Inspection on 28/01/08 for Lyndhurst Lodge

This inspection was carried out on 28th January 2008.

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

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

Other inspections for this house

Lyndhurst Lodge 27/02/09

Lyndhurst Lodge 18/08/06

Lyndhurst Lodge 05/10/05

Lyndhurst Lodge 23/06/05

Lyndhurst Lodge 02/11/04

Lyndhurst Lodge 07/04/04

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London Road Neurological and Specialist Care Unit

Carlton Care Home

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St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Lyndhurst Lodge 87 Burton Road Ashby De La Zouch Leicestershire LE65 2LG Lead Inspector Lesley Allison-White Key Unannounced Inspection 10:00 28th January 2008 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 Lyndhurst Lodge DS0000001811.V341922.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. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndhurst Lodge Address 87 Burton Road Ashby De La Zouch Leicestershire LE65 2LG 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) 01530 563007 01530 831779 Mr Keith Halliwell Mrs Irene Anita Keevins Mr Keith Halliwell Care Home 19 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (6), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (6), Old age, not falling within any other category (19) Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers. No person falling within category MD(E) or DE(E) may be admitted to the home when 6 persons in total of these categories/combined categories are already accommodated within the home. 18th August 2006 Date of last inspection Brief Description of the Service: Lyndhurst Lodge is a 19-bedded residential home for older people, some of whom have a mental disorder or dementia. It is situated close to the centre of Ashby de la Zouch. The home was originally a large private house. The home has bedrooms on the ground and first floor. Access to the first floor is via the stairs or a shaft lift. The home has two large lounges, one of which is also used as a dining area, and an enclosed garden, which provides a safe place for residents to sit and walk in. The home is on a main bus route and has car parking available. Fees range from £ 337.00 to £388.00 per week. The Statement of Purpose and Service User Guide (information about the service provided) is readily available in the reception area. A copy of the Commission of Social Care Inspection (CSCI) certificate and the Employers certificate is displayed in the hallway. A copy of the CSCI report is available on request from the office. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. On the day of inspection there were nineteen people living at Lyndhurst Lodge. The inspection took seven hours to complete. Preparation included examining inspection records and information from the service history of the service. Other information was obtained from the Commission for Social Care Inspection (CSCI) pre-inspection questionnaires sent to people living at Lyndhurst Lodge, their families and to staff who work at the Lyndhurst Lodge. The Responsible Individual/Provider was also asked to complete an annual quality assurance assessment questionnaire (known as the AQQA) about the care home. This aided the inspection process by providing background information. Discussion was held with thirteen people who lived at the home. Two of the people were unable to communicate with the inspector. Four relatives spoke with the inspector and a number of other people were observed during the day also. The primary method of inspection used was “case tracking”. This involved speaking with the people who use the service provided, looking at three care plans and making observations. All the required key standards were inspected during this visit. Areas of concern raised by the last inspection report were discussed. New requirements were made at this inspection. The Registered Manager facilitated the inspection. What the service does well: Comments from the people who live at Lyndhurst Lodge included ‘Visitors are able to visit whenever they want to, they can see you in your bedroom if you want more privacy.’ ‘Visitors are always offered a drink by the staff.’ ‘Church services take place every month. It comes to the home. Communion is held about three times a year.’ ‘I am able to get up at a time of my choice.’ ‘I like to watch television in my own room and I have a telephone in my room so that I can call friends or family.’ ‘All the staff is very good.’ Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 6 Relatives’ comments included ‘All services are provided with great thought and care.’ ‘I can only praise all the staff they are wonderful.’ On speaking to many different people (eleven people) who lived there they said that they were happy with the lifestyle at the home and would get together for a talk in the afternoons in small groups. What has improved since the last inspection? What they could do better: The Registered Person must ensure that the staff members receive appropriate training to the work they are to perform. This is particularly true for the preparation, handling and cooking of the food provided for the people living at Lyndhurst Lodge. A cook should be provided and identified separately on the staff rota especially as the needs of the people who live at the home changes. Staff in care should be aware of adult protection issues and training in this area must be updated and provided to all staff. In this way improvements to the safety and well-being will be maintained for all the people living at the home. The radiator in the toilet and shower room with the hand towel rail needs a further risk assessment. In this way the risk of people burning themselves on it will be reduced. Regular checks must be made around the area of heating. It is important for the people receiving care at this home to be able to benefit from the experience of all the care staff. The Registered Manager must check all the references on the staff files and ensure that references have been obtained from the previous employers or reasons and dates given where this has not been possible. Only then will the people living at the home be fully supported and protected by the staff. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 7 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. Lyndhurst Lodge DS0000001811.V341922.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 Lyndhurst Lodge DS0000001811.V341922.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. This judgement has been made using available evidence including a visit to this service. People living at this home can expect to have their needs assessed and can be assured, that the staff at the home will be able to meet their needs. EVIDENCE: Three people living at Lyndhurst Lodge were case tracked. The majority of the people living at the home were female. Not all people living there were of White, British backgrounds as some people came from other European countries. People who lived at the home appeared to get on well with each other. People living at the home said that they were given a four week trial period to decide if the home was suitable for them. In each of the care records seen by the inspector there was evidence of an assessment process to identify how their needs would be met. Standard 6 intermediate care is not offered at this home. Lyndhurst Lodge DS0000001811.V341922.