Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/07/07 for Stallingborough Lodge Care Home

Also see our care home review for Stallingborough Lodge Care Home for more information

This inspection was carried out on 16th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Company provides a range of documentation to assist staff in keeping accurate records on the delivery of care to people living in the home and how to assess their needs and ensure current problems are being addressed. Staff ensure that accurate recording is in place and all care plans are evaluated on a regular basis to meet current needs of people living there. The records show that there is liaising with other health professionals and advice sought where necessary to ensure the accurate delivery of care to each person. Safe practises are in place to ensure that the administration of medication is safely completed and people are free from harm. The varied menus are prepared in a safe and clean environment. Care is also taken to monitor the dietary intake of those who are finding it difficult to eat and drink. This ensures they can keep as well as possible with a balance of good nutrients in the body. Quality assurance checks are in place to ensure the home is safe to live and work in. Environmental checks are completed on a regular basis and care is taken to colour match furnishings, which makes the home look cosy and welcoming.Robust systems are in place to ensure staff are safe to work with the people who live there prior to the commencement of employment and are then trained to do their jobs.

What has improved since the last inspection?

Since the last inspection the care plan documentation staff keep on the delivery of care to people living in the home has become more accurately recorded. Follow through on the work completed by other health care professionals and auditing processes have improved. Ensuring that the current needs of people living in the home are being met. There is also better recording of people`s dietary needs and staff monitoring in depth particularly for those who are finding it hard to maintain a balanced diet. A variety of tools are in place and feedback is given not only by care staff to the professionally trained nurses but kitchen staff and visitors. The Company has now ensured that the correct CSCI address is on all complaints forms, to ensure any one wishing to raise a concern can access the correct department.

What the care home could do better:

There was still a lack of evidence to support that a varied programme of activities is in place at the home and people living there are having all their social, cultural and religious needs and expectations met. The Company needs to ensure that staff employed to facility this part of care have received some training and that the very diverse needs of people living in the home can be met. This will ensure that people are encouraged to lead as independent a life as possible and are fulfilled on a daily basis with all their expectations being met.

