Inspection on 31/10/05 for Cedar Lawn Nursing Home

This inspection was carried out on 31st October 2005.

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 22/03/07

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 Tim Inkson Unannounced Inspection 31st October 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 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.V260798.R01.S.doc Version 5.0 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.V260798.R01.S.doc Version 5.0 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. 16th May 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. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two inspections of the home that must be undertaken in the 12-month period beginning on 1st April 2005. It started at 09:00 hours and finished at 16:00 hours. The inspection procedure included viewing a sample of some bedrooms (6), an examination of documents and records, observation of staff practices where this was possible without being intrusive and discussion with residents (12), staff (4) and visitors (1). At the time of the inspection the home was accommodating 28 residents and of these 3 were male and 28 were female and their ages ranged from 66 to 102 years. No resident was from a minority ethnic group. The home’s registered manager was unavailable, but registered nurses working in the home and Sentinel Healthcare’s “operations director” were present during the day and available to provide assistance and information when required. What the service does well: What has improved since the last inspection? Although the condition of the premises was not a matter of concern at previous inspections of the home, a commitment to attempting to continuously improve all aspects of the service provided at Cedar lawn is illustrated by an extension Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 6 to the communal areas and a programme of redecoration. This has increased the shared space available to residents and provided more options and choices where residents and their visitors may relax and socialise in well-maintained and attractive surroundings. At the last inspection of the home on 16th May 2005, an examination of staff records indicated that all statutorily required pre-employment checks had not been completed before a person had started work in the home. On this occasion the records of staff that had started work in the home since the last inspection indicated that their pre-employment checks were more robust and had been done properly ensuring as far as was reasonably possible the safety of residents living in the home was promoted. At the last inspection of the home some 30 of the health care assistants had obtained a National Vocational Qualification (NVQ) to at least level 2 in care (or its equivalent). On this occasion the number of health care assistants with a formal qualification, clearly indicating that they had the knowledge, skills and competence to meet the needs of residents living in the home had increased to 40 . 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. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 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.V260798.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home’s admission procedures included good assessments of the needs of potential residents before they moved into the home to ensure that the home could provide the care and support that individuals required. EVIDENCE: The home had written policies and procedures concerned with the admission of new residents to the home and these referred to the importance of ascertaining the help required by potential residents before they moved into the home. The records of 4 residents were examined and these included copies of detailed assessments that the home had arranged of the needs of the individuals concerned. On this occasion as at the last inspection of the home on 16th May 2005 it was apparent from discussion with residents and the documents examined that the needs of potential residents were identified before the persons moved into the home. • “The matron came to see me at home and we had a long chat to see what help I needed”. It was also evident from the records examined that the home wrote to potential residents before they moved into the home informing them that the home could meet their assessed needs. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 9 The pre-admission assessments were complemented by more thorough and comprehensive assessments of a resident’s needs when they actually moved into the home. There was documentary evidence that assessments of residents needs were reviewed regularly and revised as necessary when an individual’s circumstances had changed. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 and 11 There were good plans of care in place that ensured that residents received the help and support that they needed. Good procedures and systems were also in place to ensure that medication was administered safely and death and dying was managed sensitively. EVIDENCE: On this occasion as at the last inspection of the home on 16th May 2005, a sample of the care plans of residents were examined (4). The documents were detailed and the plans were based on the assessments the home carried out in order to identify what help individuals needed (see pages 9 and 10). The plans set out clearly the actions staff had to take and what specialist equipment was needed to provide the support and assistance each person required. Observation and discussion with residents, relatives/representatives confirmed that individuals received the help they needed and that the equipment was in place as set out in their plans of care. There was evidence from both the documentation and discussion with residents that individuals had been involved in developing the plans and agreed with the contents. Care plans were readily available in the rooms of most residents. “Oh yes I have agreed the care plan and I have seen what’s in it. They do what it says”. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 11 “I can ask them most things and they are usually very helpful, they help me get in and out of the bath and they check my blood pressure regularly”. • “I get all the help that I need”. • “The only things I cannot do are put my stockings on and get in a bath and they help with those”. • “They look after me very well”. All nursing and care staff spoken to were fully aware of the contents of the care plans that were sampled and the assistance that the individuals concerned required. The care plans documents included assessments of the potential risks to residents of among other things, pressure sores, malnutrition, falls, and wandering. Strategies for eliminating or reducing the risk of harm had been identified and implemented e.g. pressure relieving aids were in place; regular checks made of a person and clothing/apparel worn on the day were all recorded. There was evidence that care plans were evaluated and reviewed regularly. • The home had written policies and procedures concerned with the management and administration of medication. A range of reference material about medication was readily available including a recent copy of the British National Formulary (BNF). Medication was kept in locked and secured medicine trolleys, cupboards and where required in a medical refrigerator. Controlled drugs were stored securely and in an appropriate metal locked cabinet. Medicines were dispensed from their original containers and the only staff responsible for the management and administration of medication were registered nurses. Records were kept of the ordering, receipt, administration and the disposal of medicines and these were accurate and up to date. The home had implemented new methods for the disposal of unwanted and unused medicines. The home’s written medication procedures referred to above did not reflect this changed practice. This had arisen as a result of recent changes in the National Health Service contract for community pharmacists and to ensure compliance with legislation about the disposal of industrial waste. The operations manager for Sentinel Health care Ltd, said that before producing a new written procedure they were waiting for clarification about the use of the bins for the disposal of medicines and also for used needles (“sharps”) that a contractor had provided as they had been given conflicting about their use. The home had developed strong links with a local hospice and had written guidance and policies available concerned with managing the death of residents. All nursing and care staff spoken to had attended training about Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 12 palliative care and also about new practice based on an approach known as the “Liverpool Care Pathway”. There was a poster on display in the manager’s office advertising a training course, “nursing the dying”, that had been organised by the hospice (see above). There was a lot of written information about palliative care readily available that staff could refer to if required. The home’s manager was the “link nurse” with the hospice. Her role was to attend regular meetings at the hospice with similar staff from other homes and to liaise between relatives, general practitioners and residents about palliative care matters, as well as disseminate information and share good practice and experiences. The records of two residents that had recently died were examined and it was apparent from notes that had been kept that the comfort of the individuals and the support of their relatives had been paramount. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 The home had good procedures in place for ensuring residents could exercise self-determination. EVIDENCE: At the time of the inspection and according to the operations manager for Sentinel Care Ltd, no residents accommodated in the home managed their own financial affairs. All the residents spoken to said that they were pleased to have given that responsibility to a relative or friend. • “I just sign the cheques and she does everything for me, its much easier”. • “My nephew has power of attorney and it’s a relief to me not to have to bother”. • “My daughter looks after my finances”. There was information readily available in the hallway of the home about organisations that could provide independent advice or information to residents and their relatives or friends. Residents were permitted to bring personal items into the home including furniture and several individuals spoken to indicated that this was important to them and they had furnished and personalised their bedrooms. • “ It’s all my own furniture apart from a couple of things”. • “I have two chairs of my own, I like the pine furniture that they provide”. • “I brought a couple of tables with me and some little odd bits”. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 14 The home kept records of brought in by residents into rooms occupied by them. A number of residents spoken to were aware that they could see records that the home kept about them. The home had a written policy and procedure about “access to personal files” and the plans of care for most residents were available to them in their bedrooms. A small number of individuals had decided that they preferred their plans to be kept in the home’s office. One resident said, “I have seen what is in my records and they are always honest”. Other sensitive information about residents was kept in locked filing cabinets in the home’s office. Other comments from residents about their ability to exercise choice and control over their lives included the following: “ I am a free agent, I can do what I want when I want to”. “I eat all my meals in my room, I prefer it, I am quite happy being on my own”. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The home had good procedures in place for dealing with the concerns of residents and/or their relatives/friends and also to ensure that residents could exercise their civic rights. EVIDENCE: The home had a written policy and procedures about how complaints could be made about the service that it provided. All residents spoken to were confident about raising any concerns with staff or the home’s manager and several were fully aware of the procedure or where they could find a copy of it. The home kept records of complaints that detailed the issue, and set out any agreed action to remedy the matter and the outcome. There had been 3 complaints made to the home since the last inspection on 16th May 2005, and all had been responded to within the timescale set out in the home’s procedures and all had been resolved. No complaints had been made to the Commission for Social Care (CSCI) about the home in the last 12 months. Comments from residents and visitors about making complaints included the following: • “I would ask to see the matron if I was not happy but everything seems to run smoothly here”. • “We get questionnaires sent to us and I have included my views about the food”. • “I have got some notes about the complaints procedure so I could see what I needed to do”. • “If I was not happy I would speak to one of the staff”. • “I would speak to matron, she is very fair, but I can always refer to that (Service Users Guide) if I get stuck and am not sure”. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 16 Residents spoken to confirmed that they could vote in elections. • “I have had a postal vote for some time, the papers came here and I was able to vote”. • “I expect the home to arrange a postal vote for me”. • “I don’t bother with voting, but I know that I could if I wanted to”. • “We can all vote if we want to”. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 25 The home’s general environment including residents’ bedrooms was well maintained, furnished and equipped for service users safety and specific needs. EVIDENCE: As a former large manor house the home was not purpose built but it was converted and extended for its current use and therefore only some accommodation is purpose built. The building retains many attractive features associated with its former use and improvements and refurbishment to the premises have been done sympathetically e.g. the division with the use of pillars of a large lounge into two discreet area with one used for dining. Another improvement to the building and facilities completed since the last inspection of the home was an extension to a large lounge at the front of the home that is called the “orangery”. It provided more communal space for residents and had been decorated and furnished to a high standard. It also provided easy access onto an area of decking that extends into an attractive enclosed garden area where at the time of the inspection a new water feature was almost near completion. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 18 Since that last inspection of the home on 16th May 2005, a number of bedrooms and a small lounge at the rear of the home had also been redecorated and the lounge was being called “the blue lounge”. The home had a number of written policies and procedures that indicated that the upkeep and maintenance of the building and its plant and equipment was important. These included: • Maintenance • Lift breakdown • Security • Fire safety There was evidence from records and discussion with staff and residents that the latter policy was adhered to and that staff received training in fire safety and that fire safety systems and equipment were tested, checked and serviced at appropriate intervals. • “They have regular checks, every so often a chap comes into my room and blows something in that detector on the ceiling” (resident). • “We have fire practices and the alarms are tested regularly” (resident). • “We have drills and training at least twice a year” (staff). The building and décor and furnishings were in good repair and records were seen indicating that all plant, equipment and utilities systems in the home were regularly checked and serviced. All residents spoken to expressed contentment with the condition of the accommodation including their bedrooms and indicated that it was looked after. Comments from residents about these matters included: • “It’s a very comfortable room, it is warm enough. The bed is nice and I can turn the lock on my door so it does not open”. • “I like my single room, I can see some wildlife in the garden from here. It is very comfortable. It is warm enough and I have no heat on in my bedroom only in my en-suite. I can turn it off and on or ask for it to be done - the level of lighting is fine”. • “I like my room very much - I can turn the heating off - they do keep the place in good order and there is always something being done – it’s all very pleasing really”. • “It’s very nice my room, I like my en-suite”. Bedrooms viewed varied in size and configuration but were furnished and equipped as expected by Standard 24 of the National Minimum Standards for care Homes for Older People. They were; fitted with carpets; doors were fitted with suitable locks; naturally ventilated and heated by radiators that were covered with guards to prevent residents from the risk of burns. All shared bedrooms viewed were provided with screening to provide privacy. The nurse call system was tested in one room. It was working and staff responded very quickly when it was activated. The temperature of the hot water was tested in 2 bedrooms and it was “comfortable” and records were seen of regular testing of the temperature of water at hot outlets throughout the home and it being delivered at around 43°C. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 29 The home had sufficient staff with appropriate qualifications and skills to meet the needs of residents and its recruitment procedures for new staff were satisfactory, ensuring the protection of residents. EVIDENCE: There were 15 health care assistants employed to work in the home at the time of the inspection and of these 6 (40 ) had obtained a National Vocational Qualification (NVQ) to at least level 2 in care or its equivalent. Another 7 were also pursuing these qualification and some were hoping to complete their work imminently. At the last inspection of the home on 16th May 2005, some 30 of the care staff were qualified to at least NVQ level 2 in care or its equivalent. Staff spoken to were enthusiastic about their work and expressed positive views about the home. • “I love it, it’s very friendly and I was made to feel welcome when I started”. • “Everyone gets on well”. General comments about the home’s staff from residents and relatives included: • “The staff are nice”. • “The staff on the whole are very good”. • “They are really great and so friendly”. Staff were observed; helping residents at a meal; assisting individuals who had mobility problems; and helping residents participate in a group social activity. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 20 At all times they appeared confident and sensitive and there was also evidence from the practice observed that staff promoted choice and rights. Relationships between residents and staff seemed friendly and relaxed with a lot of humorous banter exchanged between them. At the last inspection of the home records indicated that a new member of staff had started work before a protection of vulnerable adults (POVA) check had been obtained. On this occasion the records of 2 staff who had started work in the home since the last inspection of the home were examined. There was evidence that all the checks and information required before any person who would have regular contact with residents could start work in the home had been done or obtained. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 37 The home’s manager had the experience and skills necessary to run the home effectively. Systems for keeping were good ensuring that residents’ interests were safeguarded. EVIDENCE: The home’s manager was a registered nurse and had been responsible for the home for some 8 years. She had recently completed a foundation degree course in “care home management” at a local university and the “operations director” for Sentinel Care Ltd said that she was confident that the manager would “get a good pass”. Keen on maintaining her own professional development, apart from attending the degree course she had recently completed the manager also kept up to date with practice and research by among other things participating in a scheme with a local hospice as the home’s “link nurse” (see page 13). Staff spoken to indicated that they had confidence in the manager’s abilities and in particular her clinical knowledge and skills. Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 22 The home did not act as agent or appointee for any residents and did not hold any money on behalf of any residents. The following statutorily required records were among the documents examined during the inspection visit and at the time of the inspection they were all accurate and up to date: • • • • • • • • • • Assessments and care plans for residents and related records. Statement of Purpose Service Users Guide Medication Fire safety including tests of equipment and drills and staff training Record of furniture brought by a service user into accommodation occupied by them Staff Visitors to the home Accidents Complaints Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 X X X X 3 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X N/A X 3 X Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cedar Lawn Nursing Home DS0000011416.V260798.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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.V260798.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!