Inspection on 09/10/06 for The Lodge

This inspection was carried out on 9th October 2006.

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

The Lodge 10/10/05

The Lodge 15/04/05

The Lodge 26/10/04

The Lodge 24/05/04

The Lodge 08/12/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Lodge Clayton Road Clayton Newcastle Staffordshire ST5 4AD Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 9 October 2006 02:00 The Lodge DS0000005016.V312791.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 DS0000005016.V312791.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 DS0000005016.V312791.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Address Clayton Road Clayton Newcastle Staffordshire ST5 4AD 01782 616961 01782 254001 thelodge@choicesha.co.uk 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) Choices Housing Association Limited Mrs Dawn Patricia Hughes Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2), Physical disability (4), of places Physical disability over 65 years of age (2) The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users admitted must have a Learning Disability or a Learning Disability and a Physical Disability. 10th October 2005 Date of last inspection Brief Description of the Service: The Lodge is a detached bungalow set in its own picturesque and well maintained grounds, located on a busy main road, which gives easy access by car or bus to the town of Newcastle-u-Lyme, approximately 11/2 miles away. It is also close to a variety of local shops. It provides accommodation for four adults who have a learning difficulty, and sets out to be as domestic in character as circumstances allow. There is a small private car park. The home consists of two single and one shared bedroom, a large lounge, kitchen / diner, a shower with WC, and a fully adapted toilet / bathroom and a small laundry. The building is in a good internal and external state of repair and all furnishings and fittings are appropriate and in good condition. Choices have a commitment to the personalisation of residents bedrooms that reflects the individuals special interests and hobbies. Redecoration and minor maintenance is carried out by the handyperson, and larger tasks are undertaken by outside contractors. Other privately owned properties, and a large comprehensive school close by do not intrude on residents privacy. All areas of the home facilitate wheelchair access. The staff members have worked hard to successfully create a domestic atmosphere. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the unannounced key inspection for the 2006/2007inspection year, and took place on the afternoon and early evening of Monday 9th October. The Registered Care Manager was on duty, as where to members of care staff, and a supernumerary nursing student who was on placement from Keele University. All four current residents were present in the home, the youngest of whom was just finishing his lunch. The home continued to display the most domestic style of accommodating the residents that was possible, and during the time of this visit carers were observed to be treating the gentleman with sensitivity, dignity, and a sensible appreciation of their needs linked with a genuine effort to maximise their choices. The inspector was not able to hold any extensive conversation, as only one in resident has an easily accessible level of verbal communication. Staff, who have the advantage of daily contact with the gentleman, were observed to be using extensive knowledge of body language, and the restricted vocabulary of residents, in a most skilful way to determine their opinions, choices, and care needs. The home was clean, tidy, warm, and welcoming, with a level of activity, intervention, and assistance, that was pertinent to the individual lifestyles, and needs, of the current group of residents. This report is founded upon the outcome of observations made at the time, on discussions with members of staff and one resident, on information gathered since the last inspection (including regular monthly reports from the providers), and from a formal staff interview undertaken during the afternoon. There will be no requirements as a result of this inspection, and has no areas of intermediate or major concern were raised. There will be a recommendation that the radiator in the kitchen/diner be made safe against the possibility of accidental burning, in spite of the inspector had been assured that this was hardly ever turned on, and that it had not been commented on by a recent visiting and environmental health officer. What the service does well: The home content used to meet the needs of four residents with profound needs due to a Learning Disability, in the least institutional way possible. It provides them with a high level of privacy, independence, and one to one care. Records and discussion demonstrated the investment of vast amounts of time in order to enhance the potential of residents, and those risk assessments examined had been used to enable an activity, rather than prevent it. The Lodge DS0000005016.V312791.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 DS0000005016.V312791.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 DS0000005016.V312791.