Inspection on 14/09/07 for High Peak Lodge

This inspection was carried out on 14th September 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.

Other inspections for this house

High Peak Lodge 13/03/07

High Peak Lodge 13/02/06

High Peak Lodge 01/09/05

High Peak Lodge 02/02/05

High Peak Lodge 29/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE High Peak Lodge Bedford Square Leigh Lancashire WN7 2AA Lead Inspector Judith Stanley Unannounced Inspection 14th September 2007 09:30 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 High Peak Lodge DS0000005682.V348935.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. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Peak Lodge Address Bedford Square Leigh Lancashire WN7 2AA 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) 01942 262021 01942 261811 hpleuropeancare@aol.com www.europeancare.net European Care (UK) Limited Adele Kettle Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Terminally ill (3) of places High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 39 service users to include:up to 39 service users in the category of OP (Older People) up to 3 service users in the category of TI (Terminal Illness under 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 13th March 2007 2. Date of last inspection Brief Description of the Service: High Peak Lodge is a purpose-built care home, located close to Leigh town centre and local amenities. High Peak Lodge is registered to provide nursing and personal care services to 39 male and female residents over the age of 65 years. Included within those numbers the home can offer care to three residents of whom may be terminally ill. Private accommodation for residents is provided in single rooms, all of which have en suite facilities. There is pleasant communal space comprising of lounges and a dining room, as well as quiet areas near the staircase on each floor. There is a secure, private garden at the rear of the home for residents to enjoy sitting outside. Car parking for visitors is located to the front and side of the home. The current scale of fees ranges from £347.64 for residents funded by social services to between £429. 51 to £555.69 for self - funding residents. Additional charges are made for personal toiletries and magazines and newspapers. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection which the home did not know was going to happen took place on 12 September 2007 and included a site visit. The inspection was carried out over a 5 ¼ hours on one day. The homes manager was available to assist with the inspection. The inspector looked at records the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being properly run. The inspector looked around the home, spoke with staff, residents and visitors. Prior to the inspection the home was sent an Annual Quality Assurance Assessment (AQAA) this form is competed by the homes manager and informs the inspector how the home meets the National Minimum Standards, what they have improved since the last inspection and on areas where they think there is still room for improvement. It also provides information about when the polices and procedures were last updated and when equipment used in the home was maintained or last serviced. To find out more about the home comment cards were sent to residents, visitors and other visiting professionals, for example doctors, social workers and chiropodist, asking them what they thought about the service and the care provided. There were no returned comment cards from residents, relatives or healthcare professionals, such as doctors. One possibility for the lack of response could be that the home was inspected in March 2007 and people were asked to return comment cards then. The home has just had an RDB inspection, (this is an inspection from an independent company which gives the home a star rating) and residents and relatives would have been given questionnaires about the service and the home also carries out satisfaction surveys. Throughout the day the inspector spoke with four relatives who were very complementary about the staff, the care provided and the cleanliness of the home. Another relative said, “There are no problems here everything is great”. One resident had only recently moved in to the home and was still settling in said, “ so far so good, I have a comfortable room and everybody seems very nice and helpful”. Since the last inspection there have been no complaints made to the manager of the home and no complaints have been brought to the attention of the High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 6 CSCI. There is still one complaint that is ongoing since before the last inspection and this is being dealt with by head office. What the service does well: What has improved since the last inspection? A new conservatory has been erected and leads out in to the garden at the rear of the home. The conservatory is waiting to be painted and the finishing touches added. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 7 Staff training is progressing well and staff supervision is now taking place on a regular basis. It was noted that more residents are coming into the dining room to have their lunch rather than having it in the lounge. 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. High Peak Lodge DS0000005682.V348935.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 High Peak Lodge DS0000005682.V348935.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 was assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment is carried out prior to admission to ensure the home can meet the needs of the individual. EVIDENCE: Three residents files were chosen for inspection. On examination all contained a pre admission assessment. This is carried out at the most convenient place for the resident, either in their own home or in hospital or at High Peak Lodge. The assessment ensures that the home is suitable to meet the needs and expectations of the prospective resident and their supporters. When a person is assessed all aspects of care are looked at including, personal care and health care needs, mental state, disability, mobility, dietary needs and any special diets required, for example diabetic diets or soft or pureed diets. Other areas High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 10 assessed cover hobbies and interests, medication and any equipment required, such as bedrails. The assessment provides staff with information they need to ensure that on arrival at the home the staff are prepared and can meet the individual needs of the residents and have a base line for the drawing up of the care plan. High Peak Lodge DS0000005682.V348935.