Inspection on 06/10/06 for Dean Lodge

This inspection was carried out on 6th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Dean Lodge 04/01/06

Dean Lodge 26/07/05

Dean Lodge 23/11/04

Dean Lodge 18/05/04

Dean Lodge 04/12/03

Dean Lodge 09/07/03

Dean Lodge 16/12/02

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

CARE HOME ADULTS 18-65 Dean Lodge Dean Lodge Dean Road Ferryhill Durham DL17 8AW Lead Inspector Mr Stephen Ellis Unannounced Inspection 6th October 2006 2:45 Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 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 Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dean Lodge Address Dean Lodge Dean Road Ferryhill Durham DL17 8AW 01740 652059 P/F joan.million@durham.gov.uk 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) Durham County Council Mrs Joan Million Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Dean Lodge is a purpose built home that provides a short break service for 7 people with learning difficulties. The home is a bungalow situated in a residential area close to the town of Ferryhill. At any one time the home can take up to 3 people who have multiple disabilities; the home has aids and equipment for this purpose. All service users are provided with a single bedroom (all of which exceed the National Minimum Standard) and have free access to lounge, conservatory, and dining room. There is a domestic style kitchen that service users can use with supervision. All accommodation is on ground floor level with good access. The home has easily accessible rear gardens that are used by service users in clement weather. There is parking for visitors to the front of the home. The daily charge for the service is £172.57 (includes an overnight stay) and the weekly charge is £1208. Some financial assistance with these charges may be possible, depending upon individual circumstances. There are no other fees or charges payable for the service provided, although a daily pocket money allowance of £4 is suggested as being appropriate. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. It included a tour of the building, examination of key records, plus discussions with service users and staff. Comments were received from 13 service users, 5 relatives and 5 staff. Service user questionnaires were used in the course of this inspection and reference was made to Durham County Council’s independent evaluation report of the short break service provided at Dean Lodge (April 2006). This inspection was assisted by the involvement of an ‘Expert by Experience’ (Victoria Bowman) from Darlington Association for Disability (DAD). Victoria spent several hours at the home during the inspection, talking to service users and staff and observing how people got on together. She was particularly interested in service users’ ‘Quality of life’, ‘Exercising choice and control’ and ‘Improved health and wellbeing’. Her findings have been incorporated into this report. What the service does well: The overall quality rating for this service is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and relatives have consistently reported high levels of satisfaction with the service provided by Dean Lodge. Typical, illustrative comments from relatives quoted in Durham County Council’s independent report: ‘Short Break Service Evaluation 2006’ (published April 2006), concerning the overall satisfaction with the service at Dean Lodge, included: “Dean Lodge offers excellent range of accommodation, staff ratio and activities for our son”; “Dean Lodge staff are like one of the family”. The report also found that the subtotal of all the respondents who were satisfied with the service at Dean Lodge was 87.5 . Typical comments from relatives responding to the CSCI survey held in connection with the visit to Dean Lodge on 6th October included: “The staff at Dean Lodge are first class. I take and collect X during respite care. All the clients are cared for with expertise, compassion and good humour. Any problems with X…we are informed immediately. I have every confidence in management and staff”; “Dean Lodge is excellent for our daughter. The building is always clean and tidy. The staff are all very cheerful and friendly. There is a good variety of things for X to see and do”. The Expert by Experience summarised her observations of Dean Lodge on 6th October: “The service was of a very good quality and as an expert by experience I would be happy to use this service.” Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 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. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective service users and their representatives have the information needed to choose a short break service that will meet their needs. The individual needs and aspirations of prospective service users are carefully assessed. EVIDENCE: Relatives confirmed that they had full information from which to make decisions concerning the service at Dean Lodge. As one relative said: “Joan and Andrew went through everything with us. They could not have been more helpful”. The home has a very clear service user guide with pictorial representations of key information. This and other helpful information (such as the home’s ‘charter of rights’ for people with disabilities) is readily available for prospective service users and their representatives. Documentary evidence in care plans, personal profiles and assessments of need showed that prospective service users’ needs and aspirations are carefully recorded and assessed prior to admission. Comments received from relatives and staff confirmed that the service has a good understanding of service users’ needs and aspirations. Local Authority Care Managers are involved in the commissioning of respite care at Dean Lodge and, increasingly, in person centred planning with individual service users who visit Dean Lodge for short breaks. Good communication between Care Managers, relatives and staff was Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 9 evident (e.g. correspondence, reviews and comments received from relatives and staff). Typical comments from relatives quoted in Durham County Council’s independent report: ‘Short Break Service Evaluation 2006’ (published April 2006), concerning the overall satisfaction with the service at Dean Lodge, included: “We would just like to thank all of the team at Dean Lodge for a very professional and caring job. When our son arrives home and asks “when will I be going back?” I like it. That means that he is very happy to go there and that is a huge bonus”. “My son and I are very happy with the short break service. The staff are family, home from home”. “Dean Lodge offers excellent range of accommodation, staff ratio and activities for our son”. