Inspection on 30/10/06 for Halstead Lodge Nursing Home

This inspection was carried out on 30th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Halstead Lodge Nursing Home 20/01/06

Halstead Lodge Nursing Home 02/11/04

Halstead Lodge Nursing Home 07/06/04

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

CARE HOMES FOR OLDER PEOPLE Halstead Lodge Nursing Home Hedingham Road Halstead Essex CO9 2AE Lead Inspector Lysette Butler Key Unannounced Inspection 30th October 2006 08:30 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 Halstead Lodge Nursing Home DS0000015334.V317880.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. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Halstead Lodge Nursing Home Address Hedingham Road Halstead Essex CO9 2AE 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) 01787 478473 01787 478550 manager.burroughs@careuk.com Care UK Community Partnerships Limited Mary Ruth Logan Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (30), Physical disability of places over 65 years of age (30), Terminally ill (7) Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Persons of either sex, aged 60 years and over, who require nursing care by reason of a physical disability (not to exceed 30 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 30 persons) Persons of either sex, aged 55 years and over, who require general palliative care (not to exceed 7 persons) Persons of either sex, aged 65 years and over, only falling within the category of old age (not to exceed 3 persons) One named person aged 42 years, whose name was made known to the Commission in November 2005, who requires nursing for palliative care One named person, aged 58 years, who requires nursing care for a physical disability, whose name was made known to the Commission in February 2006 The total number of service users accommodated must not exceed 30 persons 20th January 2006 Date of last inspection Brief Description of the Service: Halstead Lodge Nursing Home is registered to provide nursing care for up to a total of 30 service users. This home does not offer care for older persons with dementia. The home is a purpose-built, two-story building in the grounds of Halstead Hospital. It has 30 beds within 26 single and 2 double rooms. The double rooms have en suite toilet and basin; the single rooms have basins only. There are a variety of communal areas, including a sitting room on the ground floor and a dining room and sitting area on the first floor. The home has attractive, well-kept gardens and ample car parking is available. The home is located close to Halstead town centre. The current range of fees is between £600 & £900. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection started on 1st April 2006. The inspection process included: a site visit on 30th October 2006, which lasted 71/2 hours; review of evidence supplied by the proprietor, residents, visitors to the service or the staff; resident, visitor, healthcare professionals and staff surveys; discussions with the registered manager, senior carers, care staff, ancillary staff, residents and relatives. During the site visit the premises were inspected, including inspection of the grounds. Samples of records and residents’ care plans were also reviewed. The home was clean and well maintained. The overall care and well being of the residents was the focus of the inspection. Staff and residents were welcoming and happy to speak to the inspector at the site visit. This inspection covered all twenty-two key standards and six of the remaining standards. The manager and her staff approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. What the service does well: What has improved since the last inspection? Quality assurance systems throughout the home have improved and the residents’ opinions were regularly obtained. Staffing numbers were good and the skill mix had improved across all levels of staff. 42 of the current care staff have hold National Vocational Qualifications at level 2 or above with a further 42 awaiting their results. It was planned that new and remaining care staff without National Vocational Qualifications were going to be booked onto courses in early 2007. Some carpets had already been replaced but carpets in all communal areas were being replaced once the ordered carpeting arrived. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 6 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. Halstead Lodge Nursing Home DS0000015334.V317880.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 Halstead Lodge Nursing Home DS0000015334.V317880.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents were assessed before admission to the home. EVIDENCE: The statement of purpose and service user guides have both been reviewed and altered as necessary since the last inspection. New copies are on file at the local office of the Commission for Social Care Inspection. They are due for review again in January 2007. Both documents contain all elements required. The Primary Care Trust contracts for this home all ended at the end of September 2006. The home will now only be admitting private clients. The contracts used are standard Care UK contracts and are reviewed centrally by the Commission for Social Care Inspection. The registered manager or senior nurse carry out the majority of prospective resident assessments, there is also a second senior nurse that carries out Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 9 assessments in the hospital on the same site as this service. Care plans reviewed all contained completed assessments, which are transferred to the Saturn system (see Health & Personal Care section,) on return to the home and used as the basis for the care plan. If a prospective resident is not accepted the paper copy of the assessment is kept and archived. Intermediate care is not offered at this home. Halstead Lodge Nursing Home DS0000015334.V317880.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home ensures that all the health care needs of residents are met. Residents are protected by the home’s policies and procedures for dealing with medicines. The home’s procedures around dying and death ensured residents and their families were treated with care, sensitivity and respect. EVIDENCE: Care UK operates a computerised care planning system throughout their nursing and care homes, called Saturn. The Commission for Social Care Inspection has reviewed the Saturn system initially and the inspector for this home was enabled to review care plans on the system during the site visit. Three care plans were reviewed; all showed good levels of compliance and very good information included in all areas including the daily records. All had been reviewed regularly. Individual problems are highlighted in yellow automatically as they are due for review, making it easy to check which ones need review at any time. The layout of the plans is good, they are easy to read, use and follow. Overall the quality of the care plans has greatly improved using this system. (There is additional written documentation for Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 11 use in the event that there is computer failure.) Staff were motivated to use all the information