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with the information they need to meet the needs of the residents. Personal support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Three care plans were chosen for inspection. One of the care plans was of a new resident who had only been living at the home for a week. The care plan had enough information about the resident to enable staff to know what the residents needs were. Staff had already registered the resident with a local GP. The resident was very frail but on the day of the inspection was seen sat in a recliner chair in the lounge looking comfortable and contented High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 12 The information contained on the care plans gave staff detailed information about the care each resident required. A social profile is included, this has details about resident’s present circumstances, family background for example wife or husband, children, school and work life experiences, hobbies and interests, likes and dislikes and personal worries or fears that the resident may be concerned about. This information helps staff understand the resident they are caring for better and can help generate topics of conversation. Care plans also contained a dependency assessment which covers mobility, orientation, behaviour, communication, dressing, feeding, continence, personal hygiene, sleep pattern, socialisation, safety, pain and nutrition. Catering information is also included which details the resident’s dietary requirements, for example likes and dislikes and if the resident requires a diabetic diet or a soft diet. Some staff at the home have completed training in diet and nutrition and in all files inspected completed documentation was available to demonstrate that residents are closely monitored to ensure they receive an appropriate diet and maintain a stable weight. Resident’s weights are recorded in the care plans. The care plans were reviewed monthly and information is updated as required. For some residents review letters were seen on files inviting relatives to attend reviews if they wish. Risk assessments were in place in the files inspected. These covered moving and handling, risk of falls, bedrails if required and for the use of hoists, movement around the home etc. There was evidence to demonstrate that outside agencies had been contacted as required for example the resident’s doctor, the continence advisor and the chiropodist. Observations throughout the inspection showed that the personal care needs of the residents were being met. It was noted that residents were clean and nicely dressed and that ladies had recently had their hair done. Gentleman were clean and well-dressed and shaved. All staff were seen knocking on bedroom, bathroom and toilet doors and waiting for a response before entering. The inspector noted that there was a good, friendly atmosphere within the home, and that the staff worked well together. There was a good, respectful rapport between the residents and the staff and with visitors. The nurse in charge was observed giving out the medication round. Medication was given out in an efficient manner. Residents were given their tablets and offered water to help them swallow them. Medication given was immediately recorded on the individual’s drugs sheet. On checking some of the resident’s High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 13 drugs sheets, medication and recording was correct and no discrepancies were noted. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 14 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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a wide range activities and interests to meet the capabilities and expectations of the residents. Residents are providing with well-cooked food, which they like and with good portions. EVIDENCE: On the day of the inspection it was the activities coordinators day off. Therefore residents were not a busy and engrossed as they sometimes are. Staff were seen sitting chatting with residents and at one stage of the day having a sing song. Residents have access at all times to books, games and puzzles but seem to enjoy it more when the activities coordinator is leading the activity. The activity programme is displayed and includes on the 21/09/07 a clothes party. One resident told the inspector about their recent trip to Southport about the Summer Fayre and about the barge trip and how much she enjoyed herself. Other activities include visits from entertainers, flower High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 15 arranging, pet therapy, gardening, bingo, gentle exercise and movement, cinema afternoon etc. The Christmas shopping trip to Marks and Spencer has already been arranged for residents to go and purchase their Christmas gifts. Visitors are welcome at any time; there is no restriction of visiting times and some visitors come at lunchtime and assist their relative with their meal. Visitors spoke praised the staff for their care and commitment. One visitor said, “All the staff are excellent”. Residents confirmed they get up when they want and go to bed when they choose. One resident was seen going to her room for an afternoon sleep whilst others relaxed in the lounge. The menus were available for inspection and the home provides a well balanced and nutritious diet. The inspector observed residents coming in the dining rooms for breakfast between 09.00am – 10.00am. Residents were not rushed and breakfast was relaxed. Residents were offered a choice of cereals, toast and preserves or a cooked breakfast tea or coffee. As breakfast is not served until 09.00 and staff ensure that early risers are offered a drink and a small snack until breakfast at 09.00am. Lunch is the main meal of the day; staff go around and ask residents daily what they would like from the choices offered. On the day of the inspection the lunch was battered or poached fish, chipped or creamed potatoes and steeped peas or beef burgers, followed by ice cream or mousse. As it was Friday and as tradition dictates most residents were seen enjoying the battered fish. The manager and her staff were observing sitting with and assisting residents who needed help in a discreet and sensitive manner. Staff were heard encouraging residents with their meal and chatting with them whilst they assisted them. It was encouraging to see that more residents were coming in to the dining room for their lunch; some residents still prefer to dine in the lounge. Residents spoken with after lunch said they had enjoyed their lunch and that the food was always good. A lighter afternoon tea is served and residents were to be offered vegetable soup with a bread roll, sandwiches or ham or egg salad, followed by cheesecake. Suppers are available before residents retire and a choice of hot and cold drinks and snacks are available during the day. High Peak Lodge DS0000005682.V348935.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives, can have confidence that residents will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. EVIDENCE: A complaints procedure exists and records of complaints are kept and properly recorded, along with the outcome. The complaints procedure is displayed in the foyer. There have been no complaints since the last inspection, however one complaint is outstanding and is being dealt with by head office. This has been outstanding for some time and is proving difficult to resolve. There have been no complaints brought to the attention of the CSCI. Staff has had training in the protection of vulnerable adults, and the staff were confident of the procedures if they were to suspect abuse in any of its forms. High Peak Lodge DS0000005682.V348935.