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Care Home: Friary Lodge

  • 177 Friern Barnet Lane Whetstone London N20 0NN
  • Tel: 02084454756
  • Fax: 02084454756

Friary Lodge is a registered care home for fifteen older service users. The home is privately owned with the newly registered manager also being the registered provider jointly with her husband. The last manager/provider has retired and the new manager/provider took over the running of the home in February 2006 after an induction/handover period of three months. The home is a large converted three storey domestic premises that includes a ground floor annexe. The communal facilities are on the ground floor and include a large lounge with adjoining conservatory, dining room and kitchen. The laundry and manager`s office are also located on the ground floor. There are nine single bedrooms: five on the ground floor, two with en-suite; one on the first floor and three on the second floor, one of the latter with en-suite. There are an additional five shower or bathrooms with WC`s and a single WC, spread throughout the home and convenient to residents` bedrooms. There is a stair lift to facilitate access to the first and second floors although the home can only accommodate wheelchair users on the ground floor. The home has a large well-kept rear garden that residents can enjoy when they wish. The home is well served by public transport and is situated in a pleasant residential area of Whetstone and is close to Friary Park, local shops and other community services. The stated overall aim of the home is to enable elderly people to lead dignified, independent and fulfilled lives in safety and comfort. The current scale of charges range from £500 per week to £650 per week with en suite facilities. .

  • Latitude: 51.623001098633
    Longitude: -0.16699999570847
  • Manager: Mrs Fidelma Joan Walsh
  • Price p/w: £575
  • UK
  • Total Capacity: 15
  • Type: Care home only
  • Provider: Mr Kevin John Walsh,Mrs Fidelma Joan Walsh
  • Ownership: Other
  • Care Home ID: 6754
Residents Needs:
Old age, not falling within any other category

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 Friary Lodge.

CARE HOMES FOR OLDER PEOPLE Friary Lodge 177 Friern Barnet Lane Whetstone London N20 0NN Lead Inspector Duncan Paterson Key Unannounced Inspection 20 May & 5 June 2008 09:40 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 Friary Lodge DS0000066206.V364003.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. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Friary Lodge Address 177 Friern Barnet Lane Whetstone London N20 0NN 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) 020 8445 4756 020 8445 4756 friarylodge@btconnect.com Mrs Fidelma Joan Walsh Mr Kevin John Walsh Mrs Fidelma Joan Walsh Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th August 2007 Brief Description of the Service: Friary Lodge is a registered care home for fifteen older service users. The home is privately owned with the newly registered manager also being the registered provider jointly with her husband. The last manager/provider has retired and the new manager/provider took over the running of the home in February 2006 after an induction/handover period of three months. The home is a large converted three storey domestic premises that includes a ground floor annexe. The communal facilities are on the ground floor and include a large lounge with adjoining conservatory, dining room and kitchen. The laundry and managers office are also located on the ground floor. There are nine single bedrooms: five on the ground floor, two with en-suite; one on the first floor and three on the second floor, one of the latter with en-suite. There are an additional five shower or bathrooms with WCs and a single WC, spread throughout the home and convenient to residents’ bedrooms. There is a stair lift to facilitate access to the first and second floors although the home can only accommodate wheelchair users on the ground floor. The home has a large well-kept rear garden that residents can enjoy when they wish. The home is well served by public transport and is situated in a pleasant residential area of Whetstone and is close to Friary Park, local shops and other community services. The stated overall aim of the home is to enable elderly people to lead dignified, independent and fulfilled lives in safety and comfort. The current scale of charges range from £500 per week to £650 per week with en suite facilities. . Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key inspection took place on 20 May and 5 June 2008. The return visit on 5 June was to look at supervision records not available on the first day of the inspection. The inspection involved time at the home talking with residents, staff and the manager. A standard form, the Annual Quality Assurance Assessment (AQAA), was returned to CSCI by the manager. This was taken into consideration. Four resident’s care arrangements were looked at in detail using our case tracking method. The inspection also involved the assessment of a range of the home’s records, procedures and forms as well as observation and a tour of the premises. Surveys were received from three residents, five relatives, staff and visiting professionals. There were eight residents living at the home. What the service does well: What has improved since the last inspection? Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 6 There have been improvements to the physical standards including the installation of a new chair lift, the refurbishment of the bathrooms and start of refurbishment to the bedrooms. The manager and staff have been able to comply with requirements made at the last key inspection including care planning arrangements and production of a quality assurance report. 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. