Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/11/07 for Hawthorn Lodge Care Home

Also see our care home review for Hawthorn Lodge Care Home for more information

This inspection was carried out on 13th November 2007.

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.

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

What the care home does well

Residents are assessed prior to moving to the home and can feel confident that staff have the skills and training to meet their needs. Staff provide a pleasant environment where different activities take place that are suitable for all abilities within the home. Residents health needs are supported through liaison with the district nurse and GP as well other health care professionals. Nutritious and appetising meals are provided and staff provide discreet support to those residents who need it. Menus are provided in different styles to support residents to know what is the meal for that day. Complaints are treated seriously and the manager responds appropriately to any concerns raised. Staff receive training to ensure that residents are protected from possible abuse and understand their responsibility in protecting residents. Although the home is looking tired in some areas the provider is aware of this and plans are in place to refurbish the bedrooms. Staff are employed in sufficient numbers both to ensure that residents needs are met but that they have time to spend with residents and not rush personal care. Staff have access to a wide variety of training and a high percentage of staff have obtained their National Vocational Qualification in Care level 2 to ensure they have the skills and competence to care for residents. Recruitment practices are robust and ensure that people who are unsuitable to work with vulnerable people are not employed. The home is generally well maintained and health and safety is promoted to protect both staff and residents.

What has improved since the last inspection?

Medication storage has improved and ensures that residents get all their prescribed medication when they should. Staff treat residents with respect and understand the importance of providing personal care with dignity and in private. Residents` wishes are taken into consideration when providing care. There have been lots of improvements in the range of activities provided in the service and residents are able to be more involved in helping in the home. All relatives are informed about the complaints procedure and information is on display in the home ensuring they can raise any concern with the manager. Staff have a good understanding of infection control and ensure they follow the services policy and procedure to minimise any risk to residents and themselves. The acting manager has now been registered as `fit` person to manage a care home with the Commission.

What the care home could do better:

Although the provider has said that the home is to be refurbished next year it would be good practice to give a time scale to the Commission to indicate when this work is likely to start. When staff are undertaking induction training the forms should be completed to provide evidence that they have done it.