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are supported to make choices and take responsible risks as part of an independent lifestyle. They know that their changing needs and personal goals are understood and respected by all staff involved in their care. EVIDENCE: Written assessments of need, care plans, personal profiles and diet sheets for individual service users confirmed that service users’ needs and choices are well documented. Comments received from service users, relatives and staff demonstrated a good understanding of, and respect for, service users’ individual needs and choices in daily life at Dean Lodge. Service users do not reside permanently at Dean Lodge, but use it for short breaks. It is not the lead agency for person centred planning, but is an important contributor. It communicates very well with other significant people/agencies involved with service users, as confirmed from correspondence seen (e.g. Local Authority Care Managers) and comments received from relatives. Service users and relatives expressed confidence in the service respecting their individuality and Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 11 preferences (e.g. meals, activities, clothing, times of retiring and rising from bed). Typical comments included: “X is always asked what she would like to do. X loves the variety of things to do and go”. “As X has special needs, she needs to keep to her routine at bedtime to feel secure. This routine…has been done every time X has stayed”. “The standard of care in Dean Lodge regarding my daughter is excellent. I have never had any worries about her staying there”. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit. Service users enjoy fulfilling lifestyles that reflect personal choice and are culturally appropriate for the individual. They include appropriate activities, links with local communities, interpersonal relationships, healthy diet and enjoyable mealtimes, and a balance of individual rights and responsibilities. EVIDENCE: Service users, relatives and staff described lifestyles that were fulfilling and varied for service users, reflecting their needs and choices. All service users who were able to express a view said they liked coming to Dean Lodge, because it was friendly with good staff, good food and it was nice to meet up with other service users. They also liked taking part in various activities, such as visits out by minibus to local places of interest. Staff confirmed that service users participated in a wide range of social and recreational activities, depending upon their interests, wishes and needs, including shopping trips, visits to museums, bowling alleys, leisure centres, plus karaoke, board puzzles Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 13 and games, arts and crafts, seasonal events (e.g. barbecues and seasonal celebrations such as Halloween and Christmas), television, DVD films, occasional meals out, snooker and pool. A typical comment from a relative was “X is always asked what she would like to do. X loves the variety of things to do and go”. Service users, relatives, staff and commissioners (Care Managers) were regularly consulted about the service (e.g. quarterly meetings for relatives and monthly meetings for staff, plus ‘open-door’ consultation for service users and their representatives). Staff and relatives reported an excellent rapport. A varied menu was evident, offering a choice of wholesome, appetising meals and drinks, reflecting service users’ preferences. The Expert by Experience made the following observations concerning service users’ choice and control: “Areas of strength: • Service users were able to make choices such as what activities they wished to participate in, when they went to bed and what time they got up on a morning. • There were choices at meal times. • An accessible easy read complaints procedure was on display, which used pictures. Victoria could identify what to do if she wished to complain. • It was observed that staff gave service users choices. Areas for Improvements: • A visible and accessible menu giving choices in both writing and pictures would benefit the service users • A mechanism for service users who need to know information about routines or plans for their stay would also be of benefit. This could be in pictures and include who is working that day.” Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The arrangements for service users’ personal and healthcare support ensures their physical and emotional needs are addressed in ways they prefer and require. Service users are protected by the home’s policies and procedures for dealing with medicines, helping to promote independence wherever appropriate. EVIDENCE: Comments received from relatives and staff confirmed documentary evidence in care plans of service users’ physical and emotional needs being well addressed. The personal and healthcare support provided to service users was based on comprehensive assessments of need, including service users’ wishes, feelings and preferences where known. Relatives, service users and staff reported very good communication about issues concerning service users’ personal and healthcare support, both between themselves and with external health and social care agencies. On admission, service users’ personal and healthcare needs are rechecked, including the provision of prescribed medication. Service users take responsibility for their medication where appropriate, based on risk assessment, and are supported by staff to ensure risks are minimised. The majority of service users delegate responsibility for Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 15 storing and administering their medicines to members of the care staff team who are well trained in the safe handling of medicines. Records of administration of medicines are maintained and several examples were seen. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are protected from abuse, neglect and self-harm. They feel their views are listened to and acted on. EVIDENCE: Comments received from service users and relatives confirmed that staff and management are very approachable and accountable about concerns and complaints. Relatives in particular knew how to complain and were confident that they would be taken seriously and that appropriate action would be taken to resolve their complaint fairly and fully. Both complaints made over the past 12 months have been responded to within 28 days, with one substantiated and one partially substantiated. All care staff members have completed training in the Protection of Vulnerable Adults and some have done training in working with challenging behaviour. Comprehensive, detailed policies are provided about protecting service users and promoting their welfare. Service users and relatives described a happy, family atmosphere, with friendly, caring relationships and very good communication. The Expert by Experience commented: “An accessible easy read complaints procedure was on display which used pictures. I could identify what to do if I wished to complain.” Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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 30 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a homely, comfortable and safe environment, which is clean and hygienic. EVIDENCE: The bungalow is purpose built to a high standard. There are 7 spacious, wellequipped, single bedrooms. Three of these are specially adapted for people with special needs and include access to en suite bathrooms via ceilingmounted hoists if required. A high standard of provision is evident throughout the building. Décor and furnishings are of good quality and 4 bedroom carpets have been replaced recently. These carpets are of very good quality, being attractive and comfortable to use, but also impervious to any liquid spills. Communal space is provided in lounge and dining areas, plus a spacious conservatory room. The premises are well maintained, very practical and very attractive. The home was clean and hygienic in all of the areas inspected. Staff members are deployed in sufficient numbers to maintain a clean and hygienic environment. Staff members have undergone training in health and safety and infection control and have all the necessary equipment. Policies Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 18 and procedures are well documented concerning the actions to be taken to maintain a clean and hygienic environment throughout the home. Bathrooms and toilets are supplied with liquid soap and paper towels, in wall-mounted containers. The ‘Expert by Experience’ said: “The environment was accessible, clean and welcoming. The service users were able to have privacy as they had their own private rooms. The building was homely and comfortable.” Service users and relatives liked the building. A typical comment from a relative was: “The bungalow is always clean, fresh and tidy – Nice touches are the vases of flowers, giving it a very homely atmosphere”. The ‘Expert by Experience’ suggested a couple of improvements for consideration: “The dining room was very full and service users could have benefited from more room or other dining space to be able to move around freely. An intercom in a bedroom was not accessible as it was blocked by a wardrobe”. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are supported by competent, well-trained and increasingly qualified staff members, who are also well supervised and supported. The home’s recruitment policy and practices support and protect service users. EVIDENCE: Staffing arrangements are very good at Dean Lodge, as evidenced by high staffing ratios, comprehensive staff training and development programmes and excellent staff supervision and support. Typically, there are 3 - 4 members of care staff on duty during the day for 7 service users and, at night (10 pm to 7 am), one waking member of care staff plus one member of staff on call on the premises. One-to-one support for individual service users can be supplied, subject to individual assessments. It is commendable that 60 of care staff members have achieved National Vocational Qualifications (NVQ) at level 2 or above. Individual staff development records are maintained along with individual staff training needs assessments. Induction and foundation training for staff is accredited with the Learning Disability Award Framework (LDAF). Key training has been carried out, including safe handling of medicines, infection control, moving and handling, protection of vulnerable adults, first Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 20 aid, and food safety. Some staff members have had specialist training, such as communicating with people with sensory impairment, caring for people with epilepsy, and dealing with challenging behaviour. Individual staff supervision takes place with members of care staff every 2 months, and there is an annual appraisal. The supervisors are the registered manager and the support manager. Supervision and appraisal is evidence-based, and include one planned observation and 2 self-reviews for each member of staff each year. Ten evidence-based standards are applied. In addition, there are monthly staff meetings. Staff and management felt that these arrangements worked very well and supported the aims and objectives of the organisation. Records of staff supervision, team meetings and appraisal are maintained. Staffing arrangements are currently under review and there is likely to be some restructuring in the latter part of the year. Several staff expressed their hope that any restructuring will not adversely affect the quality of care and support provided by the staff team. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users benefit from a well run home that takes their views very much into account. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Comments received from relatives and service users confirmed high levels of satisfaction with the service provided by Dean Lodge. Typical comments included: “The staff at Dean Lodge are first class. I take and collect X during respite care. All the clients are cared for with expertise, compassion and good humour. Any problems with X…we are informed immediately. I have every confidence in management and staff”; “Dean Lodge is excellent for our daughter. The building is always clean and tidy. The staff are all very cheerful and friendly. There is a good variety of things for X to see and do”. The Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 22 Expert by Experience summarised her observations of Dean Lodge on 6th October: “The service was of a very good quality and as an expert by experience I would be happy to use this service.” The report of the independent evaluation of the short break service (Durham County Council, April 2006) was detailed and comprehensive, sampling large numbers of people and agencies involved with Dean Lodge, and using a commendable variety of methods to obtain their views. It has been published and copies are available at the home. The evaluation found high levels of satisfaction being expressed by carers, commissioners and focus groups with service users: The subtotal of all the respondents who were satisfied with the service at Dean Lodge was 87.5 . Regular meetings with service users (weekly) and carers (quarterly) give feedback on the quality of the service being provided and encourage suggestions for improvements. The service has achieved various awards concerning quality, including Investor in People and Charter Mark and is working to maintain accreditation in these awards. Over the 12 months to June 2006, there have been 484 admissions, involving at least 46 service users, for respite or short break service. The service has achieved a 98 occupancy rate over the 12 months to April 2006. A full programme of maintenance checks is carried out and staff training programmes address health and safety issues. Social and recreational activities are extensive, varied and appropriate, designed to promote service users’ welfare and wellbeing. Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 4 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 3 28 x 29 x 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 4 4 x x 4 x Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 24 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. 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 2 Refer to Standard YA17 YA16 Good Practice Recommendations A visible and accessible menu giving choices in both writing and pictures might benefit the service users. A mechanism for service users who need to know information about routines or plans for their stay would also be of benefit. This could be in pictures and include who is working that day. The dining room was very full and service users could have benefited from more room or other dining space to be able to move around freely. 3 YA28 Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Dean Lodge DS0000031157.V312580.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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