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Care Home: Conifer Lodge

  • 33 Aylestone Lane Wigston Magna Leicestershire LE18 1AB
  • Tel: 01162883170
  • Fax: 01162883170
  • Planned feature Advertise here!

Conifer Lodge provides accommodation and personal care for up to twenty older people. The home is situated in Wigston Magna, close to shops, pubs and other local amenities. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are four lounges, two of which include dining space. All bedrooms are single. The home has a decked garden area at the back and a car park, which visitors can use. Current fees are from £445.00 per week. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager.

Residents Needs:
Sensory impairment, Dementia, Old age, not falling within any other category, mental health, excluding learning disability or dementia, Physical disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 4th September 2008. CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Conifer Lodge.

What the care home does well Conifer Lodge provides homely and comfortable accommodation to residents. Every area we inspected was well decorated and maintained. All the residents and relatives we talked to said they liked the look of the home. Comments included: `My room is very homely`, `The home always looks nice whenever we visit`, and `The home is nice and clean because the staff are very particular`. Residents and relatives said they were happy with the care given at the home. One relative said, `Conifer Lodge cares in a homely way for the individual resident in terms of character/personality and need.` Another commented, `Conifer Lodge provides a good quality of life and care and has exceeded its role on numerous occasions.` Staff at Conifer Lodge are keen to involve residents in activities. Two staff recently took a resident to a social occasion in their own time, as they didn`t want her to miss it. Group and one-to-one activities are provided in the home for those who want to take part. Recent activities have included a picnic in the park, musical entertainment, and armchair aerobics. A relative said, `Outings are arranged and there`s lots of parties.` We found that visitors are made welcome at the home and able to spend as much time there as they like. They are encouraged to treat Conifer Lodge as their family member`s home, where they can come and go as they want. A relative told us, `The care home balances the needs of residents/families very well.` The staff we met were friendly and helpful. We saw they got on well with the people who live in the home. All the residents and relatives we talked to praised the staff team. One resident said, `My carer is fantastic. She is made for the job. She helped bathe me and it was lovely.` Another said, `The staff are lovely. Cheerful, happy, and helpful.` The Manager is qualified and experienced. One resident told us, `The Manager is lovely. You can say anything to her.` A member of staff said, `We are very well supported by the Manager.` Relatives told us that the Manager does all she can to make Conifer Lodge `homely`. One said, `I am totally satisfied with how the home is run at the present time.` What has improved since the last inspection? Care plans have been redesigned and improved. Some bedrooms have been redecorated and there are new worktops in the kitchen. A secluded rear garden area has been created with plants, decking, and seating What the care home could do better: The Admission Form is in need of improvement. `Civil partner` and `partner` (or similar wording) should be added to the options `married/single/divorced/widowed` so that non-married couples are given the same recognition as those who are married. If a complaint is received all stages of any investigation must be recorded so it is clear what the resolution is and whether any further action is necessary. The safeguarding procedure should be re-written so it is easier to follow and gives clear information about the role of social services as `lead agency` during any safeguarding investigation. CARE HOMES FOR OLDER PEOPLE Conifer Lodge 33 Aylestone Lane Wigston Magna Leicestershire LE18 1AB Lead Inspector Kim Cowley Unannounced Inspection 4th September 2008 11.00 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 Conifer Lodge DS0000001677.V371421.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 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. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifer Lodge Address 33 Aylestone Lane Wigston Magna Leicestershire LE18 1AB 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) 0116 2883170 F/P 0116 2883170 coniferlodge@fsmail.net Conifer Lodge Limited Ms Anne Crookes Care Home 20 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (20), Physical disability over 65 years of age (16), Sensory Impairment over 65 years of age (2) Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No more than 2 persons in category SI(E) may be admitted to the home when 2 persons who fall within category SI(E) are already accommodated within the home. No more than 3 persons in category MD(E) may be admitted to the home when 3 persons who fall within those categories/combined categories are already accommodated within the home. No more than 16 person in category PD(E) may be admitted to the home when 16 persons who fall within category PD(E) are already accommodated within the home. No more than 16 person in category PD(E) may be admitted to the home when 16 persons who fall within category PD(E) are already accommodated within the home. No more than 14 persons in category DE(E) may be admitted to the home when 14 persons who fall within category DE(E) are already accommodated within the home. No service users in category PD(E) may be admitted into the four rooms located in the new first floor extension numbered on the fire plan as rooms 6,7,8 and 9. To be able to admit the named person of category DE (under 65 years) named in variation application No. 34913 dated 7 September 2006 into Conifer Lodge. 