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Inspection on 22/07/08 for Dunnington Lodge Nursing Home

Also see our care home review for Dunnington Lodge Nursing Home for more information

This inspection was carried out on 22nd July 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

There were six requirements noted in the last inspection report. These have all been addressed. The issues were about some record keeping, staff training (although this had been a misunderstanding at the time), bed rail assessments and notifications. Nine good practice recommendations were made and these have also been acted upon. The home has bought a stair climber for access up one staircase that cannot be fitted with a chair lift. There has been some refurbishment as costs permit This has included improved access to the patio, has purchased a new hoist, two new profiling beds, new garden furniture and put in new curtains and blinds to a number of bedrooms, redecorated the hall, lounge and staircase. New carpets have been fitted to the hall, lounge and staircase. The number of domestic hours has been increased.

CARE HOMES FOR OLDER PEOPLE Dunnington Lodge Nursing Home 34 Church Street Dunnington York North Yorkshire YO19 5PW Lead Inspector Paul Newman Key Unannounced Inspection 22nd July 2008 9:30 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 Dunnington Lodge Nursing Home DS0000028000.V370097.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 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. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dunnington Lodge Nursing Home Address 34 Church Street Dunnington York North Yorkshire YO19 5PW 01904 488676 01904 488513 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) Mr Richard Hugh Richardson Mrs Gill Richardson Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19), Terminally ill (4) of places Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include up to 19 (OP) and up to no more than 4 (TI) up to a maximum of 19 Service Users. 55 years plus Date of last inspection 31st July 2007 Brief Description of the Service: Dunnington Lodge is owned by Mr and Mrs Richardson and is registered to provide general nursing care and accommodation for up to 19 service users from the age of 55 years. Dunnington Lodge is a large period building situated in the village of Dunnington on the outskirts of York and the local village amenities are within easy reach of the home. Details provided by the owners in July 2008 state that the current weekly charges are between £555 for a single room and £535 for a shared room. Services like hairdressing and chiropody are included in these fees although outings and individual items, like newspapers, are not. The owners have produced a Statement of Purpose and Service User guide for people who are interested in moving to the home. Recent CSCI reports of the service are also available at the home to look at. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The accumulated evidence in this report has included: • • • • • • The previous key inspection and a random inspection carried out in June 2008. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. Relevant information from other organisations. What other people have told us about the service. Information obtained from people living at the home, relatives, staff and other health care professionals. One inspector made an unannounced visit to the home that lasted seven hours on 22 July 2008. Before the inspection visit, the manager was sent an Annual Quality Assurance Assessment (AQAA) to complete. This is a self-assessment that if completed properly, should give us a lot of information about how the home is operating, what improvements it has made and what is planned for the future. It tells us where we can find evidence that the home is meeting National Minimum Standards. The AQAA that was returned gave sufficient information that helped plan the inspection. During the visit, a number of documents were looked at and all areas of the home used by the people living there were inspected. Apart from spending time with the manager, a good proportion of time was spent speaking to the nurses, other staff, people who live at the home and visitors. Time was also spent in communal areas and the dining rooms, watching what was going on and checking whether people appeared comfortable and cared for. Surveys were sent out before the inspection visit for people living at the home, healthcare professionals and staff to express their views on how things operate, the services and care provided. At the time of writing this report, surveys from ten people using the service, three healthcare professionals and five staff have been returned and the general feeling expressed was a high degree of satisfaction. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 6 Feedback was provided at the end of the inspection to both owners including an analysis of the surveys that had been returned. What the service does well: The home is well managed and the interests of the people who live there are the main concern of the manager and staff. The staff are well organised and surveys that were returned indicated that they felt numbers of staff on duty were good. They are generally experienced, and have a good knowledge of the people they care for. They create a good atmosphere in the home that is warm and friendly but always professional. Relationships are good and people are confident in the staff and feel able to raise any concerns they might have. The food is good. Visitors are free to come and go as they wish and feel welcomed into the home. Health and social care professionals think the care provided is good and the home is responsive to any changing needs of individuals they care for. These are some of the written comments made in the surveys that were returned: • ‘The