Inspection on 18/07/06 for Stallingborough Lodge Care Home

This inspection was carried out on 18th July 2006.

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

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

Other inspections for this house

Stallingborough Lodge Care Home 21/04/09

Stallingborough Lodge Care Home 07/01/09

Stallingborough Lodge Care Home 24/10/08

Stallingborough Lodge Care Home 16/07/07

Stallingborough Lodge Care Home 07/02/06

Stallingborough Lodge Care Home 12/08/05

Stallingborough Lodge Care Home 12/08/04

Stallingborough Lodge Care Home 16/03/04

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

CARE HOMES FOR OLDER PEOPLE Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN37 8AJ Lead Inspector Theresa Bryson Unannounced Inspection 18th July 2006 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.V305193.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.V305193.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 DN37 8AJ 01472 280210 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.V305193.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 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. 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.V305193.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in July 2006. Prior to the inspection the service event history was checked and records including Regulation 37 notices and Regulation 26 notices were checked for accuracy and timing of being sent to the local CSCI office. The previous complaints history was checked and there were no items outstanding. 4 relatives were seen in person and visited in their own homes prior to the visit. 10 relatives surveys were sent out and 7 returned. 8 staff surveys were sent and 5 returned and information was received, in written format, from 2 local social work departments.6 other relatives were spoken to on the day of the visit and 3 service users. The manager accompanied the inspector throughout the visit and the owner also was seen, along with the Director of Operations who were just visiting on the day of the site visit. What the service does well: The staff are always friendly and welcoming and appeared to be knowledgeable about each person’s needs living in the home. Staff were observed assisting people who live in the home in a number of tasks and were using safe practises and performed each task in a calm and dignified manner, respecting the wishes of each person. Care is taken by the Company to produce comprehensive records for staff to complete prior to admission and after admission of a person to the home to ensure they met people’s current needs. All records are evaluated regularly to ensure the delivery of care to each person is current. Medication appeared to be administered safely by competent and trained staff. All medication is stored in a safe and clean environment, with regular temperature controls being made to ensure they are stored safely. Meals were seen to be prepared in a safe and clean environment. The menu plan had been checked by a dietician to ensure each person was receiving a balanced and nutritional diet. Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 6 Records were seen to ensure that the home was safe and the environment was clean and tidy to live and work in. There was ample evidence to show that the people who live there can personalize their own rooms. The Company ensures that staff have received safety checks prior to commencing employment and have been adequately trained to do their jobs. This ensures people living in the home are cared for by competent staff. What has improved since the last inspection? What they could do better: The choice of activities and social events in the home had been well recorded and the majority of service users needs had been addressed. The activities coordinator needs to up date her skills for those who have memory loss. The activities for this group of people were not broad enough and some unmet needs were identified during the course of the visit. This type of need is very challenging and skills sometimes have to be acquired by staff to ensure they can meet those needs. Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 7 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. Stallingborough Lodge Care Home DS0000002804.V305193.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 Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A comprehensive document is used to assess the needs of prospective service users prior to admission. EVIDENCE: Assessment packages were seen to be in place for all care plans tracked during the course of the visit. This was a comprehensive document and gave a holistic overview of the needs of each prospective service user. This will assist staff in helping each person to settle in to the home and for staff to be able to plan for their admission. The records seen showed this tool to be in place and had been signed by the service users, their next of kin and a staff member. The manager or the Director of Operations for the group assess prospective service users prior to admission, but will take emergency admissions, from the Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 10 local Social Services Department, but will insist in receiving a referral assessment prior to admission, which can be sent, hand delivered or faxed to the home. NMS 6 is not applicable to this home as it does not take intermediate care. Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The documentation on service users showed that the home was keeping up to date records of the delivery of care to them and staff were seen to assist service users in a variety of tasks in a dignified and sympathetic way. EVIDENCE: 3 care plans were tracked as part of the inspection visit. The care plans seen were set in different sections and gave a very broad overview of each individual’s needs and problems. Each section was seen to have been evaluated on a regular basis, in some cases monthly, but for others a more in depth review were required, some items daily or weekly. Supplementary evidence was also inserted for some service users, for example one person with difficult mobility problems had a wheel chair assessment, different hoist assessments and a mobility care plan, which changed on a regular basis depending on the person’s ability and how ill they were at any Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 12 time. This gave staff all the evidence they required on a daily basis to deliver the appropriate care to that individual. This included through a 24-hour period each day, as a separate care plan was seen to be in place for night staff to follow. This included when a person liked to go to bed, get up, what drinks they like before retiring to bed and other needs during the night. They also stated the times each person should be checked through the night. For example every 30 minutes. Discussions with 3 service users during the visit, 4 relatives visited prior to the visit, 6 relatives spoken to on the telephone and of 7 survey forms returned stated they were happy with the delivery of care overall and felt that all needs were being addressed. Staff were seen to assist service users in a variety of tasks through out the day in a dignified and caring manner. Service users spoken to stated how caring staff are to them and one person said,” they look after me too well, I’m not used to it”. The medication records were checked with a senior sister on duty. All administration records appeared to be in order and all medication is given by the professionally trained nurses. These staff are keeping themselves up to date and some have recently attended refreshed courses on PEG feeding, the use of syringe drivers and the use of palliative care treatments. Safe practises appeared to be used in the home to ensure correct medication is given to service users at all times. The manager stated that the drug room is soon to have a revamp in the way it is laid out, which will help the efficiency of the storage and checking facilities for staff and make a more pleasing and useful area in which staff can work. The controlled drugs were checked and all medication and records found to be correctly recorded. 