Inspection on 21/11/05 for Court Lodge Nursing & Residential Home

This inspection was carried out on 21st November 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

Court Lodge Nursing &... 28/07/05

Court Lodge Nursing &... 14/12/04

Court Lodge Nursing &... 28/06/04

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 Court Lodge Nursing & Residential Home Court Close Ridgeway Lane Lymington Hampshire SO41 8NQ Lead Inspector Tim Inkson Unannounced Inspection 21st November 2005 09:30 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 Court Lodge Nursing & Residential Home DS0000011421.V266409.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. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Court Lodge Nursing & Residential Home Address Court Close Ridgeway Lane Lymington Hampshire SO41 8NQ 01590 673956 01590 610047 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) Colten Care Limited Mrs Alison Joy Fearnley Care Home 41 Category(ies) of Dementia (8), Dementia - over 65 years of age registration, with number (14), Old age, not falling within any other of places category (41), Physical disability (8), Physical disability over 65 years of age (41), Terminally ill (8), Terminally ill over 65 years of age (41) Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the TI, DE and PD categories must be at least 55 years of age. Date of last inspection Brief Description of the Service: Court Lodge Nursing and Residential Home is situated in a quiet close on the outskirts of Lymington, within easy reach of local amenities. The home is registered as a care home to provide both nursing and personal care for fortyone residents in the category of old age. It can also provide for individuals who are terminally ill and for a limited number of older people with dementia or with a physical disability. A maximum of 35 beds may be used for residents in receipt of nursing care. The home is operated Colten Care Ltd, and is one of several homes that the organisation own and manage in Hampshire and Dorset. The premises were purpose built and service users accommodation is located on the ground and first floors of the building and access is provided by two passenger lifts. The communal areas comprise two large lounges and a dining room on the ground floor and a small lounge/library on the first floor. Bedroom accommodation consists of 39 single rooms and one shared/double room and all have en-suite WCs. In the grounds of the home are several close care apartment/cottages and the owners of these are able to use some of the services and facilities provided by the home i.e. meals and activities. Court Lodge Nursing & Residential Home DS0000011421.V266409.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 09:30 hours and finished at 16:40 hours. The inspection procedure included viewing a sample of some bedrooms (8), an examination of documents and records, observation of staff practices where this was possible without being intrusive and discussion with residents (11), staff (5), students (2), visiting relatives (1) and visiting health care professionals (1). At the time of the inspection the home was accommodating 40 residents and of these 9 were male and 31 were female and their ages ranged from 76 to 97 years and 31 were receiving nursing care. No resident was from a minority ethnic group. The home’s registered manager was available throughout the visit to provide assistance and information when required. Other information that influenced this report was a questionnaire returned by the manager some time before the inspection occurred. What the service does well: What has improved since the last inspection? There was a small increase in the number of health care assistants working in the home who had obtained a National Vocational Qualification (NVQ) to at least level 2 in care. Consequently there were more staff in the home who had been formally assessed as having the competence and skills to be able to provide the care and support required by residents living there. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 6 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. Court Lodge Nursing & Residential Home DS0000011421.V266409.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 Court Lodge Nursing & Residential Home DS0000011421.V266409.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 also the assessment of the needs of potential residents. The records of 5 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 28th July 2005, it was apparent from discussion with residents and relatives and from the documents examined that the needs of potential residents were identified before the persons moved into the home. “They visited my mother to assess here needs before she came here” (relative). These pre-admission assessments were complemented by more thorough and comprehensive assessments of a resident’s needs when they actually moved into the home. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 9 There was documentary evidence that assessments of residents needs were reviewed regularly and revised as necessary when an individual’s circumstances had changed. Court Lodge Nursing & Residential Home DS0000011421.V266409.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: The home had written policies and procedures concerned with “Care Planning and Assessment” that set out the practice and methods that the home used to ensure that the help residents needed was provided. On this occasion as at the last inspection of the home on 28th July 2005, a sample of the care plans of residents was examined (5). 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 also 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. There was evidence from both the documentation and discussion with residents that individuals or their relatives were involved in developing their plans and agreed with the contents. Observation and discussion with residents also confirmed that individuals received the help they required and that the equipment was in place as set out in their plans of care. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 11 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. There was documentary evidence that care plans were evaluated and reviewed regularly. Comments from residents and relatives about the care and help provided to by the home included: • “ I have been well looked after, they are really pretty good, they get to know us and what we need” • “They respond readily to any call I make, some of them are very competent. They may get fed up with me but they don’t say so”. • “They help me with my bathing and dressing, they are certainly skilled”. • “They help me dress, bath and on the whole I feel safe when they are doing those things”. • “I am very happy with the care she receives. I was involved in her care plan” (relative). The home’s medication procedures had been evaluated on 14th October 2005. This had been done by a pharmacist retained by the Commission for Social Care Inspection (CSCI) for the purpose of assessing the management of medication in care homes. The pharmacist had been satisfied with the practice and procedures implemented in Court Lodge and but