Inspection on 22/05/07 for Sherwood Lodge

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sherwood Lodge Sherwood Way Fulwood Preston Lancashire PR2 9GA Lead Inspector Ms Susan Dale Key Unannounced Inspection 22nd May 2007 10:00 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 Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood Lodge Address Sherwood Way Fulwood Preston Lancashire PR2 9GA 01772 715077 01772 774894 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) Barchester Healthcare Homes Ltd Mrs Ann Beswick Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 49 service users in the category of OP) Old Age over 65 years) Date of last inspection Brief Description of the Service: Sherwood Lodge is a purpose built home owned by Barchester Healthcare Homes Ltd. The home has been significantly upgraded and improvements are ongoing with several major changes planned for the future. The home provides personal care for up to 49 older people of both sexes over the age of 65 years. The service provided is suitable for service users who are not highly dependent on admission but will try to meet a wide range of personal care needs should a service user’s health deteriorate. Sherwood Lodge’s primary aim is to provide long term care but may also provide short stay/respite if beds are available. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and focused on key standards. The inspector was able to speak to service users and staff and examine various records. Comment cards were provided to service users, relatives/friends and health professionals prior to the inspection. 10 questionnaires were returned from service users and 2 from relatives. All the responses were very positive and the results were taken into account as part of the inspection. The inspector spoke with the registered manager of the home, other staff, relatives and service users. Various documents were examined and a tour of the home took place. What the service does well: The emphasis is on continuous improvement in all aspects of care, policies and procedures and the building and fittings. There is a big effort to improve customer care. Any visitor to the home is made welcome and provided with a drink and biscuits etc., a member of staff is employed to ensure that hospitality is provided and everyone is made to feel welcome. All new staff are made aware of the company’s commitment to customer care as part of their induction “How to Deliver Exceptional Customer Care”, because of this commitment, the company, Barchester Healthcare have achieved a Hospitality Award. A range of activities is provided suitable for all service users who are encouraged and facilitated to participate. Three new activities co-ordinators are in the process of being cleared for commencement and the home has a dedicated activities room. The Head Chef ensures that a food safety manual is implemented in order that strict safety guidelines are followed. The contractors who provide the food are also inspected and complete a questionnaire. The registered manager oversees the procedure once a month and checks that an audit has been carried out by the chef. A good relationship has been built up between staff at the home and health personnel. One room has been made into a Treatment Room for use especially by General Practitioners and District Nurses as well as care staff within the home. There is a strong commitment to staff training and all staff have a training portfolio and are provided with time to complete any training. The training programme is comprehensive and staff have the benefit of a staff training room and the use of a computer. Relatives have volunteered for meetings so that their advice and recommendations can be taken into account. Service users are also Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 6 encouraged to make any concerns known and participate in the running of the home. The home has Investors in People’ status and feedback from service users has always been important. The registered manager consults with each Head of Department, Care, Housekeeping, Catering and Domestic and they work closely together to look at improvements and produce an action plan. Comments include: “The staff are very good and kind and bring my breakfast to my room if I cannot get down to the dining room.” “My father sometimes gets confused, one of the carers will sit and talk to him and help him to understand where he is.” “Manager keeps us up to date with all information all the time.” What has improved since the last inspection? Improvements are ongoing; there have been several areas of the home refurbished and new carpets including the corridors, bathrooms and bedrooms. There is a new nurse call system and new fire alarms. A kitchen unit has been added to the activities room encourage independence. Staff now have their own staff room and access to a training room with a computer for training purposes. An audit is taken with regard to nutrition of individual service users and if they have lost weight action is taken with a referral to the clinical nurse employed by Barchester. The format for recording the assessment and care plans has been improved and the details are now on individual files. An emergency file has been set up providing information quickly in the event of a service user having to be admitted to hospital. Food covers have been purchased to keep food warm particularly when service users choose to have a meal within their room. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. Comprehensive information is available for prospective service users about the services provided by Sherwood Lodge. An initial assessment ensures that the services provided meet individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each new service user is provided with a welcome pack that contains all the information they need about their new home and includes the latest Inspection report and a questionnaire. The welcome pack plus a letter are sent prior to admission where possible. Inside the welcome pack are details about the staff and the different colours of each staff member’s uniform. The pack also sets out key information in a ‘user friendly’ way that also includes the complaints procedure. Any prospective service users and their family/friends are welcomed with a hospitality tray and are able to have a trial stay before making a decision for permanent residency. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 10 All new staff are made aware of the company’s commitment to customer care as part of their induction “How to Deliver Exceptional Customer Care”. The company, Barchester Healthcare have been successful in being chosen for a Hospitality Award. An initial assessment is undertaken that ensures that the services provided are suitable and meets individual requirements. The format for recording the assessment and care plans has been changed to individual files and the details are in the process of being reviewed and transferred. The assessment takes into account the physical, emotional, cultural and religious requirements of each service user and a risk assessment is conducted for each aspect such as the risk of falls, risk of pressure sores and ability to be as independents as possible. The assessment called “Total Care Assessment” also covers ethnic background and language. Service users and relatives spoken with confirmed that they had participated during the assessment and a choice of room was offered where possible or they were put on a waiting list if an en-suite bedroom was not available and was preferred. A service user made the following comment: “I came for an afternoon to see if I liked it. I have been here 2 years.