Inspection on 16/08/06 for Grangewood Lodge

This inspection was carried out on 16th August 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

Grangewood Lodge 07/12/05

Grangewood Lodge 07/07/05

Grangewood Lodge 07/12/04

Grangewood Lodge 06/07/04

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

CARE HOMES FOR OLDER PEOPLE Grangewood Lodge Netherseal Swadlincote Derbyshire DE12 8BH Lead Inspector Steve Smith Unannounced Inspection 16th August 2006 09:35 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 Grangewood Lodge DS0000019996.V306906.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. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grangewood Lodge Address Netherseal Swadlincote Derbyshire DE12 8BH 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) (01827) 373577 Mr John Frederick Fisher Ms Amanda Fay Hatfield Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus three (3) day care place not regulated by Commission for Social Care Inspection. 7th December 2005 Date of last inspection Brief Description of the Service: Grangewood Lodge is a care home registered to provide personal care and accommodation for up to 30 people in the category of Older Persons. It is located near to the village of Netherseal. The Home has extensive grounds, a patio area, and a car parking area. Grangewood Lodge has 26 single rooms, of which 17 have en-suite facilities, and there are also 2 double rooms with en-suite facilities. A variety of lounges and dinning spaces are provided. There are sufficient bathing facilities to meet the needs of the Resident group. Residents’ accommodation is located on the ground and first floor of the Home, and there is a stairlift for access to the first floor. The Registered Person is currently working on a rolling programme in order to upgrade certain areas of the Home. The charges made for a room at Grangewood Lodge range from £352.00 to £392.00 a week, dependent on the size of room, the facilities provided, and whether the room is a double or single room. Grangewood Lodge DS0000019996.V306906.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 in just over 7 hours. Discussion was held with Residents, whose records were also ‘case tracked’, three relatives, the Manager and with two members of staff. A number of records were examined, and many of the Residents bedrooms and all public areas of the Home were examined. What the service does well: What has improved since the last inspection? The recording in residents’ files had been improved, which supported that residents were being provided with appropriate care to meet their needs. Staff had received training in safeguarding vulnerable adults, improving their knowledge and helping to protect residents from potential harm. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 6 The recruitment of staff had been improved, and all required checks were undertaken and recorded, ensuring that only appropriate staff were employed at Grangewood Lodge. 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. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Provider’s statement of purpose and Residents Guide were appropriately completed, and provided prospective Residents with information on which to make an informed decision about moving to Grangewood Lodge. All new Residents moving to the Home were appropriately assessed prior to their admission, which provided reassurances that their needs could be met. EVIDENCE: The Registered Provider and Manager had provided a statement of purpose for the Home together with a Residents Guide. Both these documents had been appropriately completed, and included details of how to contact the Commission, the local Social Services Department and the local Health Authority. As a result of this, prospective residents would be adequately informed of the operation of the Home prior to deciding to move there. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 9 All Residents had been provided with copies of the statement of terms and conditions of residency in the Home or a contract if purchasing their care privately. When new Residents were admitted to the Home, the Manager was provided with a summary of needs of each person, completed by the Social Services Department Care Manager supporting each Resident. If the Resident was selffunding from the outset, the Manager completed her own summary of needs. As a result of these two assessments, Residents’ needs would be appropriately met in the home. Standard 6 does not apply to this Home. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs were being fully met, as demonstrated within care plans. Medication was distributed to meet Residents needs, although some improvements were required to ensure Residents received their medication as prescribed. EVIDENCE: To help assess Standard 7, the Resident’s Plan of Care, the records of four Residents were examined, for the purpose of case tracking. All of the basic information, concerning each Resident, was found to be in the files examined. Copies of the initial assessment completed by the Social Services Care Manager, where one was involved, were available, and the staff had completed their own initial assessment of needs for each of the four Residents. There were also excellent copies of the ongoing care plan and risk assessment available in each record Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 11 examined. Staff also ensured that Residents’ possible limitations of choice, freedom and decision-making abilities were formally reviewed at regular intervals. The files showed that records of events affecting each Resident were maintained. The Residents’ formal reviews of care, undertaken on a six monthly basis, had been signed by each Resident, or their representative. All of the files contained a confidential section, were easy to read and were kept in a safe location. They were also regularly formally reviewed or signed by senior staff. However, in all of the files seen, staff had written ‘Please observe’ or a similar request to other staff. On some occasions a comment was made by staff on the next two days, but not on all occasions. The member of staff who requested the ‘observation’ also did not indicated in the file when the ‘observation’ was to end. Staff were appropriately maintaining the records of Residents health needs. All medication and the method of distributing it to Residents were examined. A good system was found, although two issues needed attention: 1. The Medication Administration Record (MAR) sheets showed that a number of medications had been stopped or altered by Doctors. However, the alteration had not been signed by two staff, dated nor stated which Doctor had authorised the change to the medication. 