we are very happy with the home’. Residents are supported and encouraged to decide how they spend their time, some prefer to remain in their rooms while others join the activities in the lounge areas. Meals are taken in the dining room, lounge or residents rooms depending on what the residents want to do. Those who expressed an opinion said that they can decide what they want to do, and staff are ‘always ready to help and are very happy’, staff stated that ‘this is the residents’ home’. A choice is offered at all meals, and snacks and drinks are available throughout the day. Residents said ‘the food is good’, they are ‘able to choose what we want’, and it was confirmed that the chef will make whatever they want. Comments received included ‘Whenever I have visited during meal times- the meal looks very appetising and my relative enjoys her meals’ ‘The food is nourishing and are served attractively and properly’. Carlisle Lodge DS0000013971.V322469.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 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that complaints and any allegation or suspicion of abuse made would be managed appropriately. EVIDENCE: The home has a clear complaints procedure and a copy of this is readily available in the home. Relatives and visiting professionals spoken to confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. A relative confirmed ‘ That the complaint procedure was explained very clearly to me when my relative arrived at Carlisle Lodge’. Feedback from residents and their families demonstrated that they were able to talk to the manager and staff about any concerns however small and were involved in addressing the problem. One relative survey stated ‘I have complete faith in the staff at Carlisle Lodge and have always found them open and honest’ another said ‘I have never had the need to complain, and have always found the staff very approachable and caring’. The home has relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The management team has a clear understanding of adult protection guidelines. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and safe environment for those living there and visiting. Resident’s and their families are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: Carlisle Lodge provides a safe, well-maintained and comfortable environment for its residents, there are adequate communal bathrooms and shower rooms in the home with specialist equipment, which enables frail residents and those with a physical disability to enjoy the facilities available. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 16 wheelchairs and lifts to all areas of the home. Call bells are provided in all areas of the home, which enable residents to call for assistance when required. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Water temperatures are controlled and monitored monthly and a record kept. There was evidence of residents being encouraged to personalise their rooms with their own belongings and bits of furniture. The bedrooms are clean, comfortably furnished and pleasantly decorated with soft colours. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. ‘Carlisle lodge is always very clean. Redecoration is continually being carried out’ ‘ The cleaning is very good’. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Sluice and laundry areas were found clean and safe. The home provides a good laundry service. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Staffing levels are adequate to meet the needs of residents. The home has robust recruitment procedures in place to safeguard the welfare of residents. EVIDENCE: The staffing rota was viewed and the staffing levels were seen to be sufficient to meet the needs of the residents at this time. It was confirmed by the manager that there is flexibility of the staffing levels and they are adjusted according to the changing needs of the residents. Staff spoken to said that the levels of staff on duty were sufficient to give the care required, they also said that the trained staff always helped out. Residents also confirmed that they had no complaints regarding the amount of staff, one resident said the ‘staff are always available, they are very kind ’. Another said, ‘ The staff always take time to talk to me’. Residents/relatives feedback included; ‘Senior staff always available’, ‘Staff always available to discuss things’, ‘In the mornings staff are always available however in the afternoon we have found it more difficult to see staff’. The recruitment files of four employees were viewed and evidenced that the home management team follow robust procedures when employing staff. They contained the required information and demonstrated that the appropriate induction training had been completed in respect of the job they were to undertake in the home. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 18 Staff interviewed confirmed satisfaction with the training provided and stated that recent training was interesting and informative. Staff and records seen confirmed that they had undertaken compulsory training such as moving and handling, adult protection, food hygiene and fire safety. In addition specialist training in understanding dementia, palliative care, nutrition, have also been provided. There is future training planned for the Liverpool Care Pathway, Parkinson’s disease, menu planning and special diets. NVQ training is available and staff are encouraged to complete this, at present 36 of staff have an NVQ qualification. One staff member confirmed he would enrol in the near future. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of this home is good with effective systems in place to protect residents. EVIDENCE: The Registered Manager is a Qualified Registered General Nurse and has the experience to run the home effectively with a strong support management structure. A deputy manager completes the management team within the home. The management structure of the home is strong, competent and has clear lines of accountability. The feedback from residents, relatives and staff indicated that they felt supported and were able to approach the management team at any time. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 20 ‘This is the best run home I have seen’, ‘The home is very good, and very well run, the care focuses on people as individuals’, ‘The matron runs an efficient home and the staff fully support her’. The ethos of the home is to focus on the residents and the staff were observed doing this. Two surveys received confirmed that resident/relative meetings do take place and were found to be beneficial, comments received included; ‘ Staff always available to discuss things, a residents and relatives meeting is held every year to keep everyone informed of anything happening’. The staff mentioned the staff meetings and how beneficial they were and the staff felt that areas of improvement they put forward were acted for the benefit of the residents. The formal quality assurance and quality monitoring systems enable the management to objectively evaluate the service and ensure it is run in residents’ best interests. Residents’ financial interests are safeguarded by the homes policies and procedures. All staff spoken with were aware that they must not be involved in any financial matters of the residents, they also said that they would not accept money or gifts from residents. The residents spoken with said they had no worries regarding their financial status, and felt they were supported in managing their affairs efficiently. The home does not have access or responsibility for personal allowances of their residents. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. Staff were able to discuss the training they received and said that they were kept up to date with changes to policies in connection with fire safety and Health and Safety. The staff are issued with certificates yearly for Moving and Handling and twice yearly for Fire Safety. At present only one member of staff has a first aid qualification. The home has a comprehensive set of policies and procedures, which govern the running of the home. All relevant legislation and procedures are in place in respect of Health and safety. It was confirmed that regular supervision sessions take place and all staff spoken with confirmed that the supervision sessions are beneficial. Throughout the inspection good practice was observed in regards to ensuring the safety and well being of the residents when being moved around the building. The accident forms were seen and had been correctly completed with appropriate referrals made as necessary. Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 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 4 17 X 18 4 4 4 4 3 3 4 3 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 4 3 3 X 3 3 3 3 Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 22 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 Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Carlisle Lodge DS0000013971.V322469.R01.S.doc Version 5.2 Page 24 - 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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