Inspection on 22/03/07 for Cedar Lawn Nursing Home

This inspection was carried out on 22nd March 2007.

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

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

Other inspections for this house

Cedar Lawn Nursing Home 31/10/05

Cedar Lawn Nursing Home 16/05/05

Cedar Lawn Nursing Home 02/12/04

Cedar Lawn Nursing Home 06/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Cedar Lawn Nursing Home Woodley Court Braishfield Romsey Hampshire SO51 7PA Lead Inspector Kathryn Kirk Unannounced Inspection 22 March 2007 10:30 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 Cedar Lawn Nursing Home DS0000011416.V326858.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. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedar Lawn Nursing Home Address Woodley Court Braishfield Romsey Hampshire SO51 7PA 01794 523300 01794 518820 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) Sentinel Health Care Limited Mrs Sheila Hewitt Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (6), Physical disability of places over 65 years of age (30), Terminally ill (6), Terminally ill over 65 years of age (30) Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only six service users in the categories of PD and TI between the ages of 50 - 64 shall be accommodated at any one time. 31st October 2005 Date of last inspection Brief Description of the Service: Cedar Lawn Nursing Home is one of four homes in Hampshire owned by Sentinel Health Care Limited. The home is located in a quiet close on the outskirts of Romsey, a small market town. A former manor house converted for use as a care home, the building has been tastefully refurbished and extended and is set in pleasant and well-maintained gardens. The bedroom accommodation is on 2 floors and comprises 22 single and 4 shared rooms; 22 rooms have en-suite facilities. The home’s communal/shared areas comprise, three lounge areas, one of which includes a dining area. Other facilities include a passenger lift, assisted baths, a laundry service and full board. Fees range between £513.50 and £800 per week This information was provided by the matron in February 2007. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Evidence was gathered for this report by making a visit to the home on 22 March 2007. During the visit, service users spoke about life in the home and commented on the quality of service provided. Other peoples’ needs were such that they were unable to contribute verbally and so time was spent observing how staff interacted with them. Other evidence was obtained through talking to staff, touring the building, and by looking at some paperwork in the home. Further evidence was gathered from written correspondence received by The Commission for Social Care Inspection, this included a pre inspection questionnaire, which has been completed by the matron. Seven Service users and five relatives provided written feedback of their views about the service. The findings of this report are that the overall quality of the service is good. No requirements or recommendations have been made as a result of this inspection. What the service does well: When asked this question the following comments were made: “They make x feel safe, respect her wishes and provide a caring environment and lovely atmosphere” (relative) “particularly the caring and individual attention” (service user) “the quality of the care is excellent” (service user) The atmosphere is friendly (service user) “gives a good standard of living”(service user) I’ve had every comfort and the kindness has been overwhelming from the very caring matron down to the kitchen staff. (service user) “Nothing is too much trouble”(service user) Cedar Lawn has a track record of providing good quality care and continues to do so. Record keeping is detailed and accurate and this helps to ensure that staff provide the right amount of support and care to individual service users. Routines and activities reflect service users wishes and interests and ensure that people can continue to make choices in their lives. There is a good atmosphere in the home and staff were observed to have a friendly and respectful relationship with service users. The home is very well managed and the matron is supported by a knowledgeable and committed staff team. The Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 6 quality of the service is effectively monitored to ensure that the high standard of care is maintained. 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. Cedar Lawn Nursing Home DS0000011416.V326858.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 Cedar Lawn Nursing Home DS0000011416.V326858.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): 3 The home does not provide intermediate care and so standard 6 does not apply. Quality in this outcome area is good. Admissions are not made to the home until a full assessment of the needs of the person has been completed. This helps to ensure that the service can provide the appropriate level of care and support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previous inspections have concluded that comprehensive assessments of the needs of potential service users were made before they moved into the home Staff spoken with on this visit confirmed the pre admission assessment processes remain the same. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 9 Relatives provided the following written feedback: We “had two or three visits and met with matron. Matron also came to meet our mother before deciding if the home was suitable for her needs” “transition from hospital to care home dealt with extremely well. Matron visited x in hospital and put her mind at rest-so she looked forward to going there” One record was checked of a recently admitted service user during the visit. The notes showed that a service user guide had been sent and that the service users family had visited Cedar Lawn. Staff said the service user was unable to visit themselves due to their ill health. The file contained a detailed assessment, which gave information of all health and personal care needs. Staff have just started to compile a detailed care plan from the initial assessment and said that they are in the process of consulting with the service user and family members to help them to do this. Cedar Lawn Nursing Home DS0000011416.V326858.