Inspection on 24/10/07 for The Holt

This inspection was carried out on 24th October 2007.

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

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

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Lodge Heath Farm Heath Road Scopwick Lincoln Lincolnshire LN4 3JD Lead Inspector Wendy Taylor Key Unannounced Inspection 24th October 2007 08:50 The Lodge DS0000069858.V342235.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 The Lodge DS0000069858.V342235.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. The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Address 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) Heath Farm Heath Road Scopwick Lincoln Lincolnshire LN4 3JD 01526 320312 autismcareuk.com Autism Care (UK) Limited Ms Zoe Elizabeth Armstrong Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only - care home only - Code PC, to people of the following gender either, whose primary care needs on admission to the home are within the following categories: Learning disability, Code LD. The maximum number of people who can be accommodated is 10. 2. Date of last inspection Brief Description of the Service: The Lodge is located near to the village of Scopwick, and is approximately 10 miles from the town of Sleaford, Lincolnshire. It is part of a complex of services, which include three other registered homes and a main administration centre on the same site. In the village of Scopwick there is a village shop and pub, and Sleaford offers a good range of shops and other amenities. The Lodge is registered for 10 people who have Autistic Spectrum Disorder and a learning disability. The accommodation is a spacious single storey building, which offers a range of living and recreational areas. The Lodge is owned by Autism Care (UK), and the Responsible Individual for the service is Mrs Maggie Sykes. Ms Zoe Armstrong is the Registered Manager. Information provided by the Registered Manager shows that the current fees for the service range from £ 1904.51 to £4036.56 The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key unannounced inspection since The Lodge was registered in April 2007. The visit took place during October 2007 and lasted for approximately 7 hours. Ten people were living at the home on the day of the visit. The care and support received by two service users was followed in detail, using a method called case tracking. The service users currently living at the home have communication needs and were not able to fully express their views about the service, therefore case tracking included spending time with them and observing the care and support they received. Their care plans, medical records and daily notes were looked at, as well as some general house records and staff records. Staff and the registered manager were spoken to during the visit, and information already held by the commission, such as a self-assessment and notifications was also used as part of the inspection process. During the visit some service users were enjoying activities such as going for walks, and one service user was baking. Relatives and other professionals indicated in surveys that they were very satisfied with the services provided, and they thought that service users are very well cared for. Comments were made such as ‘they give a true sense of being at home with friends who care’. Other comments can be seen in the body of the report. What the service does well: This is a well managed and organised home, with staff who know the service users needs very well. There is a very good training package for staff, which helps them to meet service users needs. Assessments and care plans contain detailed information about service user’s likes, dislikes and needs, and staff make sure that they get good access to health care services. Staff also make sure that service users have a range of healthy food to choose from. Service users are supported to make choices, and they are encouraged to be as independent as possible. There is a very good system in place, which uses pictures to help them do this. There are plenty of activities and outings for them to enjoy, and they are supported to keep in touch with their families. Staff also help them to build good relationships with the local community. The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 6 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. The Lodge DS0000069858.V342235.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 The Lodge DS0000069858.V342235.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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Very detailed and individualised assessments make sure that service users get the right support. Clear and accessible information helps them and their representatives to make an informed choice about where to live. EVIDENCE: An up to date statement of purpose and service user guide are available to service users and their representatives. A copy of the service user guide is in each service users file and it contains pictures of things like the home itself and some of the activities that take place. Pre inspection information shows that there are policies available for referral and admission procedures, both of which are summarised in the statement of purpose. The registered manager said that there are plans for the near future to develop a questionnaire to evaluate the admission process. Surveys received from relatives and care managers indicate that they were given plenty of information about the home and they were involved in assessment processes. The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 9 Assessments are in place for each service user. They are completed in full and contain lots of details about the service users likes, dislikes and needs, for example, whether they prefer male or female carers to support them. The assessments are arranged into three sections which highlight health needs, risk and specialist needs. The three areas include details about the person’s well being, spiritual and cultural needs, social needs and behavioural needs. There are also assessments, which cover things such as motivation and sensory needs. Assessments include personal profiles, which give details of contact with family and friends, input from social workers or health professionals and how the person communicates. The assessment records show that service user’s representatives are involved in the process. The Lodge DS0000069858.V342235.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): 6, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have excellent support to make choices about, and manage their daily lives in a way that meets their assessed needs. They benefit from very detailed and comprehensive person centred care plans. EVIDENCE: Care plans are in place for each service user. They clearly show which part of the assessment process the information has come from, for example health or risk assessments. Needs such as behaviour, activities, independence and personal hygiene are planned for. There are also plans to support service users with decision-making processes as highlighted by recent government legislation (Mental Capacity Act, 2007). General information about decisionmaking and how to support service users is available in the house. Pre inspection information shows that there are policies in place for care planning and review, privacy, dignity and choice, and service user participation. The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 11 Care plans tell staff how privacy and personal space is to be managed and how the service users want to be supported. They also clearly show individual choices, for example one service user chooses to have a specific type of bed. Care plans are made available in picture format so that they are accessible to service users, and