Care Home: Cherry Lodge Residential Home

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What has improved since the last inspection? Care plans have been updated and reviewed to better reflect each person`s needs. This helps to identify changes in care needs. Staff supervision sessions have been taking place systematically to highlight staff training and care practice needs. What the care home could do better: Areas of the home need redecorating and repairing in order to make the environment more attractive to residents. Residents should be protected by a quality assurance procedure to ensure that the home is run in the residents` best interests. Key inspection report CARE HOMES FOR OLDER PEOPLE Cherry Lodge Residential Home 23-24 Lyndhurst Road Lowestoft Suffolk NR32 4PD Lead Inspector John Goodship Unannounced Inspection 9th April 2009 10:15a DS0000073150.V374920.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Lodge Residential Home Address 23-24 Lyndhurst Road Lowestoft Suffolk NR32 4PD 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) 01502 560165 01502 530773 Mr Martin Edward Jay Mrs Joanna Jay Thom Wight Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 19 2. Date of last inspection Brief Description of the Service: Cherry Lodge is a privately owned care home registered to provide personal care to nineteen older people. The ownership changed on 22 January 2009. The premises consist of semi detached Victorian houses which have been altered to make one building. Accommodation is on three floors linked by a shaft lift. There are fifteen single rooms and two double rooms, all with en suite facilities and many with a sea view. The home is in a residential area of Lowestoft with a park, gardens and a cliff top walk nearby. There are shops and other amenities a short distance away. The home has well tended back and front gardens with patio areas that the service users use. Fees on the date of this inspection ranged from £362.00 to £400.00 per week. Cherry Lodge Residential Home DS0000073150.V374920.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. This inspection visit was unannounced and covered the key standards, which are listed under each outcome area overleaf. We looked at the outcomes for the residents to assess the quality of care given by the home. This report includes evidence gathered during the visit together with information already held by the Care Quality Commission. The inspection took place on a weekday and lasted five and three quarter hours. The manager and assistant manager were present throughout and were able to provide us with most of the documents we asked to see, including care plans, staff records, maintenance records and pre-admission information. A questionnaire survey was sent to the home by the Commission for completion by residents, staff and visiting professionals. We received completed forms back from four residents, eight staff and one professional. Their answers to the questions and any additional comments have been included in the appropriate sections of this report. In addition we spoke to two residents, interviewed a staff member and chatted to other residents and staff as we toured the home. The manager was required to complete an Annual Quality Assurance Assessment (AQAA) which asks the manager to tell us about what the home has done to improve care in the last twelve months, and to tell us what plans it has for further improvements. We have borne in mind that this was completed shortly after the new owners and manager were in charge, so that some information was not complete. Nevertheless, where appropriate, we have used the information from this assessment in this report. What the service does well: Residents continue to enjoy a good quality of daily life. The home is proactive in identifying residents’ interests and offering a wide range of activities both inside and outside the home. Staff are caring and knowledgeable about the residents’ needs, and receive regular updates on their skills and knowledge, with opportunities to study for a National Vocational Qualification (NVQ). Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 6 Residents’ health needs are met, with prompt and expert support from NHS professionals, who are called by the home as soon as required, and whose advice is swiftly actioned. Residents are happy and contented with their home. All who replied to the survey said they always received the care and support they needed. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. 6 is not applicable to this home. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents can be assured that they will only be admitted to the home if it can meet their needs, and they will have sufficient information to assess for themselves if the home will be suitable for them. EVIDENCE: As part of the process to register the new owners, the statement of purpose and the service user guide had to be updated to reflect that change, and the registration of the new manager. This had been done and we were shown a copy of the welcome brochure and information pack which was given to new residents. This included, for example, information about the organisation and Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 9 management of the home, the qualifications of the staff, the admission process and criteria, and the complaints procedure, together with a more detailed guide for residents on what they can expect to be provided for them, and the daily routine of the home such as meal times, access to a GP, and the provision of social activities. All the residents who replied to our survey told us that they received enough information about the home before they moved in so they could decide if it was the right place for them. Files for two recent residents were checked and they were seen to have a contract, called Terms of Residence, signed by the resident. Both files also held the pre-admission assessments, and in one case the discharge assessment from the hospital and the social worker assessment. Some residents had been asked to complete a questionnaire after admission to check that the home had given them the right information, had made them welcome, and that they had settled into the home. The ones we saw were all happy with these processes. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect that their care needs will be assessed and monitored to ensure that they are met. They can be assured that they are protected by the home’s medication policy and procedures. EVIDENCE: We tracked three residents care through their care plans and by talking to them and the staff. Care plans were developed initially from the pre-admission assessment and then reviewed regularly. All plans held assessments of needs for personal care, nutrition, activities of daily living, moving and handling, and continence. Two plans had specific risk assessment for falls. The assessments Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 11 included instructions for staff on minimising risks, while encouraging independence and mobility. All the plans gave staff guidance on how to support the resident over the range of their needs. Any allergies that the resident had were clearly flagged on the plan. The plans we saw were being reviewed at three monthly intervals by the keyworkers with the residents. These reviews and the contents of the plans ensured that all changes of need were recognised and responded to. One resident had been cared for in their bed for three years. We saw the pressure area assessment and the action taken to eliminate the risk of sores. There had been no instances of sores because of the turning and care regime, which demonstrated good practice. Records in the room showed when care had been given and by whom. One of the care plans we saw recorded concern about a resident’s falls, and a falls diary had been kept to track these for discussion with a falls adviser. One resident told us that the care and support they received ‘couldn’t be better’. Others said that they always or usually received the medical support they needed. A health professional told us in their survey form that ‘staff have followed up any advice or instructions I have given’. Staff told us that ‘care plans are discussed at each handover at every shift’. All felt that they were given up to date information about the needs of the residents. Plans also identified any special support needed for those with communication difficulties, or religious beliefs. Plans described how residents wished to be cared for at the end of their life. We observed part of the lunchtime medication round. We noted that there was a medication trolley on each floor securely chained when not in use. There were photographs of each resident in the medication administration records (MAR) to ensure correct identification, and the correct administration procedures were followed. We checked the controlled drugs (CD) record and found that it was properly completed, except in one case where the CD book had been signed and witnessed but the MAR sheet had not been signed. A check of the stock showed that the record in the CD was correct. We checked the stock of one other drug against the record and the amount in stock tallied with the amount received and administered. The staff told us that the pharmacy supplier trained all new staff. We saw the dates of training done and planned in the manager’s office. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to be offered a choice of activities, and to be offered a choice of nutritional meals with a choice of where they take them. EVIDENCE: The home employed an activities coordinator who came in four days a week. They were in the home during our visit. Within the home there was a range of pictures, notices and decorations made by residents. There was a table in the hall with Easter eggs and cards for sale which had been made by residents. During the afternoon, we watched a session of skittles in the lounge with six residents. We noted that some less able residents were helped by others to take part. The coordinator kept a daily record of who took part in each activity and commented on their enjoyment or degree of participation. This would give staff a picture of how involved each resident was in the programme and where other opportunities should be offered. We saw that bingo, dominoes and Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 13 exercise sessions were recorded, as well as skittles and quizzes. The coordinator told us that they left quizzes in the home for residents to tackle over the weekend. Residents put in their surveys that there was always or usually activities arranged by the home that they could take part in. One told us that “I do not always join in but there are always activities and the outings are greatly appreciated.” We noted from the visitors’ book that visitors came in frequently. The manager told us that one resident was being protected by restrictions on the visits of a relative. This had been agreed at the time of admission with the referring authority. Staff described this person as ‘coming out of their shell’ since living in the home. They now went on outings, went to a stroke club, and liked to help around the home, eg laying the tables. The care plan demonstrated how the staff had encouraged and supported this person to become more sociable. We saw the cook going round the residents to ask them what they wanted from the menu for lunch the next day. The choice was cod or pasty, with mashed potatoes or chips, and a choice of vegetables. There was also a choice of desserts, and a choice for tea. Of the nineteen residents, half were having lunch in their room that day either through choice or because of their care needs. We saw one person being given special cutlery to help them eat their meals without further support. Another person who was in bed was being assisted by a carer with their meal. A resident told us that they could have breakfast served in their rooms. Residents told us in the survey that they always or usually liked the meals in the home. One said: ‘The meals are very very good’, another said that: ‘A little more variety would be appreciated Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that their concerns will be listened to, and that they will be protected from abuse by the home’s recruitment procedures and training for staff. EVIDENCE: The complaints policy was on display in the home, and was included in the preadmission information which the home gave out. One formal complaint had been received by the home during the year. This concerned missing underwear and was recorded as being resolved to the satisfaction of the complainant. All the residents who replied to the survey said they knew how to make a complaint. All of them said that they knew who to go to if they were not happy. One said: ‘The new owners are very good. Nothing is too much trouble’. Staff whom we spoke to confirmed that they had received training in the protection of vulnerable adults, and were able to demonstrate their Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 15 understanding of the action they should take if abuse was suspected. Staff told us that this topic was covered in their induction course and in their NVQ course. The home also used a workbook on ‘Safeguarding Adults’ as a refresher training aid. The evidence in the ‘Staffing’ outcome area confirmed that correct procedures were in place for checking the background of staff being recruited, and appropriate training given. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,24,26. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a comfortable, clean and homely environment, with their rooms personalised as they wish. They cannot yet be assured that the home will be maintained and decorated to be safe and attractive. EVIDENCE: Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 17 The manager told us that the owners had a programme for the upgrading and redecoration of the home, which they acknowledged had been left in a poor state. This had been noted at the previous inspection. We noted that many of the residents’ rooms were badly in need of redecoration and repair. Paint was peeling off, there were cracks in the walls and in some rooms there were water stains on the ceiling from the room above. The decoration of the bathroom and toilet on the first floor was in poor condition. There were still some scuff markings on the skirting boards on the ground floor from the action of trolleys and wheelchairs. We saw the record of the lift being serviced, but there were still bulbs not working and glass missing over the emergency light. However the manager told us that the owners had started a programme of redecoration throughout the home, and the hall and staircase were being painted on the day of our inspection. There were several small areas and lounges giving residents a choice of where to spend time during the day. They were comfortably furnished, with suitable chairs offering support to residents. The home employed a cleaner seven days a week, and a gardener. The home appeared clean, and there were no unpleasant odours. There was a patio area at the rear for residents to use. A number of residents’ rooms were seen and they were attractive and homely, and personalised. All residents’ rooms had en-suite facilities. We saw that toilet facilities had adaptations to support the needs of residents. We noted that infection control procedures were followed by staff with the use of protective clothing when performing personal care tasks. Gloves, wipes and aprons were readily available on each floor. In addition, hand gel sanitisers were located throughout the building. The home had a control of infection policy which included all required infection control measures. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to have a well-trained staff group looking after them who have been safely recruited. EVIDENCE: We inspected the files of two staff who had started in the previous year. Both held the appropriate identification and recruitment check documents and training records. These showed that staff undertook in-house and external induction courses. One told us: ‘The induction at the home and the 3 day course were very informative and helpful.’ Other training was recorded in the files including training in medication, fire safety, moving and handling, and food hygiene. We saw the training plan showing which staff were booked to do which courses this year. Overall the AQAA listed six staff with NVQ Level 2 or above, with three staff studying for Level 2. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 19 We spoke to one carer who had worked at another care home. They felt strongly that Cherry Lodge was a much better run home with a higher level of care for the residents. ‘Cherry Lodge is the best home I have worked for. The residents are always put first and they are loved very much.’ They believed staff were better trained with more time for supporting residents. Another said in their survey: ‘I have been very impressed with the amount of training I have personally received.’ All the staff who replied to the survey said that they had received appropriate training for their needs. We looked at the number of staff on duty during the day as shown by the duty rota. This varied to reflect the busiest times but overall met safe levels for the number of residents. On the morning we visited, there was the manager, assistant manager and three carers on duty, plus a cook and a cleaner. The activities coordinator was also there. There were no staff vacancies. The AQAA told us that any gaps in the rota caused by holidays or sickness were covered internally and no agency staff were used. Staff told us that there always or usually enough staff on duty to meet the individual needs of the residents. One said: ‘Sometimes there may be a case where we would need someone else but that is very rare. So we normally work well within the staff count we have.’ We observed staff working with residents in a friendly and calm way. Call bells were answered in a reasonable time. A resident told us that ‘the girls are very good. They look after us well and are always available when we need them’. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect the home to be run in a safe and competent way and in their best interests. EVIDENCE: The home was registered to the new owners on 22 January 2009, and the new manager was registered with the Commission on the same day. The manager held the Registered Manager Award and was studying for the NVQ Level 4 in Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 21 Care. The certificate of registration was displayed. A staff member told us: ‘The new owners are always putting the well being of residents, their families and staff first.’ We received one concern from relative about the experience and qualifications of the manager and assistant manager. The manager had been assessed as qualified and experienced by the Commission. The assistant manager had recently been promoted and was studying for the NVQ Level 4 in Care. We saw no evidence on the day of our visit to cause concern. We noted that the home was fully staffed. The manager reported in the AQAA that they would be reviewing how the home operated, and reviewing methods of quality control. They had already issued a questionnaire to residents in February this year which we were shown. We saw the comments which covered such things as décor and meals, but the rating of all items was mostly ‘very satisfied’. They were planning to set up meetings of residents and families. The AQAA told us that re-decorating would continue throughout the home, and we saw that it was already being undertaken. The manager was aware of areas needing repair particularly in some bedrooms, and told us that these repairs would be done over the next few months as part of the redecoration programme. However all the residents who responded to our survey said that the home was always fresh and clean. The home did not play a role in looking after residents’ finances, other than to keep small amounts of petty cash on request. These amounts were usually topped up by relatives as required. Records of two residents’ petty cash were checked at the last inspection. Records and receipts were in order and amounts held tallied with records. The fire log recorded the regular weekly tests of the alarms and the servicing of the fire extinguishers. The manager was unable to find the fire risk assessment but immediately phoned the provider’s fire consultant to make a date for a new one to be done. We were notified when this had been completed. A schedule had been set up to ensure that all staff received regular supervision, and records of these sessions were in the staff files which we examined. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 3 X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 2 Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 2 Refer to Standard OP9 OP33 Good Practice Recommendations Administrations of controlled drugs should be audited to ensure that residents are given the drugs prescribed for them. The provider should develop a policy and procedure for obtaining the views of the service users on a regular basis, and feeding back the results to them. Cherry Lodge Residential Home DS0000073150.V374920.R01.S.doc Version 5.2 Page 24 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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