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): 2, 3, and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Records demonstrated that full and proper assessments had been undertaken, and members of staff were seen using a variety of means of communication, and contracts had been individually personalised. EVIDENCE: The last admission to this home had taken place in 2003, but a review of that gentlemans person centred care plan demonstrated with a very full and complete care management assessment had been received by the home at the outset and of negotiations for his admission. The Registered Care Manager and then met him and undertaken her own assessment, and on the basis that neither of these indicated anything in his needs and choices that could not be met by the home, she initiated a program of introduction for him, with visits that gradually extended to overnight stays in the home. Continuing improvement in the way the service seeks to communicate with those people in their care had led to this gentlemans contract and statement of purpose being recently amended to include a high degree of picture format, which he said was “much better”, as it helped him to understand them. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 9 This commitment to improve communication was further observed during the inspection in the introduction of Makaton symbols in the person centred plan of another resident, who used to this medium as an aid to expressing himself. There was also a quite extensive list of words and phrases that he was able to utter, together with the meanings, that observation over many years had indicated, that he intended to convey, but which were not the generally understood meanings. The Lodge DS0000005016.V312791.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, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspectors took a sample care plan and reviewed it in detail. This included not only the original care management assessment, but also the ongoing reviews and necessary reassessments that have taken place in the home. It set out how current and anticipated specialist requirements would be, and had been met, including any restrictions on freedom that risk assessment and agreement had shown to be necessary. There were modules covering agreed procedures for intervention for various behaviours, and for the management of conditions associated with the specialist needs of those with a learning disability, and any general health needs pertinent to the individual. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 11 The There was a very detailed social history, in a row including how contact was being maintained her with those people who had shared his past life in large mental health institutions. In response to his limited ability to communicate verbally, there was a very full communications plan and matrix of his existing phrases and words, and the meanings that he intends to convey by, as determined by the extensive and constantly reviewed knowledge of the care staff working with. Included in this was the extent of his ability to use Makaton. Another feature deserving positive comment was the record of what would constitute a good day in the life of this resident. There were also references to the activities he undertook, to the access he had to the community, to the meeting of his religious needs, as well as all those specialist, general, and tertiary health care appointments so necessary in maintaining the balance of his health. Reference was made to his key worker, to other visiting professionals who assisted in his care, such as the nurse practitioner who called to see him during this inspection, and to the observation and recording of his responses that informed the determining of his choices in any matter. This gentleman would have been unable to manage his own finances, and his accommodation costs and personal allowance where managed for him under the nomination of the chief executive. Life history books have been commenced for all of the residents, and one of the more verbally able gentleman told the inspector: I like to look at my storybook. The Lodge DS0000005016.V312791.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, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: None of the gentleman who resides in this home would be able to undertake, all benefit from being in employment. One gentleman benefits from two sessions each week at a specialist today centre in a neighbouring town, and transport is arranged to allow him to do this. In the activities sheets that are included in each Person centred care plan it was seen that each person was included in as much valued and fulfilling activity as was commensurate with their ability and personal choice. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 13 One gentleman was helping to cut up the potatoes for the evening meal during this visit, and most assisted the staff on duty by taking those clothes that needed washing to the laundry each day. A key worker had recently taken one of the residents to Manchester in the providers minibus so that he could see a concert of the pop group Mc Fly. He told the inspector that he had liked that, and I am going to see West Life in a few weeks. The risk assessment had been reviewed in the care plan of the gentleman who was taken to church, to reflect the danger to both himself and the accompanying member of staff, from the slippy nature off the pavement between there and the home, and his access was now been facilitated by use of a taxi. (There were pictures in his care plan showing his participation in church activities, and the general support of the congregation.) During the afternoon one resident spoke to his mother on the phone, and confirmed that he did this on a regular basis, and enjoys visits both to and from members of his family. The robustness of the personalities of the residents would in itself have ensured that staff interactions was through them and not exclusively with each other, and it was observed during the afternoon that two residents were able to choose to have some time alone in their rooms, one for an afternoon rest, and one to enjoy his Snoozelan equipment. The gentleman living in this home has a variety of dietary needs, which were seen through documentation and observation to be met by a combination of experience, and the assistance of relevant outside professionals. One gentleman had recently needed substantial medical assistance and review, and was now restoring his weight with a purified diet, and added supplements. During the afternoon the evening meal was being prepared, with the assistance of the most able of the residents, and this was observed to be wholesome, nutritious, and attractive. The meal was taken out of the recently renewed kitchen/diner table, where there was provision for the use of both dining and wheel chairs. Assistance was given to insure that sufficient food was consumed, and to help guard against the risk of choking, and this was done in a dignified, sympathetic, and professional manner. The Lodge DS0000005016.V312791.