Inspection on 01/05/08 for Gailey Lodge

This inspection was carried out on 1st May 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gailey Lodge 17/12/09

Gailey Lodge 11/05/09

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Gailey Lodge 32-33 Victoria Avenue Whitley Bay Tyne & Wear NE26 2AZ Lead Inspector Jim Lamb Key Unannounced Inspection 1st May 2008 10:00 Gailey Lodge DS0000070833.V363738.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 Gailey Lodge DS0000070833.V363738.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. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gailey Lodge Address 32-33 Victoria Avenue Whitley Bay Tyne & Wear NE26 2AZ 0191 297 0890 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) Gailey Lodge Limited Brigette Stephenson Care Home 19 Category(ies) of Physical disability (19) registration, with number of places Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Physical disability - Code PD, maximum number of places: 19 The maximum number of service users who can be accommodated is: 19 Date of last inspection Brief Description of the Service: Gailey Lodge provides personal care accommodation for up to 19 service users mainly with physical disabilities. The building is a large converted Victorian house. The home is located in a busy area of Whitley Bay, within walking distance of the local shops, library, post office churches and leisure facilities. The beach is also a short walk from the home. There is easy access to the town centre and public transport routes. All the bedrooms are single and seven rooms have en-suite facilities. There are two lounge areas and a separate dining room. Service users also have access to a small kitchen area where they can prepare snacks and drinks. Fees for the home are £414 per week. Information about the home and copies of inspection reports are available in the home. Gailey Lodge DS0000070833.V363738.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 1 star. This means that the people who use this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on date(s). During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, this method is called case tracking. Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit (Delete if not applicable). We told the manager/provider what we found. What the service does well: Service users described good relationships with the staff and said they were all polite and helpful. Staff were friendly and relaxed and showed a good understanding of their needs. Arrangements for service users to maintain contact with their family and friends are good. A variety of social activities were available inside and outside the home providing service users with varied and interesting days. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 6 Meals are varied, well balanced and offer a good choice and nutritious food at all meals. The service users said that they were pleased with the quality and choice available. Meals were seen as a relaxed and social occasion. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect service users. The staff had a good understanding of service users individual needs. Almost fifty percent of staff are qualified to National Vocational Qualification in Care level 2 (NVQ) or above providing service users with a trained, skilled staff team. The remaining staff have commenced this training. The service users were very complimentary about the staff. One service user said, “The staff are great, this is the best place I have ever lived, I never want to leave”. Another said, “I have lived here for 15 years, the care that I receive is very good, I have no complaints at the moment, if I did I would certainly tell you”. What has improved since the last inspection? What they could do better: A more detailed pre admission assessment format and a recognised dependency assessment tool will assist with the assessment of prospective service users, and the home will be then confident that they can meet each new service users full needs. To ensure that the health and safety of both service users and staff is promoted, all staff must receive fire safety training drills at the correct times: 3 monthly for night staff and 6 monthly for day staff. The service users’ care plan information is being transferred to new formats, and on completion the staff should then have the up to date information they need to meet each persons holistic needs. Staff do not have regular formal supervision sessions, formal supervision will provide them with the information and support they need to meet the needs of the service users. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 7 Devising an effective quality assurance system will enable the service to measure success in achieving the aims and objectives and statement of purpose of the home. Detailed menus devised will provide service users with a clear choice of meals available. A professionally fitted fly screen in the kitchen will promote health and safety, and enhance hygiene in the kitchen. 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. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 8 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 Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users are properly assessed and are provided with enough information about the service to enable them to make a choice about where they want to live. EVIDENCE: The care records for three service users were examined. These showed that the manager makes sure that a full assessment of a new service user’s needs is carried out by the person’s social worker before they come into the home. The manager also carries out her own assessment, to be doubly sure that the home can meet all of the new person’s needs. The assessment currently used does not provide enough information about the service users specific conditionrelated needs and specialist input that they may need. More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk; of nutritional needs; of social needs; of moving and handling needs and of behavioural needs. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 10 The service does not currently use a recognised dependency rating assessment tool. These are very useful as they can help staff to monitor each persons dependency levels. All are provided with a contract explaining the home’s terms and conditions and fees. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health needs of the service users are met. The care plans are not yet fully comprehensive, and do not inform staff how to meet service users holistic needs. EVIDENCE: There are plans in place to provide comprehensive assessments in the service users’ care plans, including a detailed risk assessment of service users. The manager is currently transferring information from the previous providers formats to the new provider formats. This is a long drawn out process but she is making progress. On completion each service users care records will have all the information necessary to ensure that staff have the information they need to meet the holistic needs of the service users. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 12 There are advocacy arrangements, as well as family input to represent service users. Care plans are drawn up with service users and their representatives. Plans are amended and reviewed on a regular basis. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users’ representatives. The service users confirmed that their privacy and dignity are respected at all times. One said, “I know what is written about me, and I am always consulted. The staff are good at keeping me informed, if I was unhappy about anything I would tell them”. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are offered a good quality lifestyle, which includes social contact, activities and choice. EVIDENCE: Each service user will eventually have a practical life skills assessment carried out. On completion, this will be reviewed and updated on a regular basis. All service users will participate in this process. Service users use a range of community-based services, which promotes and provides opportunities to learn and use life skills. Service users are supported to live a normal life in the community. They are supported and encouraged to be in control of their own lives, to enjoy their own interests and to continue to further their education if they wish. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 14 The staff team continue to liaise closely with external agencies in order to monitor each service user’s progress. All service users are supported to maintain links with their families and friends. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. Service users are involved in light housekeeping tasks. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. The menus do not include breakfast or evening meals, or describe options available, or the type of vegetables used. Service users have access to a small kitchen and can prepare snacks for themselves if they wish. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health of the service users is met and there is good multi disciplinary working taking place. The promotion of health care is taken seriously, and service users have their personal needs met in the way that they prefer. EVIDENCE: Service users moving and handling needs are assessed. Some service users need minimal help with personal care tasks, such as bathing and dressing. For those that need help there are appropriate aids and equipment available to assist them. Privacy and dignity are respected at all times, and service users confirmed this. The service users care records examined showed that they have access to external health care services. GPs visit when necessary. Service users are referred for specialist health care if appropriate. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 16 All service users receive regular health care checks. Staff who have completed relevant training administers medication. A sample of medication records was examined. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. One service user said, “Medication is supplied correctly and always at the right times”. Some service users are able to self medicate. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. The dispensing pharmacist continues to offer good support and advice. Service users’ said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good, clear, user-friendly complaint and protection system, service users are safe and their views are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the home’s investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Four service users said that they had been given copies of the procedure and that staff listened to their complaints and always dealt with them fairly. The home keeps a record of complaints. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Health’s document, “NO SECRETS”. Staff are aware of these procedures and have easy access to them. Safeguarding adults training is ongoing for all staff. Service users can deposit cash for safe keeping in the home’s safe, and records are kept of accounts. A sample of personal finances records was examined. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 18 Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. Service users also have a safety deposit box in their bedrooms that they can use to store valuables. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean, safe and pleasant environment for those living there. EVIDENCE: The home was clean, quite well decorated and relatively well maintained. Quotes are being sought to install a new passenger lift and a new central heating system. The new owner has made some improvements to the home; the rear lounge has been refurbished, with new lounge chairs, and new flooring. There are plans in place to renew the carpets in all the communal areas, including the dining room. Some bedrooms have been decorated and new furniture purchased. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 20 The grounds were tidy, safe, attractive and accessible. The handyman is currently replacing the windowsills to the front of the home. The fire service and the environmental health department had made visits to the home. Requirements made by the Fire service are not yet met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in quite good condition. Lighting was bright and domestic in design. All doors have privacy locks and room sizes vary, some are large and there is space on either side of beds when necessary, to enable access for carers and specialist equipment. Some of the smaller rooms may not be suitable for service users with physical disabilities and the equipment that they may need. Service users’ bedrooms have opening windows and restrictors are in place where needed. The rooms were heated and radiators and pipes were guarded. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised; however the sink in this area was very stained and grubby, and the tiled walls behind the washing machine/dryer were also stained. The washing machine has the specified programme to meet disinfection standards. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff, who is appropriately recruited, but the lack of formal staff supervision does not offer consistency of care within the home. EVIDENCE: Staff levels on the day of the inspection met the agreed level. In addition to the manager, the required numbers of staff were on duty: 4 staff between 8am and 4pm with 3 staff between 4pm and 10pm and 2 staff between 10pm and 8am. The cook and the laundry assistant also cover caring duties, both have received NVQ care training, and statutory training has also commenced for them. All staff were over 18 years of age and those left in charge were at least 21. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 22 The home’s training programme meets the National Training Organisation requirements for the first six months. Staff receive at least three days paid training each year. The cook’s food hygiene training has expired. The manager said that this training would be prioritised. Not all staff are receiving formal supervision, and those that have had supervision, the manager has not kept a record of these sessions. The service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Almost 50 of the staff team have completed NVQ level 2/3, and all other staff have commenced this training. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Service users best interests are not being promoted fully due to the lack of a quality assurance system. EVIDENCE: The manager has many years experience in senior management prior to her appointment to the home. She has the appropriate qualifications, experience and skills necessary to manage the service. Staff spoken to were clear about their responsibilities, and they had good knowledge about the service users. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 24 Service users are told when inspections take place and they are shown inspection reports. These are also summarised and discussed in service user meetings. Copies of reports are available for relatives and others to see. The manager is in the process of developing a range of new policies and procedures which have been linked to the National Minimum Standards, and she is making good progress. A quality system is not in place to monitor the quality of the service provided. A good quality system involves gaining feedback from service users, relatives and professionals involved with the home. The outcomes published and made available to all prospective service users. All of this information will then assist in implementing an annual development plan. The records inspected were found to be appropriately completed. These included the accident records, personal allowance records and Health and Safey manual. There is a health and safety policy and a range of associated procedures. Staff receive training in safe working practices. The fire drill records were not up to date, staff were not all receiving drills at the right times, these should be, six monthly for day saff and three monthly for night staff. There are appropriate maintenance contracts in place for the home. Water storage tanks, gas and electrics are checked annually. The new proprietor is seeking quotes to upgrade the central heating system, and replace the passenger lift. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 25 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 3 2 2 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 1 x x 2 x Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 26 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. 1 Standard YA2 Regulation 14 Requirement A more detailed pre admission assessment format needs to be devised, and a recognised dependency assessment tool should be used. This will help the service to be sure that they can meet the full needs of prospective service users. Staff must receive fire drills at the required frequency and maintain evidence that these have taken place: 3 monthly for night staff and six monthly for day staff. The home must have in place an effective quality assurance system, based on seeking the views of service users, relatives and professionals, and implement an annual development plan. All staff must receive formal supervision six times per year. All service users care plans must be fully completed and transferred to the new proprietors formats. Timescale for action 01/07/08 2 YA42 23(4) (a) 01/06/08 3 YA39 24 01/09/08 4 5 YA36 YA6 18(2) 15 01/07/08 01/08/08 Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA30 YA24 YA24 YA17 Good Practice Recommendations The kitchen window needs a professionally fitted fly screen Provide the CSCI with plans, timescales for the replacement of the passenger lift and the new heating system Requirements made by the Fire Officer must be addressed within the stated timescales. The homes menus must be more specific about the choice available, and include details of the type of vegetables to be included with each meal. Details of the breakfast and supper menus must also be included. Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 28 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 Gailey Lodge DS0000070833.V363738.R01.S.doc Version 5.2 Page 29 - 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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