Inspection on 17/05/05 for Cedar Lodge

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cedar Lodge 10/12/08

Cedar Lodge 08/01/08

Cedar Lodge 26/06/07

Cedar Lodge 06/02/07

Cedar Lodge 16/05/06

Cedar Lodge 18/10/05

Cedar Lodge 27/10/04

Cedar Lodge 15/09/04

Cedar Lodge 18/05/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE Red Lodge Care Home Hope Corner Lane Taunton Somerset TA2 7PB Lead Inspector Caroline Baker Unannounced 17th May 2005 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 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. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Red Lodge Care Home Address Hope Corner Lane, Taunton, Somerset, TA2 7PB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01934 645325 N Notaro Homes Limited Not yet registered Care home only 42 Category(ies) of Dementia - over 65 (42) registration, with number Old age (42) of places Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 42 persons in categories OP and DE(E). Numbers to include three service users between the ages of 55 and 65 years. Room 217 to used for ambulant independent service users only. Rooms 3 and 7 to only be used for service users with minimal moving and handling needs. Service users accommodated in rooms 201; 202; 203 must be continually assessed as to their mobility needs as these are only accessible via the stairs. Date of last inspection 27th October 2004 and Additional Inspection Visit 20th January 2005 Brief Description of the Service: Red Lodge is a large, detached, extended property, set in good size grounds in a quiet residential area, approximately 1.5 miles from Taunton town centre. The home is Registered with the Commission for Social Care Inspection (CSCI) for up to 42 service users over the age of 65 years with mental health problems. Notaro Homes Ltd owns the home. The home has not got a Registered Manager at this time. Jane Pitman is Acting Manager and Jill Camm Operations Manager is in close contact with the home. Mr Notaro is present at the home five days per week. Amenities are close at hand, including a Post Office, shops and pubs. There is adequate parking provision within the grounds, which include a secure garden area for service user safety, and a Sensory Garden at the front. Service user accommodation is on three floors. Bedrooms are found on all three floors, a lift gives access to all but 3 of the bedrooms, which are approached by a staircase. The home is in the process of being extended and refurbished to improve the environment and add a further 16 bedrooms. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection was unannounced on 27 October 2004 (this was the third inspection for 2004) when 14 statutory requirements were identified and 4 recommendations were made. On 20th January 2005 an additional unannounced monitoring inspection took place. At the time of that inspection the requirements had been complied with and the recommendations actioned, however a further four requirements were identified and one recommendation was made. This inspection was unannounced and took place over one day (7 hours) with three inspectors to include a pharmacist inspector. At the time of this Unannounced Inspection three of the requirements had been complied with and the recommendation had been actioned. The requirement relating to persons working at the home prior to full fitness checks had not been complied with which led to a further Immediate Requirement notice being issued. Thirty-one service users were residing at the home including one having respite. One service user was in hospital. Staffing levels appeared adequate on the day of inspection. An assessment of the premises took place where a selection of bedrooms and communal areas were seen. At least fifteen service users were spoken with. Mr Notaro, registered provider, was available throughout the inspection. The acting manager made herself available for the inspection. The operations manager was also available. Throughout the day the inspectors were able to observe interactions between staff and service users. Records relating to the care of the service users, staff and health and safety were examined. What the service does well: Service users were evidently well cared for, well attired and happy. Those spoken to and able gave the inspectors comments such as: “its lovely here”, “the food is good”, “the staff are kind”, “I can please myself”, “they clean, cook and do my laundry for me”. Activity provision and support was good. Service users were seen busy playing dominos, knitting, and basket weaving, listening to music and walking in the garden. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 6 The environment was clean and homely. Décor was to a high standard and refurbishment included painting of doors to different colour schemes to provide an enabling environment for those with dementia. Service users private rooms were kept to a high standard. They were clean, personalised and homely. Interaction of service users and staff was good and service users had a choice of daily living. 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. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4, and 5. Standard 6 is not applicable to the home. Prospective service users are provided with information to allow them to make an informed choice. The home takes appropriate steps to ensure the needs of prospective service users can be met prior to a decision being made about admission. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide, which is available to prospective service users. Evidence was seen in the three of the five care records examined that a full pre-admission assessment had been undertaken to ensure the home could meet individual service users needs prior to admission. Other assessments had been obtained from Social Services. The managers were in agreement that all prospective service users be assessed prior to admission to ensure their individual needs can be met at the home. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 9 It was evident that the staff individually and collectively had the skills and experience to deliver the services and care which the home offers through staff training records seen. The home was taking seriously the need for up to date training in dementia care and had records of planned training from ‘Dementia Voice’. Service users are able to visit the home prior to admission. The home provides day care for up to six persons from Monday to Friday. Some had gone on to have respite care on a regular basis. There were four persons receiving day care at this inspection. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, and 10. Each service user had a care plan and the processes had been greatly improved since the last inspection. The privacy and dignity of service users was respected. The homes medication policy did not reflect the medication systems used at the home. EVIDENCE: On examination of five individual care plans and meeting the individual service users it was evident that current care needs were reflected. They were well written and contained detailed actions for care staff to be able to deliver the care. The acting manager had been reviewing the care plans and continues to do so. Mr Brian Brown pharmacist inspector assessed the medication systems at the home. Overall the assessment was positive. The main points noted were: • • the medication policy needed re-developing to reflect the homes systems. district nurse administered medication was not recorded on the Medication Administration Records (MAR) D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 11 Red Lodge Care Home • and maximum and minimum medicine fridge temperatures had not been reflected. It was understood that a further treatment cupboard was being built to store the medications, which will be of benefit to the home. Throughout the day inspectors noted the interaction between staff and service users and it was evident that they treated service users with respect through their kind and caring manners. Service users able confirmed that the staff were kind and that they were given had a choice of daily living. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, and 15. The home’s arrangement for meeting service users social needs had improved greatly. Service users benefited from a wholesome diet however those able did not know what was on the menu for lunch. EVIDENCE: At least fifteen service users were spoken to during the course of the inspection including five who were case tracked as part of the inspection process. All of the service users able stated that they were happy at the home. It was evident that a choice had been given to service users for the time they got up in the morning and how they chose to spend their day. The routine of the home appeared to be dictated by service users choice. The home had employed an activities co-ordinator since the last inspection. Social interests were seen recorded in the five care plans examined. It was a joy to see service users either knitting, basket weaving, playing dominos or picking flowers in the garden for the dining room tables. The atmosphere at the home was happy and relaxed. The service users in the main lounge were enjoying music. An activities record was kept and examined which highlighted Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 13 one-one activities with those who could not join in. Flexercise is also part of the planned weekly activities. The visitor’s book indicated many visitors to the home. Service users able told inspectors that the food was very good. None of the service users appeared to know what they were having for lunch however. This was discussed with the cook and acting manager and action was taken to post the menu up on a board. The cook told inspectors that an alternative was available if they did not like what was offered. Menus were being re-developed and the new kitchen area should be ready in 5-6 weeks, which will be of benefit to staff and service users. A new dining area is also planned. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints system in place with evidence that views were appropriately acted upon. The home’s recruitment procedures for staff did not protect service users from the risk of abuse. EVIDENCE: Service users spoken to showed an awareness of whom to talk to with any concerns. The complaints procedure is found in the service user guide and is displayed in the reception area. The home had not received any complaints since the last inspection. The home had the multi-agency policy on Safeguarding Vulnerable Adults. The home had a Whistleblowing Policy, which is given to all staff as part of their employment handbook. Training on abuse was planned for 25 May 2005. Service users may access their personal financial records, if they wish to do, so at any time. The homes policies reflected this. Service users spoken to stated that they felt safe at the home. Notaro Homes Ltd is a registered umbrella body and signatory for the Criminal Records Bureau (CRB). Five staff recruitment files were examined as part of the inspection and issues were raised that compromised the protection of vulnerable adults as detailed later in the report. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 Service users live in a comfortable and safe environment, which is able to meet the assessed needs of service users living there. The environment of the home is being improved and enhanced. Car parking is minimal at this time. Service users could enjoy a safe walk in the enclosed garden at the front of the home. There were no malodours in the home; the standards of cleanliness were very good. EVIDENCE: Since the last inspection three bathrooms have been refurbished two to provide walk in showers and one as a sluice with disinfector. The home is being extended to provide a further 16 bedrooms, a new kitchen, dining area, lounge, and three more assisted bathrooms. All new bedrooms will have ensuite shower facilities. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 16 The home was being decorated to provide an ‘enabling’ environment for those with dementia, including coloured doors for toilets and communal bathrooms. New carpets had been arranged for all the hallways and stairs. It was evident that the provider had put a lot of thought into the environment of the home. Six bedrooms were assessed. They were personalised, homely, light, airy and clean. Maintenance records had been recorded. The building complied with the local fire service and environmental health department according to records seen. The home was well ventilated on the day of inspection. Windows were restricted and radiators were guarded in line with HSE guidelines. Lighting is domestic in character. Hot water outlet temperature records were kept and checked last on 12/05/05. Bath hot water outlets checked were within safe limits. Two en-suite baths were disabled. Evidence of records of running the water of those baths weekly to prevent legionella was not seen and will be followed up at the next inspection. The cleanliness of the home at this inspection was very good. Infection Control systems were in place. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The home’s recruitment procedures for staff were not robust and did not protect service users from the risk of abuse. The numbers and skill mix of staff appeared appropriate to meet the needs of current service users. None of the staff had completed NVQ training in care. Staff morale had improved. EVIDENCE: Service users spoken to and able indicated that staffing levels were adequate at this time. Call bells heard were answered promptly. Service users looked well cared for and well attired. Staffing appeared adequate on the day of inspection. The home provides day care and staffing should be monitored as discussed to ensure that day care provision is not detrimental to the persons living at the home. Staff spoken with indicated that staffing levels were appropriate to meet the current service users needs. The copies of duty rotas given to the inspectors indicated that minimum staffing levels had been maintained over the past two weeks. There had been three staff on duty overnight. Domestic hours appeared appropriate and given Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 18 the cleanliness of the home it was evident that the hours had been increased since the last inspection. On examination of seven recently employed staff recruitment files the following was identified: • • • • • • Two had no recent photo identification Three CRB disclosures were copies of those undertaken at their last employ. Five commenced employment without a POVAfirst check. There was no evidence of the individual staff’s physical and mental fitness for the purposes of the work they were to perform. Five did not have a contract of employment. Five did not have evidence of any induction being given. Gaps had also been found at the last inspection resulting in an immediate requirement being issued. A further immediate requirement notice was issued. This was discussed with the management who informed the inspectors that a full audit would be undertaken to ensure there are no other gaps in staff files. Staff training records and speaking with staff and service users indicated that staff employed at the home are receiving training to ensure they are skilled and competent to do their job. Seven care staff were undertaking NVQ level 2 in care and six NVQ level 3 in care. Once completed the home will reach the target of 50 staff trained to NVQ or equivalent in care. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 37, and 38. The home does not have a registered manager. The home has become committed to staff training. The systems in place for ensuring the health and safety of service users and staff are generally good. EVIDENCE: At the time of this inspection Jane Pitman was acting up as manager to run the home with support from Jill Camm operations manager and Mr Notaro, until a further manager is appointed. This should be by 5 June 2005 Mr Notaro told inspectors. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 20 The inspectors noted an overall improvement at the home in regard to the atmosphere, the care of the service users, the environment, and care planning and staff attitudes. Staff morale appeared lifted at this inspection. Staff spoken with felt supported by the team and were happy working at the home. They indicated an improvement since the last inspection. Staff supervision had commenced and will be further assessed at the next inspection. There had not been any recent service user meetings or surveys distributed to gather views on the running of the home. This is recommended and will be followed up at the next inspection. The area manager had recorded monthly Regulation 26 visits and copies had been sent to the CSCI. The majority of the records that were seen at this inspection were detailed, well maintained and up to date. The medication policy must be re-developed as previously mentioned. Staff spoken to were aware of the homes health and safety policies and had received mandatory training in health and safety. Food was stored correctly in the kitchen. Fridge and freezer temperature records were up to date. The inspectors were unable to find evidence of weekly fire alarm testing and asked that they be faxed through to the CSCI. All service histories were found to be up to date. Hot water outlet temperatures according to the records had not been tested on a monthly basis. Bath temperature records, undertaken by staff at each service user bath time, were not seen. All accidents and injuries had been recorded. There were 37 recorded since the last 04/02/05. Since 04/03/05 eleven had been through service user falls one had resulted in a fracture. It is recommended that accidents be fully analysed monthly to identify any traits. Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 1 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x 2 x x 2 2 2 Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 22 Yes Are there any outstanding requirements from the last inspection? 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. 1. Standard OP9 Regulation 13(2) Timescale for action The registered person must 20 July ensure that the medication policy 2005 is re-developed to reflect the homes medication systems. The registered person shall not 17 May employ a person to work at the 2005 care home unless an enhanced CRB disclosure and POVAfirst check have been undertaken. (This requirment was made on 20 January 2005 and not met) The registered person must 17 May ensure that staff recruitment 2005 files evidence: 1. proof of their identity including a recent photograph 2. and evidence that the person is physically and mentally fit for the purposes of the work they are to perform. The registered person must 30 May review the homes application 2005 form to reflect that the last 10 years of employment are asked for and the last and/or most recent employer for referees. All staff must receive induction 30 July training to National training 2005 organisation (NTO) specifiaction within 6 weeks of appointment to their posts. And foundation Version 1.30 Page 23 Requirement 2. OP29 19 Schedule 2 3. OP29 19 Schedule 2 4. OP29 19(1)[c] 5. OP30 18 (1)[c]{i} Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc training to NTO specification within the first six months of appointment. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 15 19 and 38 33 Good Practice Recommendations Service users should be given a choice of menu on a daily basis and daily menus should always be posted up for service users to see. All records of maintenance should be available for inspection with regard to running of disabled bath water and weekly fire alram testing. The registered person should commence sending out surveys to service users to gain anonymous views as to the conduct of the care home as part of the homes QA processes by end September 2005. The registered person should ensure that accidents are analysed on a monthly basis to identify any traits. 4. 38 Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Red Lodge Care Home D53 - D02 59128 Red Lodge Care Home V225277 170505 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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