2. In a number of places on the MAR sheets it stated that 1 or 2 medications could be given to the Resident. However, staff had not been consistently recording whether 1 or 2 medications were actually given. Three Residents were spoken to about life at Grangewood Lodge. They all said that staff were very good at listening to their views on how they liked to be cared for and staff would carry out their wishes. They also said that their care needs were always met with dignity and respect. As a result, they felt very safe at Grangewood Lodge, and appeared to have a strong sense and appearance of well being - ‘They look after me how I want’ ‘They are very good staff’ ‘They make sure you are well looked after’. Residents’ wishes, following their death were recorded in each file examined. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents preferred lifestyles were respected by the staff team at Grangewood Lodge. Residents were also given a wholesome and appealing diet in pleasant surroundings. EVIDENCE: One of the Residents was asked about the activities provided in the Home. She said that events included such things as games, television, card making and bingo. She also said that an Activities Coordinator calls Mondays, Wednesdays and Fridays and arranges activities for groups and for individual Residents. Relatives of Residents also said that lots of activities were provided and mentioned such things as seed planting and church services. They also confirmed that an Activities Coordinator organises the activities. The Residents said they felt very safe living in the Home - ‘I’ve landed in a 5 star hotel.’ Staff respected their confidences and all their needs were met with dignity, respect and choice - ‘You can tell staff things in confidence, I trust at least three staff like that.’ Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 13 One Resident said that they could go to bed whenever they liked – ‘I like to go to bed at about 10.00, but I can go whenever I wish’. This Resident also said that they could choose or change their bath times - ‘I like to bath twice a week.’ All three Residents said that the Home had both male and female staff, and Residents could choose whether they wished to be bathed by a male or female member of staff. The Residents said that meals were always good - ‘A choice is offered at all meals, they always ask you what you want from the menu’ – ‘If you don’t like something they always give you something else.’ During the inspection, two members of staff was observed going around all the Residents asking what they wished to have for tea from the menu. One Resident said that they knew who their keyworker was, and that they had seen their individual plan of care. One Resident also said that they could go out to the shops whenever they liked – ‘I can go out with my relatives or (my keyworker) will take me to the shops’. Relatives and friends of Residents were able to visit at any time, and could always be seen in private - ‘I can see them in the bedroom or in the small lounge.’ Relatives interviewed also confirmed that they could visit at anytime and could take the Residents out, if they wished. However, one Resident said that staff did not always ‘knock and wait for me to say ‘Come in’’ before entering her bedroom. All Residents said that their mail was always delivered unopened. One Resident correctly thought that this was a ‘non-smoking’ home. Relatives spoken to said that as the Residents they were related to suffered with dementia, they had been shown the Individual Plan of care, and been asked to sign it – ‘I get to see it at least at 6 monthly intervals, or staff will go through it when I next call’. The relatives of one Resident were happy with the laundry arrangements, but the relatives of another Resident were not. These relatives were able to demonstrate that many clothes in their relative’s wardrobe were not theirs. This was later raised with the Manager, who agreed that of late there had been difficulties with the laundry arrangements. She said that recently changes had been made to the laundry system that should in time mean that all Residents again receive their own clothing. She agreed to take to take this up with the relatives with concerns. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns made to the Registered Provider or Manager were appropriately addressed to meet Residents needs, and people felt that their views were listened to and acted up. The safeguarding vulnerable adults policies and procedures provided meant that Residents were well protected. EVIDENCE: One Resident said that if they had a complaint to make they ‘would tell Fay (the Manager), and it would be investigated, but I have never had to do this.’ Relatives also said that they would take complaints to the Manager or to one of the two senior staff in the Home. Relatives were confident that any complaint would be fully investigated. The Commission had not received any notice of complaint since the last inspection of the Home in February 2006. Good procedures and excellent records were maintained of both verbal and written complaints. Since the last inspection four verbal incidents were recorded, which were satisfactorily resolved. The record also detailed that all complaints would be responded to by the Registered Provider or Manager within at least 28 days. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 15 The Registered Provider had a Safeguarding Vulnerable Adults procedure that included a ‘Whistle Blowing’ policy. There were also copies of the Public Interest Disclosure Act of 1998 and the Dept of Health’s policy called ‘No Secrets’ available in the Home. It was confirmed that all allegations and incidents of abuse would be promptly followed up and that all actions taken would be recorded. The policies and practices laid down by the Registered Provider ensured that all staff understood physical and verbal aggression by Residents. The Manager also said that the Home had a policy available to staff stating that they could not benefit from Residents wills. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19, 20, 21, 22, 23, 24, 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Grangewood Lodge was well maintained throughout, providing all Residents with a safe, comfortable environment in which to live. EVIDENCE: A tour was made of the building, including most of the bedrooms of Residents. The bedrooms were well laid out with good space provided for each Resident. Appropriate furniture was provided in the bedrooms. Many of the bedroom doors were provided with a lock that the Resident could lock on both the inside and outside of the bedroom. Those without a lock the Manager said would be fitted with one in the near future. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 17 Only one item needed to be addressed urgently as a result of this inspection of the Home. In the toilet by the office no lock was fitted to the door, and one was needed urgently. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient care staff hours were appropriately provided to meet the needs of Residents. The Residents were also protected from potential harm by robust recruitment procedures. EVIDENCE: Staffing provided at Grangewood Lodge was compared with the details provided by the Residential Forum. This showed that during the three weeks beginning 24 July 2006, more than sufficient staffing was provided, based on 21 Residents, and was between 11 and 55 hours over that required by the Residential Forum at the Medium Dependency level. These figures were calculated without the Manager’s working time included, as recommended by the Residential Forum, and therefore were meeting Residents needs. At the time of this inspection it was found that more than 50 of care staff had a qualification of at least NVQ level 2 in Care, and therefore met the expectation of the Commission. The records of the two most recently appointed care staff members were examined, and it was found that the Manager had obtained all relevant information about them. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 19 Staff induction and foundation training was provided for all new staff that came to work at Grangewood Lodge. The Manager said that all care staff were provided with at least three paid days training a year. All staff also had an individual training and development assessment and profile. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager had provided Quality Assurance issues to ensure Residents care was maintained at a positive standard. Staff also received regular supervision and training to ensure that Residents needs were always met. EVIDENCE: The Manager was appropriately qualified to manage a care home, having an NVQ level 4 qualification in Management and Care. The records of the monthly ‘inspections’ of Grangewood Lodge, carried out by the Registered Provider, were not examined. However, the Manager said that the Registered Provider ‘inspected’ the establishment formally on a monthly Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 21 basis, and kept appropriate records of the ‘inspection’. However, he apparently visited more regularly, it was said to be on a weekly basis. An annual development plan for the operation of Grangewood Lodge was provided, and Residents’, relatives and other professional’s surveys had been carried out, and the results published. Individual and group discussion took place between the Residents and the Manager, concerning life at Grangewood Lodge. Therefore, the Manager was meeting the Quality Assurance standards set. The Manager was able to show that the personal money of Residents was maintained satisfactorily. The supervision needs of the care team were discussed with the Manager. She clearly stated that all care staff were observed while carrying out their duties, and she had records of the supervision of individual care staff members. This showed that care staff were appropriately supervised within the Home at least on a two monthly basis. The training provided for staff was examined. This showed that Moving and Handling training, Fire training, First Aid training, Food Hygiene training and Infection Control training were all up to date. All Residents had been risk assessed to determine their vulnerability and measures had been put in place to provide protection where necessary. The Manager said that she did not hold details of the Management of Health and Safety at Work Regulations 1999, the Workplace (Health, Safety and Welfare) Regulations 1992 or the Provision and Use of Work Equipment Regulations 1992. She undertook to obtain them. The Manager had provided risk assessments on the working conditions of staff; that is for care staff, catering staff and domestic staff, but had not provided a written statement of the policy, organisation and arrangements for maintaining the safe working practices at Grangewood Lodge. The Manager ensured that all accidents, injuries and incidents of illness or communicable disease were recorded and reported to the relevant government bodies. She had also ensured, with the assistance of the Fire Service that fire safety notices were posted in relevant places around the building. Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 4 17 X 18 4 4 4 4 4 4 2 4 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 4 X 4 Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement If an alteration is necessary on the Medication Administration Record (MAR) sheet, this must always be signed by two staff, dated and state the name of the Doctor authorising the change to the medication. If the MAR sheet states, for example, that one or two medications could be administered, staff must record whether one or two medications were administered. Residents must always be offered the medication provided in the Blister Packs, if it is then refused by the Resident it must be disposed of and recorded as such on the MAR sheet. 2. OP24 12 All bedroom doors must be fitted with a lock that can be operated from both the inside and outside of the room by the Resident. Each Resident must be provided with a key to their bedroom. Risk assessments must be carried out and recorded in the DS0000019996.V306906.R01.S.doc Timescale for action 11/10/06 28/02/07 Grangewood Lodge Version 5.2 Page 24 Resident’s file where it is considered by the Registered Providers that the Resident is not able to hold the key to their bedroom. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Refer to Standard OP7 No. 1. Good Practice Recommendations When staff use the Resident’s record of events to ask other staff to carry out tasks, the task should be addressed on each entry following until the staff member requesting the task signs it off as no longer needed. Staff should be made aware of those Residents who should be encouraged, following staff knocking on their bedroom door, to invite staff into their bedrooms and those Residents who can no longer do this. While the laundry arrangements are being reviewed the Manager needs to ensure that all Residents and relatives are informed of the difficulties and the expected time when the laundry system should be improved. In the toilet by the office a lock needs to be urgently fitted to the door. All care staff and domestic staff should be provided with master keys to Residents bedrooms. The Manager needs to ensure the services provided by the Home comply with the Management of Health and Safety at Work Regulations 1999, the Workplace (Health, Safety and Welfare) Regulations 1992 and the Provision and Use of Work Equipment Regulations 1992. The Manager should provide a written statement of the policy, organisation and arrangements for maintaining safe working practices in the Home. DS0000019996.V306906.R01.S.doc Version 5.2 Page 25 2. OP12 3. OP12 4. 5. 6. OP19 OP24 OP38 7. OP38 Grangewood Lodge Grangewood Lodge DS0000019996.V306906.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Grangewood Lodge DS0000019996.V306906.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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