had required that the home obtained an up to date copy of a reference publication i.e. the British National Formulary. The home’s registered manager confirmed that this matter was in hand. There was written guidance and policies available concerned with managing the death of residents and these stated that that the home “must ensure that the death of a resident is treated with sensitivity, compassion, dignity and respect”. The records of 2 residents that had died in the home since the last inspection on 28th July 2005 were examined. It was apparent from the notes that were kept that the comfort and dignity of the individuals concerned and the support of their relatives was paramount. The home had developed links with a local hospice and arranged training for the staff in aspects concerned with palliative care through the hospice. An information file with practice guidance had been provided by the hospice for the home. New practice based on an approach known as the “Liverpool Care Pathway” was due to be adopted/implemented by the home’s staff team with subsequent audits of the care provided by the home to be done by the hospice. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 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 the following standard(s): 14 The home had good procedures in place for ensuring residents could exercise self-determination. EVIDENCE: The home had several written policies that were concerned with the rights of residents. These included: • The home’s philosophy • Life Style • Residents’ charter These referred to the right of residents to make their own choices, act independently and enjoy the same rights and freedoms as any person. A number of residents spoken to said that they managed their own financial affairs. • “I manage my own finances - I deal with my shares – I still have an my accountant to sorts out my tax - I have a transfer arrangement with my bank for paying my fees”. • “I look after my own affairs I have organised direct debit to pay the home’s fees”. Some other residents spoken to said that they were pleased to have given that responsibility to a relative or friend. • “My daughter is very good and she looks after my money to pay for things”. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 13 The home had details of several local advocacy and information services (e.g. Citizens Advice Bureau, Cruse Bereavement and New Forest Disability Information Services), prominently displayed should a resident or relatives wish to obtain independent advice about any matters that may cause them concern. The home permitted residents to furnish their own bedroom accommodation if they wanted to do so and several residents spoken to said that they had items of their own furniture in their bedrooms rooms. The home kept records of such furniture brought by residents into rooms occupied by them. The home had written policies and procedures about “Confidentiality” and “Access to Records”. The latter stated among other things that residents had the right to access their own records. A consistent word used by residents spoken to, to describe the home’s promotion of individuals rights and their ability to exercise choice and control over their lives was “freedom”. Comments included the following: • “I go out and come in when I want. I keep saying I’ll bring furniture in, but if I did they would not be able to get to the window. I am not bothered about looking at my records, as I can’t see the point. I have my meals downstairs for the company”. • “The best thing about the home is the freedom to do what I like - I can get up and go to bed when I want - I don’t have to join in any activities they organise - I have my lunch in my room”. • “It’s the freedom - it is free considering - you can tell them what you don’t like if you are dissatisfied – you can lie in, in the afternoon if you want”. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 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 the following standard(s): 17 The home had good procedures in place to ensure that residents could exercise their civic rights. EVIDENCE: A number of residents spoken to confirmed that they could participate in the civic process and vote in elections. • “I have been living here when local elections were held and I voted in them”. • “I am on the electoral roll and I have opted for a postal vote”. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 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 the following standard(s): 24 and 25 The home’s bedrooms accommodation was well maintained, furnished and equipped for service users safety and specific needs. EVIDENCE: All residents spoken to expressed contentment with the condition of their bedrooms and indicated that the accommodation was well maintained and looked after. Comments from residents about these matters included: • “I think that my bedroom is good – I have no complaints about the room – I spend all day in my chair but my bed is comfortable – I could do with some more general lighting”. • “I am very happy with my room although I do wish the sun would shine more on this aspect of the building”. • “Its really comfortable”. • “My room is comfortable and I can go down to the big reception rooms downstairs when they have get togethers”. 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 and doors had Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 16 suitable locks. They were naturally ventilated and heated by radiators that were covered with guards to prevent residents from the risk of burns. Nursing beds i.e. either height adjustable or “profile”, had been provided where these were required for the person accommodated. 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 wash hand-basins in 2 en-suite facilities in bedrooms and it was “comfortable”. 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. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30 The home’s recruitment and staff training and development procedures were good. They ensured the protection of vulnerable adults and also that staff acquired the necessary competence and could be deployed with an appropriate skill mix in order to meet the needs of the residents. EVIDENCE: At the inspection of the home on 27th July 2005, the staff team included 9 trained nurses and 20 health care assistants and of the latter 11 had a qualification equivalent to at least National Vocational Qualification (NVQ) level 2 in care. On this occasion the number of health care assistants with at least NVQ level 2 in care or an equivalent qualification had increased to 12 (60 ). Colten Care Ltd and the home’s commitment to staff training and development was demonstrated by among other things by the fact that of the 20 health care assistants employed by the home, 12 had achieved at least NVQ level 2 in care and another 2 were working towards the qualification. The company was an accredited NVQ centre and there were NVQ assessors on the home’s staff team as well as accredited moving and handling trainers. The home had a lot of information and reference material readily available for staff use. Another home owned by Colten Care Ltd and located in Dorset was used