Inspection on 05/12/05 for Pear Tree Lodge

This inspection was carried out on 5th December 2005.

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

Pear Tree Lodge 30/08/07

Pear Tree Lodge 08/12/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Pear Tree Lodge 1-3 Beech Grove Hayling Island Hampshire PO11 9DP Lead Inspector Mr Rodney Martin Unannounced Inspection 5th December 2005 09:40a 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 Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pear Tree Lodge Address 1-3 Beech Grove Hayling Island Hampshire PO11 9DP 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) 023 9246 2905 023 9263 7922 lynnmcgregor@aol.com Pear Tree Care Limited Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23), Old age, not falling within any other category (23), Physical disability (4), Physical disability over 65 years of age (4) Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No service users in the PD category to be admitted under 60 years No more than 4 service users in the PD and PD(E) category may be accommodated at the home Service users in the PD category to be accommodated on the ground floor only 6th June 2005 Date of last inspection Brief Description of the Service: Pear Tree Lodge is a twenty-three bedded care home, located in a pleasant residential area of Hayling Island. The service is set up to provide accommodation and care for older people, a number of whom have dementia. The service also has service users with additional physical disabilities accommodated on the ground floor. Pear Tree Lodge may also accommodate up to four service users who have an age related mental health problem, if their care needs are similar to the needs of the existing service users. The home itself started as a three-bedroom family home. The site has been subsequently developed with the addition of an adjoining bungalow and further extensions. Pear Tree Lodge has six double bedrooms and eleven single bedrooms, none of which are provided with en suite toilet facilities. The home has three bathrooms and a shower room. There is a large garden, laid to lawn with various fruit trees and patio areas. There is parking area at the front of the home. Pear Tree Care Ltd are the registered persons, with Mrs Gillian Bryden as the Responsible Individual. The home was previously registered as The Dolls House, which was sold and when the current owners took over, changed the name to Pear Tree Lodge. The home does not currently have a registered manager. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.40am and 2.45pm and during the visit the proposed manager and administrator were available. The inspector was able to tour the building as well as speak to the staff members on duty as well as service users. The inspector had a meal with residents at lunchtime. On the day of the visit the home was accommodating twenty-one service users, whose ages ranged from 77 to 100 years old. Pear Tree Lodge does not currently have any male residents. The home has two centenarians. Since the last inspection there has been five admissions and the home has two female shared vacancies. A pre-inspection questionnaire was received on 21 November 2005, prior to this inspection. The Commission also received three service users’ comment cards and three relatives/visitors comment cards. These were all positive. The majority of residents are in the various stages of dementia. However, a number of residents were interviewed along with the staff on duty. The inspector also was able to interview one resident, in the privacy of their bedroom, they were complimentary about the care they receive and said that they were very happy in Pear Tree Lodge. Residents are supported and encouraged in all aspects of individual health care and personal needs. They are able to participate in appropriate age related activities. Residents are settled in Pear Tree Lodge and were appreciative of the care they received and had no complaints. It is confirmed that all thirty-eight standards, including the key standards have been inspected during this inspection year. What the service does well: The care of residents is good. This was confirmed by the comment cards received prior to the inspection, as well as by residents spoken to, who were appreciative of the standard of care they received. Meals are varied, plentiful and attractively presented. Two carers have attended an activities course and the home provides relevant age related activities for service users. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Prospective residents have their needs assessed and are able to visit prior to admission to make an informed choice about whether or not the home is able to meet their particular needs. Residents’ needs and aspirations are being met within Pear Tree Lodge. EVIDENCE: Since taking over in February 2005 the statement of purpose and service users guide has not been updated from the Dolls House to reflect the new owners philosophy of care. It was agreed that a new service users guide and statement of purpose would be completed by the end of December 2005 and copies sent to the Commission. It was discussed having a file with the statement of purpose, service users guide, a copy of the last inspection report, complaints procedure, service users’ comments, a copy of the terms and conditions of residency et cetera for prospective service users and/or their family to see when viewing the home. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 9 It was noted that new service users had not received a terms and conditions of residency although if they were funded by Adult Services [previously known as Social Services] they had received a contract. The administrator had stated that the home’s management had concentrated on updating service users’ records, care plans and staffing records as a higher priority. However, it was reported that the home is going to use the Hampshire Care Association model for its terms and conditions of residency and that there would be a separate one for private residents and another one for those funded through Adult Services Department. It was agreed that copies of these documents would be forwarded to the Commission by the end of December 2005. Since the last inspection, on 6 June 2005, Pear Tree Lodge had five admissions. In the week prior to the inspection, one resident died and another died on the morning of this inspection. It was reported that the home had been full up to this point but now has two vacancies, both in female sharing bedrooms. The file of a newly admitted resident was viewed. The file contained a number of assessments including a pre-admission assessment. The inspector spoke with a number of residents. They were happy with the care they were receiving and there was evidence that residents were appropriately placed in Pear Tree Lodge. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 and 11 The arrangements for planning care are good, ensuring residents’ physical and emotional health needs are met with evidence of good multidisciplinary working. Working practices in the home ensure the promotion of privacy and independence for service users. The home has clear arrangements in place for supporting terminally ill residents in the way they prefer. EVIDENCE: The file of a new service user admitted on 20 September 2005 was viewed. The file contained important information on the resident and a daily report of events and their interaction within the home. The daily report was marked ‘nursing report’ and it was agreed that ‘nursing’ would be removed. Various risk assessments had been completed as well as an assessment matrix. There was a seventeen point activities of daily living care plan. This was also headed ‘nurses care plan’. Again it was agreed that the word ‘nurses’ would be removed. The file contained a summary of the clients health, their care needs, social care, social relationships and hobbies plus family involvement and their religious and cultural needs. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 11 The home is changing over to a new care planning system. The care plan is contained within a fifty page comprehensive booklet that includes a personal profile, a record of their social and leisure activities, their physical health, a mental health and physical health assessment, manual handling assessment, behaviour assessment, a nutritional screening assessment and a falls risk assessment. The booklet also contained the resident’s needs and preferences and arrangements in the event of death. There was a summary of the various care needs with a monthly evaluation and review. The booklet also contained a record of out patient referrals, GP visits and a medication review. Staff complete a separate care plan diary that records the needs, aims, instructions, comments and observations made on the individual resident. The file contained a family tree, with information on the resident’s background. A letter had been sent to relatives to obtain information regarding the service users wishes concerning terminal care and arrangements after death. This had been returned and was on file. Not all service users’ files had a photograph of the resident. The home has purchased a digital camera and it was agreed that where photographs were missing these would be taken and printed off. In discussion with a resident, there was evidence to confirm residents feel that they are treated with respect and their right to privacy is upheld. Residents can see their GP in the privacy of their own room. Medical examination is always done in the privacy of the resident’s room. Service users have access to all other health professionals on an as needs basis. The inspector met a visiting district nurse who visits the home on a regular basis. She said from her involvement with residents in Pear Tree Lodge that there were no issues with the home. She said that she did not need to visit Pear Tree Lodge as much as some other homes. “Staff were aware of dealing with wounds and there is a good set of staff in the home”. There was evidence from individual service users’ files of appointments with the dentist, optician, chiropodist and other health professionals. An appropriate lock is provided on all bedroom, toilet and bathroom doors. Lockable storage is provided in each bedroom. How a resident prefers to be called is recorded on their file. None of the residents have a telephone installed. However, the home has a portable telephone so that calls can be taken directly to the resident concerned. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home provides various activities for residents to participate in. Since the last inspection two carers have been on an activities course, run by Hampshire Care Association. This has had a positive impact on the activities within the home. Details of purchasing a comprehensive book on activities for people with dementia from the Alzheimer Society was discussed. All residents, bar one, have a family member visiting. One resident, who does not have any of their family visiting, has contact with their solicitor, friends and their hairdresser. A visitors’ notice is on display in the foyer advising that visitors need to ‘sign in’ each time they come to the home. The proposed manager stated there is good support from relatives and that families were more involved with the home. The home had an open day, with cheese and wine, to introduce the new manager to relatives. It was reported that this had been a successful time. Setting up a relatives’ support group was discussed. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 13 Residents are not offered a choice for the midday meal unless they do not like what is on the menu. The inspector had lunch with the residents. Lunch was observed to be unhurried, with appropriate assistance being offered where appropriate. The meal was plated and residents had beef stew with dumplings, green beans and cabbage, with apricot mousse and cream or fruit and cream for dessert. Residents, spoken to, enjoyed their meal. It was observed that there was little left on the dinner plates. A large notice board, in the dining room, displayed the menu for the day as well as weather details. Residents were due to have hot dogs, ravioli, and bread and butter, fruitcakes and yoghurt for tea. A resident recently celebrated their hundredth birthday on 23 November 2005. The home laid on a buffet tea and lots of relatives and friends came to help them celebrate the occasion. The cook has worked in the home for five years and is aware of residents’ preferences. The home also employs a person who prepares breakfast and gives out the mid-morning beverages, as well as covering the teatime meal, five days a week. They have worked in the home, over twenty years. The food diary recorded each day the main meal. The temperature of the main meal was also recorded as well as the refrigerator and freezer temperatures, as part of food safety within the home. It was noted in the previous inspection report that the home had discussed with the district nurse when certain medication should be taken and it was agreed that breakfast should be from 7.15am onwards to enable medication not being given on an empty stomach. This was also discussed with residents and their families. Prior to this inspection the inspector met with a staff member on 27 October 2005 who was unhappy about residents’ getting up early. It was agreed that this would be followed up when the inspector did the next inspection. Following the above, the inspector discussed the issue of when residents rise and the mealtime with the prospective manager and administrator. Residents have breakfast in their rooms. Breakfast preferences are recorded on a card for each resident. Some cards had “ask what cereal [the resident] wants”, indicating choice. One resident confirmed that she is able to serve herself from the kitchen and take the breakfast back to her room. Residents, spoken to, confirmed that they were satisfied with the breakfast arrangements. The inspector also met the district nurse, on the day of the inspection. She indicated that this was not an issue for her. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a satisfactory complaints policy and procedure; ensuring residents’ concerns are addressed. EVIDENCE: The home has a detailed and relevant complaints procedure. A copy of the complaints procedure, which includes a policy statement, dated 18 February 2005, was on display in the entrance hall. The inspector spoke to one resident who was aware of whom to complain should they have a need to. All the residents had ticked “yes” to the question on the comment card, “if you are unhappy with your care, do you know who to speak to”? The relatives had also ticked “no” to the question had they ever made a complaint. Although the Commission has not received any complaints, since the last inspection, a staff member was seen on 27 October 2005 as she had concerns about the time residents were got up in the morning. This was discussed in the previous set of standards and was satisfactorily resolved. It was noted that the home does not have a complaints log and it was agreed that the home would create one. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not inspected on this occasion, although they were previously met. As noted in the previous inspection report, plans are in hand to improve Pear Tree Lodge with major alterations, thus increasing the number of residents accommodated from twenty-three to thirty-three. The majority of bedrooms would be provided with en suite toilet facilities, additional bathrooms, a new laundry room, sluice room, utility room, staff room and separate office are planned. A new large dining room would be created. The home would have a passenger lift to the first floor, to replace the current stair lift. There would be six double bedrooms, one without en suite facilities and twenty-one single bedrooms, two without en suite facilities. The plans are currently with Havant Planning Department awaiting a decision. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30 Residents are supported by sufficiently trained and supervised staff to ensure that their needs are met. EVIDENCE: On the day of the inspection there were three carers on duty, the proposed manager, administrator and domestic staff. Since the last inspection five staff have left but the home has recruited seven staff members. Pear Tree Lodge employs twelve care staff plus the proposed manager. The previous proprietors employed six of the staff. The home has a full compliment of staff, although one carer has been on long-term sick leave [30 hours a week]. Her hours are currently being covered within the staff team. It was reported that she is due to return to work. Five carers have started NVQ level 2 [National Vocational Qualification] and two carers NVQ level 3 in care. The head of care has commenced NVQ level 4 in care. There has been an improvement in this area, since the last inspection. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 17 There is now a commitment to training within Pear Tree Lodge. Staff have attended a variety of courses, including, manual handling, infection control, dementia, health and safety, first aid and fire training. It was reported that courses on food hygiene and the safe handling of medication are to be arranged. Two staff members attended an activities course run by Hampshire Care Association. There have been two staff meetings since the proposed manager commenced employment in September 2005. The inspector spoke to the care staff on duty, as well as the cook and domestic. The care assistants stated that they felt supported by the management team and enjoyed working in Pear Tree Lodge. One carer confirmed that she had received supervision from the proposed manager. There was evidence of a good team spirit and the staff working well together. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 37 and 38 The manager provides good leadership, which ensures staff are supported and residents’ welfare and finances are promoted and protected through the home’s practices. EVIDENCE: Since the last inspection the home has appointed a manager on 5 September 2005. The Commission wrote to the registered person on 17 November 2005 to request a completed application form in respect of the registration of a manager. As the Commission had not received a reply this was discussed on the day of the inspection. The proposed manager had completed the application form but was waiting to receive, in the post, the CRB [Criminal Records Bureau] form, which is required to accompany the application form. It was reported that once the CRB is to hand the proposed manager will bring it and the application form to Commission to start the application process. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 19 The proposed manager has worked in previous residential care settings and has the registered managers award for NVQ level 4 in both management and care. She was a registered manager in her previous post in Exmouth. The home uses the inspection report and the codes of practice that reflect the Regulations and National Minimum Standards, as part of its quality assurance monitoring. The policies and procedures [58 in all] were updated in September 2005. The home is to produce a sheet for staff to sign to say they have read the policies and procedures. Staff are to be issued with a health and safety handbook as well as a staff handbook. Relatives and families are more involved with the home. Since the last inspection an open day, with cheese and wine, was arranged for service users’ families to meet the new manager. It was reported that the event had been a success. The proposed manager also reported that there has been more contact by telephone as well as writing to relatives, especially over asking them to complete a family background and interests et cetera of the resident and the service users wishes concerning terminal care and arrangements after death. The home has a current certificate of employers liability insurance. There is a business and financial plan that is open to inspection and will be reviewed annually. The home is financially viable and as mentioned in the environment standards the home is considering expanding by having an extension and refurbishment of other parts of the building. There is sufficient insurance cover and the home’s accountant audits the accounts on an annual basis. The home is not appointee for any service user as well as not handling any service user’s money. Additional charges, such as chiropody and hairdressing are billed to the home that in turn invoices the family/solicitor. The home does not hold cash for any resident. Various records were seen on the day of the visit. Although there was generally compliance it was agreed that the home would ensure that all residents had a photograph on their file and that a complaints log would be created. Records are kept in accordance with the Data Protection Act 1998. The health, safety and welfare of residents is promoted and protected by the proposed manager ensuring that Pear Tree Lodge is a safe environment to work in, by staff having received current training in first aid, manual handling, infection control, fire safety et cetera. Relevant assessments have been carried out. Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 X 3 3 Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Pear Tree Lodge DS0000064204.V271373.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!