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 There is a good understanding of individuals needs and wishes and staff work effectively to well designed care plans to ensure that these are met. Good procedures and systems are in place to ensure that medication is administered safely. Service users rights to privacy and dignity are always observed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Files seen showed that a detailed assessment of need is completed. The assessment tool covers eating and drinking, bodily functions, personal hygiene, sleeping, breathing, pain control, mobility, motivation, spiritual needs, the senses, memory, behaviour, communication, social relations and personal fulfilment. Where a need is identified a specific care plan is devised to address this. Care plans are kept in service users bedrooms; all spoken with during the Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 11 visit were aware of their care plans and confirmed that staff consulted with them to ensure that they were accurate. Although care planning was found to be good in previous inspections staff said that the system has been modified. Staff spoken with said that they found the new care planning documentation easier to use. The new system enables staff to see clearly any changes to the service users wellbeing and to take appropriate action. Records show that risk assessments are reviewed regularly. When asked does the care home give the support or care that you or your relative needs, all except one who responded said “always”one other responded “usually”to this question. One person said “over and above! Attention to detail is superb and they will suggest things we haven’t thought of”(relative) Health care needs are documented as part of the care planning process and all service users spoken with said that they were happy with the access they had to health care professionals. Records are kept of GP visits. Staff said that they use the Braden scale to monitor people’s sensory perception, activity, mobility, and nutrition. Staff said fluid charts and food charts are kept where there is a cause for concern. One chart was seen for one service user. This had been consistently completed by staff. Staff said that any change in condition is recorded in daily records and this is verbally discussed during staff handover, which happens at the end of every shift. One changeover was witnessed; the information shared was clear and sufficiently detailed to enable staff team to provide appropriate care. “standard of nursing care is excellent” (relative) “would like follow up after Drs visits, sometimes not aware that the Dr has called unless I ask”(relative) This information was shared with the senior manager. Records show that only registered nurses administer medication. Two service users take responsibility for their own medicines Recent risk assessments, which had been completed following consultation with the doctor, were seen regarding this. Medication Administration Records were looked at for one service user and these had been completed appropriately. Staff confirmed that service users that self medicate are provided with lockable storage. All other medicines were found to be securely stored. A range of reference material about medication was readily available including a recent copy of the British National Formulary (BNF). Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 12 Records show that four medication records are checked each month by a senior manager as part of the homes quality audit process. All service users said that the staff respected their privacy and dignity and staff were observed knocking on bedroom doors and waiting for a response before entering. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent Residents are able to enjoy a full and stimulating life style. Visitors are made very welcome. Food is considered highly important and mealtimes considered a social occasion. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities organiser 5-days a week and had the use of a mini bus used to take service users out. There was evidence from notices around the home and from what service users said that providing stimulating entertainment for service users is a priority in the home. Notices on display at the time of the visit included information about a forthcoming meeting with residents, relatives and staff, and details of an Easter Fayre. One resident spoken with said that they recently went out to see Madame Butterfly and had enjoyed this. She said “the minibus takes me out.” Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 14 Information about daily life within the home is accurately reflected in the service user guide and homes statement of purpose. Staff said that they organise theme days, on the day of the visit there was an Indian theme, staff said that they have also celebrated St Patrick’s Day and Burns Night. Food on the day of the visit was a selection of Indian snacks and curry; those that did not wish to have this were provided with what they wanted as an alternative. In the afternoon, a related craft activity took place. Residents who took part looked to be enjoying this. The pre inspection questionnaire lists activities as: quizzes and games, craft sessions, music and movement, outside entertainment, afternoon classes using Brockenhurst college, mobile library, visiting clergy and visits to the wider community for example to garden centres. All service users spoken with were very happy with the range of activities provided. Relatives provided the following written feedback: “They try to stimulate the residents, often arranging activities, events and special meals” “Ash Wednesday service (was) held in the home with the local minister for those who wished to attend” All service users and relatives consulted were very positive about the service enabling them to maintain contact with family and friends: The following comments were made: “I visit any time I want and am able to take my mother out in a specially converted vehicle for a wheelchair user.” “we are updated daily on anything relevant and supported on decision makingnot just told what will happen” (relative) “very regular feedback has helped us a great deal”(relative) We as a family feel looked after as well. Nothing is too much trouble”(relative) “I have no worries about calling in any time “(relative) As stated in the previous section service users care plans are kept in their bedrooms, All rooms seen had been personalised and service users confirmed that they were able to bring some of their own possessions into the home with them. A list of these is kept in individual files. