Inspection on 09/08/07 for Melody Lodge

This inspection was carried out on 9th August 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

Melody Lodge 30/05/06

Melody Lodge 19/01/06

Melody Lodge 02/08/05

Melody Lodge 18/03/05

Melody Lodge 19/07/04

Melody Lodge 05/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Melody Lodge West Keal Hall Hall Lane West Keal Lincs PE23 4BJ Lead Inspector Wendy Taylor Unannounced Inspection 9th August 2007 09:10 Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 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 Melody Lodge DS0000057722.V340768.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 Adults 18-65. 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. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Melody Lodge Address West Keal Hall Hall Lane West Keal Lincs PE23 4BJ 01790 752700 01790 752700 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) skitini@hotmail.com Skitini Care Homes Ltd, T/A Melody Lodge Mrs Dawn Wigley Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th May 2006 Brief Description of the Service: Melody Lodge Care Home provides personal care and accommodation for up to eleven people of both sexes, below the age of 65 years, who have a learning disability. Eight residents live at the home at present. The home is a two-storey manor house dating from the early 1600’s, set in four acres of tranquil, well-kept gardens, within the quiet Lincolnshire village of West Keal. It is being extended with a two-storey building at the back of the home. There is a village church and café nearby. The care staff support the residents to get to shops, pubs, a bowling alley, tourist attractions, the Gateway Club and the leisure centre in the nearby towns of Spilsby, Boston or Skegness. The home is owned by Skitini Care Homes Ltd. The fees range from £425 to £780. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over one day during August 2007, and lasted for approximately six hours. Four of the nine residents were at home on the day of the visit, and they spent time showing the inspector around the home and telling them what it is like to live there. The care received by three service users was followed in detail, and their personal records, general house records and staff records were looked at. Staff and the registered manager were spoken to and the care being provided was observed. Information already held by the commission was also used as part of the inspection process. Residents said that the manager, the provider and the staff are ‘lovely people’, and they said that they really like living at the home. Staff said that the home is a ‘lovely place to work’. Other comments made by residents and staff can be seen in the main part of the report. What the service does well: Residents are helped to be as independent as they can be, and they can take part in things like cooking, shopping, laundry and cleaning their rooms. They can also join in things like swimming, bowling and going on holidays of their choice. Lots of information is put into pictures so that everyone can understand it, and some of the information helps people to choose whether they want to live at the home. Residents get lots of help to make choices and decisions about how they want to live their lives. For example, they can take part in doing their assessments and care plans, they can choose what they want to eat, and how they want their rooms decorated and furnished. They have regular meetings so that they can say what they want to do with their time, and be kept up to date with what is happening in the home. Residents join in training sessions with staff so that they can learn how to keep themselves and others safe from harm. They can also learn more about how staff should treat them. Staff are given training to make sure that they know how to support people in the right way, and they keep good records to make sure that people stay safe. Melody Lodge DS0000057722.V340768.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. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have enough information to help them decide where they want to live, and a thorough assessment process assures them that their needs will be met. EVIDENCE: There is an up to date statement of purpose and service user guide available, and residents said that they have a copy of the service user guide in their rooms. Both documents are available in picture format to help some of the residents understand the information better. Questionnaires received by the commission prior to this visit indicate that residents were given plenty of information by the home. During the visit a resident said that they had come to visit the home before moving in, and the other residents gave them lots of information about what it was like to live there. They said that they helped to choose their room, and they were asked lots of questions about what they want and what they like. Assessments are in place for each resident, which identify needs such as continence, epilepsy and behaviours. There are also assessments of need on Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 9 file, which have been carried out by the placing authority. There is evidence in records that residents are involved in the assessment process where ever they are able to be. The manager said that new formats for assessments are currently being looked at and will be put in place if they are appropriate; the formats were available during the visit. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to take control of their lives, and they benefit from accessible and detailed care plans. EVIDENCE: During the visit, the care of three residents was followed in detail. The plans reflect the choices of the resident and make statements such as ‘what I would like is….’, ‘(the resident) prefers…..’ and ‘(the resident) enjoys…..’. Needs such as self-esteem, religion, motivation and communication are addressed within the plans and they cross reference with assessments. The plans are also available in picture formats, which residents said that they like. There is evidence in the plans that residents are as involved as they are able to be, with some residents completing the plans and personal goal setting sheets themselves. Residents said that they are involved in the planning process and staff help them in the way they want them to. They also said that Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 11 they attend care plan review meetings and there is evidence in records to confirm this. The records show that key workers review plans on a monthly basis, and there is an annual review involving, for example, social workers and families. The manager said that during induction training new staff have discussed ways in which they can expand and improve choices for residents, and they will be developing programmes with the residents. Residents said that they have meetings each month, and minutes showed that issues such as holidays, shopping trips, activities, environmental developments and menus are discussed (see also Standards 11-17). Questionnaires received prior to the visit show that residents feel that they can make decisions about whatever they want to do. Staff were observed to be promoting choice and decision-making by, for example, asking residents if they wanted to show the inspector around the home. They were also observed giving individual support to residents of differing needs in order for them to join in similar activities such as drawing. The manager described how local advocacy services are being used to support residents with, for example, financial decisions. She also described plans for increasing the knowledge of residents in regard to the levels of care that they can expect to receive. For example, residents are soon to be included in staff training such as ‘the role of the worker’ (see also Standards 37-43). Risk assessments are in place for issues such as vulnerability in the community, bathing, eating, swimming and the use of the kitchen. The risk assessments reflect assessed needs. Pre inspection information shows that there are policies in place for choice, rights, individual care planning and reviews. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 12, 13, 15, 16, 17 (score ‘3’ for all standards) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from access to a range of activities, and from flexible daily routines. They also have access to menus that help them choose a healthy and balanced diet. EVIDENCE: Pre inspection information indicates that there are weekly activity plans in place, which are developed with the residents. Residents said that they meet with a member of staff every Monday to discuss the programme. During the visit residents showed the inspector around the activity room, which contained equipment such as craft items, stereo equipment, a pool table and a piano. They also described activities they do such as regular swimming sessions and bowling; and they said they have had a basketball net erected and bought more sports equipment. There is evidence in records that Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 13 residents wishes regarding holidays have been acted upon, and residents said that they have chosen to holiday in small groups this year. The manager said that there are plans to locate more external day activities/work placements for some residents, and encourage more use of public transport. One resident said that they do not want to get a job and prefer helping out at home; another resident said that staff are helping them to find a job at present. Other comments were made such as ‘we get loads to do’, ‘you can be with the others or be on your own, which ever you choose’, ‘my family come to visit and they like it’. Residents said that they help with household chores such as laundry, cleaning their rooms, and clearing up after meals; and they said that they like to spend some time watching TV, especially soap operas. Pre inspection information shows that picture menus have been introduced as a result of listening to resident’s wishes, and some residents are now more involved in cooking meals. Residents said that a member of staff helps them to choose the menus, and the pictures help them to make their choice. They spoke about making healthy choices of foods and how staff help them with this also. Two residents described how they help to cook their own meals when they want to, and other residents made comments such as ‘the food is lovely’, ‘we get lots of fruit and vegetables’. A resident showed the inspector the range of breakfast food they have to choose from, and said that they also have barbeques and eat out. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have good access to healthcare services and they are supported to be as independent as possible. There are good policies and procedures to support the health care arrangements. EVIDENCE: Pre inspection information shows that new monitored dosage medication administration systems are in place. During the visit medication was stored appropriately and records were fully completed. There are protocols in care plans for medication that is used only when necessary. Records show that staff have received training in medication administration, and the training plan for the current year shows that further training is planned. Pre inspection information also shows that there are policies in place for medication, continence promotion, first aid, pressure relief, privacy and dignity. Care plans give clear information about how to meet privacy needs and how to make sure that people have personal space when they want it. Specific Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 15 health action plans are also in place, which cover needs such as foot care, eye care and dental care and mental health. Some residents have filled in their own health action plans with staff support, and they refer to how they want information presented to them, for example, in ‘simple language and pictures’. There is evidence in records that some residents have received support from advocacy services with healthcare decisions. Records show when residents have attended health care appointments, including specialist appointments such as psychology or psychiatry services; and they show that ‘well person’s’ clinics are offered annually. Residents said that they are offered the choice of staff support with appointments such as dentists and the practice nurse, and some said they choose to be independent. This choice is reflected in relevant care plans. They said that they could see the doctor when they want, and one resident said that they see a chiropodist regularly. The manager said that plans are in place for local advocacy services to support residents to make their wills and funeral arrangements in the near future; and to expand training opportunities for staff training in communication skills, person centred care and continence promotion. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear policies and procedures; and staff who are well trained and knowledgeable. EVIDENCE: Records show that no complaints have been made about the service since the last inspection visit. There is a clear policy regarding complaints and concerns, which is contained in the statement of purpose and service user guide. Residents said that they know how to make a complaint and said that they would talk to one of the staff if they were unhappy about anything. They said that all of the staff listen to them properly, and they can also talk about things in their meetings. Local authority safeguarding adult procedures are available in the main office, and the manager said that she would check with social services that it was an up to date version in light of a recent review of the procedures. Staff demonstrated a clear knowledge of how to recognise and report any safeguarding adult concerns, and records show that staff have received training in safeguarding adults issues. Pre inspection information shows that there are policies in place for whistle blowing and financial management for residents; and staff have received training about the Mental Capacity Act (2007). The information also shows that Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 17 there are plans in place to include residents in staff training packages about safeguarding adults, so that they will be better able to identify any inappropriate situations. