Inspection on 18/01/07 for The Lodge, Plymouth

This inspection was carried out on 18th January 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

The Lodge, Plymouth 01/02/06

The Lodge, Plymouth 05/05/05

The Lodge, Plymouth 09/11/04

The Lodge, Plymouth 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Lodge, Plymouth The Mencap Centre 207 Outland Road Plymouth Devon PL2 3PF Lead Inspector Kim Fowler Unannounced Inspection 18th January 2007 09:30 The Lodge, Plymouth DS0000003445.V310331.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, Plymouth DS0000003445.V310331.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, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge, Plymouth Address The Mencap Centre 207 Outland Road Plymouth Devon PL2 3PF 01752 773333 01752 796299 admin@plymouthhighburytrust.org.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) Plymouth Highbury Trust Ms Linda Dorothy Strong Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users with a learning disability some of whom may have a physical disability Age 18-65yrs Date of last inspection 1st February 2006 Brief Description of the Service: The Lodge is a care home providing personal care and accommodation for three people with learning disabilities. It is owned by the Plymouth Highbury Trust, which is a voluntary organisation, affiliated to the Royal Mencap Society. This home is located in the residential area of Peverell, close to shops, pubs, the post office and other amenities. The home was opened in 1995 and consists of a two-storey building situated on the site of the Plymouth Mencap Society, where there is also another care home and a day centre owned and managed by the Society. All the home’s bedrooms are single, on the 1st floor and none of them have en suite facilities. On the ground floor there are separate lounge and dining rooms. The home has an attractive patio and garden accessible to all the service users, shared with the other facilities on the site. The home is staffed 24 hours a day and has sleep in staff at night. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day. And the Registered Manager was available during the afternoon of the inspection to assist the inspector with changes made within the home. A full tour of the building was undertaken and the inspector spoke to all 3 of the service users. The staff that were on duty at the time were spoken with. Documentation relating to the care planning process and the management of the home were examined. Three service users and five staff comment cards were received as well as one relative feedback card. Any comments are discussed in the relevant section of the report. What the service does well: 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, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 6 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, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 7 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users can be assured that the home will complete a detailed assessment that will assist staff to meet their individual needs. EVIDENCE: The home has had no new admissions since the last inspection. However the home was able to produce a pre-admission questionnaire to be completed if the need arises. All service users files were examined as part of the inspection process. One service users file that was examined contained a completed pre-admission questionnaire. This file also contained the Local Authority assessment and Care Plan. These documents provided all the relevant information required to meet the assessed need of this service user. All service user files contained comprehensive information that detailed service user’s care needs. These are readily available to staff and enable them to be sure of meeting the care needs of service users. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 8 Completed assessments are important to assure that not only can their health care needs be met but also their emotional, social, cultural or religious needs. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 9 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 good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the homes system of Service User Planning will provide information that enable staff to meet their care needs. EVIDENCE: The service users and staff benefit from having a SUP (Service User Plan) on all files. These SUP’s show a breakdown of the services and facilities provided by the home. These plans provide staff with the information on how to care for each service user and ensure continuity in care and have been completed to enable staff to carry out their duties. And ensure all aspects of health, personal and social needs were met. Some files contained a Care Manager’s assessment and a care plan review form. Both signed and recently dated providing evidence that these are updated and reviewed regularly. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 10 All files held information on specialist input to individual service users. The reports held included reports from SALT (Speech and Language Therapist), dementia screening and hospital appointments. One staff member who acts as a key worker for service users stated they had escorted service users to hospital appointments when required. The recorded information held on all files showed when staff attended the hospital appointment, the treatment carried out and any follow up information needed to provide care to this service user. Recorded into each file is the named key worker for each service user. Each key worker is there to assist service users with completion of individual care plans and an overview of individual needs. Due to the needs of the service users in the home the key worker assist the service users with any decision making. Observation during the inspection showed that one service user accesses the community when they wish. Other service users were encouraged to use the kitchen to choose what they wish for lunch. From discussion with the manager and staff collecting service users for day services it was clear that they encourage service users to make everyday choices. Service users informed the inspector that the staff always asks them about attending the day care centre and on planning outings. Observed during the inspection was a staff member asking a service user if they wish to attend the day service. All Risk Assessments held on individual files cover all aspects of the service users life. These included outside activities like walking and swimming. All file showed evidence that they had completed risk assessments and had been reviewed and changed as needed. Risk assessments describe Manual Handling and Health and Safety processes. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the home will provide support for them to access the local community as well as many leisure activities. The staff and menu confirm the home provides good quality, wholesome and a choice of food in this home. EVIDENCE: Due to the planned reductions in many of the local day service many services users now have limited placements for day care. However Plymouth Highbury Trust has set up its own day care service in a vacant building within the grounds. One staff member who was working at the day service was spoken with during the inspection. The service user who was leaving to attend this service stated that they enjoyed their time there and saw many of their friends. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 12 One service user comment card received at the Commission wrote under, can you do what you want to do, made the comment, “I enjoy my trips out with my friends at the Lodge”. Service users files contained an activities list showing what service users did and were service users go each day. The activities included housekeeping tasks around the home, local walks and shopping. The staff and manager confirmed that each service user is encouraged to assist with household task where possible. One staff member was observed assisting service users prepare lunch. The home uses shops and pubs to access the community and local walks for some recreation activities. The staff that were interviewed confirmed that additional staff are provided for holidays and days out. This ensures that the service users have access to adequate staff for their safety. One service user informed the inspector that they had enjoyed their holiday last year and were planning this year’s holiday with the manager. All files showed details of family involvement for each service user. This included recorded details of family visits and their attendance at the service users review of the care provided. One service user was able to inform the inspector that they saw their mother regularly and files showed that dates and times of visits were recorded. During the inspection a family member telephoned the home to pass on information about future visits. All service users have a front door key and staff were observed knocking to gain access to the home. Staff were also observed knocking on service users bedroom doors to gain access to their rooms. A 4 weekly menu was sent to the Commission with the pre-inspection questionnaire. These menus showed that the food on offer was varied and there was a choice of menu each day. Service user files recorded their likes and dislikes of food. One staff and the manager confirmed that the home prepares all meals on site and the service users are involved with the preparation and cooking when possible. During the lunch preparation one service user was observed assisting in the kitchen with staff support. The service users were asked for comments about the menu and food on offer. One service user said they thought the food was “good”, and I can choose what I want”. One service user confirmed that they required a specialist diet and that this was arranged for them. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 13 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): 18/19/20/21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good personal support for service users in the home promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of the service users. EVIDENCE: Manual handling risk assessments are recorded on service user files which protect the service users and staff. Some service users are able to choose which staff assist them and are encouraged to do so. All rooms are single and care plans had details on the personal care needs based on a current updated risk assessment. The staffing rota showed that the staff team have a mixed gender group to assist with service users individual personal needs. Recorded on one file was a description of when one service user choose a particular staff member to assist them. One of the service users said they only have their own clothes and they choose their clothes daily. Another service user said, “staff do my bath in private”. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 14 The home has a key worker system in operation, this can assist service users in their daily lives. Records and documents show specialist support is obtained when needed. And evidence was recorded on individual care plans of the current input from specialist services. This included involvement from SALT (Speech and Language Therapist), Psychiatrists and the Learning Disability service. One service user has specialist equipment in place to alert staff to any overnight seizures thus allowing staff to assist this service user as quickly as possible. Other equipment available included a wheelchair for outside use and hearing aids. One service user self-administers their diabetic medication. A risk assessment is held on file detailing the procedure for the service user and staff’s involvement and includes blood sugar testing. These procedures outline any risk to both staff and service user and includes information on needle stick injuries. This service user said that they “see the GP and nurse at the surgery for my diabetes” and “I sometimes go to the diabetic clinic with a staff member”. The staff spoken with confirmed that they had received training on emergency medication and insulin administration from the Registered Manager. A member of staff said that the manager had been in contact with the diabetic clinic to arrange further training for staff. The manager confirmed this contact with the clinic but had not been able to secure training at this time. Records showed that the home has a clear audit trail of all emergency medication, with staff signing and checking the medication when it has left and is returned to the building. The home has a recording sheet for staff to check and sign emergency medication at each handover. This record also showed a well-documented record of when the emergency medication is administered and included the time, dose and outcome for the service user. One file held details on one service user and family’s wishes on the death of this service user and included details of funeral arrangements. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 15 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. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of the service users. EVIDENCE: All files held a complaints procedure within individual Service Users Guide’s. Also each bedroom held a copy of the complaints procedure. Due to the needs of the service users in the home either the staff or the visiting advocate would assist service users to make a complaint. This Commission has not received any complaints about The Lodge. The home has a designated complaints file. No recent complaints had been recorded. Training records showed that most staff had completed Adult Protection training. One staff member and the manager confirmed their attendance at the Adult Protection training and it was clear from these discussions that the staff were aware of the procedure of adult protection. All three comment cards sent to the Commission made comments under the, do who know who to speak to if you are not happy stated, “I would speak to The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 16 the manager”, another said “I would talk to my mum and dad and I would talk to my key worker”. The third stated, “I have problems communicating verbally but staff pick up how I feel by my non verbal communication and act on it”. All three also commented under the, do you know how to make a complaint. Two said they would talk to their advocate and two stated they would talk to their manager or key worker. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 17 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. The service users benefit from a homely, comfortable, clean and wellmaintained building that is appropriate to meet their needs. EVIDENCE: The home presents as a clean, comfortable and bright environment. Suitable to met the needs of the service users in the home. The home caters for 3 service users with a learning disability. Plymouth Highbury Trust the company that own The Lodge employs a maintenance person to carry out day-to-day repairs. The home has a system in place that enables the staff to record any repairs required. Outside contractors are used when required for major repairs or ongoing upgrading. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 18 A tour of the premises showed that all bedrooms were single rooms and each bedroom was decorated too individual needs to meet and reflect the personality of the occupant, with many personal possessions. All furnishings are of good quality. The tour confirmed that the home was clean, hygienic and free from odours. The laundry facilities are sufficient to meet the needs of the service users currently living at the home. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Recruitment practices protect service users. EVIDENCE: The staff member on duty and visiting staff members, who assisted at the local day service, were interviewed as part of the inspection process. It was clear from these discussions that the staff had developed a good relationship with the service users living at the home. This was also evident through observation throughout the inspection. The pre-inspection questionnaire also shows that some staff are part way through their NVQ training, other staff held an NVQ certificate and the home has over 50 of staff trained to NVQ level 2 or above. This provides service users with experienced and skilled staff. One staff confirmed that staff meetings were held regularly and the minutes for the previous staff meeting were seen. This ensures that all staff are The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 20 involved in the planning and monitoring of all aspects of the home. As well as discussion on managing any behaviour difficulties displayed by service users. The staff files examined showed that staff had all relevant employment checks. And these checks were undertaken prior to employment for the safeguarding of service users. This included Criminal Record Bureau (CRB) checks. One staff confirmed that they had undergone a probation period and staff Induction. This Induction is completed before the end of the probation period and ensures the staff are aware of the needs of the service users and the environment. Two staff surveys were sent to the Commission and stated under, if you could change one thing to improve the way the care home works what would it be both wrote, “employ a dedicated bank staff to cover sickness and holidays”. The staff confirmed that the home provides regular updated training. This included mandatory training in Fire Safety, First Aid and Health and Safety. Staff files showed certificates of completed training and these were completed recently. Courses booked for future dates included Challenging Behaviour and Epilepsy. One service user comment card wrote under the, do staff treat you well “Staff are very good”. Another went onto say under, do the carers listen and act on what you say wrote “Carers have worked with me for a long time and try their hardest to listen to my wishes”. The Commission received five staff surveys. One staff commented under the, is there anything else that the care home does really well that you want to tell us about wrote, “ I find the Lodge to be run in a professional and friendly manner and the residents are treated with dignity and respect. I am happy to be part of it”. Another stated, “the rapport with the residents is excellent and the staff team work well as a team and I feel that a stable and happy staff unit contributes to happy residents”. The third went on to say the Management and staff are very flexible and able to adapt to changes within the home, all staff are adaptable and committed to the individual needs of service users”. Another commented, “The overall running of the Lodge is very good and the residents are happy here and for me that is very important”. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 21 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 management of this home is very good and has the respect of the staff and therefore ensures the home is managed for the best outcomes for the service users. EVIDENCE: The Registered Manager has many years experience in the care profession. Lyn Strong the registered manager has worked at the home and for Plymouth Highbury Trust for a number of years. The manager confirmed with the inspector that she has completed the Registered Managers award. And that she regularly updates her training and has completed training in Fire Safety and Health and Safety. Thus providing the home with a well-trained manager. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 22 The staff and service users spoken with agreed that the manager at The Lodge is approachable. One staff survey commented, “there are no problems in approaching the management”. The home has regular visits from a local advocate and this advocate discusses the quality of care received by service users and also assisted the service users in the completion of the Commissions service users questionnaires. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, this included the fire alarm system. And certificates were available on all Health and Safety equipment having been checked regularly. The fire protection system was usually well maintained however the system had not been checked regually over the Christmas period. The manager stated that she was aware of this and would discuss with staff about the importance of maintaining these records. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Gas and electrical appliances were being routinely serviced and checked. Good health and safety practice reduce any unreasonable risk, affecting service users or staff, to an acceptable level. All staff have completed manadatory training in Fire safety, First Aid and food hygenie certificates. Good health and safety practices reduce any unreasonable risk, affecting residents or staff, to an acceptable level. The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 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 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 3 3 X 3 X X 3 X The Lodge, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 24 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, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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, Plymouth DS0000003445.V310331.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!