2 staff have a competence certificate to enable them to take blood from service users, which hastens the process when this is required, as a doctor’s visit does not need to be planned. Reference material was seen to be on hand on ensure staff can look up the drugs details, if not known. This was last up dated in March of this year. 3 people had PEG feeds in place and 2 had supapubic catheters, all the records and protocols were in place and staff appeared confident in how to monitor their use for the safety of each service user. Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A varied programme of activities is provided in this home to ensure service users are able to satisfy their social and cultural needs. The nutritionally balanced menu is prepared in a safe and clean environment. EVIDENCE: The inspector had a lengthy discussion with the activities organiser who works 16 hours a week. She stated she has always found staff helpful and they will assist where required on a variety of activities. Her file showed daily events which take place, how service users participated and both negative and positive comments about each event. The activities covered a broad range of events and social and recreational activities for the majority of service users. The only area lacking in variety was for those with memory impairment and the activities organiser suggested that she would benefit from some training in this aspect of care. Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 14 Service users spoken to stated how they enjoyed the variety of events on offer and mentioned such weekly events as bingo and the variety of quiz games. One person stated how she enjoyed the competitiveness of the quiz games as it kept her brain active. The social history section of the care plan had been completed well and also detailed for each person the parts they did not wish to disclose to care staff. This has ensured that each event is tailored to each person’s individual social, cultural, religious and recreational needs and their wishes of privacy can be adhered to as it is clearly written as guidance for staff to follow. Service users wishes and personal needs were seen to be written in the care plans, to ensure individual needs are met. There was also ample evidence that service users can personalise their own rooms and where what clothing suited their individual style. The cook escorted the inspector around the kitchen. This was clean and tidy and all equipment was in working order. The cook was able to give a good account of what suppliers she uses and how ordering takes place. She stated she was happy with the present suppliers and felt they gave good quality of goods. Since the last inspection the grill has had a new element and all equipment is in working order. As it was a very hot day during the visit an extra fan was requested, as parts of the kitchen were very hot. The home has a new system for monitoring wastage of food. Staff have to return trays to the kitchen, state who it was from and the kitchen staff estimate the percentage eaten. For example one of the trays still had half the food left, the nurse in charge was informed and care staff for the rest of the day asked to monitor the person’s food and fluid intake and records when extra had been given, to supplement the lunch time meal. This is then recorded if necessary, over a period of time the person’s care plan adjusted and in some cases supplements requested from the GPs’. This ensures that each individual dietary intake is closely monitored and not allowed to drop, which could cause problems with their wound healing or other medical needs. A new set of menus has been submitted to the CSCI from the home. There was evidence seen that these had been checked by a dietician and had been put together to ensure that all service users received a nutritionally balanced diet. Service users spoken to stated how much they enjoyed the meals, that portion sizes were adequate to their needs and the meals were always nicely presented. Stallingborough Lodge Care Home DS0000002804.V305193.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The protection of vulnerable adults policy ensures service users are protected from abuse. A robust system is in place to record complaints and ensure staff are aware of the policy. EVIDENCE: Since the last inspection evidence has now been seen to show that staff have been made fully aware of the complaints policy and this was reiterated when speaking to staff members on the day of the visit. A new complaints log has been commenced and was seen. 3 concerns had been raised since the last inspection, all detailing satisfactory conclusions. There was no indication on any survey returned, or when the inspector spoke to any service users, relative or staff member that any major concerns had been issues in the home since the last inspection. Service users and relatives stated they felt confident that the management team would deal with any problems, as they arose. The policy for the protection of vulnerable adults remains unchanged. Training for all staff had now been completed, as seen on their training records. This Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 16 will ensure that all staff are aware of abusive situations and can protect service users if necessary. Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home was clean and tidy and showed evidence that the Company was maintaining the building and ensuring it was safe and clean to live and work in. EVIDENCE: The maintenance programme for the home was in place and showed how much had been completed since the last inspection. Various parts of the home had been redecorated and the owner and Director of Operations were on site during the course of the inspection making a list of capital financial spends for the forth coming months. This included linen, which they had already identified and the inspector could see on checking the linen cupboards, was an area, which needed some spending to renew major items such as duvets and pillows. All maintenance schedules were seen to have been completed for the laundry machines and the main laundry plus the ironing room were clean and tidy. A Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 18 fan was now firmly fixed to the wall in the ironing room, as it is an area, which gets very hot to work in. The manager accompanied the inspector on the main tour of the building, which looked well maintained and was pleasing to look at, both inside and outside the building. The furniture and fittings were in a good state of repair and the domestic staff were able to explain the cleaning routines in the home, which appeared adequate. They did not feel any more staff were required and could do all the jobs allocated to them. All areas were clean and tidy and soft touches as flower displays were placed around the home. A couple of rooms were identified to the manager to review regarding furniture and allocation, as service users had been able to bring in some of their own furniture, which had now caused the rooms to look overcrowded. The garden areas were hazard free and looked well maintained with numerous sitting areas and shade provided, plus colourful borders to look at from all aspects of the home. One relative informed the inspector that her loved one enjoys pottering in the garden and can do a little weeding and pruning, which she was pleased staff encouraged. This well maintained home ensures service users have a safe and pleasing environment in which to live. Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The Company has a robust system in place for recruitment and retention of staff and staff are trained to enable them to work safely with the service users. EVIDENCE: Staff rotas had been submitted prior to the inspection and appeared to allow enough staff to be on duty to meet the needs of service users. Staff stated in the written surveys and in discussion that the rotas in place work well when all staff attend work. The manager was asked to monitor the rota closely, especially at week ends, for staff absenteeism to ensure that the correct numbers are always maintained to enable all service users needs to be met at all times. Service users in the surveys and in discussion did not highlight any problems in their care being delivered on time. Over 50 of staff employed in the care side of the home have been trained to NVQ level 2. 10 others were studying for NVQ Awards at levels 2,3 and 4. This ensures that staff are given the skills to fulfil their job roles. The Company also submitted as part of the inspection the instruction booklets for staff fro induction. There are 4 in total. A partially completed one was seen, Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 20 which a staff member was currently using and others spoken to stated they had used them or were in the process of working through them. The manager completes a training matrix for the Company, so the inspector could see what has been planned for the forth-coming year and was able to track completed training through individual staff records. These appeared to be accurate. Training already taken place this year has included; - risk assessment, care of the dying person, palliative care, dementia, manual handling, fire, nutrition and stroke management. This will ensure that staff are kept up to date and all aspects of caring for service users and can use research based training to ensure they are using the latest techniques to deliver care. The Company has a robust system of recruitment in place. 4 staff personal files were tracked as part of the inspection and all relevant documentation was in place. The home also recruits foreign nationals from both European Countries and from Africa. All necessary documentation was in place for each of these staff. The home ensures that all safety checks have been completed on staff prior to them commencing employment to ensure they are safe to work with service users. Contracts of employment and other recruitment documentation was seen to be written in other languages other than English. Stallingborough Lodge Care Home DS0000002804.V305193.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 and 38. Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home has a robust system in place to ensure the quality of care is maintained and the building is safe to work and live in. EVIDENCE: The manager was able to produce evidence to show that she is still maintaining her first level Registration on the Nursing and Midwifery Council “live” register. She has also undertaken numerous training events and has the certificates as proof of evidence. Audit records were also seen to show that the home is maintaining contact with service users, staff and all visitors to the home to ensure the quality of care is maintained and what each individual requires. Minuites were seen of a Stallingborough Lodge Care Home DS0000002804.V305193.R01.S.doc Version 5.2 Page 22 number of meetings between staff, different staff groups and service users. These covered a variety of topics and also allowed time for individuals’ issues to be discussed. This ensures that all stakeholders involved with the Company are consulted through out the year. The Company has just been awarded the “Investors in People” award for their excellence in training, staff issues and consultation with service users. The Company is also working with the local Primary care Trust and the Falls C0ordibator for the Trust on some aspects of service user care on discharge and those at risk due to mobility problems. The supervision logs of staff had much improved and there was better recording by the mentors. Individuals recording was discussed wit the manager, as some extra training may be needed for some mentors to ensure consistence in the recording methods. Staff stated that they are receiving sessions and this has helped them to focus on training needs. The system ensures that staff are adequately supervised to ensure they are safe to work with service users. Records were tracked to ensure that the home is properly maintained and all service checks had been completed. All records appeared to be in order and all certificates valid. The recording of water temperatures had much improved and the manager was aware where there were currently high temperatures recorded and was in the process of correcting this during the course of the inspection. The Company aims to ensure that all times the home is safe and well maintained and there was sufficient evidence produced by written records and during the tour of the building to see that this was so at this inspection. 3 service users personal accounts were checked and tracked and all documentation appeared to be in place. The residents’ fund was also checked and all documentation was correct. There was limited access to all financial accounts and information given on a need to know basis only. This ensures that service users financial matters are kept confidential and all records are accurate. Stallingborough Lodge Care Home DS0000002804.V305193.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 3 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 3 3 X 3 3 X 3 Stallingborough Lodge Care Home DS0000002804.V305193.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. 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. Timescale for action 20/02/07 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.V305193.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: 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 Stallingborough Lodge Care Home DS0000002804.V305193.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. 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