Inspection on 17/07/08 for Haslingden Hall and Lodge

This inspection was carried out on 17th July 2008.

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

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

Other inspections for this house

Haslingden Hall and Lodge 25/09/07

Haslingden Hall and Lodge 21/05/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Haslingden Hall and Lodge Lancaster Avenue Haslingden Lancashire BB4 4HP Lead Inspector Mr Kevan Royston Unannounced Inspection 17th July 2008 09:00 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 Haslingden Hall and Lodge DS0000067729.V365104.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. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haslingden Hall and Lodge Address Lancaster Avenue Haslingden Lancashire BB4 4HP 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) 0845 6032544 0170 6214413 haslingdenlodge@orchardcarehomes.com www.orchardcarehomes.com Orchard Care Homes.Com Limited Catherine Elaine Connor Care Home 76 Category(ies) of Dementia (36), Old age, not falling within any registration, with number other category (40) of places Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 40) Dementia - Code DE (Maximum number of places 36) The maximum number of people who can be accommodated is 76. Date of last inspection Brief Description of the Service: Haslingen Hall & Lodge home is a purpose built 76-bedded property in a residential area of Haslingden that was registered in 2006. The home is divided into two units: a 40 bedded unit for older people who need personal care and a 36 bedded unit for older people who suffer from dementia. There are local shops nearby and there is access to Haslingden town centre, which is about one and a half miles away. The registered persons are Orchard Care Homes Limited. The company have a number of other homes throughout the country, which are registered with the Commission for Social Care Inspection. All bedrooms are single with an en-suite toilet with shower. There is a lounge and dining area with a kitchen on each floor. There is access to a garden from the conservatory on the ground floor and a first floor terrace can be accessed from french doors on the landing. Information about the home is given to prospective residents and a copy also provided in their bedroom when they come in to the home to live. The fees ranged from £485.00 to £535.00 per week. The fee did not include hairdressing or private chiropody treatment. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was part of the key inspection process and took place on the 17/07/08 and lasted 7.0 hours. We spoke to residents on their own, staff, the manager, relatives visiting and a group of resident’s in the lounge area. Maintenance and financial records were looked at during the site visit and a full tour of the premises was undertaken with the manager. We had with us on the inspection ‘an expert by experience’ who is a person, who because of their shared experience of using services, visits a service with an Inspector to help them get a picture of what it is like to live in or use the service. The expert by experience observed routines within the home and spoke to a number of residents and staff members. The views of the expert by experience and comments received during the visit have been included in the report. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents, relatives and staff for their views on how the home is run. The response was good and comments were mainly positive and are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. What the service does well: All residents receive a thorough assessment before they came to live at the home and are welcome to visit prior to moving in. This means that their needs were known and arrangements could be made to meet these. One resident said, “We were made welcome”. Staff at the home have excellent access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. Comments included, “Excellent training”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 6 Routines in the home appeared relaxed with people being allowed unrestricted access to all communal areas. One relative said, “No concern with visiting”. As part of providing social events and activities to suit each individual, residents ‘life history’ has been recorded with input from relatives/friends and people involved in the home so that they can follow their chosen interests and staff become more familiar with the background of each person which helps to provide better support. One staff member said, “We get to know the resident’s well”. The manager and staff have to be commended for the system in place of recording each individual’s daily participation in social activities to monitor each resident to ensure they are being provided with stimulation to suit their needs and any problems can be addressed. The manager said, “The system works well”. Residents were happy with the environment of the home and found it a pleasant place to live. A tour of the premises found the facilities of a high standard and fresh flowers are provided every week in the lounge areas to provide a pleasant atmosphere. Comments about the environment included, “Lovely home”, Also, The home is beautiful”. What has improved since the last inspection? The requirements from the previous inspection have all been addressed which enables the management team and staff to protect and support the people with better systems and procedures in place which meet the National Minimum Standards. One member of staff said, “This is the best home I have worked for otherwise I wouldn’t be here”. Medication practices have been improved with better recording systems ensuring resident’s safety and correct medicines are being administered. This was confirmed by written information provided to us by the manager, examination and observation of medication practices, one member of staff giving out medicines at lunch- time said, “ medication procedures have improved”. Care plans now contain all information relating to individuals health, social care and treatment required so that staff are able to monitor each resident and provide the care needed. One staff member spoken to said, “The care plans are easy to follow and up to date”. The manager has introduced relatives meetings so that any suggestions or grumbles can be looked into in order to provide a better service and improve the running of the home. One relative of a resident said, “Yes when I suggest something they usually oblige”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 7 The owner and manager are always improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to improve the home for the residents. 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. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. EVIDENCE: We looked at assessment information of people living in the dedicated dementia care unit and the older persons side of the home. Resident’s admitted had full assessment information including their religious/cultural and relationship needs. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. Mental health assessments had been obtained by persons funded by social services to ensure all information is provided to the manager so that a detailed care plan can be developed. One resident spoken to said, “We visited first and were made welcome”. Staff members on duty confirmed they had access to this information and were fully aware of the health and social care needs of the Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 10 people living at the home. One staff member said, “We have a key worker system in place to get to know the resident’s when they first come in”. One relative wrote about first moving into the home, “My brother and myself received all the information we needed, and were shown around the home”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, people’s welfare is closely monitored and health needs are met. EVIDENCE: We looked at individual records for resident’s. Each had a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were excellent, well structured and improvements made to the recording of resident’s care to ensure all information is contained on file allowing staff to follow any action needed or any issues that needed monitoring. One resident we case tracked was suffering weight loss, which had been monitored through monthly checks on her weight. The care plan clearly showed the action taken medical support required and proper recording of the Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 12 care she was receiving for staff to follow to ensure she received the right treatment in order for her health to improve. The home has to be commended for the detail and information in care plans to ensure each individual receives the support required to meet his or her needs. One member of staff spoken to said, “The care plans are easy to follow and up to date”. Comments from resident’s spoken included, “The staff are a caring bunch”. And, “Plenty of people around to help”. Care plans were up to date and regular reviews were now taking place with involvement of the residents and relatives where possible with good information of care provided ensuring the welfare and general wellbeing of residents is monitored. Information provided by the manager prior to the site visit tells us the recording of care plans have been improved to make sure residents receive the appropriate care. One member of staff spoken to said, “The care plans are better”. One relative spoken to said, “I am involved in my dad’s care”. Records show risk assessments have been completed and are reviewed every month and updated reflecting any changes that may have occurred individually and in the environment ensuring the resident’s safety and protection is a priority. We were able to watch medication practices at lunchtime and went through the procedures with a senior member of staff. They were found to be safe and good records had been kept ensuring residents health is maintained. The procedures for medication on the three resident’s case tracked were examined and discussed. We asked about medication training for staff and the response from staff members included, “Only trained personnel administer medicines”. Controlled Drugs were stored in a separate locked cupboard and there was a register for recording how many there were and when they had been given and to whom. We spoke to staff who told us they were shown how to promote privacy and dignity when they received their Induction training. A telephone was available for residents to use and they could do this in the privacy of their own room. Some residents had their own telephone line. One relative wrote, “She is looked after with care and most of all respect and dignity”. We observed during the visit people’s dignity and privacy being respected ensuring residents are treated as individuals and with respect. This was confirmed by watching staff knocking on doors before entering rooms and helping with meals sensitively. One relative wrote, “Overall I am impressed with the care staff the way they respect people”. Haslingden Hall and Lodge DS0000067729.V365104.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Social activities have improved with more social events being organised and staff supporting residents to identify areas of interest so they can follow. They have introduced a system of recording each individual’s participation in social activities to monitor each resident to ensure they are provided with stimulation to suit their needs. Comments from people included, “We have entertainers in the afternoons”. Also, “Sometimes we have trips out”. Talking to residents and comments from surveys returned by relatives indicate the manager and staff could now look at more ways to provide additional activities in the mornings to suit all resident’s living at the home. One relative wrote, “Sometimes the staff are busy to watch the resident’s in the mornings”. The majority of residents spoken to said they enjoyed the food at the home. There was a four-week rotating menu with a choice of meals for lunch and Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 14 dinner. This menu was on display in the foyer and the days menu was also advertised on the notice board. Alternatives to the menu were also available. There was sufficient food in stock and this included fresh fruit, vegetables and salad. At the time of the visit the cook was baking a cake for a residents birthday. Appropriate records were kept of storage and cooking of food stocks to ensure people receive good wholesome well-prepared meals. We spoke to residents, care staff, the cook and had a look around the kitchen/ dining room during breakfast and lunch. People spoken to confirmed they enjoyed the quality and variation of food provided. The cook responsible for the preparation of meals was able to confirm she had information about people with special diets and personal preferences to ensure people receive a nutritious balanced diet. Comments about the quality of food were positive and included from residents; “The food has always been good with a choice offered”. And, Very good food”. One relative wrote, “My aunt is pleased with her meals”. The cook spoken to said, “We always bake a birthday cake for each resident”. Also, “ Yes we use as much fresh food as possible”. Staff members were observed being very attentive to the needs of people during meal times making it a pleasant atmosphere. Residents spoken to confirmed visitors can visit at any time of the day or night. One relative wrote, ““No concern with visiting anytime is convenient”. We looked at some of the residents rooms and found personal belongings are allowed into the home to provide a homely atmosphere for each individual. Haslingden Hall and Lodge DS0000067729.V365104.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: Haslingden Hall and Lodge has a detailed complaints procedure, which is made available to all residents and relatives on admission and contained in the Statement of Purpose and Service User Guide. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. One resident said, “I would speak to the manager if I had a grumble”. Complaints are managed well however we looked at recorded complaints received and found a verbal complaint that had not been followed through to a conclusion. We advised the manager they should ensure all complaints are recorded and investigated thoroughly to ensure peoples concerns are listened to and acted upon. Two complaints made to the Commission for Social care Inspection (CSCI) since the previous key inspection have been investigated and responded to with the complainant notified of the investigation and the outcome. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 16 An open approach to encourage comments through resident and staff discussions goes some way in ensuring that concerns are addressed prior to them becoming formal complaints. There were other policies and procedures that helped to safeguard residents. These included dealing with aggression, safeguarding residents’ finances and a missing persons procedure. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at the home. Records confirmed training was in place for staff to attend safeguarding adult’s courses. One Staff member spoken to said, “The home provides abuse awareness training”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy so residents live in comfortable clean surroundings. However on the first floor of the Dementia unit there was a smell of urine. The home should be kept free of offensive odours so that resident’s live in pleasant conditions. The manager said, “We are aware of the problem and dealing with it”. A relative wrote about the odour “Some corridors smell”. Positive comments about the cleanliness and maintenance of the home included, “Lovely home”, Also, The home is beautiful”. Comments from staff spoken to included,” We have good domestic help and we all chip in”. “ Any problems or repairs we have contractors in regularly”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 18 The home has a variety of communal spaces, which encourages independence and freedom to associate with persons of their choice or have somewhere to go to be quiet other than their bedroom. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. The new systems for laundry have improved and a member of staff spoken to said, “We have had problems with labelling of clothes and items going missing but we have new procedures in place which should help”. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are robust ensuring suitable staff are employed. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: We looked at duty rotas for both parts of the home and spoke to staff and the manager about staffing levels. We found sufficient personnel both domestic and care staff on duty to ensure the resident’s are supported and their needs are being met. We spoke to staff members individually and some of their comments included, “No we don’t have any shortage of staff”, And, “There is enough of us to help the resident’s. Also “We work well as a team”. Comments from residents included. “They are very supportive”. One resident wrote, “They try and make my mother as happy as she can be”. A relative wrote about the attitude of staff, “Staff are most kind, very helpful to”. We examined two members of staff records who had recently been employed at the home and found proper checks had been taken to ensure suitable people are employed. Staff records include, application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA) disclosures and Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 20 references, all in place prior to employment. However the application form should be amended to request a full employment history and gaps in employment explained so that residents are protected and staff employed are suitable. Examination of induction training for new staff confirms thorough procedures are in place for staff to be aware of the policies and systems of the home before commencement of work and early stages of their employment. One staff member spoken to said, “Access to training is good and initial training when I started was informative”. We advised the manager to ensure start dates for employment are put on recruitment records to ensure all checks have been received before anyone commences work. Records looked at confirm training is ongoing for staff and all staff attend dementia training through their development programme to ensure they have the competencies to care for people who suffer with dementia. The home has over 50 of care staff that has completed NVQ (National Vocational Qualification) level 2 in care with some staff achieving level 3. One member of staff spoken to said, “I have done my level 2 NVQ now I am on level 3”. Training is ongoing and accessible for staff development and they are encouraged to attend courses to ensure they are competent and have the skills to provide the care and support for the residents. One member of staff said, “We have good opportunities to advance here with training that is provided”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. All staff members spoken to said they had completed dementia training, as this was mandatory. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The two parts (Hall and Lodge) of the home has one registered manager. The registered manager has completed the National Vocational Qualification in care at level 4 and the Registered Manager’s Award to ensure she has the right qualifications to run a care home. The manager had a job description and was aware of her role and responsibilities and lines of accountability. Comments from people about the management of the home and how the home is run Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 22 included, “The manager is very supportive”. And, “We now have good management in place”. Relatives of people surveyed before this visit were very positive in their responses about the service being provided and how the home is run and comments included, “ They do a brilliant job”. Records show the owner and manager has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. There are quality assurance systems in place. These included daily, weekly and monthly audits as well as resident and staff meetings. The views of residents and relatives were identified and acted upon. One staff member said, “If we get suggestions to improve the home we implement them”. Examination of records confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 24 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 OP16 OP29 OP26 Good Practice Recommendations The manager should ensure all complaints written or verbal are recorded to the end of the investigation with outcomes. The application form should request a full employment history with any gaps explained to ensure suitable people are employed. All areas of the building should be free from offensive odours. Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 25 Haslingden Hall and Lodge DS0000067729.V365104.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Haslingden Hall and Lodge DS0000067729.V365104.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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