they also have detailed person centred plans in their bedrooms, again in picture formats. These plans contain lots of photographs and pictures to show what the person likes to do, who is important in their lives, and what their hopes are for the future. Records show that staff are trained in how to develop and use person centred planning systems, and a personal facilitator is allocated when a service user moves into the home. The specialised system of assessment and care planning used within the home helps service users to communicate their needs and wishes through visual methods such as pictures, and it breaks tasks down into simple steps so that service users can have more independence. It also helps service users to have a better understanding of how their day is structured, for example when phone calls to family are to take place or when they are going to join in an activity. Representatives of the service users have copies of care plans and they sign to say they agree with them. In surveys they indicate that staff are always alert to changing circumstances and review the plans accordingly. Records show that care plans are reviewed regularly and the reviews involve all of the people important in the service users life. Keyworkers also review plans on a monthly basis and any changes to plans are highlighted in red ink for a period of one month, so that every one becomes familiar with the change. Care plans are also monitored by way of a detailed shift handover procedure (see Standards 37-43). During the visit staff were able to describe issues about equality and diversity very well, for example choices of male or female carers, or preferred names. They were also able to talk in detail about how they manage privacy and dignity for individual, especially when they are out on trips. They demonstrated a very detailed knowledge of each persons needs and what care plans are in place for them, for example preferences for specific coloured bedding. They were observed to consistently implement care plans in a calm and unhurried manner. The Lodge DS0000069858.V342235.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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from balanced menus that meet their needs and choices. They also enjoy a very varied social life within the local and wider community. EVIDENCE: Individual activity plans are available for service users. During the visit staff were seen to support service users to join in tasks and activities by using the specialist system of communication (see Standards 6-10). Activity monitoring forms are also in place and they include information about how the person enjoyed the activity and what reinforced their participation. One member of staff is identified as an activity co-ordinator, and there is a specific job description for the role, which includes planning activities inside and out of the home, reviewing timetables to make sure they remain appropriate to need, and maintaining a resource folder for places of interest and activities. The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 13 Records show that activities such as horse riding, walks, trampolining, aromatherapy and a range of day trips and holidays are available to service users. During the visit service users were joining in things like baking cakes and going for walks; and staff responded quickly and appropriately to service users changing their choice of activities. They were also being supported to take part in household activities such as clearing tables after lunch. Pre inspection information shows that the range of activities has increased as a result of listening to service users and their representatives, for example barge holidays and regular hire of a bouncy castle; and an extra vehicle has been obtained. The registered manager described autism awareness sessions that have been provided for the local community so that there is an understanding of service users needs. Pre inspection information shows that there are policies in place to encourage service users to maintain contact with their family and friends. Through surveys relatives said that they are kept very well informed and they get letters every month to keep them up to date. They said that staff create a ‘family atmosphere’ for visitors, and they prepare for family visits to make them enjoyable. Care plans reflect family involvement with, for example, telephone calls scheduled as part of the service users routines. Three weekly guide menus are in place, which demonstrate the availability of choice and good nutrition. The wide range of foods that are available in the kitchen further demonstrates the element of choice. A service user described how they choose their own meals, as there are things that they do not like to eat. Service users had their meals in a variety of areas around the home depending on need and choice, and staff ate with them. Specific arrangements for meal times were clearly recorded in care plans, and again staff demonstrated an in depth knowledge of service users likes and dislikes. The Lodge DS0000069858.V342235.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): 18, 19, 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are very good systems in place to make sure that service user’s health and personal needs are met; and that they have access to a wide range of health care services. EVIDENCE: Service users have individual health action plans in place, which cover needs such as sleep, diet, personal hygiene and medication. Where specific health needs are identified, for example continence or epilepsy, there is background information and training available about the condition. The health action plans cross reference with general care plans, and they demonstrate that service users have access to services such as psychology, psychiatry, specialist dentists, chiropodists and opticians. There are individual protocols available to support service users with their specialist needs in the event of a hospital admission. The registered manager described a recent situation where the protocol was effectively used, and records confirmed this. Records show that health needs and any input from health related services are reviewed on at least a monthly basis. Pre inspection information shows that there are policies The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 15 available for issues such as continence, first aid, pressure relief and medication. Staff have set up monthly well woman/man clinics within the home, with support from their local GP services. This means that service users have regular checks for issues such a weight and blood pressure. Records also show that there are regular medication reviews with GP’s or psychiatrists. Medication administration procedures and records were completed satisfactorily on the day of the visit. Protocols for the use of medication to be taken only where necessary are in place, and they give clear details of why and when the medication is to be administered. Staff also complete detailed observation records when they have administered such medication. Records show that staff and the local pharmacist carry out regular medication audits. The registered manager described the procedures to be followed if a medication error occurs, including staff supervision and retraining where appropriate. Records show that all staff who administer medication have received training in the subject. The Lodge DS0000069858.V342235.