CARE HOMES FOR OLDER PEOPLE Hawthorn Lodge Care Home Beckhampton Road Bestwood Park Nottingham NG5 5LF Lead Inspector Susan Lewis Unannounced Inspection 13th November 2007 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawthorn Lodge Care Home DS0000061999.V354144.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. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawthorn Lodge Care Home Address Beckhampton Road Bestwood Park Nottingham NG5 5LF 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) 0115 967 6735 0115 967 1815 www.regalhomes.com Regal Care Homes Ltd Jayne Elizabeth Newbutt Care Home 60 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (60) of places Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the total number of beds, a maximum of 30 may be used for the category DE(E) Within the total number of beds, a maximum of 60 may be used for the category OP 17th April 2007 Date of last inspection Brief Description of the Service: The home fees are £350-360. A copy of the most up to date report is found in both the manager’s office or the senior carers’ office. Hawthorn Lodge is a large home registered to provide personal care for up to 60 older people. It has several lounges and one large dining room as well as eating areas in some of the lounges. Some of the bedrooms are ensuite. There is a passenger lift to the first floor. The home is set in its own grounds with a pleasant enclosed garden that residents have access to. It is in a residential area with easy access to shops and bus routes. There are hoists available for residents who require hoisting and there are suitable bath and shower facilities available for residents who need assistance with bathing. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records and observing staff that provide their care. Two hours were spent observing the care given to a small group of people. All observations were followed up by discussions with staff and examination of records. The inspection was unannounced and took place over 11 hours Tuesday and Wednesday in November 2007, and was conducted by one inspector as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. In addition, other information supplied by the provider regarding the service has been used to form judgements. Other information used to inform this report was accident and incident reports received since the last inspection as well as the previous inspection report. What the service does well: Residents are assessed prior to moving to the home and can feel confident that staff have the skills and training to meet their needs. Staff provide a pleasant environment where different activities take place that are suitable for all abilities within the home. Residents health needs are supported through liaison with the district nurse and GP as well other health care professionals. Nutritious and appetising meals are provided and staff provide discreet support to those residents who need it. Menus are provided in different styles to support residents to know what is the meal for that day. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 6 Complaints are treated seriously and the manager responds appropriately to any concerns raised. Staff receive training to ensure that residents are protected from possible abuse and understand their responsibility in protecting residents. Although the home is looking tired in some areas the provider is aware of this and plans are in place to refurbish the bedrooms. Staff are employed in sufficient numbers both to ensure that residents needs are met but that they have time to spend with residents and not rush personal care. Staff have access to a wide variety of training and a high percentage of staff have obtained their National Vocational Qualification in Care level 2 to ensure they have the skills and competence to care for residents. Recruitment practices are robust and ensure that people who are unsuitable to work with vulnerable people are not employed. The home is generally well maintained and health and safety is promoted to protect both staff and residents. What has improved since the last inspection? Medication storage has improved and ensures that residents get all their prescribed medication when they should. Staff treat residents with respect and understand the importance of providing personal care with dignity and in private. Residents’ wishes are taken into consideration when providing care. There have been lots of improvements in the range of activities provided in the service and residents are able to be more involved in helping in the home. All relatives are informed about the complaints procedure and information is on display in the home ensuring they can raise any concern with the manager. Staff have a good understanding of infection control and ensure they follow the services policy and procedure to minimise any risk to residents and themselves. The acting manager has now been registered as ‘fit’ person to manage a care home with the Commission. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hawthorn Lodge Care Home DS0000061999.V354144.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 Hawthorn Lodge Care Home DS0000061999.V354144.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 and 6 Quality in this outcome area is good. Prospective resident receive information about what they can expect this includes information regarding the accommodation, qualifications and experience of staff as well as how to make a complaint. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were viewed as part of this inspection. All care plans had copies of the homes pre admission assessment and where appropriate a copy of the social services assessment. The statement of purpose is available to prospective residents and relatives spoken with said that they had been given information to help make a decision about their loved one moving to the home. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 10 Staff spoken with said that information was available about new residents and was passed on handover to ensure that they were helped to settle in. The assessment informed the care plan and it a plan was produced from the needs identified. Intermediate care is not provided in this service. Hawthorn Lodge Care Home DS0000061999.V354144.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. Residents’ health and personal care needs are met in a consistent and respectful manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were viewed for the purpose of this inspection visit to ensure residents personal, health and social needs are met. Residents have a plan that has been agreed with either with them or a representative. The plan considers all areas of the person’s life including health personal and social care needs. The plan also includes a risk assessment and each plan is reviewed regularly and involves the resident and where agreed their family. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 12 The plans are detailed describing how a person wants to receive care, however the deputy manager said that the service is in the process of changing how care plans are created to make them more centred on the individual’s needs. Those residents who were able to express an opinion said that staff had spoken to them about care plans and relatives spoken with said that either staff had discussed their loved ones needs or they had been involved in a review of the persons care. Residents and relatives spoken with said that a doctor was called anytime they felt unwell and relatives said they were kept informed about the well being of their loved one. Relatives spoke positively of the way staff cared. ‘My relative has dementia but staff are kind and know to give a cuddle and they keep me informed about their health’. ‘When the medication is changed staff tell me and I know they see the district nurse for incontinence problems’. ‘My relative is always clean and well groomed they help him have a shave when he needs one’. ‘They understand how the dementia affects him and don’t make him do things he doesn’t want to’. An immediate requirement was made at the last inspection to improve the way medication was handled in the service. A medication round was observed and staff followed the service’s procedure for administration. Records were up to date and there were no gaps in recording. If a resident did not receive medication the records showed why. The manager at the time took steps to ensure that this was met and from evidence seen during this inspection visit practice continues to be safe and up to standard. During the day staff were observed speaking to residents with respect. They spent time with them other than just focussing on the task. A resident said she was frightened and a staff member took time to sit with her and find out what was wrong reassured her and sat and discussed some old photographs. A requirement made at the last inspection to ensure that residents are treated with dignity and their privacy supported has now been met Staff confirmed that they were told on induction how to address residents and said that they had never seen colleagues being disrespectful or rude. Relatives spoken with said that staff were always kind and polite. Hawthorn Lodge Care Home DS0000061999.V354144.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): Quality in this outcome area is good. The home encourages residents to take control of their life and be actively involved in the running of the home. Sufficient staff resources are provided to allow time for activities and stimulation. Family and friends feel welcome and know they can visit the home at any time. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The observation period took place between 10.45am and 12.10pm in the first lounge; residents were seen in a variety of activities including helping setting the tables for the midday meal and staff were seen sitting with residents talking and engaging in a game of dominoes. Although staff carried out tasks they were not solely focussed on that and residents were involved in the life of the home. There was always at least one member of staffing the lounge where the observation took place. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 14 A conversation between the activities organiser and deputy arranging for residents to attend the local church the following Sunday was heard and residents spoken with confirmed they were able to attend church if they so wished. A requirement made at the last inspection to ensure that residents choices and wishes must be taken into consideration when arranging activities to ensure their health and welfare is met. There was general buzz of activity amongst residents as they went about their day, both interacting between themselves, visitors and staff. This shows residents feel confident and able to direct their own lives and be supported by staff. Relatives all said they were made to feel welcome and that they could see their loved one in private should they so wish. Bedrooms viewed showed that residents were able to personalise them. Residents were aware of care plans and that they could read them any time. The midday meal was observed it appeared appetising and nutritious. The menu was displayed both in a written version and as pictures. The kitchen was well maintained and all paperwork was in order showing that the kitchen was cleaned as well as the fridges and freezers were kept at the correct temperature to ensure that food is stored correctly. In checking the fridges and freezers the inspector raised concern with the cook over the poor quality of some of the food. The cook said that the manager had taken over ordering and had started to buy cheaper food. The administrator said that this food had been bought in especially for an event the previous week. Usually all the food came from a reputable company, the meat from a local butcher and fruit and vegetables a local green grocer. Invoices were available to verify this. Observation during the meal time showed that staff provided support where needed and residents were able to eat their meal where they wanted to. Those residents spoken with said that they usually enjoyed the food and they always had a choice. Meal times had recently changed after consultation with residents. Menus had also changed as a result but the cook felt that residents would not enjoy some of the meals that had been included in the menu. This was mentioned to the care director who said he would follow it up when the manager returned from leave. A residents spoken with confirmed she was given choice over meals chooses to eat in the lounge. Other residents spoken with all said they enjoyed the food. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 15 Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents and relatives have a good understanding of how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. Residents and relatives say they are very satisfied with the service and feel very safe and well supported by the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service had only received one complaint since the last inspection and this was dealt with by the manager appropriately. Relatives all said that they knew who to speak to if they had a complaint and felt confident she would deal with it. One relative said that whenever she raised concerns with the manager they were dealt with before they became anything serious. Staff spoken with said that they knew what to do if a resident complained. A requirement was set at the last inspection to ensure that residents and relatives must be made aware of the complaints procedure From evidence obtained this is now met. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 17 One resident said she didn’t think the manager really cared and wouldn’t do anything. However all other residents said that they felt that the manager would be the person to speak to about a concern and she would deal with it and was caring. Staff spoken with understood their responsibility to protect residents from abuse. They said they had never seen any one ever be cruel or unpleasant in any way to residents. One member of staff said that whistle blowing policy had been discussed within her induction, and was aware she would be receiving further training in this area. Training information provided showed that most staff had received some safe guarding adult training this included what abuse was, the different forms and what staffs responsibility was to protect residents. Residents’ money was stored safely and access was limited to it, two signatories were used for all records and policies and procedures are in place regarding residents leaving things to staff. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. The building is due for a refurbishment and this will improve the environment for the residents it is currently fit for purpose. It is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the tour of the building the large crack in a residents bedroom that had been noted during a previous inspection was still very much in evidence. In discussion with the care director this was being investigated as to the possible cause and a surveyor had been to see it and was looking at what remedial action could be taken. A copy of a letter from the surveyor was provided during the inspection to show this was in hand. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 19 From information provided by the manager prior to the inspection there are plans to develop the enclosed garden at the front of the home this will improve access for all residents and there is a planned refurbishment of the entire home for 2008/09. The new boiler has been fitted and so improving the reliability of the heating over the winter for the residents. Staff spoke positively about the general maintenance and said if things went wrong it was usually dealt with promptly. Generally the home was clean and residents said that their rooms were always clean. Relatives spoken with did not report any unpleasant odour during their visits. A requirement was made at the last inspection to ensure that staff followed infection control policy and procedures. In discussion with staff they were clear what the procedures were and residents and relatives spoken with said that from what they observed staff followed procedures correctly. This requirement is met. Some staff raised concerns about the quality of the cleaning products they were being provided with this was raised with the care director who said that all cleaning products come from a main supplier but they are in the process of changing the supplier so this should improve. The care director also confirmed that the provider has plans as part of the overall refurbishment due in 2008 to refurbish the laundry and upgrade the equipment. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Residents have confidence in the staff that care for them. Management encourage staff members to undertake external qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. The service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents and relatives spoken with all felt that there were enough staff on duty. Staff spoken with said that usually enough staff so don’t have to rush residents when providing personal care can spend as long as you need to when getting someone up in the morning. Rotas also showed that there were sufficient staff available throughout the day to meet residents needs. Training records showed that only one senior had National Vocational Qualification in care level 2 and above. There were currently less that 50 of care staff with NVQ 2 or above, however a further nine staff are working Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 21 towards this and when they have completed the service will have more than 50 of staff with this qualification. Staff recruitment records were looked at to ensure that appropriate checks are made to protect residents from people who are unsuitable to work with vulnerable people. Criminal Records Bureau checks and references were obtained and where staff were foreign nationals’, suitable evidence was obtained to show they were permitted to work in this country. Training records showed that staff had access to a variety of training including all mandatory training such as fire safety infection control and moving and handling as well as courses that develop the skills of the staff further. Staff spoken with said that they were encouraged to attend training and where new staff start they attend an induction and spend time shadowing other staff. Induction records were looked at for several new starters but none of them were completed. The deputy spoken with said that this training had been done but they had not finished filling the forms out. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The manager works to continuously improve services and provide an increased quality of life for residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most residents were positive about the manager but one resident said she didn’t feel that the manager cared. Other relatives or residents spoken with did not support this and said she was caring and supportive. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 23 SStaff gave a mixed response regarding their opinion of the manager. Some felt the manager was supportive and helpful whilst others felt she had her favourites and did not respect confidences. This was passed to the care director to follow up. The manager is now registered as a ‘fit person’ to manage a care home. Her previous experience has been in training and she has demonstrated a detailed knowledge of the principles of good care practice in both care of older people and those with dementia. She is currently has a National Vocational Qualification (NVQ) level 3, she intends to register on an NVQ 4 in care course, and she is currently working toward her registered managers award. Evidence from the pre inspection information showed that Quality Assurance questionnaires are distributed to resident’s relatives and staff as well as other health professionals. This was confirmed from seeing completed questionnaires in resident’s files. Action is also being taken as a result of this and the lunchtime has been moved at residents request. Residents meeting have been reinstated. There is a general audit of the maintenance and safety of the building that forms a picture and then informs the action plan for the following year. Residents finances are dealt with appropriately with records well maintained. The records of Health and Safety servicing and checks were inspected to ensure that residents’ are properly protected. These were all up to date and well recorded. The staff have all completed their statutory training courses and they confirmed that their health and safety is promoted and protected by the provision of training and equipment. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP19 OP30 Good Practice Recommendations Provide the Commission with timescales as to when refurbishment will take place. Induction forms to be completed when staff member has completed induction. Hawthorn Lodge Care Home DS0000061999.V354144.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Hawthorn Lodge Care Home DS0000061999.V354144.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!