CARE HOMES FOR OLDER PEOPLE Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN41 8AF Lead Inspector Theresa Bryson Unannounced Inspection 16th July 2007 09:00 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 Stallingborough Lodge Care Home DS0000002804.V347772.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. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stallingborough Lodge Care Home Address Station Road Stallingborough Grimsby North East Lincs DN41 8AF 01472 280210 F/P 01472 280210 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) Shire Care (Nursing & Residential Homes) Limited Mrs Tracy Jayne Tindall Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (20), Physical disability of places over 65 years of age (20) Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2006 Brief Description of the Service: Stallingborough Lodge Care Home is a purpose built establishment that is registered for 44 service users with problems of old age, physical disability over 65 years of age and under and also has a nursing registration for service users. The accommodation is set on the outskirts of a small village, near the larger town of Grimsby. It has some local amenities for service users to visit and the home is near a regular bus route into the town. The home is set in enclosed gardens, which are all accessible to wheelchair users. The home is part of a small group of homes, Shire Care Ltd, and is supported by a head office team and a visiting Director of Operations. It has the benefit of also having service users visiting from other local homes. The home has several groups of staff employed including; - professionally trained nurses, care assistants, domestic and laundry staff, kitchen staff, administrator, handyman and activities organiser. The weekly fees range from £335 to £517 each week, which were given to the CSCI in July 2006.Extra charges are made for hairdressing and chiropody depending on treatments. This is reviewed annually. The provider makes available to all prospective service users and current service users, the service user guide, which is also available and on display in the main entrance hall. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over one day in July 2007. Prior to the visit the home completed the AQAA document sent to them, but not all sections had been completed, which was pointed out to the Company Director of Operations. Also 18 surveys were sent to relatives of which 8 were returned, 10 to staff of which 1 was returned. 4 care plans of people living in the home, were tracked on the site visit day, 4 people living in the home were spoken to and 1 relative, 2 health care professionals and 7 staff. And 4 staff files tracked. The manager was unavailable on the day and the inspector was first accompanied by another manager from a sister home, who happened to be visiting and then the Owner, for a short while. The Director of Operations for the Company was present for most of the site visit and was given the feed back at the end of the day. What the service does well: The Company provides a range of documentation to assist staff in keeping accurate records on the delivery of care to people living in the home and how to assess their needs and ensure current problems are being addressed. Staff ensure that accurate recording is in place and all care plans are evaluated on a regular basis to meet current needs of people living there. The records show that there is liaising with other health professionals and advice sought where necessary to ensure the accurate delivery of care to each person. Safe practises are in place to ensure that the administration of medication is safely completed and people are free from harm. The varied menus are prepared in a safe and clean environment. Care is also taken to monitor the dietary intake of those who are finding it difficult to eat and drink. This ensures they can keep as well as possible with a balance of good nutrients in the body. Quality assurance checks are in place to ensure the home is safe to live and work in. Environmental checks are completed on a regular basis and care is taken to colour match furnishings, which makes the home look cosy and welcoming. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 6 Robust systems are in place to ensure staff are safe to work with the people who live there prior to the commencement of employment and are then trained to do their jobs. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 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 Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assessed using an holistic tool to enable staff to prepare for admission and ensure the home can meet their needs. EVIDENCE: During the course of this inspection Standards 3 and 6 were checked. The manager or Director of operations will try to assess each prospective service user prior to admission to ensure the home can meet their needs. The home will take emergency admissions, but will try and ensure that the local authority or Primary Health Trust assessment is faxed or taken to the home to assist staff. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 9 The assessment looks at each person in an holistic manner and assesses their immediate needs which could be a combination of physical and mental health problems and if the person will fit into the family already resident. The home does not provide intermediate care and therefore Standard 6 is not applicable. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans kept on service users are completed and evaluated on a regular basis to enable staff to meet current needs and safe practise are in place to ensure medication is given correctly. EVIDENCE: During the course of this inspection Standards 7,8,9 and 10 were checked. Prior to the site visit 18 surveys were sent to relatives and 8 returned and 10 to staff and 1 returned. On the day 2 health professionals were spoken to, 4 service users, 1 relative and 7 staff. 4 care plans of service users were tracked. The majority were well written and legible. Some inconsistencies were reported back to the Director of Operations at the feed back session, as the manager was unavailable the day of the site visit. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 11 The care plans used in the home are very detailed and look at each person in an holistic manner using the pre-assessment tool as a basis for the plan of care. Supplementary information such as a falls screening tool, client handling form and notification of diets help the staff to evaluate care needs and keep on top of current needs. There was good follow through from visits by health care professionals who are encouraged to write in their section of the notes. The team leaders and key workers of each person completes a monthly checklist and the manager on an ad hoc basis completes audits. Health care professionals spoken with stated they felt that trained staff coped well with the needs of each client, but had sometimes had to question basic needs delivered by staff. Generally staff were helpful and able to fulfil tasks given to them and were willing to learn. The home is part of a pilot project for training and skills in the community led by one of the Community Matrons, which staff appeared to enjoy and felt has enhanced their delivery of care. Although some surveys returned questioned the attitude and communication problems of some foreign nationals employed, as did some questioning of people in the home, all staff on the site visit day could communicate well. This was fed back to the Director of Operations, but staff have to attend English launugage courses if the home considers their level of understanding of the English language is only a basis level and this is recorded at supervision sessions, as seen on those records. Service users and relatives stated “staff work hard here, but do everything I need them to” and “they answer the buzzers promptly, especially at night” and “I love it here”. A senior member of the trained nursing staff accompanied the inspector whilst the administration of drugs records were being checked. At the last key inspection the storage area was to be enlarged, but this has not been completed yet, but the staff cope well with the confined space in use. It was tidier then on the last visit and all relevant safety checks were recorded such as room and fridge temperatures and checking of emergency equipment. Staff have been trained to use a variety of nursing equipment and at the time of the site visit 2 people were being fed via a pump mechanism and one receiving strong medication by a syringe drive, with another expected to be used that day. The records of these service users and drugs in use were checked and found to be correct. The staff member accompanying the inspector had a good working knowledge of the systems and safe practices in place and a good understanding of the specific needs of each service user. Another staff member was observed at a distance administering medication and appeared to use safe methods. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 12 Staff were observed through out the day assisting service users in a variety of tasks including personal care and meals, which were all completed in a dignified manner and in a calm relaxed atmosphere. Stallingborough Lodge Care Home DS0000002804.V347772.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The activities programme needs to be expanded to ensure the expectations of service users are being met. A varied cycle of menus is prepared in a clean and safe environment. EVIDENCE: During the course of this inspection Standards 12,13,14 and 15 were checked. The surveys highlighted that service users did not feel there was enough variety of activities provided and this was also an outstanding concern at the last inspection. The care plans tracked showed that a social needs assessment had been completed on each person and some of the activities organiser’s planner had been completed. The inspector spoke at length to the activities organiser, who recognised that the knowledge base and range of activities needed to be expanded. There was little documented evidence to show that those with more acute needs had their Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 14 social expectations met and this was fed back to the Director of Operations. This could result in service users not having their expectations met and feeling isolated in this setting. Social activities arranged generally were in house, with some community involvement from visiting singers and occasional ministers of religion. Service users spoken to expressed their delight in the meals. Making such comments as “I get what I like to eat” and “the food is tasty”. A cook escorted the inspector around the kitchen and storage areas. The kitchen was a lot cleaner than on the last visit and staff could produce records to show they were adhering to staff practises. New crockery had just been purchased and staff stated their request for replacement was never rejected. The home has reintroduced a meal checking system to ensure a record is being kept on those who struggle to maintain an adequate dietary intake. This was seen to be effective alongside the nutritional assessment completed by the professionally trained nurses. Other records showed that fluid and food balance charts are regularly used in the home and appeared to be completed according to each person’s assessed needs. There was evidence that fresh produce is used and the 4-week cycle of menus showed balanced meals on offer, with the use of a summer and winter set of menus. The home was also catering for special diets such a low salt and diabetics at the time of the site visit and the cook was able to explain adequately what this entails. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from harm by a robust system of complaints reporting being in place and staff trained to recognise abuse situations. EVIDENCE: During the course of this inspection Standards 16 and 18 were checked. Since the last inspection the Company has ensured that the address for CSCI has been revised on the information given to service users, so they are able to access the Commission should the need arise. The AQAA returned to CSCI did not have all the information included on the form, but on tracking the complaints log during the site visit all information was well documented on the 19 concerns raised since the last key inspection. During the last since months CSCI had one referral made about the home under the safe guarding adults referral system and a joint investigation was completed with the local authority. The outcome of the concern was unsubstantiated. Records seen also showed that all polices are in place to enable staff to make decisions about abusive situations and where care needs have not been met to Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 16 enable them to inform the right person for an investigation or enquiry to take place. The training records of staff also showed that all had received up date training in safe guarding adults to equip them for looking for abusive situations and prevent service users from being harmed. Stallingborough Lodge Care Home DS0000002804.V347772.