Inspection on 02/08/05 for Preston Lodge

This inspection was carried out on 2nd August 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

Preston Lodge 08/09/06

Preston Lodge 28/12/05

Preston Lodge 07/01/05

Preston Lodge 09/06/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Preston Lodge 20 Kingfisher Avenue Leicester Leicestershire LE3 6QR Lead Inspector Rajshree Mistry Unannounced 2 August 2005 at 9.45am nd 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 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. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Preston Lodge Address 20 Kingfisher Avenue Humberstone Road Leicester Leicestershire LE1 6ZG 0116 2622159 0116 2629278 socis216@leicester.gov.uk Leicester City Council Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Enid Delaney Care Home 40 Category(ies) of MD(E) Mental Disorder over 65 - 20 registration, with number PD(E) Physical Disability over 65 - 5 of places SI(E) Sensory Impairment over 65 - 10 OP Old Age - 40 DE(E) Dementia over 65 - 20 Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No one falling within category Dementia (DE), Dementia - Elderly (DE(E)) or Mental Disorder (MD), Mental Disorder - Elderly (MD(E)) may be admitted into the home when 20 persons who fall within the categories/combined categories DE, DE(E) or MD, MD(E) are already accommodated within the home. No one falling within the category Physical Disability (PD), Physical Disability Elderly (PD(E)) may be admitted into the home when there are 5 persons of category PD, PD(E) already accommodated within the home. No one falling within category Sensory Impairment (SI), Sensory Impairment Elderly (SI(E)) may be admitted into the home when there are 10 persons of category SI, SI(E) already accommodated within the home. Date of last inspection 7th January 2005 Brief Description of the Service: Preston Lodge is a care home registered to accommodate up to forty older person and is owned by Leicester City Social Care and Health Department. The home is situated in a residential area near to shops and other local amenities. The home is close to the main road and on the public transport route. City centre is a ten-minute bus journey. Car parking is available at the home. Preston Lodge is a large modern and purpose built care home. Accommodation is offered on the ground and first floor, which is accessible via the stairs or the passenger lift. There is a separate short-stay/respite unit within the home. Bath/shower and toilet facilities are located throughout the home, close to bedrooms and communal areas. There is a large dining room and a choice of lounges in the home. There is a large patio and garden to the front and the side of the home with seating for the residents. Entry to the home is level access. All areas in the home is accessible to residents using wheelchairs and other aids. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 9.45am on 2nd August 2005 and lasted over 5 hours. The method of inspection consisted of examining the information received in the pre-inspection questionnaire prior to the inspection and the line managers’ monthly report in accordance with the obligations under Regulation 26. On the day of the inspection the methods used consisted of a tour of the premises and examination of the health and safety records for the home. Four residents were spoken with and observed, specifically to look at their lifestyle at the home and how their care needs were met, as part of the case tracking method. Those resident’s individual plans of care and relevant care records were examined. Staff talked about the care provisions, how identified needs were met and their training and management support. Residents were observed participating in the planned entertainment for that day. The residents spoken with were very positive and complimentary about the care provided by the home for the service users. Towards the latter part of the inspection visit, time was spent with the Registered Manager and Assistant Manager discussing some of the findings, information received and observations made. The comments received from residents included: “Girls are very good and kind”, “Feel safe”, “Sometimes get bored sitting”, “Food is very good here”, “It’s one of the best homes”, “My family visit anytime and as often as possible”, “They made me a birthday cake and we celebrated it yesterday with my family”, “It’s a very good home, I don’t know what I would have done without it” What the service does well: Preston Lodge provides quality care for residents, supported by good care plans that are individually tailored with robust records. The management and staff group are accessible and demonstrate a commitment to caring. The home presents a clean, tidy and welcoming atmosphere. The décor, furniture and fittings create a homely environment. Residents and staff have access to a Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 6 range of specialist equipment to aid with everyday living such as walking aids and sensor mats. Residents can have their own keys to their bedrooms. Residents can receive visitors at any time. There are regular ‘Residents Meetings’ where residents can share ideas and raise issues. Residents are free to come and go, move around the home having a choice of lounges. Residents have a choice of meals prepared to meet their cultural and dietary needs. Meals are nutritious and well balanced. The home provides a specialist respite and short-term provision of care for people with mental health problems; the respite unit is separate with dedicated staff. 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. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 5. Standard 6 is not applicable. The admission process is well managed and residents are given clear and detailed information about the provision of care at the earliest opportunity. The robust assessment process ensures that care needs are met and individually tailored. EVIDENCE: The brochure, statement of purpose and the service user guide is made available to potential residents prior to moving to the home or at the earliest opportunity. The admission procedure is good in that the assessments of individuals are carried out by the health and/or social care professionals, as part of the referral process. The four care files viewed contained the evidence of the individual placement agreement that forms the contract, detailing the terms of their stay. The files contained information to promote and maintain independence, as far as practically possible. Short-term/respite stay is offered for residents primarily with mental disorder with a designated team of staff for the unit. The management team encourages residents and their relatives to visit the home. Residents and their relatives are given information about the provision Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 9 of care and an opportunity to discuss how the care provision could be tailored to individual needs. The residents spoken with confirmed they were offered a trial period of stay. Intermediate care is not offered. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 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 standard(s) 7, 9, 11 Residents are well looked after having their health and social care needs met. Management of medication is good and recording is accurate. EVIDENCE: The care files examined contained comprehensive information about the individual care needs, choice of lifestyle, religious observance and their last wishes, where known. There are details the health and social care needs and the tailored plan to reflect the residents’ preferences and choice of lifestyle. Care plans are supported with the risk assessments that are easy to follow by carers. Residents spoken with confirmed they have nominated carers known as key worker and are consulted about the care provided. Medication is stored in the medical room, which is used by the District Nurse Team. Procedures for receiving, storing, administering, recording and returning medication are robust and auditable. Management of controlled medication is good and compliant with the requirements. Residents who spoke to the Inspector confirmed that they receive medication in a timely manner. The staff spoken with said that they have a good relationship with the District Nurse Team and GP’s and feel confident to seek advice if required. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12, 13, 14, 15 Residents’ social, emotional and cultural needs are met and residents are encouraged to make their own daily choices and decisions. A nutritionally balanced and good quality diet is provided. EVIDENCE: There are planned and spontaneous activities provided for residents in small groups and individually. One resident was seen going to town in a taxi on the morning of the inspection. The residents spoken with gave examples of how their choice of daily living is taken into account in respect of, religious practice and fulfilment and social and recreational interests. Several staff on duty were observed engaging with some residents playing ‘hoops’, whilst other residents enjoyed singing and dancing. There is a bar in the home but is no longer in use due to changes in the licensing laws. After lunch residents were seen enjoying the entertainer “Flossy”, who had captured the audience of residents and staff with her variety of performances including singing and dancing. Residents were seen moving freely around the home, one resident sat out on the seating on the patio under a parasol and another doing her daily walk along the corridor. Residents’ family and friends were seen visiting. Residents said they can receive visitors at any time and can meet them in private. There are regular ‘Residents Meetings’ held for those who wish to attend, where information about planned events and changes are shared and where residents can also raise matters of concern or to share their views. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 12 The residents spoken with indicated that they are encouraged to make daily choices and decisions daily such as what to wear to choosing how to spend the day. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements. Meals are served in the large dining room. One resident helps by setting the dining tables before meals. Residents confirmed that they were offered choices at all meals, and that snacks were served throughout the day. Staff were seen serving drinks hot and cold drinks and biscuits to residents. Comments received from residents: “Girls cut up my meals as I can’t bend my fingers”, “The food is excellent”, “The chef is very good and cooks everything”. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16, 18. The complaints system is robust, clear and accessible to all. Adult protection procedures are in place and staff are aware of the procedures to respond to any suspicion or allegation of abuse. EVIDENCE: The complaints procedures are robust; the complaints log was viewed and contained evidence of the complaints received and the remedial actions taken to the satisfactory resolution to the concern. The residents spoken with during the inspection felt confident to make a complaint or raise concerns and knew that these would be address promptly. The staff spoken with including agency staff said they have received training and understand the procedures for protection of vulnerable adults. The notice boards for residents and staff displayed key information including a leaflet on “Adult Protection”, to remind residents, staff and visitors of the home’s policy on protection of vulnerable adults. A discussion took place with the Assistant Manager regarding advocacy agency and it was confirmed that residents are made aware of the contact details for the advocacy agency at the point of admission but was unable to find the information. It was also identified that the contact name for the regulating authority – CSCI, were incorrect. The Assistant Manager gave assurance that the contact details for the advocacy agency would be made available and displayed and the CSCI’s details would be corrected. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 20, 21, 22, 23, 24, 25, 26 The home provides a comfortable, well-maintained and personalised accommodation individually and collectively to suit the residents. Specialist equipment is available to promote residents’ independence. EVIDENCE: Since the last inspection the dining room and the lounge with the bar have been decorated. The rooms are bright with ample natural sunlight. Residents were seen sitting and relaxing in various lounges. The residents in the shortstay/respite unit upstairs, which is a separate area, also provides residents with a choice of two lounges of which one is combined with a dining area. Those residents spoken with said they were satisfied and happy with their comfortable surroundings and provided with a variety of seating to suit. The patio is on a level access to the front and side of the home that used by residents. One resident spoken with sat comfortably outside under a parasol in the shade, with a cold drink, said she preferred being outside on the warmer days. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 15 There are sufficient numbers of bathrooms and toilets located close to the bedrooms and communal areas. T two new baths with hoists have been installed recently and there is access to five hoists in total on the ground and first floor. The staff spoken with said stated that equipment is identified to benefit residents when required such as sensor mats, to alert staff to respond to a resident without restricting their rights to move around the home. There are grab rails throughout the corridors to aid residents. Several bedrooms were viewed, with the permission of the resident. The bedrooms were spacious to accommodate hoist or wheelchair and personalised with photos, pictures and ornaments. Residents may bring small items of furniture. The respite unit now has moveable wardrobes to ensure residents on short-stay requiring the assistance of the hoist can be accommodated. The home has a designated team of domestic staff responsible for the cleanliness of the home. The home was generally clean and tidy. Cleaning equipment was stored safely in a locked storeroom. An area near to the toilets at the front of the home had a strong smell of urine. This was brought to the attention of the Assistant Manager during the tour of the premises. The Inspector returned to the same area later during the inspection and found the area was clean and free from the offensive smells. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 Service users’ needs are well met by the number and skill mix of staff. Staff at the home are well trained and supported to meet the resident needs. EVIDENCE: The staff rota viewed reflected the staff on duty including the five agency staff currently being used as an interim arrangement to accommodate the organisational recruitment process. The staff management team consists of the Registered Manager, two Assistant Managers and a total of twenty-five senior carers and carers. There is a team of eleven domestic staff responsible for the cleanliness of the home. At present over 50 of staff have completed the National Vocational Qualification level 2 and over. The management team demonstrates a proactive approach to ensuring staff have up to date training and good practice on working with older people and people with mental health difficulties. The Local Authority has a departmental training plan in place, the document details general areas of training and training specific to needs of residents. The staff spoken with, including agency staff indicated that they had completed an induction programme that covers health and safety, principles of care, respecting residents’ rights and wishes and adult protection. The staff training records completed showed staff have received training in moving and handling, essential health and safety and specific training in mental health awareness for the respite unit. Discussion with the management team confirmed that there is a proactive approach to ensuring staff have skills that are up to date to make sure that the care delivered is safe and in line with current best practice. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33, 35, 37, 38 The leadership and management approach of the home is good, and has a beneficial effect on residents. Aspects of health and safety need improvement to benefit the welfare and the health and safety of the residents and staff. EVIDENCE: The management team were observed to work well together, and have a good understanding of each other’s roles and responsibilities. The Registered Manager offers a clear sense of leadership and openness in the management of the home, which is reflected on the day-to-day basis. The care plans and care records are in good order, and the key working system works well to provide service users with continuity of care. Residents are consulted daily and at reviews meetings relating to the home meeting their specific care needs. Residents Meetings are held regularly to discuss issues or concerns relating to the provision of care at Preston Lodge, which residents can choose to attend. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 18 Records of residents’ valuables and cash are accurate, detailed and up to date. Those residents spoken with said they receive their money on a weekly basis, which is signed for. Staff and some of the residents spoken with were aware of the policies and procedures used to protect and safeguard individuals. Staff have access to all the policies and procedures in the main office and in the designated staff room, where notices of training and new information is also displayed. During the tour of the premises, observations made on the fire exits being clearly marked and were free from obstructions. The home has a programme of maintenance that is supported by the local authority’s maintenance team. In general the home appeared to be safe for the benefit of the residents, staff and visitors. There were specific areas of concerns identified that posed risks and hazards to residents’ and staff, which were discussed with the Registered Manager and the Assistant Manager. These are: (i) The bathroom on the first floor where a new bath had been installed, there are exposed cables and piping, which need to be covered and made safe and decorated. (ii) There are patches on the ceiling blistering and cracks, possibly caused by dampness or water leaks require re-plastering and decoration. (iii) The raised and uneven flooring at the entrance of the main toilets to the front of the home must be made level, safe and may require new flooring to the worn area, to avoid any risks of trips, slips and falls, by residents and staff. The home’s manager has previously reported the concerns to the maintenance and repairs department to address dating back to last year. (iv) The raised and cracked flooring in the passenger lift used by residents and staff must be repaired and made safe to avoid any risks of trips, slips and falls, by residents and staff. A random sample of records checked relating to health and safety including fire drills and testing of fire safety equipment, lighting and call bells were up to date. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x 3 2 Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 20 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. 1. Standard OP38 Regulation 13(4) Requirement Specific environmental concerns were identified during the inspection, which poses risks to residents, staff and visitors are: a) The bathroom on the first floor where a new bath had been installed, there are exposed cables and piping, which need to be covered and made safe and decorated. b)There are patches on the ceiling blistering and cracks, possibly caused by dampness or water leaks require re-plastering and decoration. c) The raised and uneven flooring at the entrance of the main toilets to the front of the home must be made level, safe and may require new flooring to the worn area, to avoid any risks of trips, slips and falls. d) The raised and cracked flooring in the passenger lift used by residents and staff must be repaired and made safe to avoid any risks of trips, slips and falls. 2. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 21 Timescale for action 23/08/05 3. 4. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP16 OP16 OP26 Good Practice Recommendations It is recommended that contact details for advocacy agencies are displayed and made available to residents. It is recommended that the regulating authoritys details care corrected to Commission for Social Care Inspection. It is recommended that staff remain vigilant to strong offensive smells in and around the home and ensure it is removed as soon as practically possible. Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Preston Lodge C51 CO1 S37646 Preston Lodge V239633 260705 Stage 4.doc Version 1.40 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. 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