involvement I have had with Dunnington Lodge has been for respite care only. City of York Council pay for two block contract respite beds. The customers that I have referred have had complex needs. The feedback from families/relatives has been positive’. ‘The home has a close-knit feel to it and is particularly receptive to mental health problems. The service does well with terminal care’. ‘It is home from home and very friendly’. • • What has improved since the last inspection? There were six requirements noted in the last inspection report. These have all been addressed. The issues were about some record keeping, staff training (although this had been a misunderstanding at the time), bed rail assessments and notifications. Nine good practice recommendations were made and these have also been acted upon. The home has bought a stair climber for access up one staircase that cannot be fitted with a chair lift. There has been some refurbishment as costs permit This has included improved access to the patio, has purchased a new hoist, two new profiling beds, new garden furniture and put in new curtains and blinds to a number of bedrooms, redecorated the hall, lounge and staircase. New carpets have been fitted to the hall, lounge and staircase. The number of domestic hours has been increased. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 8 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 Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply to this home. People who use the service experience good quality outcomes in this area. People are properly assessed before admission so all concerned can be sure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are encouraged to visit the home to see the facilities and meet staff and other residents so they can get a flavour of home life and ask any questions they might have. They are given the home’s service user guide. People can live at the home on a trial basis before a firm decision is made. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 10 The surveys that were returned and conversations during the day indicated that people were provided with enough written information about the home. Three care plans were checked during the day. One of these was for the most recent admission. All had a pre-admission assessment that was supported by additional social work assessments and care plans. The assessment looks at the physical, emotional and social needs of the person. From the information gathered in the pre-admission assessment a plan of care is written. Staff said that they were always informed when new people were arriving and told about what help they would need so that they would know what to do when the new person arrived. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. People who use the service experience good quality outcomes in this area. People get the care they need and the care plans provide instructions and guidance for staff to follow so they are fully aware of peoples’ needs. This includes safe medication practices that make sure people get the drugs that are prescribed for them. People are treated with respect and in a dignified way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA that was completed stated that the home had improved the detail in the care plans. This was an issue raised in the last inspection report. The three care plans checked showed that the care needs that were outlined in the pre admission assessment had been accurately recorded in the plan of Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 12 care. There was written evidence of peoples’ involvement and the person most recently admitted and other people and relatives spoken with during the day confirmed that they had been involved in the process. The plans were organised so information was easy to find. There was a range of risk assessments that were reviewed regularly. The plans of care were reviewed monthly and there was evidence that where a person’s needs had changed the plan was adjusted accordingly. There was evidence of monitoring people’s conditions and liaison with GPs and other healthcare professionals so a trail could be identified of where staff began to note changes or were concerned enough to seek advice, through to the medical attention, diagnosis and treatment. These were some of the written comments made in surveys returned by healthcare professionals: • ‘The involvement I have had with Dunnington Lodge has been for respite care only. City of York Council pay for two block contract respite beds. The customers that I have referred have had complex needs. The feedback from families/relatives has been positive’. ‘The home has a close-knit feel to it and is particularly receptive to mental health problems. The service does well with terminal care’. • Detail in care plan can always be improved especially the fine detail about peoples’ personal choices and preferences, the ‘person centred’ detail. The manager and staff are encouraged in this approach and in the detail of the daily recording and have worked on this over the last year. Nevertheless, the size of the home and the stability of the staff team means that staff know the people they care for very well, and people are used to familiar faces caring for them. One person said ‘it’s like being cared for by your own family’. Medication procedures and practices were discussed and seen. Checks were made of the way medication is stored, administered, recorded and disposed of. The records checked were for the people whose care plans had been seen. Recording was accurate and practices were safe. The home seeks the views of people about how they would like their care to be delivered. All personal care and Doctor visits are carried out in the privacy of their own bedrooms, even with the limitations of the number of shared rooms, one Doctor said this was managed. During the inspection, staff were seen knocking on bedroom doors and making sure that doors were closed at times when personal care was being delivered. People spoken to said that that staff are attentive to their needs and wishes and respond well to the emergency call system. People looked well cared for, were happy and relaxed in their relationships with staff and this was one of the most positive features of the day. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 13 The files showed that information is gained, as far as is possible, from the person and their relatives on their wishes for death and dying. Training in end of life care has been provided since the last inspection. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Peoples’ social expectations and personal preferences are met and they are able to exercise choice in their lifestyles so they can be as independent as they can. People living at the home are provided with a varied and nutritious diet so they can eat healthily. We have made this judgment using available evidence including a visit to this service. EVIDENCE: The AQAA said that the home tries to promote peoples’ choice and preferences for daily living. From watching what was going on and talking to people it was very clear that people enjoy flexibility in their daily routines – for example, getting up when they want and choosing their bedtime. This linked to one written comment made in a survey that said: Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 15 ‘It is home from home and very friendly’. Although one survey suggested there could be more activities, the written information about the home outlines the level of activities accurately. There are formal activities arranged every Thursday, but in addition there are trips out, walks in the village, entertainers and ‘motivation’ visit regularly to do organised activities. People spoken with said they were very happy. Visitors spoken with during the visit were also ‘at home’ and very relaxed in their relationships with staff. They confirmed that they feel very welcomed and can come and go as they please. The local Curate visits the home monthly for communion and there are links with local schools for work experience and concerts from the primary school. The home is adjacent to the local church and was formerly the old rectory. The gardens in the home are attractive and regularly used for photographs following weddings and christenings at the Church. Flowers are often given to the home as a thank you. The surveys from people indicated that most felt the food was always good, with four saying usually. Comments made during the visit were all very positive indeed. Menus have been reviewed and the size of the home means that peoples’ personal preferences are well known. The dining room, like the rest of the home, is furnished and decorated in a style that fits comfortably with the generation of people living there. The tables for the main meal were set well and the meal was hot, plenty of it and appetising, and people said this was the way it always was. The meal was not rushed; there was a good atmosphere and conversation. Staff were attentive and sensitive in giving assistance to those who needed support. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. The people who live at the home and their relatives know how to complain and feel confident that they will be listened to and that action will be taken when necessary. There are adult protection procedures that staff are aware of through training, so people can be assured that they can feel safe because staff know what to do. We have made this judgment using available evidence including a visit to this service. EVIDENCE: The home aims to deal with situations as they occur, and encourages families to discuss any area of concern with the nurse or manager at the outset. In the conversations with people during the day and in the written comments made in surveys that were returned, this was clearly the normal way of doing things. People felt comfortable about raising things and said that they were listened to and actions were taken. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 17 Where formal complaints have been made, these have been investigated under the appropriate procedures, properly documented and the complainants were satisfied with the outcome. The complaints procedure is displayed in reception and also in written information about the home. For the safeguarding of people, Protection of Vulnerable Adults training is ongoing for staff and is mandatory training. There are formal policies and procedures that must be followed. Staff spoken with confirmed that this was the case and that they had undergone training. Other checks made on recruitment, safekeeping all met required standards. medication and money held for Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. People living at the home live in a clean, comfortable and safe environment that is properly maintained and regularly improved. We have made this judgment using available evidence including a visit to this service. EVIDENCE: Dunnington Lodge was the old rectory to the local church. It is best described as a ‘character building’ and is a very attractive rambling old house in the centre of the village. It is not a modern purpose built home so people considering living there will have to make their own judgements, but those currently living there appear to enjoy the homely feeling. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 19 There are five shared bedrooms and three more people share one room. This is not ideal but people are fully aware of this when they choose to live at the home. Two people spoken with said they didn’t mind sharing and said that staff always used a screen when helping someone to ensure their privacy. This was also noted on the site visit. There are bedrooms on three floors and stair lifts aid access. The age and design of the house though means that there are small flights of stairs to reach different areas within each floor. To improve access the home has bought a ‘stair lifter’ that staff have been fully trained in using. The bedrooms seen showed that people are encouraged to personalise their rooms. The lounge area is comfortable and there is access to a decking area that is well used in the fine weather. The gardens are attractive and people enjoy sitting out watching the world go by and seeing who is coming and going. There is also a separate and pleasant conservatory that people can use. The laundry room is well equipped. Staff were seen wearing plastic aprons and gloves when carrying out personal care and have been trained in good practices to reduce the risk of cross infection. It is clear that the owners are committed to ongoing redecoration and refurbishment within the limitations of capital available because this is a small home. During the last year the home has improved access to the patio, has purchased a new hoist, two new profiling beds, new garden furniture and put in new curtains and blinds to a number of bedrooms, redecorated the hall, lounge and staircase. New carpets have been fitted to the hall, lounge and staircase. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. People living in the home are cared for safely by committed staff who are properly recruited, trained and qualified for the job. We have made this judgement using available evidence including a visit to this service. EVIDENCE: When watching staff at their work it was clear that their relationships with the people they care for and their relatives are good. Conversations and survey results indicate that people find staff caring, approachable and ‘will do anything for you’. The way staff related to people and the atmosphere they created was a most positive feature of the visit. The carers were organised and focused on the tasks that needed to be done, but at the same time chatting with people and setting a friendly and comfortable atmosphere. Comments made by staff in surveys suggested that they feel that staffing levels are good and this was also said during the visit. From what was seen during the visit, things get done and people are cared for, calmly and comfortably. The surveys returned by staff reflected that they get the training and support they need. Staff spoken with talked about the training they had done and Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 21 were up to date with safe working practice training and training records verified this. One relatively new member of staff was spoken with and described how she was inducted into the home. As she was new to the caring industry, this included some introductory shifts to check she felt comfortable with the work before a final decision was made. This appeared thorough and a named nurse mentored her for a period of time. She has now completed all safe working practice training and has enrolled and started a National Vocational Qualification. She said it is a ‘great place to work’. The files for the three most recently recruited staff were checked. These showed that staff are not appointed until the required checking and vetting is completed. This makes sure that people are protected from staff who may not be suitable to work in the care industry. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The home is well managed and the opinions and interests of the people are central to the way the home is run. Safety checks and systems of communication make sure that the home is a safe place to live. We have made this judgment using available evidence including a visit to this service. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager is a qualified nurse and has many years experience. From the conversations with people, visitors and staff she is considered approachable, has an encouraging manner and has high standards of care. Staff feel that they have a clear understanding of what the manager expects from them. There are systems of surveying people and their relatives and the results of the surveys were made available during the visit. The AQAA identified that some actions had already been taken at the suggestion of people and future things include staff having name badges. On a daily basis it was also clear that staff regularly check on the wellbeing of people making sure they are comfortable or if they need anything. The manager described the systems, procedures and practices for making sure peoples’ personal money that is looked after, is properly accounted for. Records were checked and an audit trail seen with receipts to evidence expenditure. People can be assured their money is well accounted for. Staff were seen to be wearing appropriate protective clothing to prevent cross infection and safety checks are made of the facilities and equipment to make sure the home is a safe place to live. Staff are trained in safe working practices and are up dated regularly. Some records of safety checks were seen (including fire) and found to be up to date. Accident records were also checked and were properly recorded and are audited by the manager to check if risks can be reduced. The AQAA confirmed that equipment and facilities are checked regularly to make sure it is in good and safe working order. Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 24 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 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 25 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 Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dunnington Lodge Nursing Home DS0000028000.V370097.R01.S.doc Version 5.2 Page 27 - 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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