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 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the afternoon the inspector was able to observe sensitive and the dignified support being given to all of the rest of us whilst they were being assisted or receiving help with personal care tasks. The intimate tasks such as meeting personal hygiene needs were performed in private, and during a formal interview with one of the carers on duty, it was established that for those residents who were unable to make a cogent verbal statement of their preferences, observation of their response to intervention was noted and used to establish a record of their preferences in this matter. All residents have access to wheelchairs, and when first opened, the home had been adapted for their easy access, together with the provision of other mobility aids such as grab rails in bathrooms and toilets. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 15 Examination of the care plans confirmed the input of appropriate therapists, most recently the speech and language therapist had been advising on the best procedure for the gentleman who was having choking problems with his food. All residents were registered with the general practitioner, and was discussion with the care manager about some concerns expressed in the June quality report that had been sent to The Commission for Social Care Inspection. This had indicated that problems had been experienced with access to the GP service, but it was explained that there had been a positive outcome to this, and that the men received domiciliary visits rather than having to go to the surgery which was not equipped with the necessary hoisting equipment to help them safely get out of their wheelchairs. There were many and varied modules in the care plan is concerning provision to meet the health needs of the residents, and these included the management of diabetes, the provision of an annual O K. health check, mobility matters, behavioural issues, continence, and hearing. None of the current residents manages the administration of their own medicines, and it was confirmed by reference to the training plan that everybody working in the home was accredited to do this on their behalf. Medicines were obtained and stored in the bottle or box to a person format, and were kept in a locked wooden cabinet in the care managers office. In the period since the last inspection all staff had undertaken specific training to equip them to cope with loss and bereavement. This was seen in the training plan, and confirmed by the carer engaged in the formal staff interview. The Lodge DS0000005016.V312791.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: They formal interview was undertaken with a member of staff who was questioned about the protection of the vulnerable adults who lived in the home, and their ability to complain about anything that concerned them. She confirmed that she had undertaken training during her induction, which was also a feature of the national vocational training levels 2 that she had completed. When asked who could abuse the vulnerable adults in the care she answered simply We all could. She also correctly identified that if she were to suspect somebody had been abused, then having ensured their immediate safety, her next step would be to inform her line manager without delay. She did not appear to be aware of the Vulnerable Adults Policy agreed between all agencies, but are informed and instinctive responses closely followed the direction in this document. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 17 In relation to the detection of concerns and complaints, she and the care manager emphasised the depth of knowledge among this staff group of the non-verbal presentation of the men within their care, a factory which would enable them to quickly spot if somebody was concerned about something, and to react to this. Turning to the documentation, the inspector was able to review complaints procedure information that had been produced individually, using aids that were most appropriate to each of the current residence. No complaints have been received about this service during the period since the last inspection. The Lodge DS0000005016.V312791.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, 26, 27, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On arrival at the home, the inspector conducted a cursory visual examination of the state of the exterior, and did not see anything that caused him concern about the fabric or decoration of the home. This building was a lodge to what is now a large comprehensive School, and is well established in the community as being in keeping with the rest of its surroundings. It fronts a busy main road, and in care plans reviewed and in discussion with the staff it was established that risk assessments are cognisant of the environmental dangers attendant upon this. Part of the grounds that are unobtrusively enclosed to provide safe exterior space for the residents. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 19 The rest is given over to car parking and drive space, with a large chalet style storage shed whose usage the home, and the maintenance department of the providers. Their coming and goings were observed to provide the men with positive interest and enjoyment, and in no way detracted from their privacy. The bedrooms were seen to have suitable and sufficient furniture and fittings, and to be refurbished on a regular basis and/or to meet the changing needs of the residents. They were spacious and airy, and had sufficient space to enable staff to assist the occupants in all their assessed needs and choices, but were decorated and furnished in such a way that they were also home my. They were well provided with both natural and artificial light, and the gentleman who was able to understand and benefit from this had a key to his room. New flooring had been provided in both the conventional bathroom and shower room, as had new tiling to the walls. Suitable devices had been fitted to override the Tennessee locks in case of need, and disability equipment including hoists, shower chairs, and grab rails have been provided through the approved channel of professional assessment, fittings, and training for the use thereof. During the formal staff interview, dignified and empathetic account of how a resident would be days, including attention to matters of health and safety, dignity, enjoyment, and reassurance. Her responses indicated that within these parameters the resident would be encouraged to retain as much independence as possible. The premises were clean, hygienic comer and free from offensive odours, and cleaning plans and those for hygiene and infection control were discussed with staff and deemed to be sufficient and appropriate. The Lodge DS0000005016.V312791.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, and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of the records relating to recently received and immediately planned training in all areas revealed that staff were receiving sufficient import to enable them to have the competencies to meet the assessed needs and choices of their residents. This was further confirmed by examination all the stuff records, and by discussion with the carers on duty. The home of more than meet the requirement for the percentage of staff who have attained NVQ level 2 or above, and the care manager was able to demonstrate her own commitment to continued lifelong learning. The inspector was able to confirm both by observation of the records and by discussion during the formal stuff interview that residents were protected by the use of a thorough recruitment procedure based on equal opportunities and diversity. Written occupational and character references had been obtained, criminal records bureau checks undertaken, and extensive induction furnished, the receipt of which had to be verified by the new staff member. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 21 The staff member interviewed stated that she had both a job description and a written contract, and that her employers respected the terms and conditions of her engagement. Training was recorded as having been given at appropriate intervals to allow staff to be remaining accredited in the following subjects: Moving and handling; Fire safety; First aid; Food hygiene; Sexuality; Infection Control; Drug Competency; Abuse; Record-Keeping; Loan Working; Loss and Bereavement The Management of Behaviour Blood Glucose Monitoring The Management of Actual and Potential Aggression and the program of formal introduction training was seen for a recent starter. The Lodge DS0000005016.V312791.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, 37 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The commission of the social care inspection had been furnished with an annual quality report and development plan prior to this inspection. Using this various items where discussed with the registered care manager, and satisfactory responses were received. The providers also regularly send copies of their regulation 26 monthly visits reports to the commission, and these form a useful base when planning the inspection. Evidence was seen of questionnaires being sent out to relatives and supporters of the residents of the home, and comments had been received from a range of sources. The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 23 The registered care manager has substantial experience both in managing a home for people with learning disabilities, and for working at other levels in that service. When the providers first opened their business she transferred directly from nursing in the N H S, and has since obtained NVQ level 4 in both management and care, and is a first level registered nurse. The record showed that could to see in revising medical procedures was in place, and that appropriate risk assessments were being both activated and review would. There has been no recent visit by the fire officer, and no outstanding issues were identified during this inspection. Quality improvement planning was documented, as was the regular servicing and maintenance of equipment in the home. This included the sending away samples of water to be analysed for legionella. The Lodge DS0000005016.V312791.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 X 2 3 3 3 4 X 5 3 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 4 25 X 26 3 27 3 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 4 3 X 3 X X 3 X The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 25 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 RECOMMENDATIONS The Lodge DS0000005016.V312791.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 DS0000005016.V312791.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!