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. High Peak Lodge is maintained to a high standard making it homely, comfortable, clean and pleasant for residents to live in. EVIDENCE: From a tour of the premises, it was evident that the home is maintained to a high standard both internally and externally. The lounge and dining area are comfortable and spacious. Part of the lounge area is where the activities take place but this does not intrude on those residents who do not wish to join in. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 18 Several bedrooms were looked at. These were seen to be clean and tidy, and residents had personalised their rooms with their own possessions brought from home. Bedrooms were nicely decorated with matching furnishings. The bathrooms are decorated in a domestic style so as to offer a relaxed atmosphere for residents when bathing. There was no evidence of communal toiletries. The outside of the home is well maintained and the grounds were seen to be neat and tidy. The new conservatory is an added bonus as the doors lead out in to the garden so as residents will be able to either sit in the conservatory or outside, as is their choice. Systems are in place to control the risk of cross infection. Staff were seen wearing different protective clothing when carrying out different tasks. Hand sanitizer is also available. The laundry is sited away from food preparation and food storage areas and is away from any area used by the residents. From observations it was evident that the domestic team took pride in their work. All areas of the home were clean and free from any offensive odours. The homes maintenance man works in an ordered manner and ensures that all weekly or monthly testing is carried out and recorded and that the home is well maintained throughout. High Peak Lodge DS0000005682.V348935.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs can be met by good staffing levels and with a competent, committed, experienced and a well trained staff team. EVIDENCE: The staff rota showed that they are sufficient numbers of staff on duty each day and through the night. The ratio of nurses and care staff takes in to account the needs of the residents and ensures that adequate numbers of staff are on duty at peak periods during the day. Neither staff nor residents expressed any concerns about staffing levels within the home. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. Several of the staff had worked at High Peak Lodge for a number of years. From discussions, staff showed they know the residents well and they demonstrated a strong commitment to providing a good standard of care. Staff were clear about the work they were employed to do and that they were happy to help out each other. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 20 From the inspectors’ observations, staff morale appeared good, and the staff seemed genuinely happy to be working at the home. A full copy of the each members of staff’s employment file is kept in the home in a secure location. Three staff files were chosen for inspection and were found to contain copies of CRB disclosures, application forms, statement of terms and conditions, job descriptions, two written references and other forms of identification such as copies of passport, birth certificate and driving licence. Training is an area that has greatly improved since the last inspection. Mandatory training has been brought up to date as required. Some staff are working with other homes on the Gold Standard Framework which is regarding palliative care (care for those people in the latter stages of their lives). Staff have now completed training in the protection of vulnerable adults and NVQ training is progressing well with 62 of care staff having achieved NVQ level 2 in care. Staff spoken with was happy with the training provided and found it relevant to their work. High Peak Lodge DS0000005682.V348935.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, 36 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. High Peak Lodge is run by a well qualified, suitably experienced and competent manager. Residents can be sure their best interests will be the central focus, with a positive and inclusive approach to making the service better. Residents and staff can be sure that their health, safety and welfare will be promoted and protected. EVIDENCE: The home’s manager is a qualified nurse and has several years of experience in working with elderly people and has the Registered Managers Award. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 22 The home’s manager is committed to her own training and that of her staff team and sees this as an essential element to delivering good quality care for residents. The way in, which the home is managed, is open and transparent. The manager operates an ‘open door’ policy so that residents, relatives or staff may approach her at any time. The manager has a ‘hands on’ approach and knows the residents well. During the course of the inspection the manager was seen helping to feed a resident. The office is well organised and staff have access to all the information they may need during a shift. There are additional systems in place to check that everything is recorded when it should be and kept up to date. The manager is well supported by an experienced administrator. There is a good system of continuous self-monitoring in the home, which includes weekly or monthly audits by the manager on medication, accidents, tissue viability, falls and care plans. The manager holds residents and relatives meetings; the minutes were posted on the notice board. Monthly visits from senior management from head office are undertaken as required and a copy of their findings is available on site for inspection. Some residents have handed over small amounts of money to the manager for safe- keeping, this is securely stored and records and receipts of any transaction are kept. Staff are now receiving formal supervision at regular intervals and evidence of this was available on staff files. Effective systems are in place to ensure that equipment used in the home are serviced and maintained. The following checks have taken place and certificates were available to verify that: Electrical circuits: 07/02/07 PAT (portable appliances): 08/02/07 Lift: 08/02/07 Fire inspection: 06/03/07 Heating: 08/02/07 Gas appliances: 06/08/07 Other risk assessments were completed, however some of these are still in the previous managers name and need to assessed and signed by the present manager of which some have been done. Accidents, injuries and incidents are recorded properly and reported to the CSCI as required. High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 23 High Peak Lodge DS0000005682.V348935.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 4 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 High Peak Lodge DS0000005682.V348935.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. Refer to Standard Good Practice Recommendations High Peak Lodge DS0000005682.V348935.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 High Peak Lodge DS0000005682.V348935.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!