they could. The Saturn system also contained information about all visits by GPs, district nurses, dieticians, opticians, etc and the care plans reviewed showed that these visits were regularly undertaken. At the site visit for this inspection, there was only one resident with a pressure sore, which had been present for a considerable length of time, the tissue viability nurse was fully aware of the problems of trying to heal the sore and regularly visited the resident. Associated care plans were clear about what treatment was current for this resident. Since the last inspection new scales have been purchased that connect to a hoist to make it easier to weigh residents regularly who are unable to sit in the chair scales. During the site visit the local Macmillan nurse attending the home was spoken with and she felt that the home and its staff were excellent at palliative care; they worked closely with the Macmillan staff, call for advice as necessary and she said she loved visiting the home because she was made so welcome. The local GP was also spoken with during the visit. He has been a GP for the home since it opened in 1993 and he attends the home three times a week, then every two months he spent a whole morning reviewing care and medication for every resident. He feels that the regular visits prevent unnecessary callouts to the surgery or admissions to hospital. He felt the staff were caring and that the staff work together for the benefit of the service users. He was very supportive of the present manager. All medication administration records were checked and there were no omissions. Each record was preceded by an identification sheet, which included a dated photograph, the resident’s name, date of birth and any known allergies. It was noted that every resident who was on Digoxin had his or her pulse taken before it was given, which is accepted good practice. The individual records also contained a photocopy of the last or current prescription for reference. Changes to prescribed medications were properly signed dated and notated as necessary. There was no evidence of over prescribing and regular reviews were noted on the medication records and on the Saturn system. Both Temazepam and Oromorph (10mgs in 5mls) were being kept in the controlled drugs cupboard and signed for accordingly. Room and fridge temperatures were taken on a regular basis and all temperatures reviewed were within limits. There was no evidence of overstocking in the medical room and the room was much tidier than at the last visit. The inspector and senior registered nurse discussed homely remedies available in the home. It was suggested that a complete review of the medications they would offer, how they would be ordered and how they were stored, was undertaken urgently. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 12 On the day of the site visit every resident looked clean and tidy; and had a drink and call bell within easy reach. All residents were dressed in age appropriate closing which had been freshly laundered. Throughout this visit the inspector observed many instances all of appropriate communication with residents and all care assistants and registered nurses showed kindness towards the residence. Residents spoken to all talked about the kindness of friendly nurse and helpfulness of all the staff. All bereavement procedures reviewed throughout the home were observed and in a number of areas, such as the length of time they keep medication for after a resident has died, exceed the standard. All registered nurses at the home have attended a full of palliative care course and care assistants all do a shortened course. Relatives spoken to during this visit were very positive in their comments about the care offered to the dying relatives. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 13 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 & 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home encouraged contact between residents and family, friends and the local community. Residents were supported to make choices and retain control over their lives. EVIDENCE: An activities coordinator is employed for 30 hours each week, the manager does not feel that this is adequate for the needs of the current residents and is looking at ways of increasing the coordinator hours available. The staff are encouraged to engage with the residents’ at all times and too spend time on a one-to-one basis with them whenever they can. The coordinator has arranged monthly outings, weekly bingo and gardening within the home. The home also has its own cat that has freedom of movement throughout the home and a number of the residents said that they felt they benefited from the cat being there. All activities undertaken are registered on the Saturn system. The system also contains good evaluations regarding the usefulness of the activities to the individual residents. The coordinator ensures that her time is evenly spread between group activities and one-to-one activities. Some of the residents spoken to during this visit felt that the activities were adequate for Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 14 their requirements. One of the residents spoken to did not join in with activities through their own choice and stated that they were never pressured to attend. The home makes use of the local community bus and have a volunteer who comes in to go on the outings with the residents. The local church holds regular services within the home. There is very little contact with the hospital that is on the same site. The turnover of residents in the palliative care beds is very fast so relationships with the relatives and the community are often difficult to establish in the long term. All residents are on the electoral register and the administrator organises postal votes as necessary. All residents spoken to were happy with the choice and quality of food offered. Menus are reviewed and changed every three months and are is a four-week rolling roster. There have been no further problems with the food suppliers and the system is working well. Fresh meat and vegetables are still sourced locally as are the milk and bread requirements for the home. The chef is happy working at this home and feels that she can use all her skills. The chef and staff make all their own pastry and cakes. When changing menus they speak to residents about their ideas of what they would like to see offered; the staff also looked at what food was wasted over the preceding few weeks. All liquidised food is prepared in its separate components. Residents spoken to liked the food. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 15 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 & 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the policies and procedures followed in this home. EVIDENCE: There have been three complaints to the home since the last inspection, all three were reviewed during the site visit and had been handled appropriately by the manager. All issues raised had been resolved. The commission has not received any complaints directly. All staff had attended up to date protection of vulnerable adults training within the previous six months, carried out in-house by Care UK. There had been no Protection of Vulnerable Adults issues, or referrals since the last inspection Halstead Lodge Nursing Home DS0000015334.V317880.