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. At Lyndhurst Lodge staff are successful in delivering appropriate care to individual residents. However, they must seek the advice of other professionals when they need help with the changing needs of an individual. EVIDENCE: Each person has a care plan. (This is information about how their needs will be met on a daily basis.) Some people were involved in this process and a review of the care plan takes place at regular intervals. The health care plan included basic information necessary to provide care and included a risk assessment to meet people’s health care needs. People living at Lyndhurst Lodge have access and are supported by the local health care services when they need them. The residents’ health is monitored and although action is taken in one of the care records there was no mention of contact with social services when the persons needs had changed. This could result in the placement no longer being viable as the care needs increase. This is an area for the Registered Manager to consider. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 11 Health care treatment and intervention is recorded including weight monitoring and nutritional information. The staff is aware of the health care needs of the people who live at the home. Photographs of the residents were mainly found on the care plans although there were none on the medicine records. This would help a new member of staff who may be asked to assist with medications. The local chemist visits on a regular basis and checks the medications and no issues have been reported or identified during these checks. Medications of the three people whose care records were checked were satisfactory. Medication previously used as shared medicines were now correctly written up to cover this arrangement. A controlled drug (a medicine given special protection in law) was also checked and found to be satisfactory. The Registered Manager explained that staff that give medication have received training to do so and were senior care staff. Relevant staff records were seen and had evidence of medication training in them. Staff is aware of the need to treat the people living at the home with dignity and respect and people who spoke to the inspector felt they were treated well. Comments from people living at the home included ‘People living here can go out to see the General Practitioner (GP) or the GP will visit you at the home.’ ‘I see the Chiropodist once a month, it is up to the individual if you want to see a Dentist.’ Lyndhurst Lodge DS0000001811.V341922.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 adequate. This judgement has been made using available evidence including a visit to this service. Staff are aware of the need to plan the routines and activities of the home in a way, which meets the choice, and wishes of the people who live there. EVIDENCE: Comments from some of the people living at Lyndhurst Lodge included ‘Visitors are able to visit whenever they want to, they can see you in your bedroom if you want more privacy.’ ‘Visitors are always offered a drink by the staff.’ ‘E (a staff member) is very caring and helpful.’ ‘Church services take place every month. It comes to the home. Communion is held about three times a year.’ ‘The lunchtime menu is written on the board in the dining room but the evening meal is not. The staff will tell you what is for tea time.’ ‘I am able to get up at a time of my choice.’ ‘I like to watch television in my own room and I have a telephone in my room so that I can call friends or family.’ ‘All the staff is very good.’ Relatives’ comments included Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 13 ‘All services are provided with great thought and care.’ ‘I can only praise all the staff, they are wonderful.’ Family and friends are made to feel welcome and feel that they can visit at any time. Staff are friendly to the visitors. Photographs of events were seen in the foyer and included the people who live at Lyndhurst Lodge having an enjoyable time with staff. On the day of inspection there were no noticeable activities. On speaking to different people (eleven people who could speak) who lived there. They said that they were happy with the lifestyle at the home and would get together for a talk in the afternoons in small groups. People who were less able also received attention from staff in between their jobs. Food and meal times are looked forward to. However, a senior member of the care staff is responsible for cooking and serving the meals provided at Lyndhurst Lodge. People are able to bring their own furniture into their rooms to make them feel comfortable. The bedrooms seen by the inspector were pleasant. Lyndhurst Lodge DS0000001811.V341922.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 adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure is available within the home. However, when all staff has received training that can ensure the protection of all the people who live at the home this will improve their levels of awareness. EVIDENCE: The Commission for Social Care Inspection (CSCI) has not received any complaints about this service since the last inspection report. The complaints procedure is available within the home although it should be lowered on the notice board so that it is easy for the majority of people to see it and read it should they need to. People living at the home said ‘If I had a problem I would talk to X the Registered Manager.’ ‘If I had problem I would talk to whoever is on duty’. Relatives who spoke with the inspector felt that they could approach the Registered Manager if they had any concerns. Staff who have completed the National Vocational Training (NVQ) in care are aware of adult protection issues. However, training in this area has not been updated or provided to all staff. This is an area that the Registered Manager must seek to improve to ensure the safety and well being of all the people living at the home. Lyndhurst Lodge DS0000001811.V341922.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 adequate. This judgement has been made using available evidence including a visit to this service. Lyndhurst Lodge provides a homely environment. However, there are still one or two areas that pose a potential risk to the people who live there. EVIDENCE: The inspector made a tour of the building. The Registered Manager explained that water valves are now in place on all taps and each room has a protective cover around the radiator. Generic risk assessments are now in place also. The inspector read a few generic risk assessments (a detailed look at the environment). This requirement has been met. The Registered Manager explained that hot and cold taps were fitted to all taps but that the building was old and in the shower room the hot tap to the face basin took a while to reach the tap, cold water was available to wash hands. This requirement has been met. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 16 An upstairs toilet and shower room was seen. It was clean and tidy. The heated hand towel rail felt quite hot and as it has a towel on it, there is the potential risk of people burning themselves on it. Independent older people with frail skin types or forgetfulness could be placed at risk. Some kind of warning or reassessment should take place. A risk assessment is in place but it does not cover this issue. A requirement will be made. Thermostatically controlled radiators are now in place. However, regular checks should still be carried out to ensure the comfort of everyone who lives there. Another upstairs bedroom felt cool the person using the room also agreed at the time, a member of staff was also present. Again as part of good practice regular checks could be made. In another room the radiator cover was in place however as it was metal and conducts heat and may become too hot. It is not risk to the present person using the room but for a mobile person with mental health problems it could be a problem. This was discussed with the Registered Manager to consider this in the future. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. People living at the home are not fully protected by the recruitment procedures. EVIDENCE: Four staff appears on the rota to provide care. The senior care staff member is allocated to provide the food for the people living at the home. The staff member explained that she is available to help the remaining staff when they ask her. This staff member held a basic food hygiene certificate and no other qualifications to do with food. There are two members of staff for night duty. A senior member of staff is available as on call (to be called in for an emergency) to the staff the inspector was told. This is not recorded on the staff rota. A member of staff is provided Monday to Friday as a domestic with the care staff helping out at weekends. It is important for the people receiving care at this home to be able to benefit from the experience of all the care staff and a cook must be provided especially as the needs of the people who live at the home changes. Staff receives training although there are still some areas that need attention such as implementing mandatory training. Eight staff members are taking level 2 course in dementia awareness with further upgrades due for appointed first aiders and medication accreditation courses. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 18 Three staff records were checked all had two references in them. However, it was discovered that the Registered Manager had accepted a reference that was not from an employer yet should have been possible. This is not acceptable and a reference from the previous employer must be obtained and evidence kept on the staff members records to show the dates and number of attempts made to obtain the references. Criminal Records Bureau (CRB) checks were available on the records seen. A requirement will be made to ensure that the Registered Manager checks all the references on her staff files and ensures that references have been obtained from the previous employer or reasons and dates given where this has not been possible. Only then will the people living at the home be fully supported and protected by the staff. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. The health and safety of the people who live and work at Lyndhurst Lodge is promoted. However, improvements are necessary to maintain the protection of everyone who lives there. EVIDENCE: The home has policies and procedures in place to assist the staff for health and safety matters such as fire procedures to ensure that staff know what to do in the event of fire and evidence of fire drills and training was seen on inspection. With the changing needs of the people living at Lyndhurst Lodge the senior carer should be guiding and leading the other care staff not spending the majority of the shift in the kitchen preparing food. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 20 There is evidence that indicates that improvements are being made in and around the home and the way that health and safety is managed. The Registered Manager assured the inspector that there are measures in place to safeguard the safety of peoples’ money and that fire assessments are up to date. In this way the safety of the people who live at the home is met. The views of people living at the home are now sought on a regular basis and records are kept of surveys undertaken. The inspector saw this on this visit. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 21 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 2 13 3 14 3 15 3 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 3 X X 2 Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP27 Regulation 18 Requirement Timescale for action 28/04/08 2. OP18 13 (6) 3. OP22 13 4. OP27 18 The Registered Person must ensure that the staff members receive appropriate training to the work they are to perform. This is particularly true for the preparation, handling and cooking of the food provided for the people living at Lyndhurst Lodge. Staff in care should be aware of 28/04/08 adult protection issues and training in this area must be updated and provided to all staff. In this way improvements to the safety and well-being will be maintained for all the people living at the home. 28/04/08 The radiator in the toilet & shower room with the hand towel rail needs a further risk assessment. In this way the risk of people burning themselves on it will be reduced. Regular checks must be made around the area of heating. It is important for the people 28/04/08 receiving care at this home to be able to benefit from the experience of all the care staff. DS0000001811.V341922.R01.S.doc Version 5.2 Lyndhurst Lodge Page 23 5. OP29 19 A cook should be provided and identified separately on the staff rota especially as the needs of the people who live at the home changes. The Registered Manager must check all the references on the staff files and ensure that references have been obtained from the previous employers or reasons and dates given where this has not been possible. Only then will the people living at the home be fully supported and protected by the staff. 28/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP12 OP19 OP36 Good Practice Recommendations Meaningful daily activities should be provided which are suitable to the type of residents accommodated Random water temperature monitoring and recording is recommended. Staff should receive more formal supervision and appraisal. Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Lyndhurst Lodge DS0000001811.V341922.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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