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a clean, comfortable and personalised environment, and they have a say in how it develops. EVIDENCE: On the day of the visit the house was very clean and tidy, and the furniture and fittings were of a good quality. Work continues on an extension to the building that provides further en suite bedrooms for residents, and staff sleeping-in facilities. Residents showed the inspector around the home and invited them to see their bedrooms, which were very well personalised and comfortable. They described the progress of work and they demonstrated that they have been kept fully informed and have been involved in all of the plans for the home. In the main part of the house, plans are in place to refurbish bedrooms. Some residents have chosen alternative bedrooms whilst theirs is being refurbished, and they described the type of furnishing they had chosen. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 19 Residents said that the home is always clean, and they sometimes help with household chores. Two domestic staff are employed in the home and on the day of the visit all materials that are hazardous to health were being used appropriately, and were stored appropriately when not in use. The manager said that the last Environmental Health Officer visit took place in November 2006, and they have achieved all of the recommendations set. Pre inspection information shows that there are policies in place for infection control, and records show that staff have received training in this subject. There are plans in place to complete the refurbishment of the laundry area and the provider is awaiting quotes for the work. Although the area is awaiting completion, it is well equipped and spacious. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a safely recruited and well-trained staff team. EVIDENCE: Staff files contain all of the information required within Schedule 2 of the National Minimum Standards, including criminal record bureau checks, identification and references. Pre inspection information shows that prospective staff are introduced to the residents so that they can give their opinions before people are employed. There is evidence in records that new staff are supplied with a staff handbook, and undergo a clear induction training package. Staff said that induction training included things like getting to know the residents and their needs, fire safety and health and safety. There is a training plan available for 2007 and includes sessions about safeguarding adults, infection control, health and safety, food hygiene, epilepsy, behaviour management and medication administration. Pre inspection information and current records show that staff have undertaken much of the planned training, and some have completed nationally recognised Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 21 care qualifications and Mental Capacity Act training. There is now a DVD/CD Rom based training package, which the manager said would be implemented in the near future. This includes topics such as the role of the care worker and communication. There is an individual learning and development plan for each member of staff, and there is evidence that the plan is reviewed at supervision sessions. Staff said that there is good access to training and they have regular supervision with the manager. They said that they find supervision useful and they can share their views and opinions. They demonstrated a clear and indepth knowledge of residents assessed needs. Records show that there is a generally stable staff team, and there are policies in place for induction, recruitment, grievances and disciplinary actions. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, safety and welfare needs are protected by clear policies and procedures, and detailed record keeping. The home is well managed, and residents are involved in all aspect of developing and maintaining good standards of care within the home. EVIDENCE: Since the last inspection visit the provider has engaged an independent business support service, who have helped to develop, for example, new staff contracts, staff and management handbooks; and they help to manage any staff issues such as disciplinary processes. The manager said that this allows her more time to concentrate on other aspects of development within the home such as, resident’s records and staff training. Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 23 Pre inspection information shows that there are policies available for issues such as substances that are hazardous to health, emergencies and crises, confidentiality, equal opportunities, record keeping, quality assurance, fire safety and accidents. The manager demonstrated that she has begun the process of up dating all of the policies within the home. Records in the home show that all portable electrical appliances are regularly checked, that there is an up to date fire risk assessment. The fire safety policy is contained in the statement of purpose, and residents talked about being involved in fire safety training with the staff. The manager confirmed that residents had been involved in the training as a way of increasing their safety within the home. She also said that they are to be involved in forthcoming staff training sessions about safeguarding adults and the role of the care worker, so as to increase their awareness of what they should and should not expect as part of their care package (also see Standards 22-23). The quality assurance process for the home is described in the statement of purpose. Records show that residents meetings are held monthly; and they are able to discuss current plans and developments in the home. Residents said that they can give their views to the provider and/or the staff, and they are also asked what they think about any issue arising in the home. The manager described plans to improve the way in which views are sought by developing resident and visitor questionnaires, and inviting residents to join relevant part of staff meetings. Records are very well organised, easily located and up to date. There are clear instructions for staff about what to include in residents daily notes such as health needs, behaviours, self-help development and emotional needs, and the daily notes reflect the instructions. A discussion took place with the manager about what events in the home should be notified to the commission, such as injuries to residents. She said that she would ensure that appropriate reports were submitted in the future. Residents and staff said that management support is ‘very good’; they made comments such as ‘you can speak up and get listened to’. Residents in general said that they feel safe living at the home, and one person said that they are ‘glad’ they chose to live at the home. Melody Lodge DS0000057722.V340768.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 Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X 3 4 X Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? 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 Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Melody Lodge DS0000057722.V340768.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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