Care Home: Cedarwood Lodge

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What the care home does well It is evident through the inspector talking to members of staff that the emotional health of the people who use the service is of a high priority to the home and that staff are pro-active in maintaining and supporting service user`s with their emotional needs in order to maintain their quality of life.The service actively encourages and provides imaginative and varied opportunities for the people who use the service to develop and maintain well being. The manager and staff have a strong ethos and focuses on involving the people who use the service in all areas of their life, and actively promotes the rights of individuals to make choices however limited, providing links to specialist support when needed. The registered manager has a wealth of experience, is highly competent to run the home and meets its stated aims and objectives. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of `best practice` operational systems. Evidence supports that she puts the needs of the residents first and is very supportive of staff. What has improved since the last inspection? It was evident through the inspection process that the manager is taking appropriate steps to continually review and improve the standards of care within the home. Improvements were noted in respect of new files that are being developed for each person who uses the service. What the care home could do better: Many of the staff working at the home have been there for more than three years, however their CRB (Criminal Records Bureau) checks have not been renewed. It is considered good practice to renew the CRB checks every three years, it was noted that staff are asked to sign a declaration to confirm they have no new convictions yearly. CARE HOME ADULTS 18-65 Cedarwood Lodge Cedarwood Lodge Chipstead Close Redhill Surrey RH1 6DU Lead Inspector Unannounced Inspection 4th February 2008 10:00 Cedarwood Lodge DS0000013589.V357977.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 Cedarwood Lodge DS0000013589.V357977.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. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedarwood Lodge Address Cedarwood Lodge Chipstead Close Redhill Surrey RH1 6DU 01737 277726 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) julie.parker@sabp.nhs.uk Surrey and Borders Partnership NHS Trust Mrs Julie Anne Parker Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1), Physical disability (5) of places Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 5 persons accommodated may be in the catergory LD (Adults with learning disabilities) or may be Adults with a learning disability who have an additional physical disability (LD/PD). 12th October 2006 Date of last inspection Brief Description of the Service: Cedarwood Lodge is a purpose built bungalow owned by a private housing association. The home can accommodate up to five severely disabled service users and is situated in a quiet residential area of the town of Redhill, with easy access to the town centre and local amenities. The home provides care and support to four service users who have profound learning and physical disabilities and there is currently one vacant room. Accommodation is in single bedrooms, which are arranged off of a wide, easily accessible corridor. A large, bright and spacious lounge/dining room is available for communal use. There is a good-sized paved garden to the rear of the house, with a number of raised beds and shrubs. The level garden provides an even surface for the service users who are all wheelchair bound and can be accessed from the lounge. Service users are protected from the sun by an electrical retracting awning, installed to the rear of the building. There is limited parking space to the front of the building. The fees at this service range from £1800.00 to £2000.00 per week and dependent on the persons assessed care need. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good, quality outcomes. The Inspector agreed and explained the inspection process with the Registered Manager The focus of the inspection was to assess Cedarwood Lodge in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The Inspector used a varied method of gathering evidence to complete this inspection, information such as the previous report, Annual Quality Assurance Assessment (AQAA) and any discussions or correspondence with the registered provider was used in the planning process to support the inspector to explore any issues of concern and verify practice and service provision. The home had completed an annual quality assurance assessment questionnaire, which was received prior the site visit to the home. This provides the Inspector with information relating to What the home considers it does well, What we could do better, What has improved within the last 12 months and plans for improvement. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. Other area’s viewed included risk assessments, pre-admission assessments, menus, rota’s, training records and recruitment records. In addition a full environmental tour took place. The Inspector identified two people who use the service for case tracking, speaking with both of them and assessing the available information held in the home pertaining to the care provision for both. In addition the other people who use the service were introduced which gave a good opportunity to observe the quality of care within the home and quality of life enjoyed. What the service does well: It is evident through the inspector talking to members of staff that the emotional health of the people who use the service is of a high priority to the home and that staff are pro-active in maintaining and supporting service user’s with their emotional needs in order to maintain their quality of life. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 6 The service actively encourages and provides imaginative and varied opportunities for the people who use the service to develop and maintain well being. The manager and staff have a strong ethos and focuses on involving the people who use the service in all areas of their life, and actively promotes the rights of individuals to make choices however limited, providing links to specialist support when needed. The registered manager has a wealth of experience, is highly competent to run the home and meets its stated aims and objectives. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practice’ operational systems. Evidence supports that she puts the needs of the residents first and is very supportive of staff. 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. Cedarwood Lodge DS0000013589.V357977.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 Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. Service user’s can be confident that their needs will be properly assessed prior to moving to the home. EVIDENCE: All the people currently living at the home have been there for a number of years. Therefore there were no current pre-admission assessments to view. The manager explained the process she undertakes when a new person is referred to the home and this complies with the standard. There have been several referrals during the past six months however only people who the service feels they can meet the needs of are offered a place. A trial period is then offered to ensure that the person coming to the home and the people who use the service are compatible and so that the new person can see if they would be happy living at the home on a long-term basis. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. The people who use the service benefit from having clear care plans that identify their individual needs, aspirations and goals and give clear guidance to staff. The people that use the service are treated with respect and their dignity and independence is promoted. EVIDENCE: The home and its staff are committed to supporting the people who use the service in accordance with their needs and wishes. This was evidenced through the care plans, which detailed the areas of support that the people who use the service needed and how this support is provided by the staff. The people who use the service have very poor communications skills and therefore it is difficult for people to express easily their own choices. The way each service user is able to communicate is clearly documented so that staff are able to understand when the person is happy or not happy with what is Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 10 occurring. The plans also included guidelines in respect to routines and behaviour. The manager confirmed, that their key worker regularly reviews the care plans, families, are supported, to be involved where possible. Innovative methods are used to enable Service user’s to participate and communicate their views however the key worker, manager and family develop the individual care plans. Each individual persons likes and dislikes from the past have been recorded and have been used to formulate the person centred plans. Staff have the necessary training and skills to support and encourage the individual to be fully involved. Because the people who use the service have limited communication, staff are skilled in using other methods of engagement. A key worker system provides additional support enabling one to one involvement. Plans sampled demonstrated that where there are limitations on choice or facilities, staff are sufficiently in tune with the individual to make that choice for them. It was noted however that there is no written agreement that staff should be making the day-to-day decisions for the people who use the service. It is recommended that at the next review involving the care manager and family (if they are available) that such a declaration is explored. The staff of the home are strongly committed to supporting all service users with limited communication skills to make informed decisions, understand the range of options which are available to them and have the right to take responsible risks. Risk assessments along with the risk management strategy were seen on files sampled, it was recommended that the frequency of review be reviewed. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. People who use the service engage in an excellent level of activities, which are appropriate to their needs and capabilities. People who use the service are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The people who use the service benefit from the appetising meals and balanced diet offered at the home. EVIDENCE: Discussion with the Registered Manager and staff confirmed that the level of activities were of a high level and good quality for residents. They enjoyed an excellent level of stimulation through leisure and recreational activities both inside and outside the home. The home sees community involvement as a Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 12 priority and opportunities have been found for the people who use the service to interact with groups locally. Due to the physical disabilities and poor communication skills of the people using service is not been possible for them to engage in any educational or development programmes that would otherwise have been made available. It was confirmed that the people who use the service are enabled to maintain contact with relatives and friends where they wished to do so. Examples of relatives visiting the home was seen on file and confirmed by staff. During the visit to the home the people who use the service were seen participating in board games with staff. Before lunch a keyboard player and a guitarist who also sing entertained the people who use the service. It was evident that all enjoyed this entertainment; the people using the service were given instruments such as castanets and a small drum so they too could join in with the music. After lunch there was a session of aromatherapy for each person. The activity program for the week was seen and provided both activities within and outside of the home seven days a week. The meals provided in the home are cooked by the staff, the menu has been devised to take into consideration each persons likes and dislikes. Therefore the menus do vary day to day, they also provide a special menu for one person who has to have a low protein diet this was also seen. Staff confirmed that the majority of meals are cooked from fresh ingredients. Observation of the lunchtime meal indicated that the people at the home were very happy with the meal provided that day. The dining area is part of the larger lounge, it is bright and homely, a suitable space for taking meals. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. The people who use the service can feel confident that they will be supported by the level of help given and that their healthcare needs are addressed. EVIDENCE: Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different people who use the service daily routines. Even though the people who use service have difficulty in communicating every opportunity is given to them to make their own choices. The inspector observed excellent interaction between staff and the people who use the service. The documentation seen confirmed that all residents have a GP and visits from other health professionals are arranged and enabled. The health care issues of the people who use the service were seen recorded in the daily record. With any visits by health professionals being documented within separate documents pertaining specifically to their health care needs. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 14 The manager reported that at the time of the inspection none of the people using the service were undertaking management of their own medication. The storage arrangements and some records including Medication Administration Record (MAR) sheets were viewed, MAR sheets were completed correctly and medication was stored appropriately. The manager confirmed that all staff that dispenses medication has received the appropriate training. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. People who use the service can be confident their concerns and complaints are taken seriously and are protected from the risks of abuse. EVIDENCE: A copy of the complaints procedures was seen on the notice board in the home, it was available in picture format. The procedure included details of how to complain, timescales for response and information for referring a complaint. The service has a clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. Relatives of the people who use the service understand how to make a complaint and have a copy of the procedure. No complaints have been received since the last inspection. The home’s Policy for the Protection of Residents and staff “Whistle blowing” procedure was discussed. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training is provided regarding the prevention and reporting of adult abuse on a yearly basis. The home promotes an open culture where the people who use the service can feel safe and supported and enable relatives to share any concerns in relation to their protection and safety. At all levels the service is very clear when an incident needs external input, and is open in discussing incidents with external Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 16 bodies (CSCI, Social Services) to clarify difficult judgements. Such notifications have been received by the CSCI. Showing staff are trained to respond appropriately. All staff working within the service have a CRB (Criminal Records bureau check). A number of staff have been at the home now for more than three years and their CRB check has not been renewed. It is recommended as best practice that CRB check to be renewed each three years, it was noted that the manager ensures that staff signed the declaration yearly to say that they have not committed any criminal offences since there original CRB check. The Manager is aware of her obligations with regard to ensuring the safety of Service users and protecting them from abuse. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. People who use the service benefit from living in a clean comfortable home, which is suitable for their needs. EVIDENCE: A tour of the building was undertaken and included viewing some people who use the services bedrooms, bathroom/toilet facilities and communal areas. Fixtures and fittings and general decoration were seen to be of a good standard. The colour schemes chosen promoted a homely atmosphere specifically within the communal area. The home was found to be clean and no offensive odours were detect. At present the home does not have a rolling programme to improve the decoration, fixtures and fittings. A Housing Association owns the property and is responsible for some of the maintenance and repairs. Surrey estates management team are responsible for day-to-day maintenance issues and can be called any time when problems arise. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 18 The bedrooms have been decorated and are of a personal nature. The bedrooms are very well planned and have equipment which where possible is unobtrusive for example the beds at first glance like any ordinary single divan. The number of toilet and bathroom facilities provided by the Home meets current required standards. The home has an industrial washing machine and tumble dryer, which is suitable for the needs of the people who use the service. The laundry floor finishes are impermeable and these and wall finishes are readily cleanable. All chemicals used in the home are kept in locked cupboards and hand washing facilities are available for staff in the laundry. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. The people who use the service’s care, social and emotional needs are promoted by the employment of caring and suitably trained staff. Service users are protected from potential abuse by the home’s robust staff recruitment procedures. EVIDENCE: Three staff are doing their National Vocational Qualification in care, two are doing level 3 and one is doing 2. The home has 3 staff with the qualification. The training of staff is a priority, and currently the manager confirmed that all staff have completed the required training courses. These include, moving and handling, first aid, health and safety, infection control, basic food hygiene, fire training, safeguarding adults. The staffing rota was seen, the number of staff on duty is based on the activities being undertaken each day. There are a minimum of three staff on through the day plus others when needed. The manager works week days and some weekends but is mainly supernumerary. The care staff at the home are called support workers and do all the duties in the home including, cooking, Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 20 cleaning and caring. At night there is one member of staff who remains awake and one who sleeps on the premises and can be called if required. The recruitment of staff has not been necessary since the last inspection when the staff files were seen and found to be in order. As stated previously it was recommended that CRB (Criminal Record Bureau) checks be undertaken every 3 years as this is good practice. It was noted that staff are asked to sign a declaration to confirm they have no new convictions yearly. There have been no staff recruited in the last 2 years and therefore no evidence was seen of formalised induction during this visit. The manager explained that student nurses who have placements at the home do have a CRB check and have an induction of the building which includes for example the procedure to follow in the event of a fire. Cedarwood Lodge DS0000013589.V357977.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): People who use the service experience good quality outcomes in this area This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run and managed home. Service users can always feel fully confident that their health/safety, and welfare is protected by robust policies and procedures which includes regular safety checks. EVIDENCE: The registered manager confirmed she has the required qualification and experience to manage the home, although currently one of her certificates has been mislaid. Her management skills have been proven in the competent way the home is run. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 22 The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practice’ operational systems. Evidence supports that she puts the needs of the residents first and is very supportive of staff. Quality assurance was discussed and the views and opinions of the relatives sought. Evidence of this was seen in the comment cards completed. These were very positive about the care provided by the home. A representative of the registered provider of the home does visit the home and completes what is known as a Regulation 26 visit (Statutory documented visits by the provider to monitor standards within the home). Such visits focus on outcomes for the people who use the service with regard to quality of care, staffing, adult protection, staff training, Activities, along with speaking to staff. The manager explained procedures and records were viewed relating to maintenance and servicing, and risk assessments for the home. Of the certificates viewed it evidenced that the necessary checks and servicing had been carried out and risk assessments were in place. Evidence was seen that checks and servicing of fire safety equipment, emergency lighting and fire log book had been undertaken, the manager was asked to review the frequency of some of these checks are taking place in house, a fire risk assessment was in place The home has staff meetings normally monthly, which are recorded. Due to the communication difficulties of the people who use the service it has not been possible to have their own meetings. The manager explained how they had always included them in the staff meetings but recently senior management had stopped this. All staff have undertaken all staff training pertaining to health and safety issues and all certificates are in date. Cedarwood Lodge DS0000013589.V357977.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 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 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 24 NA 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. 1 Refer to Standard YA34 Good Practice Recommendations It is good practice to renew staffs CRB checks every three years. Cedarwood Lodge DS0000013589.V357977.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cedarwood Lodge DS0000013589.V357977.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. 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