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1234 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The information available about the service is detailed and provides people with a clear picture of the home. Assessment information is complemented by additional details about each individual person. This allows the provision of an individual service that can meet people’s needs. EVIDENCE: I was shown the statement of purpose. This is a detailed document which sets out the services provided and details of staff arrangements. It provides people interested in the service with full information and will help people decide whether the service is suitable. The statement of purpose is fairly long and the manager may wish to shorten when it is reviewed. There are currently eight residents living at the home although there is capacity for 15. Many of the residents have lived at the home for a number of years and are well established. A feature of the home is that is has provided for older people form the immediate neighbourhood. One of the new residents Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 9 had also lived nearby and this proximity was one of the reasons for choosing this home. Her friends are able to visit and carry on with regular bridge games. The residents I spoke with during the inspection were positive about life at the home. The following comments from a resident was typical of the overall view, “The staff are very amicable and friendly. They do things well.” The returned surveys from relatives were also positive. Many favourable comments were received including the response from one relative that, “the service meets my mother’s needs”. I looked at four resident’s case files as part of the case tracking we use to sample the care provided. I noted that the main assessment form in use was comparatively brief. However, it was complemented by the fact that there were other documents which set out details of the resident’s life history as well as details as to what they could do for themselves and what they needed help with. Such documentation is very useful in providing person centred care. I was shown two resident’s contracts. One was old and had been inherited from the previous owner. The current owner may wish to update the contracts now that there is a new owner. The AQAA returned to us detailed the equalities and diversity work that has taken place. This includes being flexible and responsive to individual resident’s needs, installing a new chair lift and providing choices in menu planning. It also includes providing adaptations for people with physical disabilities. I noted that the staff team was mixed in terms of race as well as experience and expertise. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 11 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are effective care planning arrangements in place with detailed objectives and assessments. The manager and staff provide sensitive and kind care. The manager has developed effective systems for the safe storage and administration of medicines. EVIDENCE: The care plans I saw were detailed and combined objectives, assessments and individual information about each resident. There were also details about health needs and medication received. I discussed care plans and residents needs with staff, discussed care provision with residents where possible and observed the manager and staff providing care and interacting with residents. I found that the manager and staff had a good knowledge of residents and their needs and were good at calming residents and guiding them for meals and activities such as games. The manager was good at including all residents in conversations, for example, when discussing one resident’s relative who was Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 11 to visit. The manager also demonstrated that she had good relations with relatives and clearly was able to discuss care and resident’s welfare with them. I found that staff were able to talk in detail about the residents they provided a key worker service for. They told me, for example, of the individual work they did such as providing activities. I later saw staff working with residents on a one-to-one basis. I received survey responses from health care professionals which were positive. One person, for example, said that the service was good at providing, “very attentive and personal care in a comfortable and pleasant environment”. Another commented on the choice provided and, “emotional support when needed”. However, there was also feedback that there was a need for an improvement when it came to staff training and the personal development of staff. These comments were shared with the manager and she will be able to address them. I inspected the medication storage and administration arrangements. There is a new medication storage cabinet which provides a stronger, more robust place to keep medication. The medication system has been changed to a blister pack arrangement which makes it easier to administer. The records were clear and included separate records of controlled drugs as well as records of temperature checks. I noted on care plans that there was a section about resident’s wishes in the event of death. Most of the residents have relatives who would guide arrangements after death. There had been recent deaths at the home and I was able to talk with the manager about this. Some of the residents who had died had been living at the home for a long time and the manager was able to describe some positive relations with families after death. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service benefit from opportunities to take part in activities and make use of community contacts. These opportunities can enrich their lives. Staff know residents well and the home is of a size where people can live peacefully together taking part in either individual or group activities as appropriate. EVIDENCE: I discussed the provision of activities and community contact with the manager, staff and residents. One resident told me that she had weekly visitors and that she had settled in well to the home. She said that she was able to make her own decisions and carry on with her interests. The manager told me that there were regular visitors such as young people from a school as well as church related visitors. She also told me that they had entertainers to the home frequently, for example, to celebrate birthdays. Staff told me that they provided one-to-one activities such as card games with residents. During the inspection I saw staff playing games and interacting with residents. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 13 I received a survey from a church visitor who provides pastoral care. She said that she found the, “standard of care very high. The residents come first. The staff are very welcoming”. The manager also told me that relatives visited on a regular basis. This was confirmed by residents. There is a large garden and residents are encouraged to assist where they can. For example, on the second day of the inspection the manager had bought tomato plants and these were to be planted so residents could see them develop over the summer. I visited the kitchen and spoke with the chef. The chef has worked at the home for a number of years and knows the residents well. She was able to describe to me their needs, likes and dislikes and how these were responded to. For example, pureed meals are provided for specific residents. The kitchen is next to the dining room and the chef serves the meals. This helps with close involvement between the chef and residents. I joined residents for lunch and was able to see first hand how the meal was served and how staff worked with residents. The meal was a relaxed, pleasant experience. Staff assisted where needed and encouraged residents to eat. The meal was tasty and enjoyable. One of the residents told me that, “the food is always good”. I was told that the home’s kitchen and food preparation arrangements had been inspected recently by Barnet Council’s environmental section under their new “Scores on the Door” scheme. The inspection includes coverage of food safety and staff training. Four stars were awarded (the maximum is 5 stars). I was shown a certificate dated 27 February 2008. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is an open, friendly culture where people can raise complaints if desired. Safeguarding arrangements are in place with the manager and staff aware of safeguarding matters and keen to develop their knowledge. EVIDENCE: Feedback received about the service was positive. People responding to the surveys reported that they knew how to make a complaint. From discussion with the manager I could see that there were good relations with relatives and professionals visiting the home and that complaints could easily be made if required. Many complimentary comments were made and clearly people were happy with the service provided. I was shown the complaints records and I noted that there had been no complaints recorded since the new owner / manager had started in 2006. I was shown the complaints procedure and I noted that although it was detailed and clear an addition was needed so that people were clear that, in the event of them raising a complaint, that it would be responded to within 28 days. The manager undertook to amend the policy. I was shown the safeguarding policy. This provides the required details including a definition and explanation of the types of abuse. Also, provided are details of how to respond to allegations or incidents including referral to the local authority. I discussed safeguarding with staff to whom I spoke. Staff Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 15 told me that they had received training in this area and I later saw evidence of this on the staff files. There is a new member of staff who will need to go on a safeguarding course. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 & 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is an attractive, comfortable and inviting converted property with large comfortable rooms. Residents have benefited from the improvements that have been made to the physical standards. More improvements are planned. EVIDENCE: I toured the home with the manager in order to assess this standard. The home is a large converted building with bedrooms on the ground, first and second floors. The bedrooms are generally large. There is lots of natural light and many of the original features of the house have been retained making bedrooms attractive and comfortable. The manager pointed out areas where changes and improvements had been made since she took over the running of the home. For example, a new chair lift has been installed which was less bulky than the previous one. The Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 17 bathrooms have been refitted with new facilities and the bedrooms have new vanity units. There are plans to create a new wet room on the ground floor and other plans for the gradual improvement and refurbishment of the home. There is a main lounge which provides a comfortable sitting area for residents to relax in. There is a conservatory which has comfortable seating and a table so that it can be used for relaxation, meals as well activities. There is also a dining room which is comfortable and provides plenty of space for meals. Activities can also take place here. There is a very large garden which provides a very pleasant area with seating available as well as lots of space for walking or simply viewing. The ground floor is accessible for people who may have disabilities. There is a ramp which can be used to help people get into the home. There is a shower room on this floor as well as all the communal facilities. I visited the laundry which is contained in one of the outbuildings. There is an industrial washing machine as well as a washing machine with a sluice cycle. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is a friendly staff team who have completed relevant training. Residents will be better protected when the required improvements are made to the staff recruitment arrangements. EVIDENCE: The staffing complement is two staff on at all times during the day. Currently this is acceptable as there are reduced numbers of residents in the home. However, when new residents are admitted the staffing numbers will need to be reviewed to make sure that people’s needs can be met. There is a waking night and sleep in worker at night. I inspected four of the staff files. The majority of the required checks had been completed such as the obtaining of CRB checks and personal identification. However, I identified that the recruitment process was incomplete as there were problems with the references and staff work histories. The required two references had not been obtained for one member of staff. For another member of staff a reference had been received from the last employer but not from the person’s line manager. And references for a third member of staff could not be linked to previous employment as there was no work history. A work history was also absent for a second member of staff. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 19 These maters are required under The Care Homes Regulations 2001 and without them it is not possible to say that staff have been recruited properly. This is therefore a potential risk to residents. The manager undertook to chase up the outstanding references and a requirement is given for the recruitment process to be tightened in line with regulations. I discussed staff training with the manager and staff as well as looked at the home’s AQAA return. I could see that staff had completed relevant training including NVQ qualifications. The training included first aid, food hygiene, health and safety and medication. The manager told me that induction was provided and showed me an induction record which covered 79 areas. Friary Lodge DS0000066206.V364003.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): 31 32 33 35 36 37 & 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager provides effective, calm leadership and is clear about the future direction of the home. There are reliable quality assurance systems and health and safety arrangements. Providing more effective staff supervision should assist with arising issues and benefit people using the service. EVIDENCE: Throughout the inspection I was able to discuss matters with the owner and to ask questions about the running of the home. The manager’s husband and coowner was present at the end of day one and this provided an opportunity to discuss progress since they had taken over the running of the home as well as plans for the future. I was also able to observed the manager in her day-today interactions with residents and staff. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 21 I identified that the manager provides clear, purposeful leadership for all. She brings to her role experience of nursing and work within the NHS. The manager has a good knowledge of care and health matters and is able to provide a calm, friendly and sensitive style of leadership. The owners are clear about the future which includes the continuation of improvements to the physical standards at the home, a gradual build up to full capacity of residents and possible inclusion of dementia care as a category of registration. I discussed quality assurance initiatives with the manager. In compliance with previous requirements in this area the manager has now produced an annual report into the quality assurance work. This inspection has been able to receive survey returns from a cross section of people including relatives, residents, staff and visiting professionals. A similar exercise can be carried out by the manager on a regular basis in order to obtain the views of residents and others involved in their care. I discussed the arrangements made to look after residents’ money. The manager said that she did not look after money for anyone and simply asked relatives to pay for costs such as hairdressing when required. This works well where relatives are involved in residents care. One resident I spoke with told me that she was in charge of her finances and she made all the arrangements. I was shown the staff supervision records. I identified that there were a number of areas of good practice. Each member of staff had been issued with a supervision agreement, there was a standard form for use in supervision sessions and the records provided evidence that meetings were regular. However, I noticed that many of the supervision records were brief. I did not think that they represented the full discussion there may have been between the manager and staff member. Supervision records must be more detailed to allow the manager and staff to pinpoint areas for development and action. This is especially important to address the point made by health professionals that there was a need to address staff development and professionalism. I was shown the records for the maintenance of the home, the servicing of equipment and checking of matters such as fire checks and drills. These were all up to date and recorded thoroughly. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 3 3 Friary Lodge DS0000066206.V364003.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 OP29 Regulation 19(1)b(i) Sch 2 Requirement Timescale for action 01/07/08 2 OP36 18(2) Full details required by Schedule 2 of The Care Homes Regulations 2001 must be obtained in respect of staff before they are offered work at the home. This will ensure that the required references and work histories are obtained. Staff supervision records must 01/07/08 include full written details of the discussion and action points of supervision sessions. 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 OP16 Good Practice Recommendations The complaints policy should inform people that complaints will be responded to within 28 days. Friary Lodge DS0000066206.V364003.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Friary Lodge DS0000066206.V364003.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. Re-publishing this information is in breach of the terms of use of that website. 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