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): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Knowledgeable staff and robust policies and procedures protect service users. EVIDENCE: Pre inspection information shows that there are policies in place for subjects such as accidents, dealing with violence and aggression, whistle blowing, management of service users money, complaints and safeguarding adults. The information also shows that there have been no complaints made about the service since it was first registered. The complaints procedure is available in word and symbol formats, and is part of the information contained in the service user guide. There is also an up to date copy of Local Authority guidance and procedures for Safeguarding Adults. Records show that staff receive training within their induction programme about how to keep service users safe. They confirmed that they have received this training, and they were able to demonstrate a clear knowledge of the principles and procedures. Surveys from relatives indicate that they are aware of the complaints procedure, and they say staff deal with any concerns they might have in an appropriate manner. Care plans and assessment records include information about safety for service users and they show that service users are supported to make decisions (see Standards 6-10). Records of accidents or incidents give detailed descriptions of the situations and their causes. They also include The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 17 body charts to show clearly if any injuries occurred. Reviews of the incidents are recorded, together with any actions taken. General risk assessments are in place to cover issues such as entering and leaving the main site and decorating arrangements (see also Standards 37-43). The Lodge DS0000069858.V342235.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): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe and comfortable environment that meets their needs. EVIDENCE: A partial tour of the building showed the home to be very clean and tidy, and cleaning materials were being used and stored safely by staff. Hand washing facilities are available around the home, and again staff were seen using them appropriately. Pre inspection information shows that there is an infection control policy in place and most staff have received training in infection control. The registered manager showed that general maintenance is up to date, for example, repairs to electrical sockets; and there is a maintenance programme in place. Fixtures and fitting around the home are designed to promote dignity and safety for the service users for example, magnetic curtain rails, privacy The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 19 screening on windows and protective covers for electrical equipment. There are information boards in some areas of the home, which contain details of service users activity plans and daily routines, which helps them to be more independent and reduce their anxieties. Individual bedrooms are well personalised and reflect the needs and choices of the service user with, for example, family photographs, TV’s, stereo equipment and art work (see also Standards 6-10). The Lodge DS0000069858.V342235.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): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment, training and support processes for staff, protect service users and ensure that their needs are met. EVIDENCE: Records show that staff receive general training in subjects such as fire safety, first aid, mental capacity, confidentiality, moving and handling, health and safety. They also show specialist training in subjects like autism awareness, epilepsy, behaviour management and communication systems; and access to courses leading to nationally recognised care qualifications. Through discussions and surveys staff confirmed that they receive this training, and they also said that access to training in general is very good. The registered manager spoke about individual members of staff having extra roles as inhouse trainers for things like fire safety and behaviour management, which helps to keep the team up to date. Staff said that the communication within the team is very good and every one is kept up to date through, for example, good handover procedures, relevant The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 21 records and staff meetings. Minutes of staff meetings show that subjects such as dignity for service users, handover procedures and health and safety are discussed. Staff also said that they receive regular supervision, which was confirmed by records. They said that they find supervision very useful for developing their practice, and they can also get advice and support from colleagues in between formal sessions. They were able to demonstrate clear and detailed knowledge of individual care plans and risk assessments, and what individual service users like and dislike. Recruitment records for three staff members were looked at and they contained information such as references, criminal record bureau checks, identification and application forms. Pre inspection information shows that there are policies in place for things like recruitment, supervision, and raising grievances. Relatives indicated in surveys that staff are very well trained and they demonstrate professional skills at all times. The Lodge DS0000069858.V342235.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): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and organised. The safety and quality assurance arrangements ensure that the home is run in the best interests of the service users. EVIDENCE: The registered manager has worked at the home for the past seven years in various roles such as care worker and team leader. She currently holds the Registered Managers Award and has a nationally recognised care qualification. She is also a senior instructor in behaviour management approaches. Staff said that she is very supportive and will listen to whatever they have to say. The registered manager and staff also said that there is an allocated work related stress co-ordinator within the team. This role includes supporting staff The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 23 following stressful events, and reviewing incidents with regard to prevention and best practice. Daily records include very clear and detailed information about any care plan changes, medication changes, incident/accidents and a general overview of the service users day. The registered manager or senior staff reviews the records at the end of each shift, and they form the basis of the shift handover process. This handover process also includes allocation of staff to work with specific service users to maintain continuity. Staff were able to demonstrate that the allocation of staff is based firstly on the service users preferences. The home is accredited with a national organisation as a provider of quality services for people with autism. Records show that regular quality audits are carried out for issues such as health and safety, service user finances, complaints and care plans. Satisfaction surveys are also undertaken with staff, relatives and other people that support the service user, such as social workers. Surveys carried out by the commission, prior to the visit show that there is an overall satisfaction with the services provided. Comments were made such as ‘they provide excellent care and service’, ‘cannot fault them’, ‘they continually monitor themselves’. Fire safety checks and an up to date fire risk assessment are in place, as well as data sheets for substances that are hazardous to health. There are also risk assessments in place for needs such as swimming, road safety and community presence. The Lodge DS0000069858.V342235.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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X The Lodge DS0000069858.V342235.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 The Lodge DS0000069858.V342235.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 The Lodge DS0000069858.V342235.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. 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!