Care Home: Lawns Nursing Home The

What the care home does well The home is managed in a manner that is service user focussed. It concentrates on the needs, wishes and views of the people who use the service. The home is clean and comfortable. Staff are kind and helpful. Comments returned in surveys included "The Lawns operates in the best interests of those who are resident there" and "staff have good personal relationships with the residents." Routines are flexible and emphasis is placed on treating people who use the service with respect and enabling them every opportunity to exercise choice in key areas of their lives. This ensures that residents maintain some control. Residents are able to access the primary health care team and other health professionals ensuring that their health care needs are met. Particular attention is paid to ensuring that residents get enough to eat. Visitors are encouraged and made welcome. This helps service users maintain contact with family and friends. Regular relatives meetings take place. This is seen as a way of involving families in the running of the home. It promotes openness and transparency, which helps relatives and others on behalf of residents to say if they are not happy with any aspect of the service.There is a clear and user-friendly complaints procedure and complaints are taken seriously. Speedy action is taken to resolve issues. The staff are provided with comprehensive training to improve their knowledge and skills. This makes sure that service users receive care from a wellinformed staff team whose practice is up to date. The safety of service users is an important aspect of the service delivered. It is demonstrated through proper risk assessments, proper recruitment processes, staff training and the servicing of equipment and maintenance of the premises. What has improved since the last inspection? The recruitment process endeavours to employ only suitable staff and thereby protecting residents from harm. The questionnaires sent out as part of the quality assurance scheme have been revamped in order to capture more relevant information, which can be used to improve the service. What the care home could do better: Activities should be planned with a view to providing residents with things to do that matches their interests and capabilities. CARE HOMES FOR OLDER PEOPLE Lawns Nursing Home The 31 Oatlands Drive Harrogate North Yorkshire HG2 8JT Lead Inspector Kate Shackleton Key Unannounced Inspection 23rd October 2007 09:30 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 Lawns Nursing Home The DS0000028032.V349899.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. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lawns Nursing Home The Address 31 Oatlands Drive Harrogate North Yorkshire HG2 8JT 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) 01423 889353 01423 887055 None Amocura Limited Miss Kathryn Appleton Care Home 32 Category(ies) of Dementia (32), Mental disorder, excluding registration, with number learning disability or dementia (32) of places Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Dementia - Code DE and Mental disorder - Code MD The maximum number of service users who can be accommodated is: 32 01/11/06 2. Date of last inspection Brief Description of the Service: The Lawns is a large three storey converted and extended detached house situated in its own grounds in a quiet residential area of Harrogate. It offers nursing care for up to 32 older people who have dementia care needs or a mental health disorder. At the time of this visit the weekly charge ranges from £480 to £900. Item’s not included in the charge are hairdressing, private chiropody and toiletries. The Commission for Social Care Inspection report is available in reception for anyone to read. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. • A review of the information held on the homes file since its last inspection. • Information submitted by the registered provider in the Annual Quality Assurance Assessment document. This is information that the care service has to provide to the Commission for Social Care Inspection when we ask for it. • Feedback from surveys received from thirteen relatives, seven staff, one GP and one care manager. • A telephone conversation with one relative. • A visit to the home, which was unannounced and lasted for about seven hours. It included a tour of the premises, talking to three visitors and some staff. Examining some residents and staff files, sampling a small number of health and safety records and observing staff working with residents. What the service does well: The home is managed in a manner that is service user focussed. It concentrates on the needs, wishes and views of the people who use the service. The home is clean and comfortable. Staff are kind and helpful. Comments returned in surveys included “The Lawns operates in the best interests of those who are resident there” and “staff have good personal relationships with the residents.” Routines are flexible and emphasis is placed on treating people who use the service with respect and enabling them every opportunity to exercise choice in key areas of their lives. This ensures that residents maintain some control. Residents are able to access the primary health care team and other health professionals ensuring that their health care needs are met. Particular attention is paid to ensuring that residents get enough to eat. Visitors are encouraged and made welcome. This helps service users maintain contact with family and friends. Regular relatives meetings take place. This is seen as a way of involving families in the running of the home. It promotes openness and transparency, which helps relatives and others on behalf of residents to say if they are not happy with any aspect of the service. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 6 There is a clear and user-friendly complaints procedure and complaints are taken seriously. Speedy action is taken to resolve issues. The staff are provided with comprehensive training to improve their knowledge and skills. This makes sure that service users receive care from a wellinformed staff team whose practice is up to date. The safety of service users is an important aspect of the service delivered. It is demonstrated through proper risk assessments, proper recruitment processes, staff training and the servicing of equipment and maintenance of the premises. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lawns Nursing Home The DS0000028032.V349899.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 Lawns Nursing Home The DS0000028032.V349899.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): 3. Standard 6 does not apply to this home. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are done to be sure that the service can meet all of the needs of the person requesting admission. EVIDENCE: Files examined confirmed that proper assessments are completed prior to admission. If the referral is made via the local authority the manager makes sure that they provide a copy of their assessment. A member of senior staff from the home visits the prospective resident and their relatives to discuss their care needs. If it is not possible to visit, the use of reports and multi disciplinary meetings involving other social and health care workers are used. This makes sure that people are only admitted when the manager is confident that the service can deliver the care needed. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 9 Relatives and prospective residents are offered the opportunity to visit the home. It is more often the case that relatives/representatives visit and make the decision on behalf of the person requiring care. At this visit there is the opportunity to have a look around and discuss any aspect of the care service. Visitors spoken to confirmed that they had been able to visit for a look around before making a decision. Admission documents provided good information. The diverse needs of service users are identified. The information is available to staff to enable them to understand the full range of care needs of people who use the service. Staff spoken to and surveys received confirmed that they are given enough information about new residents before they arrived to ensure that they can deliver the type of care that the person needs. At the time of admission the nurse in charge is responsible for providing the resident with special attention helping them to settle in and respond to any questions that relatives may have. Soon after admission a named nurse and key worker (care assistant) are allocated to the resident. The allocated staff members take a special interest in the resident. Lawns Nursing Home The DS0000028032.V349899.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 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are routinely met. EVIDENCE: Files examined showed comprehensive care plans detailing the type of service that staff have to deliver to meet the personal, health and social care needs of the resident. Plans are regularly reviewed in order to ensure up to date information is available. Plans are changed as and when changes to care needs dictate. Files include a range of risk assessments, which guides staffs practice. The assessments highlight areas of high risk e.g. nutrition; moving and handling, aggressive behaviour and skin care. Information provided enables staff to manage risky areas of people’s lives in a safe and competent manner. Since the last inspection the manager has introduced a way of assessing and Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 11 managing risks when residents behaviour becomes challenging. This step by step approach equips staff to deal with difficult situations in a safe manner. Staff complete a daily record about residents well-being and the care provided. They inform management of any changes to residents’ needs. The home is keen to highlight nutritional needs, an assessment tool is in use and staff are clearly aware of the action to take if an individual is under or overweight. The community dietician is available, and specific care plans are in place with the interventions needed to promote nutrition. A range of risk assessments are in place regarding falls, use of bed rails and the environment. Surveys received commented positively on the good standard of care given, with many comments including words such as “admirable, friendly and excellent”. Care and attention is given to personal appearances with people looking clean and well cared for. Visitors spoken to said that staff treat residents in a dignified manner and that The Lawns feels ‘homely.’ Staff were observed providing support in a kind and helpful manner. A member of staff was observed cutting residents’ fingernails in the public areas of the home. This has the potential to compromise privacy and dignity. These activities should take place in private. Residents are registered with a General Practitioner and are able to access the primary health care team and other health care professionals. Visits by health care professionals are recorded in residents’ files. A survey received from a General Practitioner commented on the “considerate approach to residents and families.” The medication system was examined. Medications managed and administered by staff are undertaken in a safe manner. Only qualified nursing staff is allowed to administer medications. The medication room is secure with drug trolleys being stored and maintained correctly. Appropriate records are kept. Controlled drugs are dealt with appropriately and the home has robust medication procedures in place. Residents are not encouraged to self medicate because of the nature of their illness. The service does not advocate the covert administration of medicines. This would only take place as a last resort and following full discussions with the resident and their representative and GP. Full details would be recorded in the care plan and reviewed regularly. Lawns Nursing Home The DS0000028032.V349899.