Inspection on 28/07/05 for Court Lodge Nursing & Residential Home

This inspection was carried out on 28th July 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 &... 21/11/05

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 SO41 8NQ Lead Inspector Tim Inkson Unannounced 28.07.05 9:30am 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. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Court Lodge Nursing & Residential Home Address Court Close, Ridgeqway Lane, Lymington. SO41 8NQ 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) 01590 673956 01590 610047 Colten Care Limited Mrs A Fearnley CRH 41 Category(ies) of OP 41; TI - 8; PD - 8; DE - 8; TI(E) - 41; registration, with number PD(E) - 35 and DE(E) 14 of places Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 2. A total of 8 service users can be acommodated at any one time between the ages of 55 and 64. 3. A maximum of 14 beds may be used for service users in need of personal care only. 4. A maximum of 35 beds may be used for service users in need of nursing care. Date of last inspection 14.12.04 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 forty-one 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 H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 28th July 2005 and the visit was the first of two that must be made to the home during the period, April 2005 to March 2006. It was unannounced beginning at 09:20 and finishing at approximately 16:40 hours. During the inspection records and documents were examined, an opportunity was taken to tour the premises, and staff working practice was observed without being intrusive. In addition residents (12), visiting relatives (3), and staff (5) were spoken to. Other information that influenced the inspection was a questionnaire completed by the registered manager. At the time of the inspection there were 40 residents being accommodated and of these 31 were receiving nursing care and 29 were female and 11 were male and their ages ranged from 74 to 97 years. The home’s registered manager and Colten Care’s deputy operations manager were available throughout the inspection to provide advice and assistance. What the service does well: Residents and visitors said that the friendly and relaxed relationships between staff and residents, “easy going” routines, the meals/food provided, the welcome visitors received and the wide range of activities in which residents could take part were all things that were good about the home. Two visitors specifically suggested that the cheerful disposition of the staff was a contributory factor. The staff valued the support they received from their colleagues and the home’s management and enjoyed working in the home. Good detailed records were in place that gave care and nursing staff information that enabled them to provide the help that residents needed. Residents felt safe and secure and happy that staff could look after them properly and treated them with respect. Staff actively promoted the safety of residents as well as their rights to exercise among other things choice and independence. The location of the home, standard of accommodation, the communal rooms attractive and well laid out gardens were also features that were appreciated by residents. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 6 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. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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) 3 and 5 There were good admission procedures in place that included assessing the care needs of potential residents before they moved into the home and enabling them to visit the home and/or have a trial stay before deciding whether to live there permanently. EVIDENCE: A sample of 4 records of residents users were examined including some of individuals recently admitted to the home. There were pre-admission assessment documents completed by appropriately experienced and qualified staff that had visited the individuals concerned before they moved into the home. Residents and their relatives/representatives confirmed that preadmission assessments were undertaken. More detailed and comprehensive assessments were undertaken subsequently following the admission of individuals into the home One resident spoken to said, “ someone came to visit me in hospital, to see what help I needed and they spoke with me and the staff in the hospital”. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 9 A number of residents said that they had visited the home for a short stay in order to find out what I was like and one individual recalled visiting the home to look around the accommodation and at that time talking to the manager about the help that she needed. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 and 10 There were good systems in place to ensure that the social and health care needs of residents were met and their privacy and dignity was promoted. EVIDENCE: A sample of care plans of 4 residents was examined. All the plans were comprehensive and based on assessments of the needs of the individuals concerned. The plans set out clearly the action staff had to take to meet the needs of residents and where relevant what equipment was required to promote their independence or ensure their comfort e.g. Zimmer frame, pressure relieving aid. Residents confirmed that the care and support they received was in accordance with the plans. • “I have help with bathing”. • “I get whatever help I need, it’s not a great deal, just help with washing and dressing”. Staff demonstrated compassion and empathy and were able to describe the contents of the plans of care and also aware of the importance of promoting the fundamental principles that underpin good social care. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 11 “X has had a stroke but still wants her independence, we encourage her as much as possible and try to involve her – she sometimes sheds a few tears but we sit and talk” Where care plans referred to the use of equipment this was observed to be available and/or in place e.g. pressure relieving aid; commode; hoist; etc. Records indicated that care plans were reviewed at least monthly and daily notes referred to the actions taken by staff to meet the needs set out in those plans. Records examined indicated that a range of healthcare professionals visited the home and that arrangements were made for treatment for service users when it was necessary. This was confirmed by residents who said that they saw and received treatment from among others, chiropodists, dentists and opticians and when required arrangements to attend outpatient clinics were made by the home. • “I have seen a doctor, and I go to a clinic where I have exercises, I am doing well there. If I needed the optician they would get one for me”. • “They get the doctor for me if I need him and the chiropodist comes about every 3 months - I had to go to a clinic for my leg one time – I have my own dentist - they arranged flu injections for us in the winter” The home used a range of recognised methods of assessing residents health needs and for identifying appropriate interventions that may be required included consideration of; skin integrity; continence; mobility and nutrition. Consequently equipment or action plans were in place where necessary