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensured that residents lived in a safe, well-maintained environment. EVIDENCE: On arrival the home was clean and tidy considering it was the busiest part of the morning, there were no malodours throughout and it was airy. There is a programme of carpet replacement that is ongoing along with redecoration of the home in a systematic way. It was noted that there were a number of hoists in use and in the corridors around the home. The two double rooms in the home are currently being used as single occupancy only. A few residents were using the dining room first thing in the morning, for breakfast, however most of them had breakfast in their room and dining areas were utilised more during the lunchtime period. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 17 Infection control procedures throughout the home were good and both sluices were clean, tidy and locked throughout the visit. The manager employ’s fifty hours of cleaning per week and care staff were encouraged to keep rooms tidy. The laundry was neat, tidy and clean; the equipment was suitable for the number of residents and their needs. Halstead Lodge Nursing Home DS0000015334.V317880.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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The home had appropriate staffing levels to meet the needs of residents currently living in the home. Staff had the skills to ensure residents were cared for safely. Staff were trained and competent to do their jobs. EVIDENCE: Staffing numbers and skill mix across the 24-hour period was good. Registered nurses also undertook duties working on the floor as well as being in charge to ensure that they understood the needs of the residents of this home. The manager was finding it difficult to employ staff with the right qualifications and personality for this home, however a new care assistant was starting on the day of the site visit and there were two newly qualified registered nurses undertaking their four-month supervised practice in the home. There is a four-week rolling roster in place throughout the home, which works well. There is an extra registered nurse who works 10 hours a week specifically to work with the homes youngest client who has a degenerating disease. There is a total of 215 ancillary hours worked each week divided between housekeeping, kitchen, activities, laundry and maintenance. There are currently five care staff who have already obtained National Vocational Qualifications at level 2 or above, with five further care assistants Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 19 awaiting their results. The manager shows a clear commitment to the National Vocational Qualification training for all care staff. Three personnel files were reviewed during the site visit, all were complete and very well laid out, making them easy to read. Some of the information is on the computerised satellite system, (see health and personal care section), more is to be added to the system, including pictures of the individual members of staff, in the near future. All statutory training was up to date and staff felt that they were given the opportunity to undertake as much or as little training as they wished. Care UK employs a local company to undertake all the statutory training at this home. Each member of staff has a separate training file, which includes a matrix of the sessions undertaken and those planned. All registered nurses have undertaken long, ‘approved’, palliative care course. Care staff have undertake a shorter palliative care review course over two days. Halstead Lodge Nursing Home DS0000015334.V317880.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed well and is run in the best interests of the residents. Staff received appropriate supervision and the home ensures the health, safety and welfare of residents and staff were promoted. EVIDENCE: It was planned that both the manager and the senior nurse are going to undertake the registered manager’s award and the senior nurse is being developed into a more managerial role. The same company that delivers National Vocational Qualifications to staff throughout Care UK will undertake the registered manager award training. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 21 All the staff were welcoming and happy to talk to the inspector. The ethos throughout the home is excellent, staff felt that they were supported and valued in the jobs that they do. The last residents’ survey was in April 2006 by Care UK and will be repeated in April 2007. There is a clear audit plan for the home carried out by the manager and staff on a regular basis. Care UK staff from outside the home also undertake regular audits and regulation 26 visits. The reports are sent to the Commission for Social Care Inspection, containing good detail having looked at the home as a whole. Other healthcare professionals attending the home on the clay of the site visit were also surveyed about their feelings regarding the home. (See detail in other sections of this report.) Resident money is kept safely and there are clear records of all expenditure. Four accounts were reviewed and all were correct. The manager or administrator is not appointee for any of the current residents and only one resident is looking after their own finances. When residents are discharged from the home the resident or their relatives date and sign for the return of any money still held by the home. All staff are now having regular supervision sessions. Each member of staff has a separate supervision file which is kept locked in the manager’s office, the contents of which remain private to the supervisor and supervisee. However the manager and inspector discussed the way of recording the sessions so that it can easily be seen that the sessions are being undertaken regularly. All policies and procedures at this home are the ones used throughout Care UK and were last reviewed in October 2005. The manager was expecting any changes or new policies to be sent to her around the time of the site visit. All certificates and servicing agreements seen during the site visit were up-todate, with all equipment throughout the home in good, serviceable order. Halstead Lodge Nursing Home DS0000015334.V317880.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 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 3 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 4 3 X 3 3 3 3 Halstead Lodge Nursing Home DS0000015334.V317880.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP9 OP31 OP36 Good Practice Recommendations The registered manager should review the policies & procedures regarding the homely remedies kept in this home. The manager should complete the Registered Manager’s award. The registered manager should review how supervision sessions are recorded. Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Halstead Lodge Nursing Home DS0000015334.V317880.R01.S.doc Version 5.2 Page 25 - 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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