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are living in a safe and clean environment adapted to their needs. EVIDENCE: During the course of this inspection Standards 19 and 26 were checked. During the course of the site visit the owner of the home made a brief visit and was able to show the inspector work in progress for a new activities room. This will be equipped for service users to access the Internet via a bank of computers and also be assessed for their ability to look exercise their independence by the provision of a small kitchen. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 18 The Director of operations accompanied the inspector on a tour of the home where all toilets, bathrooms and communal areas were seen and a section of service users rooms. There was ample evidence to show that service users are able to personalize their own rooms to suit their tastes and current needs. And those spoken to stated how this had helped them settle into the home. Several stated how well they thought the rooms were cleaned. The environment was clean and much tidier than the last visit, with more attention to detail seen such as flower arrangements and care taken to colour match furnishings. There was also evidence of some redecoration taking place in the home such as bedrooms and communal areas. The garden was looking very colourful, and service users also have the use of a quiet inner courtyard garden, which were all free from hazards and accessible by wheelchair users. A member of the domestic/laundry staff accompanied the inspector on a tour of the ironing room and laundry, both being clean and tidy. There were also ample supplies of linen in a good state of repair. The environmental checklists in the service users care plans ensure that not only is the building safe to live in but is also adapted to suit current service users needs and they can feel relaxed living in a homely and safe environment. Stallingborough Lodge Care Home DS0000002804.V347772.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust systems are in place to ensure that staff are safe to work with service users prior to commencement of employment and are then trained to do their jobs. EVIDENCE: During the course of this inspection Standards 27, 28, 29 and 30 were checked. Some staff had indicted to the inspector that at times of sickness and holiday cover for staff absence can not always be met and it made the work at the home harder to be able to meet service users needs. Service users spoken to did not indicate that their needs were never met and expressed to the inspector how caring and patient staff were no matter what part of the day requests for help were made. The Director of operations was asked to ensure the manager is fully aware of the necessity to have adequate staff on duty at all times to ensure service users are free from harm. Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 20 4 staff personal files were tracked on the site visit and found to have all the necessary documentation to support the home had completed safety checks prior to commencement of employment. The extensive training file showed that staff had received a number of different training sessions covering a wide range of topics to ensure they have the skills to enable them to care for present service users current needs. Topics included infection control, palliative awareness and chronic obstructive pulmonary disease. The last skill mix review for all staff was in May 2007 and detailed which staff had completed mandatory and service specific training, who were on courses and what was planned. Stallingborough Lodge Care Home DS0000002804.V347772.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence was in place to ensure that the home maintains the building and it is safe to live and work in and service users views are sought to ensure the home is run for their benefit. EVIDENCE: During the course of this inspection Standards 31,33,35 and 38 were checked. During the course of the site visit the inspector saw a variety of documented evidence to show that adequate checks were being made to ensure the home is safe to live and work in. This included regular maintenance checks by the handyman, certificates in place for all equipment in use, regular checking of Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 22 personal allowance accounts of service users held in the home (3 were tracked in depth), and fire checks being completed on a regular basis. Over the last year the Company has been further developing its quality assurance programme. This now includes surveys sent to service users, on topics such as food and catering, privacy and dignity and maintenance. Also regular audit information was produced on accident statistics and what outcomes and action is sometimes required to solve an issue. Service users spoken with indicated that they were happy in the home, stating “they work very hard to make me happy” and “I get everything done for me” and “if you ask for it, you get it”. The AQAA sent in by the manager did not have all the sections completed and the Director of operations was asked to point out the necessity for the CSCI to have clear information given to them to ensure it can make a fair judgement. As this is a new system and working alongside other inspection tools, this did not impede the judgement for the inspector on this occasion. Staff in the home are always very welcoming and friendly and there is generally a calm atmosphere in the building. This home has showed increasing improvement over the last 12 months and is well supported by other homes in the group and a regional and head office team, who are working to ensure the needs of service users are met at all times. Stallingborough Lodge Care Home DS0000002804.V347772.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 3 X X 3 X 3 Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16.2.m. Requirement The registered person must ensure that all aspects of service users recreational, social, cultural, religious and other needs can be met. And that the activities organiser has received training in caring for those with memory loss. (This time scale has been adjusted, as this aspect was not checked on this occasion of 16/04/07. Now the original time scale of 16/05/07 has not been met). Timescale for action 20/01/08 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 Stallingborough Lodge Care Home DS0000002804.V347772.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Stallingborough Lodge Care Home DS0000002804.V347772.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!