e.g. air mattress; hoist; provision of special diet and help and encouragement with feeding. There was documentary evidence that individuals’ health was monitored regularly e.g. temperature, blood pressure and weight. There were detailed and specific care plans in place for the management of wounds and there was evidence that these were monitored and reviewed appropriately. All residents were accommodated in singe rooms and all spoken to said that they appreciated the privacy that these afforded and particularly the benefit of en-suite WCs. All residents also said that the staff were polite and respected their privacy and dignity and that they were addressed by their preferred term. Staff were observed knocking on bedroom doors and waiting for a response before entering. • “Staff are polite, they generally knock on the door” • “They always preserve my modesty when they wash or dress me”. • “I usually have my meals her in my room”. • “They asked me what I wanted to be called” • Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 and 15 There were a good variety of activities and events organised from which service users could benefit. Good links were maintained with the community and visitors were encouraged and made welcome. The meals in the home were good, providing variety, choice and catering for special dietary needs EVIDENCE: The home employed an activities organiser 5 days a week and had the use of a mini bus used to take residents out. There was evidence from photographs and notices around the home that stimulating entertainment for service users was a priority in the home. There was information in the home’s entrance hall and in all residents’ rooms about the activities that had been organised for the current month and they included visiting entertainers and speakers, quizzes trips out for cream teas. Residents spoke highly of the variety of things that they could do and of the activities organiser, “she is a “Pearl” beyond price”. The records of service users that were examined included details about their leisure interests. The activities organiser said that she provided individual attention for residents’ who were bed-bound and too frail to participate in group or organised activities, “I chat to them, read to them or play cards or something like that”. Records examined indicated that the leisure interests of residents were noted. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 13 Residents said that the homes routines were relaxed and comments about their ability to pursue their preferred lifestyle included: • “If you want to go to bed at any time there is no objection, I don’t believe there are any rules here”. • “There are no rules or routines here, it’s free and easy, pretty easy going”. Staff spoken to were also clearly aware of the rights of the home’s residents to exercise choice. • “X rings when she wants to get up, it’s her choice not to go to lunch in the dining room but we still ask her and also if she wants to join in the activities but she invariably doesn’t”. Residents and visitors spoken to indicated that they appreciated the home’s flexible visiting arrangement and particularly the welcoming attitude of the staff. • “The staff are very friendly and the matron is very helpful, I can visit at any time” • “My family visit every other day, I am not aware of any restrictions on visiting” • “My daughter comes every evening”. • “My visitors always get tea or coffee and there is a small dining room where you can take your guests for a meal and have some privacy”. • “The staff are wonderful, they are always cheerful”. • “I have visitors quite often and there are no restrictions as far as I know” At the time of the inspection a resident accompanied by 3 visitors was using the small lounge/library on the first floor of the home to enjoy a meal with them. The registered manager said that visitors did not have to pay for meals unless they ate in the home regularly. All residents spoken to without exception were complimentary about the food provided by the home and comments about the standard of catering ranged from, “pretty good on the whole” and “very good” to “excellent”. They also said they were advised of the choices available and orders for meals were taken in advance, that they had three meals a day and could have snack and drinks at other times. Information about the preferences of all and specific dietary requirements of some residents was readily available in the kitchen. Residents said that within a very short time after they moved into the home a chef visited them to discuss their food preferences and dislikes and portion sizes. Some residents chose to eat in their rooms and others in the home’s main dining room. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 Arrangements for protecting service users and responding to their concerns were satisfactory. EVIDENCE: All residents spoken to were clear and confident about whom to complain to if they were dissatisfied with anything concerning the home and also that the matter would be addressed. The home kept a record of complaints and it was apparent from these that the home was proactive and responded quickly and sensitively to complaints. There had been 2 complaints recorded since the last inspection of the home on 14th December 2004, and one had been resolved satisfactorily. The other had not been concluded as the individual about whom an allegation had been made had resigned before the matter had been fully investigated. There was some discussion with Colten Care’s deputy operations manager about adult protection procedures and the statutory duty imposed on providers to report certain matters under Section 82 of the Care Standards Act 2000. The deputy operations manager stated that the company had taken legal advice about the situation. There were written procedures that were readily accessible concerned with adult protection. Staff spoken to said that training in the subject of adult abuse was provided and those spoken to were able to demonstrate a keen awareness of the different types of abuse and the action they would take if they suspected or knew that it had occurred. One of the home’s chefs said that he had very recently attended a training course about adult abuse. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 and 26 The home provided a comfortable, clean and safe standard of accommodation. EVIDENCE: The home’s location within a about a mile of Lymington town centre ensured that individuals were able to access the amenities in the local community either independently or with staff support. One resident said that he regularly went out in his buggy. The premises were in good repair and well maintained. At another home managed by Colten Care the company’s maintenance manager said the organisation’s director undertook annual inspections of the home’s communal areas and that any deficiencies were subsequently remedied without delay and that in addition there was a planned and regular programme of redecoration and replacement. At the time of the inspection a member of the company’s maintenance staff was measuring fittings in en-suite WCs and said that all vanity units were to be replaced/upgraded. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 16 The most recent report of the local Environmental Health officer (22/07/05) was seen and it indicated that there were no serious concerns with the homes health and safety procedures. Records kept by the home indicated that fire safety equipment and systems in the home were tested and serviced at recommended intervals. Residents and visitors said that the building was clean and that the communal/shared accommodation was comfortable. The communal areas comprised two lounges and a dining room on the ground floor and a further lounge/library on the first floor of the building. The décor and furnishings were domestic in character and in good repair. • “The public rooms are very good and very tastefully furnished”. • “They keep the place clean, it’s all very nice” • “They come and clean my room every day, they seem to have a lot of staff for that sort of thing”. There was level access to an enclosed garden that was appreciated by all residents spoken to and particularly those whose bedrooms overlooked the area. It had a large paved area, a central water feature, a gazebo and shrubs and plants in flowerbeds. There was a range of garden furniture and at the time of the inspection some residents were sitting in the garden enjoying the warm weather. “The view from here is marvellous, all the greenery” At the time of the inspection there were no offensive odours throughout the building. Staff were observed during the inspection undertaking cleaning tasks and all staff were also observed using protective clothing appropriately. There were a range of written policies and procedures available that were concerned with infection control and there were sluice disinfectors located on both floors of the home. The home’s laundry facilities were suitably sited and equipped and procedures for managing soiled items were appropriate. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 and 29 The skill mix of the home’s staff was good and they were deployed effectively to meet the needs of service users. Recruitment procedures for new staff were satisfactory. EVIDENCE: The total number of staff employed to work in the home at the time of the inspection was 40, this included 9 trained nurses and 20 health care assistants and of the latter 11 had obtained at least NVQ level 2 in care. The minimum staffing level maintained in the home at all times for registered nurses and care assistants was as follows: Registered Nurses Care Assistants 08:00 to 14:00 2 7 14:00 to 16:00 2 6 16:00 to 20:00 1 5 20:00 to 08:00 1 3 In addition the home employed, cleaning, catering and maintenance staff. Residents said that staff were able to provide the help and care that they needed and they felt safe when staff assisted them. Most residents, and all visitors and staff spoken to said that there were enough staff on duty in the home at all times and all residents confirmed that the call system was responded to quickly. Staff were able to describe the contents of care plans, Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 18 the specific needs of individual residents and the help they required. Comments about the abilities and approach of staff from residents and visitors included the following: • “I can assure you that I am very well looked after” • “They seem competent” • “They are caring very well for my husband” • “There are ample staff and I am very happy with them, they know what they are doing. They are really kind”. At the last inspection of the home on 14th December 2004 records of newly employed staff had been examined. It was found that all the statutorily required information had not been obtained in respect of some of one of the individual’s concerned and the required pre-employment checks had not been obtained before they started work in the home. Consequently a requirement was made in the report following that inspection that no new staff were to start work in the home before all the necessary information was in place and vetting procedures had been completed. On this occasion records of staff that had been employed in the home since the last inspection were examined and there was evidence that all the required pre-employment information and checks had been obtained and carried out properly before they started work. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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) 32, 35 and 36 The home’s management approach was good, promoting a supportive, inclusive, relaxed, living and working environment. Staff were supervised appropriately and there were good procedures in place ensuring residents interests were safeguarded. EVIDENCE: Residents, visitors and staff described Court Lodge as homely and staff were observed exchanging banter with residents. Residents described the atmosphere as friendly and staff spoke enthusiastically about working in the home. There was evidence that residents and staff were consulted and involved in discussions about life in the home. • “Its very friendly – that is the first impression we got” (resident). • “They are absolutely marvellous, they have all been very good, they sit and talk to me” (resident). Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 20 • • • • • “I love it, it’s a great team, great registered nurses and matron is lovely - you know, firm but fair” (staff member). “The staff are wonderful, always happy and cheerful” (visitor). “I have not been to a residents meeting yet, but I know they have them and they have meetings for staff” (resident). “Its really nice, staff are friendly and you could not ask for a better matron – if we are ever short of staff she comes on the floor to help” (staff member). “It’s a calm and happy place” (staff member). An examination of records and discussion with staff and the registered manager indicated that staff received regular and frequent supervision and this included an annual appraisal. The latter summarised the work individuals had undertaken in the preceding 12 months and identified their future training needs and career aspirations. This home’s staffing structure ensured that staff felt that they could always obtain advice. • “If I am unsure I can speak to a registered nurse and there is always a nurse to supervise you” • “We can go on to NVQ 3 or even do an NVQ assessors award” • “I have developed so much more knowledge since I have been here” • “I have supervision about every 2 months” The home did not manage the financial affairs of any residents but did hold some money for some individuals provided by relatives or representatives. At the last inspection of the home on 14th December 2004, the records of some of these monies did not accord balances held by the home. On this occasion a sample of 3 balances and records examined was accurate. Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 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 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x 3 3 x x Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 22 No 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 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. 1. Refer to Standard Good Practice Recommendations Court Lodge Nursing & Residential Home H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 23 Commission for Social Care Inspection 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 H54 S11421 Court Lodge V240669 280705.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!