Inspection on 30/05/07 for Lodge Lane Nursing Home

This inspection was carried out on 30th May 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

Lodge Lane Nursing Home 20/03/06

Lodge Lane Nursing Home 01/07/05

Lodge Lane Nursing Home 04/03/05

Lodge Lane Nursing Home 16/06/04

Lodge Lane Nursing Home 05/02/04

Lodge Lane Nursing Home 12/12/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Lodge Lane Nursing Home Lodge Lane Mental Nursing Home 10a Lodge Lane Bewsey Warrington Cheshire WA5 0AG Lead Inspector Anthony Cliffe Unannounced Inspection 08:00 30 May and 1st June 2007 th 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 Lodge Lane Nursing Home DS0000005155.V330997.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. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lodge Lane Nursing Home Address Lodge Lane Mental Nursing Home 10a Lodge Lane Bewsey Warrington Cheshire WA5 0AG 01925 418501 01925 638768 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) Warrington Community Care Miss Jacqueline Harvey Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (20) Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum number of 20, 20 service users may be over 65 years of age 20th March 2006 Date of last inspection Brief Description of the Service: Lodge Lane care home registered to accommodate twenty service users diagnosed with a history of enduring mental health needs. The care home comprises of a modern two storey building on the outskirts of Warrington Town Centre and in the local community of Bewsey. The home is situated close to local shops and is in close proximity to other community facilities and public transport. There are two railway stations in the centre of Warrington. The home is operated by a voluntary organisation, Warrington Community Care and residents and staff benefit from the organisational support provided through local management. Fees range from £367 to £396 plus the nursing care contribution from the Primary Care Trust (PCT). Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 30th May and 1st June 2007 and lasted ten and a half hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. What the service does well: Lodge Lane provides a welcoming, warm, friendly and homely environment and is well maintained both internally and externally. Visitors are made welcome and their comments support this. Residents’ health needs are well met by the completion of the required documents, including personal plans. Residents are supported to have choice and control over their lives and there are facilities for activities to take place. There is a range of activities provided to both individual and groups of residents. Residents’ views are listened to and incorporated into the management of the home. Residents receive a good variety and choice of meals and residents said meals were of a high standard. The staff are friendly and approachable. Care is of a high standard and residents’ and a visitors comments support this. There is an experienced competent manager employed at the home that is highly motivated and committed to improving the standards of services and facilities and provides leadership and direction to staff. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Information is available for residents and their representatives so they can make a choice about where they live and their needs met. Residents’ needs are assessed prior to moving in so appropriate care can be provided to them. EVIDENCE: Lodge Lane accommodates mainly people from the Warrington area and is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 9 Moving into lodge lane followed a clear pathway. Prospective residents were initially referred to the service manager. This included an application form completed with the family of the residents or professionals involved in their care. The professionals gave references to support prospective residents’ applications. The process involved an interview by the manager and member of staff when information was gathered on the resident’s physical and mental health and social care needs. Visits to lodge lane to meet the other residents and staff were then arranged. A staff member was assigned to show the resident around. The prospective resident would be left to meet the other residents and share a meal. Existing residents views would be sought on what they thought of a prospective resident. Further visits and overnight stays would follow once the prospective resident had made a decision. Information was given out to prospective residents on request. This was the statement of purpose and service user guide. The records of a resident that recently moved into Lodge lane were examined. Detailed information was gathered about the resident before he moved in. This included details of where the resident was living before moving to Lodge Lane and the circumstances, which led to this. The staff from Lodge lane had met the resident where he lived. Upon moving in residents were provided with a licence agreement which provided details on the facilities and services available to them and the terms and conditions for living at Lodge lane. The resident that recently moved in had a care assessment and care plan under the Care Programme Approach for mental health. This was being used as the care plan to provide support to the resident. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: The personal plans of three residents were examined. Each personal plan had a record of the interview that took place with the resident prior to them moving in. This contained details of their physical and mental health. Additional information was obtained from the social worker or nurse involved in their care. From looking at care plans, observing staff working practices and talking with residents, staff and the health needs of residents were met. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 11 There were good examples of personal plans in place that monitored residents’ health. Personal plans were in place to monitor resident’s eating and drinking, risk of developing pressure ulcers, assistance with personal care, managing mental health and diabetes where just some examples. Good practice in routinely monitoring residents’ physical health was in place to monitor residents’ blood pressure and weight and glucose levels. Staff were using the Care Programme Approach care plans from the local mental health services for one resident and the deputy manager confirmed that a personal plan was being written. Another resident who had recently moved into Lodge Lane had detailed support plans in place to meet his needs. Support plans were either reviewed monthly or three monthly depending upon the age of the resident. When personal plans were reviewed there were detailed reports on how residents’ needs were being supported. Support plans were audited by a registered nurse but did not record the findings of the audit and who was responsible or accountable for rectifying any errors found. The audit did not comment on the quality of the personal plans. There were good examples of resident’s physical and mental health needs being regularly monitored by health professionals. Residents and relatives surveys returned following the site visit said that residents’ medical needs were always attended to. A relative wrote, ‘My sister has recently spent five weeks in hospital and the support and help given to my husband and myself could not have been improved. It was definitely five star’. A resident said of the healthcare support received, “My health was poor recently and I was in hospital. I have this stoma and am diabetic. They keep an eye on my health and I see my doctor if needed. Considering I couldn’t walk and had lost so much weight before I came here after major surgery I’ve done remarkably well”. Medicines management and administration was examined. No errors were noted on medicine administration records. A monitored dosage system was used throughout the care home and the stocks of these changed weekly. When this was done the receipt of these where recorded on medicine administration records. Arrangements were in place for the safe disposal of medicines. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported in making choices about their lifestyle so they have control over their lives. EVIDENCE: Lodge Lane supported residents to live a healthy and active lifestyle. Residents chose how they spent their days and decided upon what they did. Residents were provided with quiet facilities, a room for activities and a coffee room. The way in which residents were supported to move into lodge lane took account of the views and wishes of residents living there. Residents were supported to remain independent, healthy and offered a choice of recreational and social activities. The local college of further education provided beauty therapy and music appreciation sessions. Warrington Primary Care Trust provided a programme of exercise from the British Heart Foundation ‘Moving More Often’. Four staff had attended the training for this in November 2006 and provided a regular programme of exercise for residents. Photographs were kept of the groups that had taken place. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 13 Records for residents’ individual and group exercises were kept. Residents kept their own health diaries on how they made progress. For example one resident recorded she had less falls as she has become stronger with the exercise programme. Residents had regular contact with their local community and maintained contact with their families. Residents had support to attend appointments at their doctors or out patient appointments. There were regular social outings arranged. Residents talked about their experiences of living in Lodge lane. A resident said,” This is a lovely place to live, I’ve been here a few years now. I enjoy my days out and choose to do as I please. The residents and staff are all nice. I have a friend who helps me and he makes me a coffee when I want one. I have a key worker who’s really helpful. I don’t need a lot of help but she helps me with some things like setting my hair and using the hot brush. We also go out to the pub for tea at least every week or so. I spend my day how I please and have my own ways. There’s plenty to do. I go out and have my hair done every six weeks or so. There’s activities going on and I enjoy the beauty therapy when I can get my nails and make up done. She comes from the college to do it. I join in the moving more easily group but not the crafts group, as I’m not that good. As I’ve said it’s a lovely place to live”. Relative surveys received following the site visit said family were supported by staff and helped their relatives keep in touch with them. A relative survey recorded,’ I visit several times per week and always notice the residents appear to be happy and well cared for. As a visitor I am always made to feel welcome and staff are always friendly and helpful’. Another resident said, “I’ve celebrated my birthday in April. I went out with staff to but some things for myself and have lunch. We have some great days out and recently had a girl’s day out to Caerwys in Wales. No men and we visited a craft centre and had lunch at the mill. We also went to Llandudno recently. Staff are really helpful and nice. I like the music and movement group and the arts and crafts group. We have people from the local college and a volunteer who come into do them. I enjoy going out and getting my hair done. If I want some support when I go out staff will go with me if I want”. Residents have their own dining facilities and breakfast and lunch were seen being served. Residents had the choice of a cooked breakfast everyday. Residents were very complimentary about the meals provided. A resident said, “The food is excellent with lots of variety. I like the steak and kidney pudding fish and chips and steal and ale pie. I choose from the menu and there is a lot of choice”. Another resident said, “I’m just on my way to order lunch and there’s plenty of choice. The meals are really lovely. I’m not putting on weight as I’m more careful what I eat and staff help me choose healthier meals”. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Information was available to guide residents and relatives on how to make a complaint and who to make it to. There were procedures and guidance available for staff to ensure that residents are protected from abuse, harm and poor practice. EVIDENCE: There were no recorded complaints since the last site visit. Two residents and two relatives surveys were returned following the site visit. They recorded that residents and relatives knew how to make a complaint or who to talk to if they had concerns. Lodge Lane had made a referral under the local council adult protection procedures. Lodge Lane cooperated with the local council by informing them of the allegations made against a staff member and suspending the staff member concerned. The allegation only came to the notice of the manager following return form sick leave. The matter was dealt with and discussed with the staff team. Training updates on adult protection were arranged as part of mandatory training for staff, which was repeated annually. During the site visit staff confirmed they knew how to recognise and report adult abuse but it was not discussed as a staff team. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 15 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable and well maintained environment, which is equipped to meet their needs. EVIDENCE: All bedrooms were single and residents could personalise these as they wished. There where separate facilities for residents to make their own drinks, a quiet room and activities room. There where separate smoking facilities on the ground floor. The building was well maintained internally and all areas clean and hygienic. Residents and relatives’ surveys said the building was always clean. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 16 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 numbers and skill mix of staff meet residents’ needs. Staff recruitment ensures that residents are protected. The induction and training programme provides a skilled workforce that protects residents’ welfare. EVIDENCE: Staffing levels were appropriate and determined by the needs and dependency of residents and could change. If additional staff were needed the nurse in charge could arrange for them. There was a good skill mix of qualified and unqualified staff. The staff where experienced in the care of people with enduring mental health problems. Throughout the site visit residents were very comfortable in approaching staff and asking for their help when necessary or for information. Residents described the staff team with affection and said they enjoyed good relationships. The pre inspection questionnaire returned prior to the site visit recorded that four of the eleven care staff employed had an NVQ level 3 qualification. Four staff had not completed their NVQ level three qualification. NVQ level three was the standard level of qualification offered to support workers employed. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 17 Two staff had commenced employment. One had been supervised through an induction programme and the other had commenced the induction programme. The records of these staff were examined. They contained appropriate identification documentation and completed POVA First and a Criminal Record Bureau disclosure had been applied for a recently appointed staff member. The files had two written references. Files contained copies of the induction programme. The pre inspection questionnaire and staff training records confirmed that staff had completed mandatory training other than a new employee. The pre inspection questionnaire recorded staff had training in moving and handling, fire, mental health awareness, vulnerable adults, emergency fist aid, infection control and equal opportunities. Mandatory training with the local council included equality and diversity training. The manager produced a training plan from November 2006 onwards. Details of the training planed were provided for staff. This covered induction, mandatory and other training. Training was planned for all staff on first aid. Other training planned for Mental Capacity Act, mental health awareness, Control of Substance hazardous to health, equality and diversity, health and safety, Fire awareness, proactive approach to conflict resolution and adult protection. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and residents views are taken into account so they influence how the home is run. The practices in the home ensure that residents are safe and their welfare is promoted. EVIDENCE: The manager had been on post for many years and is a very experienced and competent. She is supported by a stable and experienced staff team, which had little staff turnover and no agency staff. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 19 A relatives’ survey returned following the site visit recorded, ‘my husband’s life choice would be to lie in bed all day. Staff encourage him to join in the general life of the home but allowing him some time on his own”. I don’t know of individual qualifications but feel confident when visiting that staff have the right skills and experience needed’. Another relative survey recorded, ‘I suppose I am rather biased about all the staff at Lodge lane. My sister could not be better cared for in every respect mental and physical. This is reflected in her well being.’ There was a quality assurance system in place, which comprised of the manager and delegated members of staff completing monthly and quarterly audits. These included audits on accidents, safety equipment, health and safety checks on the building, housekeeping and care planning as some examples. Residents meetings were held every two weeks. For those residents that didn’t wish to speak out at these the manager used an anonymous questionnaire sent to all residents on a monthly basis. Residents returned these directly to the manager. The last one was sent April 2007 and these gave feedback for discussions and action agreed at residents meetings. This asked residents about what was good or was not and what they thought about living at Lodge lane. It asked for suggestions on activities and improving their social life and about the quality of meals and suggestions for improvement. Feedback received from these was also fed back to staff at staff meetings. A more formalised residents meeting also took place where residents could raise more issues about the management of the home and not just personal ones. Quality assurance incorporated staff meetings and staff supervision. Staff meetings, managers meetings and staff supervision took place monthly. A development plan for the year had been completed to cover developments for improving the environment, staff training and improving quality of life for residents. This contributed toward the reassessment for Investors in People, which Lodge Lane holds until April 2008. Monies held on behalf of residents were managed safely and securely. Information provided by the provider in a pre inspection questionnaire and records held on site were examined. All the required maintenance and health and safety checks of the building and equipment had been completed. Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 20 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 3 4 X 3 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 4 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 Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 21 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. Refer to Standard OP7 Good Practice Recommendations 2. OP18 Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Lodge Lane Nursing Home DS0000005155.V330997.R01.S.doc Version 5.2 Page 23 - 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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