Inspection on 14/06/07 for Stanhope Lodge

This inspection was carried out on 14th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Stanhope Lodge 14/11/05

Stanhope Lodge 22/08/05

Stanhope Lodge 16/12/04

Stanhope Lodge 23/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Stanhope Lodge Poplar Road Durrington Worthing West Sussex BN13 3EZ Lead Inspector Ms B Tye Unannounced Inspection 14th June 2007 10:00 Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 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 Stanhope Lodge DS0000037453.V338782.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 Adults 18-65. 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. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanhope Lodge Address Poplar Road Durrington Worthing West Sussex BN13 3EZ 01903 264560 01903 691987 barry.poland@westsussex.gov.uk www.westsussex.gov.uk West Sussex County Council 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) Mr Barry Poland Care Home 24 Category(ies) of Learning disability (24), Learning disability over registration, with number 65 years of age (24) of places Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 24 service users in the category of learning disability and learning disability (Elderly) mat be accommodated at any one time 14th November 2005 Date of last inspection Brief Description of the Service: Stanhope Lodge is a Care Home providing care and accommodation for up to twenty-four residents between the ages eighteen to sixty-five years (18-65yrs) in the Category Learning Disability (LD). The registered providers are West Sussex County Council. Mr Barry Poland is the registered manager who is in charge of the day-to-day running of the home. The service provides accommodation in a number of units. Beech is an eight-bedded unit, which accommodates residents for short stay, breaks; Rowan is also an eight-bedded unit, which provides permanent accommodation for residents. The service also has an Intensive Support Unit, which provides care for residents with challenging and complex needs. The unit consists of two cottages, one for two permanent residents the other is for short-term breaks, which can accommodate up to three residents. There is also one bungalow and two flats which have been adapted specifically for the individuals who occupy them. Stanhope Lodge is situated in Durrington and is close to local facilities and bus services. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection all relevant information and correspondence relating to the home was examined. This included a completed a detailed pre-inspection questionnaire by the manager, a staff list, rotas and training schedules, menus and notifications of significant incidents within the home. Seven feedback forms were received by the inspector, which included comments from current residents, their relatives and a health professional. During the course of the inspection considerable time was spent with the manager. Some residents and staff were spoken to in order to gain a sense of how the home is being run and how they experienced living and working at Stanhope Lodge. Four care plans and staff personnel files were examined alongside the homes records including, staff training, complaints, fire, incident and accident reports and all records relating to health and safety. Staff members were spoken with informally. One staff member confirmed that they are offered a wide range of training opportunities and undergo induction training. Those who were asked gave a good account of action they would take should they suspect abuse of a resident. The interaction between staff and residents was relaxed and positive. Residents spoken with told the inspector that they were happy living at Stanhope comments included ‘I like living here, I get to do what I like’. This is the first inspection of 2006/2007. This is called a key inspection and will determine the frequency of visits/inspections hereafter What the service does well: The service continues to provide residents with opportunities to develop new skills and independent lifestyles, with in their own capabilities. People who live at Stanhope are respected and their needs are met through detailed assessment and care planning. Residents live in a spacious, comfortable, clean and tidy accommodation. Residents were happy to discuss the care provided and all gave positive feedback. Residents are encouraged to pursue activities of interest within in the home. Medication records are in very good order with no gaps or errors, demonstrating staff adhere to the homes policies and procedures. Staff were observed interacting with residents in a respectful way. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 6 Staff members on duty were able to demonstrate a sound understanding of the needs and preferences of the residents. An in-depth induction and staff training programme, enhances good practice in the home. 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. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Prospective residents are provided with all the information needed to make an informed decision, prior to admission of the home. Detailed pre-admission assessments enable the service to make informed decisions about whether the home is able to meet the prospective residents needs appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users are admited to Stanhope Lodge following a referral from the placing social worker. The manager or deputy will meet with the person prior to admission and collate relevant documentation, including a Care Management Assessment and relevant health reports. When the initail assessment is undertaken, the prosepctive resident is provided with Stanhopes Statement of Purpose and a pictorial contract, so they are clear about what will be offered. Every new service user to the establishment has two tea visits followed by an overnight stay. This enables the service user to get to know the service and what is available to them. All referrals come through the local CTPLD, which has input from other professionals including a Nurse and Psychologist. An emergency bed is held for West Sussex County Council, and in some cases the home is required to take individuals who are new to Social Services. In Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 9 these circumstances an Implementation Plan is supplied as the minimum documentation. On arrival a Care Plan or Assessment, will be carried out within 24 hours. Each Service User has a Service User Plan based on a full assessment of need. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Individuals and/or their families or representatives are involved in producing detailed care plans, which reflect their changing needs and personal goals. Residents are supported to make choices about their lives. Detailed risk assessments have been completed for each individual in respect of their needs and agreed limitations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents were case tracked during the visit. Evidence demonstrated residents care plans are in place for those who use the service, and are based on information supplied by the Care Management Process and by on going work with the individual. The service user plan is duplicated in picture format to enable those with limited communication skills to understand the care they agree to, within the service. There is a separate risk assessment process and detailed behaviour plan/guidelines are held on each file. Each resdient has a risk assessment Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 11 completed for activities both in and outside of the home. A diary sheet is completed for each service user within the service. There is clear evidence of how choices are offered and in some cases declined. Where the service user has no verbal communication, they are able to make their wishes known by using objects of reference or picture prompts. Limitations on facilities would only apply if their had been evidence that in not doing so the service user or other people within the home would be at risk. Service user files demonstrated care plans, behaviour and risk assessments are updated and reviewed on a regular basis to assist the service users in making decisions and gaining independence within agreed limitations. The ‘In Control’ funding stream has allowed some service user with complex needs to move out of the residential service and achieve more self directed support within the community. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Feedback from relatives and residents reflected positive views about the activities the residents took part in. Relationships outside the home are encouraged and supported by staff. The menus at Stanhope offer a range of healthy balanced meals, although this is limited at present due to reliance on agency chefs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff at Stanhope Lodge support service users to access their chosen daily activities. These include visits to day centres, a local college which offers educational support and work related placements. Each of the service users in the main hostel have a training day and they are supported in undertaking life skills such as cooking, cleaning, personal hygiene and accessing the community via public transport. In the Intensive Support Unit day activites are Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 13 tailored to meet the individual needs and preference dependant on ability. Residents are encouraged to access the local community as often as they wish. The management of the home has worked to forge positive relationships with the surrounding neighbourhood. Feedback has shown neighbours are understanding of the needs of the residents and communicate with the staff if an issue arises. The home is on the main bus route and the support staff encourage residents to access the local transport into town. Each of the residents are on the Electorial Register and receive their polling cards. Staff support them to vote if they wish to. Records show residents are actively encouraged to maintain both family and personal relationships within the home and wider community. Staff communicate with service users in line with their care plans and specialist needs. Discussion with staff and residents demonstrated they are are aware of residents needs and promote choice in all aspects of their lives. One resident stated ‘I decide what I want. Staff know if I am unhappy’. Another fed back ‘I enjoy living here, I can do the things I like’. Residents attend monthly meetings which are facilitated by a local advocacy group worker or staff member. This ensures they have an opportunity to input how the home is run. There is always a main meal cooked in the evening. Menus seen show that meals cater for individual choices and an alternative is always available. Meals offered take into consideration cultural and religious beliefs. Due to the cook being on long term sick, the service has been relying on agency cooks and at times this has resulted in the main meal choices being limited. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents receive personal care and support in the way they prefer, all aspects of this is detailed in their care plans. Medication is stored and labelled correctly. The inspector found that medication sheets were up to date and signed by staff. All staff are trained in this area to ensure good practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the service users are offered support with their personal care as needed. For each person, this is clearly identified as part of care planning and carried out in accordance to the service users wishes. Where a resident expresses views on having the same sex carer, this is facilitated when ever possible. There is no set time for getting up/ going to bed. Routines are dependant on individual need and preference. Service users have a variety of Assistive Technology to assist them to remain as independent as possible. Service users choice of clothes and make up is encouraged and staff support them as appropriate. Where there is an issue of communication, residents are prompted with the use of picture cards and prompts. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 15 All service users have access to a range of health professionals via the CTPLD. Each long term resdient has an agreed keyworker and for service users using the Short Term Break service they are made aware of the duty officer and the staff member who will be working with them for the duration of their stay. Residents files demonstrate service users have detailed Health Action Plans as part of their on going care pans. Each is offered a choice in doctors / dentist and other health professional as appropriate. Service users health is monitored regularly as part of the care planning process, this includes medication reviews. Medication was seen to be suitably stored in a locked cabinet on each unit. Where appropriate, residents manage their own medication following a suitable risk assessment which was seen on files. All staff who administer medication have had the appropriate training by the local pharmacist and as part of their on going training. Medication is dispensed in line with West Sussex County Council new Medication Policy 2007. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The home ensures that both residents and staff are protected through policies and procedures, induction and relevant staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Stanhope Lodge operates a comprehensive complaints procedure. All service users have access to a copy of the complaints process and it is produced in a pictorial format to ensure a clear understanding by residents. West Sussex County Council has detailed guidance on how staff at Stanhope Lodge should respond to individuals complaints or concerns. Each complaint is time managed and monitored by the Councils complaints department. Complaints and Commendations are audited as part of Regulation 26 visit each month. Training records confirmed all the staff at Stanhope Lodge are trained in Adult Protection and this is up dated annually. In addition, all new staff undertake the LDAF induction which also includes training in adult abuse. All allegations of abuse are investigated in line with West Sussex guidelines and the appropriate measures are taken to minimise any stress to the service user. Staff who work in the Intensive Support Unit have been trained in physical interventions (Team Teach) Currently, two members of the ISU team are being trained to become SCIP trainers. This will then be cascaded down to other team members over the coming weeks. Care plans seen during the visit, placed an emphasis on prevention. Use of behaviour guidelines and staff Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 17 identifying and responding appropriately to triggers have meant there have been no cases of physical intervention recorded in the last 12 months. During the last twelve months there has been a Whistle Blowing investigation at Stanhope Lodge in the Intensive Support Unit. This resulted in a set of Ground Rules being implemented for all staff working on the unit. This has ensured there is a clear direction on how to work on the unit and has provided consistency for staff in working effectively with the residents. Recruitment files for staff members were examined. These demonstrated that appropriate checks had been carried out prior to employment. Detailed risk assessments for the residents and the environment were examined during the visit. These were specific to individuals and where possible risks had been identified and reduced or eliminated. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The environment of each unit at Stanhope Lodge is of a very good standard, offering a safe and clean living space, specific to the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since Stanhope Lodge was built in the 1970’s it has had substantial financial investment from West Sussex County Council. This has included two new individual living accommodations specifically built and designed for its occupants and their long term needs. There have also been several refurbishments of shared living areas and bedrooms. There is an on going maintanence programme and the service employs a hanyperson to undertake minor repair and decorative work. As a result Stanhope Lodge is clean, well maintained and is comfortable for service users to live in. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 19 The bedrooms seen, were furnished and decorated to a good standard. The inspector observed residents have their own personal items and pictures in their rooms. All residents fed back that they liked their rooms. Radiators throughout are covered and health and safety notices are in the home. An alarm system on bedroom doors and communal areas is in place to ensure a speedy response from staff should an emergency arise. In each unit there is a good-sized communal lounge/dining area with TV, DVD games and a Hi Fi system. All have patio doors leading to a garden area. Each unit has been furnished to a good standard with plants and pictures throughout. Stanhope has sufficient laundry/sluice equipment to manage incontinence. As all the laundry areas are located off the kitchens, unclean laundry is transported in specific wheely bins. There are policies in place to inform staff of safe practice and infection control. Since the last inspection, the bathrooms have been refurbished in two of the buildings. A new perimeter fence has been erected around the grounds of Holly Cottage to meet the needs of one particular service user. A new fence has also been erected to the rear of building to make the grounds more secure and a new escape ramp has been built from Beech House to the main walk ways. This provides better access for wheelchair users in the event of a fire. A fire alarm and emergency lighting system is in place. Records showed these are checked and serviced on a regular basis to ensure the safety of staff and residents. The inspector examined detailed environmental risk assessments for the premises. All areas within the home, which pose a risk to the occupants, are identified and ways for these to be eliminated or reduced have been implemented. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Stanhope Lodge has an efficient recruitment procedure in place. The staff employed to work at the home receive excellent training opportunities to meet the specific needs of the residents. The inspector concluded the resident’s benefit from a well supported and effective staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff who are employed to work at Stanhope Lodge have extensive training. All new employees are placed on the LDAF induction courses. Following this they are required to complete the National Vocation Qualification Levels 2/3, as well as the in house mandatory training provided at Stanhope Lodge. In addition to this, West Sussex Council provide opportunities for additional training, specific to residents specialist needs. The recruitment process at Stanhope Lodge is set out by the Human Resources department, and follows strict guidelines. All applicants have to have a formal interview with staff members followed by an opportunity to meet the service users who live or access the service. Four staff files were examined during the visit and each contained detailed and Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 21 relevant documentation including a CRB check. Records of meeting minutes and feedback from staff confirmed they attend regular staff meetings. All staff spoken to praised the management for their supportive and inclusive approach. The inspector concluded, following observation and discussion with the staff on duty, that they were clear about their roles and responsibilities within the home. Those spoken to were committed to their work and to ensuring good standards for the residents. The home currently has two staff vacancies, and only employs known agency workers to ensure consistent practice. Feedback, recording, staff interviews and observations led the inspector to conclude that the staff functioned effectively as a team and were supported by the management in doing so. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Good practice in the home was evident. This is supported by efficient administrative systems, which promote the health, safety and welfare of the residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has obtained relevant qualifications including the Diploma in Social Work and Registered Managers Award. He is fully competent to undertake the duties as manager of the service. The Registered Manager takes responsibility for the overall Health and Safety of the service users and the staff group. Some areas of responsibilty are delegated to nominated officers. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 23 During the visit all safety records at the home including, fire records, staff records and training, maintenance records, individual and environmental risk assessments, accident book and incident sheets were examined. They were all up to date and in good order promoting the welfare and safety of the residents and staff. The service has an Annual Development Plan in place, which clearly identifies the aims of the service and how outcomes will be achieved. The Development Plan has been passed to the advocacy service for them to discuss with the service users and gain feedback at the monthly house meetings. Policies and procedures were reviewed and updated earlier this year. Information on new legislation is passed down to the staff team in staff meetings. Residents, parents and carers are informed of any changes in legislation through Parent and Carers Consultations or Communication Evenings. For service users who are unable to manage their own finances the Receivership Department for WSCC are enlisted to act on their behalf. Some Parents still act as appointee for their son or daughter. Discussions and observations confirmed staff are given clear direction in their roles and good working practices are promoted through staff support, meetings and on going training. One staff member stated he felt the management were ‘very supportive and easy to talk to’. Records demonstrated staff received monthly supervision and interviews with staff confirmed this. Overall the care provision at the home is of a very high standard and the conduct and management serves the best interests of the residents and staff. Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 4 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 3 4 4 4 Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Stanhope Lodge DS0000037453.V338782.R01.S.doc Version 5.2 Page 27 - 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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