18th May 2006 4. 5. 6. Date of last inspection Brief Description of the Service: Conifer Lodge provides accommodation and personal care for up to twenty older people. The home is situated in Wigston Magna, close to shops, pubs and other local amenities. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are four lounges, two of which include dining space. All bedrooms are single. The home has a decked garden area at the back and a car park, which visitors can use. Current fees are from £445.00 per week. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Conifer Lodge DS0000001677.V371421.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 3 stars. This means the people who use this service experience excellent quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours and 45 minutes, we checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to three other residents, the Deputy Manager, and two carers. Four relatives surveys and four staff surveys were returned to CSCI prior to the inspection. All respondents made many positive comments about the home. Some of these are quoted in this report. What the service does well: Conifer Lodge provides homely and comfortable accommodation to residents. Every area we inspected was well decorated and maintained. All the residents and relatives we talked to said they liked the look of the home. Comments included: ‘My room is very homely’, ‘The home always looks nice whenever we visit’, and ‘The home is nice and clean because the staff are very particular’. Residents and relatives said they were happy with the care given at the home. One relative said, ‘Conifer Lodge cares in a homely way for the individual resident in terms of character/personality and need.’ Another commented, ‘Conifer Lodge provides a good quality of life and care and has exceeded its role on numerous occasions.’ Staff at Conifer Lodge are keen to involve residents in activities. Two staff recently took a resident to a social occasion in their own time, as they didn’t Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 6 want her to miss it. Group and one-to-one activities are provided in the home for those who want to take part. Recent activities have included a picnic in the park, musical entertainment, and armchair aerobics. A relative said, ‘Outings are arranged and there’s lots of parties.’ We found that visitors are made welcome at the home and able to spend as much time there as they like. They are encouraged to treat Conifer Lodge as their family member’s home, where they can come and go as they want. A relative told us, ‘The care home balances the needs of residents/families very well.’ The staff we met were friendly and helpful. We saw they got on well with the people who live in the home. All the residents and relatives we talked to praised the staff team. One resident said, ‘My carer is fantastic. She is made for the job. She helped bathe me and it was lovely.’ Another said, ‘The staff are lovely. Cheerful, happy, and helpful.’ The Manager is qualified and experienced. One resident told us, ‘The Manager is lovely. You can say anything to her.’ A member of staff said, ‘We are very well supported by the Manager.’ Relatives told us that the Manager does all she can to make Conifer Lodge ‘homely’. One said, ‘I am totally satisfied with how the home is run at the present time.’ What has improved since the last inspection? What they could do better: The Admission Form is in need of improvement. ‘Civil partner’ and ‘partner’ (or similar wording) should be added to the options ‘married/single/divorced/widowed’ so that non-married couples are given the same recognition as those who are married. If a complaint is received all stages of any investigation must be recorded so it is clear what the resolution is and whether any further action is necessary. The safeguarding procedure should be re-written so it is easier to follow and gives clear information about the role of social services as ‘lead agency’ during any safeguarding investigation. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 7 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. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 8 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 Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: Residents and relatives talked to us about how they chose Conifer Lodge. One relative said, ‘The home had a good reputation so we came and looked around and we liked the décor and the people seemed friendly.’ Another commented, ‘The choice of home for my relative was the correct one. I haven’t come across another in the area that I could have been happy with.’ Potential residents and their families/representatives are invited to visit as often as they like to help them decide if the home is right for them. The Manager said, ‘We also offer prospective residents a free day spent with us at the home to make sure it’s the right place and that we can meet their needs.’ People who are interested in coming to live in the home are assessed by a senior member of staff to ensure their needs can be met. We looked at three Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 10 assessments belonging to the case tracked residents and saw they were clear and detailed, covering all potential areas of need. Staff use these when residents first move in to make sure they get the care they need. Standard 6 was not inspected, as this home does not provide intermediate care. The Admission Form is in need of improvement. ‘Civil partner’ and ‘partner’ (or similar wording) should be added to the options ‘married/single/divorced/widowed’ so that non-married couples are given the same recognition as those who are married. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is excellent. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: All the residents and relatives we spoke to said they were happy with the care given at the home. One relative said, ‘Conifer Lodge cares in a homely way for the individual resident in terms of character/personality and need.’ We looked at care plans, which have been redesigned and improved since the last inspection. We saw that some residents have made progress since being in the home, for example by becoming more outgoing and joining in with social activities, or increasing their mobility. Some of the residents who live at Conifer Lodge suffer from confusion and dementia. This can lead to occasional episodes of challenging behaviour. Care plans showed that staff have devised strategies to work with these residents, and use music, art, and letter writing to distract them when they become Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 12 distressed. This is good practice as it helps to keep the atmosphere in the home calm, which is beneficial to all the residents. Records showed that residents’ health care needs are closely monitored and GPs and other health care professionals contacted when necessary. One resident told us, ‘If I ask for a doctor they get me a doctor.’ Since the last inspection all residents have completed an ‘End of Life Plan’ in conjunction with staff at the home, relatives, and local doctors and nurses. This sets our their wishes in the event of them nearing the end of their lives, and states how they would like to be cared for and where. Medication is safely stored and administered with the support of the home’s contract pharmacist, who also provides advice and staff training. Only senior members of staff with appropriate training are allowed to administer medication. Staff monitor the effects of medication and take action where necessary. For example, records showed staff contacting the GP to report that a resident appeared ‘sedated’ on their medication. This led to the medication being reduced. During their induction staff are trained to treat residents with respect and maintain their privacy. The Deputy said all new staff undergo this training, even if they have worked at other homes, as Conifer Lodge staff are expected to have high standards. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is excellent. Residents’ social and cultural needs are identified and met, visitors are made welcome in the home, and a varied and healthy diet is provided. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: Staff at Conifer Lodge are keen to involve residents in activities. Two staff recently took a resident to a social occasion in their own time, as they didn’t want her to miss it. Group and one-to-one activities are provided in the home for those who want to take part. Recent and regular activities have included: • • • • • • • • • A picnic in the park Musical entertainment (once a month) Armchair aerobics Clothing sales Twice weekly hairdressing Parties Dominoes and bingo A trip to a zoo Monthly church services Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 14 A resident told us, ‘I like it when we have singers. I like to join in.’ One relative said, ‘Outings are arranged and there’s lots of parties.’ Another commented, ‘The staff make an effort to do activities with the residents.’ And a member of staff told us, ‘The home provides good care and entertainment.’ We found that visitors are made welcome at the home and able to spend as much time there as they like. They are encouraged to treat Conifer Lodge as their family member’s home, where they can come and go as they want. A relative told us, ‘The care home balances the needs of residents/families very well.’ The home’s employs a full-time cook. Residents have a choice at every meal and staff know their likes and dislikes. Menus showed that a varied and healthy diet is provided. Residents’ comments about the food included, ‘I like my breakfast. I have toast and marmalade,’ ‘On the whole the food is good’, and ‘Some of the meat they serve is very tender.’ One resident told us she hadn’t fancied what was on the menu for tea the previous night, so staff made her something entirely different and brought it to her room. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. Residents and their representatives are encouraged to talk to staff about any concerns they might have. Improvements must be made to the recording of complaints investigations. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: All the residents and relatives we spoke to said they would tell a member of staff if there was anything they weren’t happy about. One resident told us, ‘If there was anything worth complaining about we’d complain, but there isn’t.’ The home’s complaints procedure is displayed in the entrance hall and explained to new residents and their families on admission. This helps to ensure that anyone who wishes to complain knows what to do. Records showed one verbal complaint being received by the home since the last inspection. The Manager investigated this and the outcome was relayed to the complainant by telephone. However there was no written record of this call having taken place. In future all stages of a complaint investigation must be recorded so it is clear what the resolution is and whether any further action is necessary. The home has a safeguarding procedure in place which explains what staff should do if they have concerns about the way a resident is being treated. This procedure should be improved, as at present it is difficult to follow, and unclear about the role of social services as ‘lead agency’ during a safeguarding investigation. Improving this procedure will help to ensure that staff know Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 16 what to do and who to tell if they become concerned about a resident’s well being. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. Residents live in an environment that is safe, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: Conifer Lodge provides homely and comfortable accommodation to residents. All the areas we inspected were well decorated and maintained. The bedrooms we saw were personalised, as residents are encouraged to bring their own belongs and items of furniture when they move in. The residents and relatives we talked to said they liked the look of the home. Comments included: ‘My room is very homely’, ‘The home always looks nice whenever we visit’, and ‘I like my bed – it’s comfy.’ Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 18 Since the last inspection the following improvements have been made to the premises: • • • Some bedrooms redecorated A secluded rear garden area created with plants, decking, and seating New worktops in the kitchen All areas of the home we inspected were clean, tidy, and fresh. One resident told us, ‘The home is nice and clean because the staff are very particular’. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. An established staff team meets residents’ needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: The staff we met were friendly and helpful. We saw they got on well with the people who live in the home. All the residents and relatives we talked to praised the staff team. One resident said, ‘My carer is fantastic. She is made for the job. She helped bathe me and it was lovely.’ Another said, ‘The staff are lovely. Cheerful, happy, and helpful.’ And a relative told us, ‘The staff are always approachable and queries are dealt with accordingly.’ . Staff files were sampled and records showed that all staff have two written references and satisfactory POVA/CRB checks in place. This will help to ensure residents are safeguarded. Staff are well trained. One member of staff said, ‘From the very first day I started I was shown everything to do with the job to the best standards possible.’ Another told us, ‘Every time there is a new course out we are asked if we would like to go on it.’ There is also a programme of staff appraisal and supervision in place. The training and support provided helps to ensure staff have the knowledge and skills they need to carry out their work. Conifer Lodge DS0000001677.V371421.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Residents live in a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The Manager is qualified and experienced. She has NVQ 4 and the Registered Managers Award, recognised qualifications for people who run care homes. One resident told us, ‘The Manager is lovely. You can say anything to her.’ A member of staff said, ‘We are very well supported by the Manager.’ Relatives told us that the Manager does all she can to make Conifer Lodge ‘homely’. One said, ‘I am totally satisfied with how the home is run at the present time.’ Residents’ views on the running of the home are collected in a number of ways. The Manager and one of the Owners (who staff say visits nearly every day) spend time chatting to residents to get their opinions of the service. Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 21 Residents meetings are also held, and questionnaires sent out to residents and other stakeholders. These consultations help to ensure that the home is run in the best interests of residents. The home looks after small amounts of money for some residents who are not able to look after it themselves. Appropriate records are kept and these are double signed by staff. Other residents have their money looked after by their relatives or representatives. Arrangements are in place to promote and protect the health and safety of staff and residents. The Manager maintains a record of health and safety checks, and risk assessments are carried out to ensure compliance with health and safety regulations. Conifer Lodge DS0000001677.V371421.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 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Conifer Lodge DS0000001677.V371421.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. 1 Standard OP16 Regulation 22(8) Requirement Timescale for action All stages of a complaint 04/10/08 investigation must be recorded so it is clear what the resolution is and whether any further action is necessary. 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 OP3 Good Practice Recommendations The Admission Form should include ‘civil partner’ and ‘partner’ (or similar wording) to ensure that non-married couples are given the same recognition and status as those who are married. The safeguarding procedure should be re-written so it is easier to follow and gives clear information about the role of social services as ‘lead agency’ during any safeguarding investigation. 2 OP18 Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Conifer Lodge DS0000001677.V371421.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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