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is excellent. A comprehensive care plan is produced that meets all physical/health and emotional requirements and service users are protected by the medication policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were examined and the details have been changed from the original standex system to individual files. The format allows for more detail and is an improvement on the previous format. Information from the old system is still being transferred whilst the details are reviewed. The care plan is very detailed and as well as any physical/health and emotional requirements the records include a photo, likes and dislikes. Information is gathered gradually and any family are involved. The record also includes where possible the wishes of the service user in the event of illness or death. A signature is obtained to show that the service user approves of the care plan and a review of the care plan is carried out each month. A signature is also Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 12 obtained from any person who has been involved in the care of the service user. The home has suitable policies and procedures with regard to medication and the medication is provided and stored correctly. At the initial assessment service users are assessed as to whether there are any risks associated with them self-medicating or whether they need assistance from staff. The details are recorded and any risks associated with self-medication are recorded; lockable storage for medication is provided in the service users bedrooms. The details of a service user able to self medicate were examined. Any possible risk connected with their ability to self medicate had been examined and recorded with a signature obtained from the service user. There was evidence in the records of visits undertaken by Health Practitioners, G.P’s and District Nurses as well as any hospital visits and any contact undertaken over health. A dedicated room is located within the home that is used by district nurses 3 or 4 times a day as well as staff within the home. The nurses work closely with the home staff and a communication log is shared between them. The district nurses have provided training to staff within the home. 8 staff have been trained to provide medication at National Vocational Qualification level 2. In order to improve the provision of information for any service user who has to visit hospital particularly in an emergency, a sheet has been devised that includes all necessary information to be passed onto the hospital staff. A handover of information takes place every morning from the heads of department about every aspect of care, equipment and maintenance of the home. All service users spoken with commented on the care and attention they received from staff. Staff are taught the importance of privacy and dignity at induction training. Service user comments included: “As far as I can see they treat people with kindness and respect. “ “Carers very attentive and kind.” “ They help to shave and dress me and also help with bathing. My clothes are always clean and pressed.” Each service user has a key staff member who ensures that clothes are clean and pressed and returned correctly. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. A range of activities is provided suitable for all service users who are encouraged and supported to participate. Service users are encouraged to be as independent as possible and are able to choose from a selection of nourishing meals provided within attractive surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Every service user is assessed and assisted and encouraged to continue with any hobbies and interests. There is an activities room and the manager is currently in the process of recruiting 3 daily activities co-ordinators and is hoping to introduce music therapy with one of them. A mini bus is available and there are outings for afternoon tea or to see the illuminations. Other activities include bingo, card games, knitting, baking and clothes parties. A kitchen area has been built into the activities room to encourage service users to cook and bake if they wish. The home is visited by visiting clergy and service users are supported to visit a church of their choice. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 14 A full programme of entertainment was provided over the festive season including carol singing by Sherwood School pupils, Violin Concert, Brass Bands and Bell Ringing. Evidence was provided from talking to service users and records, that all service users are encouraged to maintain personal autonomy and choice, independent advocates are available to act in the interests of service users as necessary. Service users are able to bring their own personal possessions into their private accommodation according to the space available. Access to personal records is facilitated for service users. Meals are provided within a very attractive dining room. Meals are designed to be as interesting as possible with special diets catered for including vegetarian, diabetic, kosher or low fat. A choice is available from the menu every day and orders are taken in the dining room or in service users’ bedrooms. A menu is displayed each day in the entrance hall. Visitors are made welcome if they wish to stay for lunch or high tea if they book in advance and they are charged a small fee. The residents committee discuss meals and help to devise the menus. There has been a new chef since the last site visit and there is also an assistant chef and 4 kitchen assistants. Both chefs have an understanding of diets required by the elderly. The manager undertakes an audit on Nutrition and any service user who loses weight is referred to the clinical nurse for immediate action. The Head Chef ensures that a food safety manual is implemented in order that strict safety guidelines are followed. The contractors who provide the food are also inspected and complete a questionnaire. The registered manager oversees the procedure once a month and checks that an audit has been carried out by the chef. Food covers have been purchased to keep food warm particularly when service users choose to have a meal within their room. There has been a concern raised over the choice of desserts however all the service users spoken with confirmed that there is a dessert trolley that includes trifles, cakes, fruit & ice cream. Comments included: “The staff are very good and kind and bring my breakfast to my room if I cannot get down to the dining room.” “ There is always a choice on the menu, the food is very good.” “We get an odd one now and again that isn’t to our liking, but on the whole they are alright.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 15 “Meals are not always suitable for my diabetes.” “My father’s carer encourages him to get up and join the other residents.” “Sometimes I play dominoes or go for trips in the mini bus. I also go for short walks outside.” “My father sometimes gets confused, one of the carers will sit and talk to him and help him to understand where he is.