by the company, as it’s training centre. All staff spoken to confirmed that they had opportunities to obtain formal qualifications and also enhance their skills and knowledge by attending courses Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 18 and training events in subjects appropriate to the type of work they were involved in e.g. palliative care, as well as general nursing and personal care. They also said that they attended regular training sessions in core/statutory health and safety subjects. New staff confirmed that they had received induction training to a level expected by “Skills for Care” the social care sector’s training organisation that replaced the Training Organisation for Personal Social Services (TOPSS) in April 2005. Comments from staff about their training and career development included the following: • “My induction training included fire safety, first aid and moving and handling”. • “I am an NVQ assessor and I have NVQ level 2 in care. I have recently done a moving and handling update. One element of my NVQ was care of the dying. We do have lots of information to help u in the home and I am now doing NVQ level 3, one of the elements in that is care planning”. • “I am doing phlebotomy and the training is on going. In order to get my certificate I have to take blood from 50 patients. I have been on courses about continence promotion and we go to another home owned by Colten care for some of our training”. • “They have a good resource centre here with journals, videos and lots of clinical information. We have seen staff who are doing NVQs using the resource centre” (student nurses on placement). A visiting general practitioner from a local surgery spoke very positively about the home’s staff and said, “they have skilled nurses - they ask us for help and advice appropriately”. The records of a recently recruited member of staff were examined and it was apparent that all the statutorily required pre-employment checks, necessary to ensure as far as is reasonably possible the safety of vulnerable adults, had been completed. Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 37 and 38 The home’s manager had the experience and skills necessary to run the home effectively. Systems for keeping records and managing health and safety in the home were good ensuring that residents’ welfare and interests were safeguarded. EVIDENCE: The home’s registered manager had been in post for some 3 years. She was a registered nurse and had recently completed a foundation degree in “care home management” at a local university. She had also attended study days organised by the local primary care trust (PCT) and participated in monthly meetings for the managers of homes owned by Colten Care Ltd, at which clinical issues were discussed. Staff spoken to indicated that they had confidence in the manager’s abilities and in particular her clinical knowledge and skills. The home had written policies and procedures about “Quality Assurance” and they stated that the Colten Care Ltd was committed to providing and Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 20 maintaining services of high quality and had developed strategies to ensure that aspects of the business were reviewed regularly. These were to include reviews conducted in-house and by external agencies, audits of systems as well as ad-hoc surveys of matters such as catering and activities. Among the documents seen that indicated that the policies and procedures were being implemented were the recorded outcomes of audits of care plans, contact with relatives, responses to call bells, and accident analysis. External consultants used by Colten Care Ltd send questionnaires to the relatives of the residents in 4 of the homes owned and managed by the company each year. The home’s registered manager said that Court Lodge was one of the homes this year and that they were awaiting the results. She also said that questionnaires were routinely sent from the company’s head office to residents who stayed in the home for “respite” care immediately following their short stay in the home to obtain their views. The questionnaire used stated the following: “At Colten Care we strive to improve the amenities and service we provide. Your comments are vital to our continued success”. The areas about which comments were sought were; first impression; reception; nursing staff; catering services; cleanliness of the home; activity programme; and standard of accommodation. The home had a range of written policies and procedures that informed staff working practice. They were regularly reviewed and updated as necessary. Comments from staff about the policies and procedures included the following: • • “The policies and procedures are in the office. I have referred to them when doing my NVQ. We have to read and sign to say we have done so when new ones are issued”. “I have read some policies and procedures. They are important because we need to know what to do. That is what we have to do and not what we want to do”. General views about the quality of service the home provided included comments from student nurses on placement and a visiting general practitioner. • “Its very nice - the staffing levels are very good – the staff are lovely, they are brilliant with residents – they do things properly – it does not smell – there are lots of activities” • “It has a good matron and skilled nurses - It is very clean unlike the hospitals - there is always some sort of activity going on”. A range of statutorily required records were examined during the inspection and all that were seen were complete and up to date. There was evidence from both discussions and records that all staff working in the home had received regular training in health and safety subjects that were relevant to their role in the home. These included first aid, fire safety, food Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 21 hygiene, moving and handling, infection control and control of substances hazardous to health. Two student nurses on placement commented about some aspects of health and safety: • “The manual handling practice is the best we have seen. All the equipment you need is close to hand”. During the inspection the home’s fire safety systems and procedures were activated when a fire alarm “went off”. The staff responded quickly and appropriately. Records also indicated that systems and equipment in the home were tested and serviced at intervals and with the frequencies either required according to relevant regulations or good practice. These included: • Fire safety equipment • Electrical wiring • Boilers and central heating • Portable electrical appliances • Hoists and slings • Lifts • Hot water systems –(tested for temperature and the presence of legionella). Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 X 17 3 18 x X X X X 3 3 X X STAFFING Standard No Score 27 X 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 Page 24 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 Court Lodge Nursing & Residential Home DS0000011421.V266409.R01.S.doc Version 5.0 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. 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!