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Care Home: Fir Tree Lodge

  • Heather Drive Tadley Basingstoke Hampshire RG26 4QR
  • Tel: 01189815147
  • Fax: 01189815171

Fir Tree Lodge is a registered purpose built care home, which provides accommodation and support for up to six persons in the categories learning disability, physical disability and sensory impairment. The home which is owned and managed by a registered charity See Ability is sited on a small campus that includes a registered nursing home and a day centre which is equipped with a number of facilities including a hydrotherapy pool, sensory room, gym, I.T. and craft rooms all of which can be accessed by the residents. The campus is located in the North Hampshire town of Tadley close to local amenities, local transport and within easy travelling distance of the towns of Newbury, Reading and Basingstoke. All residents are accommodated in single rooms all of which have with en suite toilet and bathing facilities. All rooms are also fitted out with specialist equipment including beds; baths and permanent fixed overhead hoists. Weekly charges are £1934 per week.

Residents Needs:
Sensory impairment, Learning disability, Physical disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Fir Tree Lodge.

CARE HOME ADULTS 18-65 Fir Tree Lodge Heather Drive Tadley Basingstoke Hampshire RG26 4QR Lead Inspector Peter J McNeillie Unannounced Inspection 18th February 2008 09:00 Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fir Tree Lodge Address Heather Drive Tadley Basingstoke Hampshire RG26 4QR 01189 815147 01189 815171 khebdon@seeability.org 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) SeeAbility Karen Hebdon Care Home 6 Category(ies) of Learning disability (6), Physical disability (6), registration, with number Sensory impairment (6) of places Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2007 Brief Description of the Service: Fir Tree Lodge is a registered purpose built care home, which provides accommodation and support for up to six persons in the categories learning disability, physical disability and sensory impairment. The home which is owned and managed by a registered charity See Ability is sited on a small campus that includes a registered nursing home and a day centre which is equipped with a number of facilities including a hydrotherapy pool, sensory room, gym, I.T. and craft rooms all of which can be accessed by the residents. The campus is located in the North Hampshire town of Tadley close to local amenities, local transport and within easy travelling distance of the towns of Newbury, Reading and Basingstoke. All residents are accommodated in single rooms all of which have with en suite toilet and bathing facilities. All rooms are also fitted out with specialist equipment including beds; baths and permanent fixed overhead hoists. Weekly charges are £1934 per week. Fir Tree Lodge DS0000067693.V356999.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 report was written after taking into consideration a number of sources of information and evidence. These included, the previous report, a site visit to the service, information obtained from examining residents and staff records, personal observations, talks with staff and management, results from an in house quality survey, reports written following visits to the home by a representative of the provider as required by regulation 26, and responses by the manager to a CSCI Annual Quality Assurance Assessment (AQAA) prior to the inspection. In addition to the inspector, an independent Expert By Experience was also in attendance. Her observations and comments are included in the main body of this report. Further details regarding the use of experts by experience and their role at an inspection can be obtained from the CSCI web site. This key unannounced visit was the first inspection for the year 2007/08 and took place on 18/02/07 between the hours of 09.00 am and 3.00pm. During the inspection at which all of the key standards for care homes for younger adults and any previous requirements were assessed. We were only able to communicate with residents at a very basic level due to their profound communication difficulties and are very grateful to the care staff for their assistance. The results and findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 6 All previous requirements relating to pre admission assessments of needs and care planning have been complied with. 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. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of assessing and identifying residents diverse needs which ensures residents safety and that their assessed needs can be met that involves residents and/or their representatives. EVIDENCE: No admissions have taken place since the last inspection. We were informed that there is a corporate admissions policy and procedure that requires, no resident is admitted into the home without a full assessment of need and risk being carried out by the manager or a senior member of the homes care staff in consultation with the resident or their representative and in tandem with an assessment by the potential residents external care manager. Following the last inspection a requirement was made that: The registered person is required to ensure that when pre admission assessments are carried out on potential residents a record is available to confirm the assessment has taken place and the resident or their representative was consulted To ensure the previous requirement had been complied three randomly selected residents pre admission assessments were viewed. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 9 All of the records seen confirmed that residents were admitted in accordance with the admissions policy and procedure using an assessment tool that apart from the usual health care needs includes sections relating to ‘culture, religion & politics’, ‘disability’ and ‘sexuality’ to prompt exploration of these areas. All assessments viewed now include an acknowledgement that the resident or their representative and contributed to the assessment procedure in compliance with the above requirement which from the evidence viewed and comments by management we are satisfied has been complied with. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a well-developed system of planning and reviewing care which reflects residents wishes, aspirations, diversity and ensures residents needs are met within a risk management policy and involves residents, residents representatives or relatives in decisions that affect them. EVIDENCE: Following the last inspection a requirement was made that: The registered person is required to ensure that when residents care plans are produced residents or their representatives are consulted and the records reflect this. A Selection of three residents written support plans which can be produced in a format best suited to the resident including, largeprint, braille, audio cassette, pictures/symbols, or detailed discussion were viewed. The records indicated that all plans which are reviewed at least monthly and included confirmation that the resident or their representative had been Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 11 involved in and consulted about the plan are based on an initial assessment of needs and risk which took into consideration, resident’s needs, wishes, choices, aspirations, risks, details of any health care professional involved, communication methods, dietary needs and help required with eating and drinking. From the evidence viewed and comments by management and care staff we were satisfied the previous requirements had been complied with. To ensure equality and diversity are promote within the service we were informed that two staff are part of an enhanced specialist training programme offered by Seeability to promote the social inclusion of people who have a visual impairment and additional disabilities. This programme equips staff to work with individuals and the local community to promote access to services and facilities and challenge barriers in society that disable people face. In the future the home is planning ‘refresher’ training for some staff to update their knowledge and skills in this area and to make The Statement of purpose more robust in promoting the view that services are individually tailored and will be sensitive to race, culture, religion, disability and sexual orientation. Residents right, and the opportunity to take risks is seen as fundamental, however it was clear from records, observations and talking to some residents they would have difficulty in totally understanding the concept of risk and risk taking. Despite this, residents were supported to make decisions for themselves within a risk assessment framework with the help of staff who were skilled in communicating with individual residents using methods that were recorded in care plans. This process identified individual risks and how they were to be managed, enabling residents to take part in activities in a safe manner. Should restrictions need to be imposed these would be agreed with the resident and recorded in the care plans. Staff who had a good understanding of the contents of the care plans and risk assessments and were able to explain how the care plan was put into day-today practice. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17, and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. EVIDENCE: The home has developed personalised activities programmes developed by a full time activities coordinator for each resident based on their individual interests and choice using the facilities of an on campus day services and resources within the home and the wider community. At the time of our visit all residents were coming and going as they undertook various activities according to their programmes. The home views residents activities as very important to the individual, consequently, staffing is arranged to ensure residents are supported in any activity and whenever possible no activity is cancelled due to lack of staff. Each resident is also allocated up to six hours each week on a one to one basis from a support worker. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 13 Currently activities on offer include, music, it skills, swimming, hydro bath, cooking, crafts, life skills plus trips out to places of interests. Previous trips out have included holidays, music concerts and theatre and local places such as garden centres and the local social club. The Expert by Experience found:” There was a good, wide range of activities, using ordinary, local, community places where possible, also going to shows in London and on holiday. They used buses, minibuses, taxis and walked.” During our visit we observed staff interacting with residents in a positive, respectful non-patronising manner and respecting resident’s privacy by knocking and waiting for an answer before entering their rooms. This view was confirmed by The Expert by Experience who found “The residents wore clothes that suited them and staff knew what people liked, helping them choose their clothes, when they went shopping. They wore bibs to protect their clothes when eating, but not at other times when they didn’t need them on. Staff was dressed suitably for the work they were doing. The staff knew the residents well and understood their needs and how to help them. There was enough staff to help people do the things they needed to do.” Our expert also commented that: “Bedroom doors were left open even when the rooms were empty; it did not make it feel that it was one resident’s private room.” Following this comment the manager gave an assurance that bedroom doors would be closed when bedrooms were not in use. Resident’s families and friends are encouraged to visit at any time. Residents who are free to receive visitors in private and choose who they wish to see are supported in maintaining family contacts and establish friendships. None of the residents is able to use a telephone unassisted but still maintain contact by phone and e-mail and post (sending birthday cards to family and friends) with the help of care staff. Only four of the residents are able to take advantage of the extensive and varied menu available are able to exercise choice on what, when, or whether they eat A written daily menu based on resident’s likes and dislikes was displayed. The homes staff and management recognised that alternatives to a written menu is of importance for some residents with a learning disability who may find the addition of pictures would be beneficial to their understanding and assist in them making meaningful choices. To assist residents we were informed a menu is being developed in an alternative format. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 14 At lunchtime we observed staff assisting residents in a calm unhurried manner at the residents pace. The lunchtime experience was observed and commented on by our Expert by Experience who found” Staff gave good, sensitive help at lunch and with drinks. They were respectful and friendly. Each resident had the help they needed [one person was enabled to eat without much help, because of the sort of bowl used and staff getting the spoon in their hand in the right way]” Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Guidelines seen and comments by staff indicated choice was being exercised by residents in respect of all aspects of their lives these would include providers of personal services, bedtimes, clothes, food, gender of carer, GP, dentist optician and key worker. Records seen indicated that any special medical or health or social care needs would be provided following consultation with the appropriate professional, these might include the local; learning disability team, sensory specialists, doctors, district nurses, physiotherapists, occupational therapists, speech and language therapists, and care managers. Records were kept of appointments with all health and social care professionals and included details of any advice and treatment given Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 16 In support of external health care professionals the home and residents receive the services of an occupational therapist for up to seven and a half hours per week. All residents are registered with the same local medical practice where approximately ten plus doctors are available which allows a choice about the gender of the doctor consulted. Medication records confirmed that all prescribed drugs and medicines, which are securely stored and administered in accordance with a medication policy and procedure by trained staff who confirmed they were aware of and had read the procedure. The record of drugs and medicines administered to residents and unwanted drugs disposed of were complete and accurate. A procedure that ensures residents who wish may assume responsibility for their own medication was in place, records viewed confirmed no resident was responsible for their own medication following a risk assessment. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse. EVIDENCE: A whistle blowing and Adult Protection Policy and Procedure have been implemented to work in tandem with the procedure produced by Hampshire County Council. All management staff spoken to demonstrated they were aware of the procedure to follow should they witness or suspect the abuse of a resident. The complaints procedure, which was also included in the service users guide included information on how to contact The Commission for Social Care Inspection (C.S.C.I), was seen, as was record of complaints. CSCI has received no complaints since the last inspection. Due to the problems of communication we were unable to ascertain whether residents felt comfortable in discussing any concerns they had with the homes manager but staff did state they felt comfortable in discussing issues with management on behalf of any resident. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. EVIDENCE: All areas of the home were very clean and free from unpleasant odours and from obvious hazards. The implementation of strict infection control measures was evident as soon as we entered the home. A great deal and of time, resources and expertise had clearly gone into the design, building, furnishing, equipping and decorating the new spacious purpose build building. Throughout the building there are examples of best practice, large corridors, double doors to bedrooms personal fitted overhead hoists in bedrooms which were also equipped with special beds, baths and non slip flooring. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 19 A professional assessment to ensure that any equipment and personal aids required by residents was available has been carried out. The initial assessments of prospective residents (standard two of this report refers) would consider what personal aids they required and any adaptations the home needed to put into place too meet their needs. All communal rooms were fully decorated, large windows ensured light airy rooms that were equipped with furniture designed to meet resident’s needs. Not only have the needs of the residents been taken into account, so have the needs of the staff enabling then to deliver a good service in a pleasant safe environment a view confirmed by The Expert by experience who found” The facilities were very good; washing [bathrooms & laundry], bedrooms; all the way through. The place was pleasant, clean and tidy. There was a lot of equipment but it still felt like their home. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. EVIDENCE: At the time of the visit the number of staff on duty were a manager, three care staff plus support staff which included and a housekeeper/cook, administrator, activities coordinator and a shared hand man, a staffing level from our observations which we felt was sufficient to meet the needs of the highly dependant residents all of whom require help with the simplest of day to day tasks such as dressing/undressing, washing/bathing, using the toilet and feeding. This view was supported by the expert by Experience who observed” There were enough staff to help people do the things they needed to do.” The rota indicated the number of staff available at the time of the visit was the planned number and deployment of staff. At night two waking staff would be available who in common with all shifts including at weekends have access to an on call duty manager. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 21 We viewed three staff recruitment and training files, all of which included evidence that all staff are employed in accordance with a corporate equal opportunities robust recruitment and selection procedure designed to protect residents This involves the completion of an application form, the signing of a rehabilitation of offender’s declaration, an interview, and satisfactory Criminal Record Bureau (CRB), Protection of Vulnerable Adults (POVA) and reference checks. From the evidence viewed and comments made by the manager and care staff we were satisfied the previous requirements had been complied with. Following their appointment, records seen confirmed all staff are subject to an in house and corporate induction and compulsory training programme, which involves courses that include visual impairment, first aid, moving and handling, POVA, food hygiene, fire safety (including evacuation), handling medication, equal opportunities and the protection of vulnerable adults. All staff are also expected to undertake a National Vocational Qualification (NVQ) course. Currently 28.6 of staff has been trained to at least NVQ level two with a further 35.7 currently on courses. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought through their representatives. EVIDENCE: The service is well managed by the manager who has had many years management and residential experience, is qualified to N.V.Q. level four in care and since the last inspection has been successful in obtaining her N.V.Q. level four registered managers award. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 23 Care staff informed us that they had regular staff meetings and supervision, felt well supported by the manager who they described as available and approachable and open to ides that might improve the service. We viewed responses to a satisfaction questionnaires completed by resident’s relatives, which indicated an 100 of respondents were totally satisfied with the service provided and would recommend the service to others if asked. We were informed work in progress includes expanding the current scope of the survey to include health, social care professionals and residents and how best to overcome the problem of communication with the residents to ensure meaningful results. The records and cash held by the manager on behalf of residents was checked. Receipts were available and the cash balances reconciled with the records seen. A corporate health and safety policy was in place to ensure the day-to-day safety of staff and residents. Procedures include, weekly health and safety checks, the regular servicing of equipment, staff training in the techniques of moving and handling infection control, control of substances hazardous to health (C.O.S.H.H.) first aid, health and safety, reporting accidents and procedures to follow in the event of fire (including evacuation). As part of the health and safety arrangements and to protect residents, all of the hot water supplies to baths were fitted with thermostatic controls are set at 43 degrees centigrade and all radiators and hot pipes covered. Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fir Tree Lodge DS0000067693.V356999.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

Other inspections for this house

Fir Tree Lodge 18/02/08

Fir Tree Lodge 13/02/07

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