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. The policies and procedures within the home ensure that the service users are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an appropriate complaints policy that is publicised to service users. Complaints are recorded on a standard form. There has been one complaint investigated with a satisfactory conclusion by the manager of the home. There was evidence of numerous compliments received by the home. The home has a policy and procedure with regard to Adult Abuse and Whistle Blowing and staff had received training. New staff are checked to see if they are on the Protection of Vulnerable Adults Register (POVA) before commencement. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. The facilities provided are luxurious and well maintained; the safety of service users and their comfort are of the highest priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Re-decoration and maintenance is continuing with new carpets being fitted decorations to the corridors, bedrooms and bathrooms. All areas of the home were clean and well cared for with luxurious furnishings and fittings. Service users are able to choose from a number of areas to sit either quietly alone or with others; some service users were listening to music or watching TV; others were having a chat or watching the bustle of staff, visitors and other service users. Comments included: “The home always looks clean and attractive and the dining room is very well laid out.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 18 “There are usually fresh flowers and plants scattered about.” There had been a concern about the air conditioning in one of the lounges being noisy but the air conditioning was switched on at the time and there was very little noise to be heard. Service users who smoke have a dedicated room for them to use and are allowed to smoke in their rooms following a risk assessment. Plans are in place to take down the conservatory and replace it in the near future. A new nurse call system has been installed and as previously mentioned a new room used by district nurses and home staff connected with health care needs of the service users. There is now a new staff room and staff training room where staff have access to a computer to complete online training programmes and record evidence for National Vocational Qualification training. All staff undergo training on Fire Safety and a Fire Safety Officer has visited the home and praised the in depth risk assessment on fire safety conducted by the manager. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. A suitable recruitment procedure is in operation that ensures the protection of vulnerable people and the staffing levels and training provided to staff ensures they are competent and able to meet the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing rotas indicate that there are sufficient staff on duty at all times; there has been a problem recently recruiting staff and the manager has used the facility of agency staff to cover when there has been a shortfall. A number of staff files were examined and found to contain evidence that checks had been made on their suitability for their position prior to commencement. References had been obtained and all existing staff have been cleared by the Criminal Records Bureau and a check undertaken of the POVA Register. The recruitment procedure includes a job description and standard interview questions. The files also contained evidence of staff contract/terms and conditions of employment. All new staff are made aware of the company’s commitment to customer care as part of their induction “How to Deliver Exceptional Customer Care”. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 20 Each staff has a training portfolio and are encouraged in every aspect with Leadership training available for any staff that wish to obtain promotion. There was evidence that all staff have undertaken comprehensive induction training and further training that includes, POVA (Abuse); Manual Handling; First Aid; Health and Safety; Infection Control and COSHH; Dementia; Accident and reporting; Care planning; Evacuation training; Equality and Diversity; Medication; Tissue Viability and Risk Management. Future training planned includes, Leadership; Fire Marshals; Supervision; Catheter and Nutrition. There are 27 care staff and 11 ancillary staff. 13 staff have a National Vocational Qualification (NVQ) at level 2 and within the 13, 7 staff have an NVQ at level 3. Staff are provided with time to access the training room and computer and the manager is able to check on their progress with regard to training and produce certificates as required. A relative made the following comment: “Manager and team have all the right skills and experience to look after my parents.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is excellent. The home is well managed and policies and procedures are in place that ensures the protection and safety of service users and staff and the home is run for the benefit of the people who use the services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has the Registered Managers’ Award and many years experience in the provision of care and the management of staff. The manager continues to undertake training to keep herself up to date and has recently undertaken, Assured Self Catering, Fire Training and Health and Safety for Home Managers. There was evidence that both staff and service users are encouraged to participate in the running of the home with various meetings taking place by both service users and staff including staff supervision. Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 22 Staff commented on the good support they received from management and how happy they were working within the home. Relatives have volunteered for meetings so that their advice and recommendations can be taken into account. Service users are also encouraged to make any concerns known and participate in the running of the home. The home has Investors in People’ status and feedback from service users has always been important. A form has been provided to new service users who are asked to complete a questionnaire with regard to the admission procedure. Questionnaires are provided to service users. Feedback and suggestions cards are available at reception. There was evidence of residents surveys sent approximately on a random basis every 4 months. The format was user friendly and the results all very positive. The registered manager consults with each Head of Department, Care, Housekeeping, Catering and Domestic and they work closely together to look at improvements and produce an action plan. The manager also conducts an audit and this is provided to a Clinical Nurse employed by Barchester who then conducts spot checks on for example, medication or pressure sores to ensure high standards are maintained. The Operations Director undertakes `Quality Assurance Meetings’ with service users in order to obtain their views. The Operations Director also visits the home once a month and prepares a written report on the conduct of the care home that is publicised to all interested parties including the Commission for Social Care Inspection. Comments from relatives included: “Manager keeps us up to date with all information all the time.” “Excellent manager who I entrust with my parents.” Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 24 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 Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sherwood Lodge DS0000069267.V332584.R01.S.doc Version 5.2 Page 26 - 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!