Care Home: Chestnut Lodge Nursing Home

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What the care home does well The service achieves good outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being good. The home provides very good basic nursing care and is described as being very warm and friendly. Many service users return for short breaks having enjoyed their respite care. There is a stable, well-qualified and experienced staff team. Comments received from service users were very positive and complimentary about Chestnut Lodge. Typical comments included: "I had enough information about this home before I moved in so I could decide if it was the right place for me." "They were able to answer all my questions to my satisfaction and I don`t regret moving here." "The staff are very good and look after you." "If I have any healthcare problems the staff are very good at giving me the help I need." "I like it here and I`m quite content." "The staff listen and act on what I say and there are usually activities arranged by the home that I can take part in." "I am very satisfied with the general standard of meals and hygiene." "If I had any concerns or wanted to make a complaint, I would speak to the staff or manager, who have always been very understanding and helpful." "The home is always fresh and clean and my bedroom is comfortable." "The staff are really very good to everyone." "The staff are very friendly." What has improved since the last inspection? The lounges, dining areas and entrance corridors have been redecorated and new carpets have been fitted. New furniture has been supplied to lounge/dining areas, including armchairs, dining tables and chairs. Work has been carried out to create en suite facilities for each bedroom, plus a new laundry and sluice room. Improvements have been made to the arrangements for the safe administration and disposal of medicines, and kitchen access. The home received a 4 star award from Tees Valley for a good standard of hygiene (20/06/08). What the care home could do better: Further supernumerary time is desirable for the manager so that she can satisfactorily complete all her managerial duties. Reports of visits made by the registered provider under regulation 26 of the Care Homes Regulations should be kept at the home, available for inspection. CARE HOMES FOR OLDER PEOPLE Chestnut Lodge Nursing Home 302 Norton Road Norton Stockton-on-Tees TS20 2PU Lead Inspector Stephen Ellis Key Unannounced Inspection 23rd September 2008 10:20 X10015.doc Version 1.40 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 Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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 Older People. 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. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Lodge Nursing Home Address 302 Norton Road Norton Stockton-on-Tees TS20 2PU 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) 01642 551164 01642 551165 chestnut-lodge@btconnect.com Mrs Joan Mary Stead Mrs Dawn Anne Brown Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Old Age, not falling within any other category, Code OP - maximum number of places 17 The maximum number of service users who can be accommodated is: 17 9th October 2006 2. Date of last inspection Brief Description of the Service: Chestnut Lodge is a care home providing personal care and nursing care for up to 17 service users. The home is provided by Mrs Joan Stead and is situated in Norton on a main bus route into Stockton, with shops and amenities close by. The home has a minibus. Chestnut Lodge opened in 1989 and is a converted and extended house. There are 3 bedrooms and a lounge/diner on the first floor, plus 12 single bedrooms and one double bedroom on the ground floor. There are two spacious lounge/dining rooms, plus conservatory and separate smoking room, on the ground floor, and three well-equipped bathrooms across the home. A stair lift is available to access the first floor. Work is nearing completion to ensure that all bedrooms will have en suite toilets and wash hand basins, and 5 will have their own shower as well. The gardens have been paved so that people who have mobility problems have easier access, and there are outdoor sitting areas, with potted shrubs and flowers around. The home has achieved the Investor in People Award, a nationally recognised indicator of quality assurance. The current weekly fee is £346, plus the free nursing care element if the service user is in receipt of continuous nursing care. The actual amount people pay depends on their individual circumstances. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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 stars. This means the people who use this service experience good quality outcomes. This unannounced fieldwork visit to Chestnut Lodge took place over 5 hours on 23rd September 2008 as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and discussions with service users, staff and visitors to the home. Comments were received during the visit and from a satisfaction survey that was carried out by the home in July 2008. In total, there were comments noted from 12 service users, 5 relatives, one visitor, 9 staff, the registered manager, plus the registered provider. What the service does well: The service achieves good outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being good. The home provides very good basic nursing care and is described as being very warm and friendly. Many service users return for short breaks having enjoyed their respite care. There is a stable, well-qualified and experienced staff team. Comments received from service users were very positive and complimentary about Chestnut Lodge. Typical comments included: “I had enough information about this home before I moved in so I could decide if it was the right place for me.” “They were able to answer all my questions to my satisfaction and I don’t regret moving here.” “The staff are very good and look after you.” “If I have any healthcare problems the staff are very good at giving me the help I need.” “I like it here and I’m quite content.” “The staff listen and act on what I say and there are usually activities arranged by the home that I can take part in.” “I am very satisfied with the general standard of meals and hygiene.” “If I had any concerns or wanted to make a complaint, I would speak to the staff or manager, who have always been very understanding and helpful.” “The home is always fresh and clean and my bedroom is comfortable.” “The staff are really very good to everyone.” “The staff are very friendly.” Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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 Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 People who use the service experience good quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them much about the service they will receive. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents and staff confirmed that full assessments of needs were carried out prior to admission to the home. Most residents felt there was enough information from which to make a choice about being admitted, although many had shared this responsibility with others such as relatives and/or social workers. The home supplies comprehensive statements of purpose, service user guides and contracts/terms and conditions of residence. The home keeps these documents under review. The home’s reception area is next to the manager’s office on the ground floor and a variety Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 9 of useful information is available, including the service user’s guide, statement of purpose and previous inspection reports. Typical comments included: “I had enough information about this home before I moved in so I could decide if it was the right place for me.” “They were able to answer all my questions to my satisfaction and I don’t regret moving here.” Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents felt that their health and social care needs were well known by staff and were being fully met. Care plans confirmed that health and social care assessments and treatments/interventions were being carried out, with input from nursing and care staff, local doctors, community nurses and social workers. Residents said that the nurse or doctor would see them whenever required and they were satisfied with the quality of service they received. Residents’ personal, social and health care needs were well known, understood and respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 11 Typical comments included: “The staff are very good and look after you.” “If I have any healthcare problems the staff are very good at giving me the help I need.” Care plans and risk assessments were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers where appropriate. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, includes the important issues of privacy and dignity and all permanent care staff members have either achieved NVQ in care, or are registered for the award and working towards it. There are good arrangements for the safe administration of medicines. Nursing care staff members are responsible for the administration of medicines and have completed Safe Handling of Medicines training. Some members of care staff who assist the nursing staff at this home have also completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies medication mainly in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are adequate storage systems and nursing staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. A licensed waste disposal company collects unwanted medicines and the home is careful not to stockpile large quantities. The manager carries out monthly medicine audits routinely. It is good that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents who commented said they enjoyed living at Chestnut Lodge and described the staff as being caring and helpful, and the atmosphere in the home as being friendly and supportive. They were free to use any of the communal facilities such as lounge/dining areas, or their own bedroom at any time. All were satisfied with the arrangements for daily life in the home. Residents confirmed they could exercise choice in their daily lives, including how they spent their time, when they got up and went to bed, and what clothes they wore. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 13 There were different activities in which to participate if they wished, including visiting library, monthly motivational classes, quizzes, visiting entertainers, music and movement, birthday parties, occasional outings, seasonal events, visiting clergy, videos and DVDs, plus reminiscence and visiting hairdresser. Typical comments included: “I like it here and I’m quite content.” “The staff listen and act on what I say and there are usually activities arranged by the home that I can take part in.” Care staff members lead social events and activities, as time permits, and a motivational facilitator visits monthly. Residents pursue individual interests if they wish, such as reading, sewing or television. Most residents have a television in their own rooms. Residents said that visitors were always made welcome and could call at any reasonable time. Some residents went out with relatives or friends for part of the day. Service users would benefit from having more opportunities for outings in the home’s minibus, and the home is recruiting the help of volunteer drivers. Residents’ comments confirmed that the catering was good. There was a wide choice and the Cooks understood their preferences, including special diets and alternatives. Menus were often discussed at residents’ meetings. Residents mainly dined together in the dining rooms. They could, however, eat their meals elsewhere and at different times if required. Records are kept of meals served, available for inspection. The Cook confirmed the varied, appetising menu, much of it homemade. Residents’ birthdays were always celebrated, usually with a cake and special buffet tea, and these were well appreciated by all concerned. Typical comments included: “I am very satisfied with the general standard of meals and hygiene.” The home received a 4 star award from Tees Valley for a good standard of hygiene (20/06/08). Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. The home invites comments, compliments and suggestions, plus complaints, which it records along with any necessary action taken to investigate and address issues. Typical comments included: “If I had any concerns or wanted to make a complaint, I would speak to the staff or manager, who have always been very understanding and helpful.” Staff and management are aware of the need to safeguard adults from abuse or neglect and most have undergone training in these issues. Staff members are aware of the home’s ‘whistle blowing’ policy, which requires staff to speak out about any suspected abuse or neglect. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 15 All staff members undergo enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks, as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through comprehensive induction and foundation training, so that they have the right knowledge and skills to do their jobs competently. Records examined in 3 personnel files supported these conclusions. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 23 and 26. People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. The registered provider supports staff training in these important areas by an on-going programme. Residents said that they were pleased with the premises, finding them clean, comfortable and homely, as well as practical. The home is well maintained and Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 17 attractively decorated, with repairs and servicing being carried out promptly and according to schedule. Typical comments included: “The home is always fresh and clean and my bedroom is comfortable.” A programme of equipping each bedroom with en suite toilet and wash hand basin is nearing completion. Also, 5 bedrooms will have their own shower. A new laundry room and separate sluice room are being created. Ground floor lounge/dining rooms have been redecorated, refurnished and re-carpeted since the last inspection. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of inspection, there were 14 residents being accommodated. Typically, there is one nurse and 2 care staff members on duty during the day. At night, there is one nurse and one member of care staff on duty. There are sufficient ancillary staff members, including a full time cook, a relief cook and part time domestic staff. A part time administrator is also available on Mondays. Typical comments from service users included: “The staff are really very good to everyone.” “The staff are very friendly.” A full staff training and development programme is in operation, including moving and handling, catheter care, dental hygiene, first aid, safe handling of medicines, safeguarding adults, dementia care, healthy eating, equality and diversity, palliative care, health and safety, infection control and food hygiene. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 19 Staff confirmed that they had undergone extensive induction and foundation training, plus specialist training (such as ‘peg’ feeding) when required. All permanent care staff members have either completed training and assessment for National Vocational Qualifications (NVQ) in Care at NVQ levels 2 or 3, or are registered for the award, which is commendable. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. Most care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident, as confirmed by comments received from staff and service users, plus direct observation. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a registered, qualified manager with substantial experience. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The registered manager is a registered nurse who is well qualified and experienced in her role. She has achieved the Registered Manager’s Award at National Vocational Qualification (NVQ) level 4. Service users and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and very caring. It was observed that all members of the staff team, including nurses and carers and the Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 21 registered provider, work well together and support the manager in her role. Members of staff are well supervised and supported, including direct observation by the manager, but more supernumerary time is desirable for the manager to be able to document one to one supervision sessions. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home helps look after residents’ monies, such as personal allowances, clear individual records are maintained. Comments received from staff and management confirmed that there are clear health and safety policies and procedures that promote the health, safety and welfare of residents and staff. All staff members do refresher training in health and safety, such as moving and handling and fire safety. This helps reinforce the registered provider’s written policies on Health and Safety. Written risk assessments are completed where appropriate, concerning issues such as moving and handling, to guide staff in safe practice. Health and Safety issues are also discussed at regular staff meetings and in staff supervision sessions. Residents and staff expressed satisfaction with the way the home was run. The manager routinely invites comments and suggestions from service users, relatives and visitors about all aspects of home life. These systems for quality assurance are enhanced by the home carrying out formal surveys, using questionnaires, each year. The collated results of these surveys are published within the home. It is commendable that Chestnut Lodge has achieved the Investor in People award, which is a nationally recognised indicator of quality assurance. The registered provider visits the home daily and is closely involved with most aspects of its day-to -day work. She needs to ensure that reports of the monthly visits to the home (under regulation 26 of the care homes regulations) are kept at the home and available for inspection. Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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 3 X 3 3 3 X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X X 3 X 3 Chestnut Lodge Nursing Home DS0000000159.V371902.R02.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 OP31 Good Practice Recommendations OP33 Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Chestnut Lodge Nursing Home DS0000000159.V371902.R02.S.doc Version 5.2 Page 25 - 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. 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