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 15 Each service user has a keyworker whose responsibilities include checking every week whether service users need toiletries, checking and reporting any minor maintenance issues and ensuring that drawers and wardrobes are tidy. Information about the needs of service users with specific dietary requirements was readily available in the kitchen for example, diabetic; soft; chopped up. Preferred portion sizes were also listed. There is a qualified chef working at the home who has a lot of experience in cooking for older people. All service users and visitors said that the food provided by the home was good. They confirmed that they had 3 meals a day and could have drinks and snacks at other times. In addition that they were able to choose from a range of options that they were notified about beforehand and that were available each day The following comments were made about the food. I am “able to have food in between meals at a moments notice” (service user) There is “always a choice of food and a wide variety” (service user) “ the meals are wonderful “ (service user). One service user spoken with said that she chooses to have lunch with a relative every day in her bedroom; she said “the food is good and there’s lots of choice” Food on the day of inspection was observed to be attractively presented and was served in a congenial setting. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 16 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 There is an effective complaints procedure in place and staff understand how to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure is contained in the Service Users Guide, a copy of which was available in every bedroom and in the entrance hall to the home. There is information in a more accessible form for those with dementia. All service users asked said that they were confident about taking up any concerns with the home’s manager. A record of complaints made to the home was seen. There had been 5 made in the last twelve months. All concerns, however small, had been acted upon in a timely manner. This was endorsed by relatives who said: “only minor concerns so far but all my concerns were taken seriously” “any problems/issues are dealt with by matron as they occur.” Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 17 The records set out the agreed action necessary to resolve the matter and the outcome. One complaint made about lack of appropriate medical equipment and lack of staff knowledge on how to use it had been answered by a detailed action plan, which ensured that any deficits were addressed. Staff confirmed that they had received the additional training and said that extra equipment had been provided. There was documentary evidence that all the home’s staff have undertaken training in adult protection. This was confirmed in conversations with staff. It was apparent from these discussions that they all knew the appropriate action to be taken if they suspected or knew that abuse was occurring in the home. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 18 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 Cedar Lawn is clean, well maintained, comfortable and homely This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit all communal areas were seen, along with over half of the bedrooms. The furnishings and décor of the communal rooms was domestic in character and in good repair. All areas were clean. The following comments were made about the environment: “The care home is clean, bright and well maintained” (visitor) Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 19 “I would also like to mention the cleanliness in all areas (relative) “Always clean and smells nice”(relative) “rooms are cleaned daily” (service user) “everything spotless” (service user) the home is “comfortable, clean and warm” (service user) There is a new shower room which has been fitted on first floor Service users are therefore able to choose whether they wish to have a bath or a shower. A senior manager said that they are looking at replacing baths with showers in some rooms when they become vacant. Any areas of environment needing attention are recorded in a maintenance book. Staff said that this system works very well and that any work needed is undertaken quickly The home’s laundry facilities are appropriately sited and equipped. Staff said that an external contractor launders all the home’s sheets and towels and the home only washes service users personal clothing. The following observations were made to indicate that infection control measures were in place: Staff were wearing plastic aprons in kitchen areas There were plentiful supplies of plastic aprons and gloves. Liquid soap and paper towels were available in all bathrooms. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good Staff are well trained and well supported. There is a good skill mix and they are deployed effectively to meet the needs of service users. Recruitment procedures are satisfactory, ensuring the protection of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rota was seen which shows that there at least one qualified nurse on duty at all times. Nursing staff are supported by care staff, chefs, kitchen assistants, domestics, a housekeeper and an activities co-ordinator. During the visit there were observed to be sufficient staff on duty to meet the needs of service users, for example staff responded very quickly when call buttons were pressed. The following comments were made about the number and skills of staff employed: “There are always enough staff on duty”(Service user) “The staff are generally very good with residents and do their best in difficult circumstances” (visitor) Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 21 “always qualified nurses on duty around the clock and one has always been available instantly when needed. The other staff are very good at noticing when they are needed and will offer help without being asked” (relative) “non nursing staff are all very caring and interested in every aspect of X’s life I can’t fault them at all” “most carers are good, some are outstanding” (relative) “always very friendly staff and helpful”(relative) “friendly staff (service user) “a good atmosphere between the staff and folks at the home”(relative) “they look after you well”(service user) “It would appear that all the staff, down to the young helpers have been extremely well selected”. (Service user) Two files were seen for recently appointed staff to check the homes recruitment procedures. Both contained completed application forms, a Curriculum Vitae, Information about training courses completed, copies of terms and conditions of employment, evidence that a satisfactory Criminal Records Bureau check had been undertaken and two references. There was some evidence of identification although neither file contained a recent photograph. As this is requires in the Care Homes Regulations, this was discussed with the senior manager who undertook to ensure that this is done for all staff. Staff spoken with said that the training provided was good and that it was appropriate for their roles and responsibilities. They said that videos are available for them to watch about fire safety, moving and handling, managing challenging behaviour and health and safety. The staff training programme shows that courses have been arranged in health and safety, food hygiene, moving and handling, palliative care, stress management, abuse and health emergencies. Staff said that a first aid course had recently been completed by some staff and there are now 6 appointed first aiders in the team. An induction training pack was seen for one recently appointed staff member. Subjects covered included principles of care, safety, communication and abuse. This staff member said that they have also completed some health and safety courses and that they had initially shadowed an experienced member of Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 22 staff. They also said that they had been given time to talk with service users to get to know them. The pre inspection questionnaire shows that 45 of the care staff have achieved a National Vocational Qualification level 2 or above in Care. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 23 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 good The home is very well managed and the quality of the service is effectively monitored to ensure that people’s health safety and wellbeing are protected and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s manager is a registered nurse and has been responsible for the home for nine years. She has completed a foundation degree course in “care home management. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 24 Staff spoken to indicated that they had confidence in the manager’s abilities and in her clinical knowledge and skills. Service users and visitors were universal in their praise for example, “matron is splendid” (Service user) “The matron is firm but friendly and helpful to relations” (relative) “The matron is excellent”(service user) Service users, staff and visitors said many positive things about relationships within the home. Service users said that meetings are held to discuss daily life in the home. A notice was seen on display in the foyer to invite staff relatives and service users to one such meeting scheduled for April. Staff also said that they have regular meetings with the homes management. There are further systems in place for monitoring quality. There was documentary evidence that aspects of the home’s service were audited throughout the year (for example, Care Plans; medication administration charts). Representatives from the company undertake statutory monthly visits to the home and assess aspects of the service and subsequently produce reports of the visits for the home’s manager. There is a comprehensive range of policies and procedures that inform care and working practices in the home and there is evidence that they have been reviewed updated and developed regularly. Relatives and service users are asked every year to complete a survey about the quality of the service. This was most recently undertaken in February 2007. Once collated, the results are included in the homes service user guide. A senior manager said that the company is in the process of developing a related survey for staff to complete. Records show that all service users, some with the help of their relatives, handle their own financial affairs. As discussed in previous sections, staff are provided with appropriate health and safety training to ensure safe working practices. Records show that electrical, gas and fire safety equipment have been recently checked and serviced. The most recent visit from an Environmental Health officer took place in January 2007 and staff confirmed that all recommendations made have been acted upon. Appropriate records were seen during the visit for the monitoring of fridge freezer temperatures and for the probing of hot food. Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 25 Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 26 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 4 13 4 14 4 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 27 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 Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 28 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 Cedar Lawn Nursing Home DS0000011416.V326858.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!