Inspection on 16/11/06 for Northam Lodge

This inspection was carried out on 16th November 2006.

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

Northam Lodge 04/10/05

Northam Lodge 21/10/04

Northam Lodge 20/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Northam Lodge Northam Lodge Rose Hill Heywood Road Northam Bideford Devon EX39 3PG Lead Inspector Andy Towse Unannounced Inspection 16 November 2006 9:50 th Northam Lodge DS0000022111.V308891.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 Northam Lodge DS0000022111.V308891.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. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northam Lodge Address 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) Northam Lodge Rose Hill Heywood Road Northam Bideford Devon EX39 3PG 01237 477238 01237 422850 info@northamlodge.co.uk Northam Lodge Charity Simon De Fraine Tickner Care Home 24 Category(ies) of Learning disability (21), Learning disability over registration, with number 65 years of age (3), Physical disability (21), of places Physical disability over 65 years of age (3) Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Northam Lodge comprises three separate residential units, registered to accommodate twenty four adults with learning disabilities and who may also have physical disabilities. The units are set within their own well maintained garden. Northam Lodge has a separate administrative centre, located a short distance away at Rose hill, where there is also a day centre. Copies of reports of previous inspections are available at the home. Charges levied at Northam Lodge vary from Additional fees are levied for hairdressing, chiropody, certain toiletries, newspapers, magazines, activities and outings. There is an additional fee of £141.20 per month per resident, which is a ‘contribution to vehicle running and mobility costs.’ Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over a period of eight hours. Information contained in this report was collated from surveys forwarded to staff, advocates, relatives and carers, and healthcare professionals and others with an involvement with the service. This information was used to prepare for the inspection. The inspection itself involved observation of practice, inspection of documents, including care plans, discussion with staff, the management, residents and visiting professionals. What the service does well: What has improved since the last inspection? What they could do better: he home provides transport for it’s residents. This is good practice and gives residents the opportunity to access the community more easily. The cost of the Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 6 transport is however covered by a standard monthly charge levied on all residents irrespective of how often they have use the transport. It would be fairer if a more equitable system of charging were introduced which reflected the extent to which those charged used the facility. Whilst records were in general well kept, the absence of two contracts should be addressed. 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. Northam Lodge DS0000022111.V308891.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 Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are only admitted after their needs have been assessed and are able to be met by the home. EVIDENCE: The files of a recently admitted resident were examined to see whether this person had received a full assessment as part of the admissions process. This resident’s file showed that he/she had visited Northdown Lodge several times as part of his/her admission to the home. On these occasions he/she had been accompanied by staff from the home where he/she was then living. In addition to these visits, a member of staff from Northam Lodge had also visited the prospective resident’s place of residence. The visits enabled the prospective resident to view his/her next possible place of residence and give the staff at the home the opportunity to observe and assess him/her whilst also discussing his/her needs with those currently caring for him/her. The visits also allowed the home to assess the compatibility of this potential resident with those already living at Northam Lodge. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 9 Following admission the placement is reviewed and reassessed to ensure that the home can continue offering appropriate support. Whilst there had been issues raised by relatives of a resident regarding admission, these had not been related to Northam Lodge. The file also contained ‘My Life, My Plan’ documentation from the resident’s previous home, together with contemporary information compiled by the previous home relating to the person’s support needs, hobbies, family background, communication abilities, educational needs and physical health. The file also contained a risk assessment compiled at the previous home. This information combined with the visits allowed thorough assessments to be made. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Regularly reviewed care plans ensure that the changing needs of residents can be met. Residents wellbeing is protected by risk assessments however these need to be maintained in a more easily understood format which also considers the importance of maintaining independence. EVIDENCE: The files of three residents were case tracked. The files were seen to contain care plans. Care plans were reviewed every six months. The home operates a key worker system which means that individual staff are responsible for designated residents. When files were discussed with residents, the more able identified who their key worker was and had concepts of what the role entailed. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 11 The ‘My Life, My Plan’ document which was seen on some files was written in a pictorial and large print format which made it more easily understood by some of the residents. Minutes of review meetings showed that parents and relatives of residents were invited to attend. Telephone discussions with relatives confirmed that they were aware of the reviews and had the right to attend. Residents are encouraged to be as independent as possible. Care Plans were seen to contain risk assessments. In responses to surveys some staff had expressed concen about the location of a specific resident’s bedroom due to his/her disabilities. Inspection of this resident’s file showed that the issue of the location of this person’s room had been risk assessed. Several residents were seen to be sleeping in beds which had cot sides. Examination of their files showed that they contained risk assessments relating to the cot sides. These were not easy to understand and a staff member was unable to explain them. This was brought to the attention of the registered manager. He said that the issue was under discussion and contact with the home following the inspection has confirmed that this is now being carried out. In discussion with some relatives prior to the inspection there was mention that the services available did not always correspond with what they thought was on the residents’ contracts. Examination of the records showed that in two instances contracts were not available. It was impossible therefore to determine whether the expectations of residents had been met in the care plans, relating both to 1:1 staff contact time or access to specific activities. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s day care facility and transport allows residents access to varied activities. Good communications between the catering staff and care staff has enabled a varied diet suiting residents’ needs to be developed. EVIDENCE: Most residents at Northam Lodge have profound learning disabilities which precludes them from being able to take up any form of employment. Residents have access to day service facilities available at Rose Hill Day Centre which is run by Northam Lodge but on a different campus to the residential facilities. Northam Lodge also has its own transport which means that residents can more easily access the local community and facilities within it. There are however issues relating to the charges of this facility, whereby residents are charged a flat rate per month regardless of what transport they receive. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 13 Within the home residents were seen to have a choice of what time to eat. Breakfast was observed to be staggered with different residents arriving at times of their choice, and also being assisted by staff in making selections for their own breakfasts. Northam Lodge does welcome residents’ friends and relatives. Relatives can see their visitors in the privacy of their rooms, and although there is no designated room where visitors can be seen in private, an upstairs lounge can be made available. Residents were able to wear clothes of their choice, which was particularly evident with one resident. They are able to go to their rooms whenever they choose. Staff were knowledgeable about concepts of privacy and dignity, knockiong on bedroom doors before going in, and asking permission to go into residents’ rooms. Residents were seen to enjoy a well presented and tasty meal. Discussion with the catering staff showed them to be enthusiastic and knowledgeable about the dietary needs and preferences of residents. Recently a ‘winter’ menu had been drawn up. Prior to this all three residential units had prepared written information regarding the dietary needs and preferences of each resident, to the catering staff, who had used this information to draw up menus. Arriving before 9am it was apparent that breakfast times were flexible. Staff were seen encouraging residents to choose what they had for breakfast. At mid day staff were observed assisting residents being fed in another unit. Residents were seen to be fed in a manner dictated by their individual needs. Residents who were able to converse said that they enjoyed the food available at the home. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive a good standard of healthcare through co operation between staff and healthcare professionals. Residents’ rights to privacy and dignity are respected. EVIDENCE: The files of three residents were inspected. These showed that care plans are reviewed every six months. Records showed that, depending upon the needs of the resident, various healthcare professionals would attend the review. Some reviews have been attended by general practitioners, consultants, physiotherapists, care managers and dentists as well as relatives. During the inspection two healthcare professionals visited the home to see a resident. In conversation they said that they were pleased with the way that the home had worked with them to the benefit of a specific resident. Discussion with staff, observation and limited communication with this resident, together with inspection of this resident’s file showed Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 15 that there had recently been good cooperation between the healthcare professionals and the staff at the home which had resulted in a marked improvement in this resident’s physical wellbeing. The minutes of a recent case conference, for this resident, showed that it had been attended by tissue viability and community nurses, a physiotherapist, a general practitioner, the resident’s relatives and a social worker. The resident was treated by the healthcare professionals in the privacy of his/her room. Entries on other files showed that advice had been sought from other healthcare professionals such as dieticians, and that residents were registered with the Community Dental Team, with further instruction within care plans relating to enabling residents to maintain appropriate dental hygiene. Many residents were seen to have instructions in their rooms which had been written out by physiotherapists. Staff said that they carried out these instruction, and during the course of the inspection one key worker was seen to be assisting a resident to carry out the physiotherapist’s instructions. There is an issue relating to privacy for residents receiving physiotherapy. This has since been discussed with the management of the home who have now provided facilities where such treatments can be given whilst ensuring residents receive the privacy and dignity they are entitled to. The home has medication administration policies and procedures. A staff member who was responsible for administering medication went through the administration procedures with the inspector and then was observed administering medication. This was seen to be carried out appropriately. The home also has appropriate storage for medication and the recording of its administration was seen to be correctly maintained. Medication records for each resident contained details of the medication, it’s dosage and a photograph of the resident. This assists nstaff in administering medication and safeguards the residents. Discussion with senior staff and reading of records relating to a resident who was being case tracked showed that the home monitors the condition of residents and seeks advice and reviews medication if changes in condition are noticed. Records showed that staff had received training in the safe handling of medicines. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. 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 the home’s complaints procedure, staff knowledge of what constitutes abuse and the protection afforded by the home’s Whistle Blowing Policy. EVIDENCE: The home has a complaints procedure. From discussion with relatives and previous involvement with the home it is known that the relatives of residents have knowledge of this procedure. Responses to pre inspection surveys from some relatives showed that they had felt confident in raising issues with staff at the home, which had then been dealt with. To ensure that residents, their relatives and prospective residents and their relatives are aware of the procedure it is an integral part of the home’s Statement of Purpose. The registered manager is aware of the need to safeguard residents by referring staff considered unsuitable for working with vulnerable adults for possible inclusion on the Protection of Vulnerable Adults (POVA) register. Residents were further protected by staff who were aware of what constituted abuse and what action they should take if they suspected that it was occurring. Protection is afforded those who report perceived bad practice or potential abuse under the home’s ‘Whistle Blowing’ policy. Staff were aware of this policy and the protection it afforded them. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 17 Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, well maintained environment which meets their needs. EVIDENCE: Northam Lodge comprises three residential units and a separate administration unit. Two of the residential units are purpose built with one being an older type property adapted to meet the needs of people with physical and learning disabilities. During the inspection there was a tour of the premises which included looking around, with their consent, certain residents’ rooms. The home has 22 bedrooms, two of which are shared. Those sharing rooms are content to do so. Those bedrooms seen had been personalised. The home has ten wcs, seven bathrooms and three shower rooms which have been adapted to meet the varied needs of residents. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 19 Within the residential units residents were seen to be able to access all areas unless restricted by their physical disabilities. Externally the home is surrounded by accessible, but secure and well maintained garden areas. The home is well maintained both internally and externally and has a good standard of cleanliness. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 the home’s rigorous recruitment policy. Residents’ individual and joint needs are met by the home having a commitment to ongoing staff training and development. EVIDENCE: The files of three staff were examined. These showed that all staff have police checks, two satisfactory references and undergo a thorough interview as part of their recruitment. The registered manager was aware that staff could not commence work at the home until research had been done to ensure that they were not on the Protection of Vulnerable Adults (POVA) register. Thereafter, they were able to work at the home, under supervision, until police clearance had been obtained. This ensures the safety of residents. The home also uses the services of volunteers. In order to protect residents the same process is used in their recruitment. Northam Lodge has a commitment to staff training and development. Of the fifteen responses received from staff prior to the inspection, nine made very positive reference to the training available. This included phrases such as ‘fantastic’, ‘excellent’ and ‘really good’. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 21 The home ensures that all staff receive mandatory training covering areas such as moving and handling, fire safety, protection of vulnerable adults and health and safety. In addition there is specialist training and ongoing NVQ assessment. In discussion staff spoke about being able to request specialist training relating to the needs of specific residents. Examples of this were training relating to the needs of residents who had autism and epilepsy. Training appraisals form part of the regular 1:1 supervision which all staff receive. All newly recruited staff participate on Learning Disability Award Framework (L.D.A.F) induction courses. All staff receive an induction pack which is comprehensive and records their progress in learning about aspects of care, such as privacy, dignity, independence, choice and rights, through to issues relating to Health and Safety, risk taking and policies and procedures within the home. This induction should be completed within six weeks of recruitment and it’s purpose is to provide new staff with ‘basic information about good practice and safety when working with people with learning disabilities.’ The home’s commitment to its staff is shown by it’s ‘Investors in People’ award which it has maintained for the last seven years and it achieved it’s ‘Work Life Balance Award’ in 2005. Since the last announced inspection there has been a high turnover of staff. This has resulted in the home having to use agency staff. Where this has occurred, in order to maintain continuity of care the same agency staff have been used wherever possible. The home has recently recruited more staff and there is ongoing recruitment which should resolve any issues relating to staffing and reduce the need for agency staff. Northam Lodge DS0000022111.V308891.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has the relevant qualifications and experience to run a care home. The views of residents and stakeholders underpin the development of the home. Residents’ safety and welfare is protected by the home’s practices and procedures. EVIDENCE: The home is managed by Simon Tickner. He has 11 years experience in social care and has been the registered manager of Northam Lodge for three years. He is a registered social worker and also has the Registered Manager’s Award. Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 23 He has therefore the relevant qualifications and experience to run acare home for people with learning disabilities. Northam Lodge is currently reviewing its management structure and there has been positive comment made regarding this from some parents. Northam Lodge circulates questionnaires to stakeholders, including relatives and those who act as advocates for residents of the home. The questionnaire relating to the service is client focussed asking questions about whether the home ‘listens’ to it’s clients, offers them as ‘normal’ a life as possible, whether care plans are ‘effective’, whether the environment is well maintained and if they are satisfied with the contact they have with their relatives. There were 14 responses to this quality audit, which in general reflected a satisfaction with the service. The responses to the quality audit are used in drawing up the home’s annual business plan. The response by the registered manager to the pre-inspection questionnaire and reference in the home’s Statement of Purpose to ‘all fire equipment and fire alarms being checked on a daily basis’ and being ‘maintained through the year by the appropriate service providers’ confirms that this home maintains an environment which promotes the safety of those who work and reside there. The response also showed that there is regular servicing of equipment on the premises. The home also employs a Service Manager whose job remit includes responsibility for ensuring that Health and Safety aspects of the home are maintained. Northam Lodge DS0000022111.V308891.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 X 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 X 3 x 3 X 3 X X 3 x Northam Lodge DS0000022111.V308891.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 Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP National Enquiry Line: 0845 015 0120 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 Northam Lodge DS0000022111.V308891.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!