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 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A flexible routine promotes the type of lifestyle that meets the differing needs of residents. EVIDENCE: At the time of admission information about the persons daily routines and preferences is asked for. This is incorporated into the residents care plan. From observations made on the day, routines appear very flexible. It was not possible to get the views of residents. They were observed moving freely around the home; some were listening to music others watching television and some spending time quietly in their rooms. There is an activity programme but due to the person who usually organises the activities wanting to reduce her hours management acknowledge that this aspect of the service is not as good as it should be. The home is actively recruiting for the post. Relative surveys included comments like “There Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 13 appears to be limited recreational stimulus that meets the needs of my mother.” Other surveys also comment on the lack of suitable activities. Some of this deterioration in activities was put down to the recent staffing difficulties. Monthly religious services take place in the home and some Christian festivals are celebrated. Visitors spoken to and relatives surveys confirm that in general the service meets the differing needs of residents. Comments include “the care home looks after her general wellbeing very effectively and with great patience.” and “The staff are proactive and arrange functions for the residents despite the nature of their illness.” One relative thought that residents are rarely taken outdoors for fresh air or exercise unless visitors take them. Visitors are made welcome and are offered refreshments. They can have a meal with their relative if they choose. At the time of this inspection there were a number of visitors to the home. Residents can see their visitors in private. The visitors’ book confirmed that there are no restrictions placed on visiting times. Surveys commented that visitors are made welcome. One relative thought that it would be a good idea to have a room available for private visits commenting that the bedroom “is not really appropriately equipped for visiting”. Menus examined show a choice of food at every mealtime. Staff was observed offering people choice and providing appropriate support to residents who needed help with feeding. Residents were brought into the dining room for breakfast as and when they were ready to eat. There are two sittings at lunchtime. The second sitting is for people who eat more slowly. This provides a calmer “unhurried” environment with good staff support. Residents don’t have to eat in the dining room; they can stay in their bedrooms or use other parts of the house. Some residents were seen taking advantage of these arrangements. Discussions with the cook showed that every effort is made to provide high calorific food for people who have difficulty maintaining a healthy weight. Service users food preferences are known and special diets are catered for. Meals, which needed to be pureed, were done so separately. For example the meat/fish was pureed, then the vegetables were pureed and placed on the plate individually. The cook is very aware why it is beneficial to have food served separately instead of being blended together. Catering staff have completed food hygiene training. Surveys returned included comments like “excellent food” “mealtimes not rushed” One person surveyed thought that her relative is sometimes missed ”by the tea/coffee trolleys, or the drinks are cold by the time he gets them.” Lawns Nursing Home The DS0000028032.V349899.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 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. An informed staff team promotes an atmosphere that safeguards residents from the risk of harm. EVIDENCE: Surveys received from relatives and staff confirms that they know how to make a complaint. A complaints procedure is displayed in the home and a copy given to everyone on admission. The complaints record examined showed that issues raised are dealt with quickly and resolved in the best interests of everybody concerned. Complaints are analysed as part of the quality monitoring process in order to improve the standard of care provided. The CSCI received an anonymous formal complaint alleging physical and verbal abuse of named residents. North Yorkshire County Councils Social Services Department and the police conducted a full investigation. The allegations were not upheld and no action was taken. The senior management of Amocura Ltd are currently about to conclude their own internal investigation. A number of surveys commented on the detrimental effect the investigation had on service delivery. Because staff named in the allegations had to be suspended until the outcome of the investigation was known this meant that a high ratio of agency staff had to be used. Some relatives and residents found this distressing. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 15 Residents can be provided with support from a local advocacy service if needed. Details of this are displayed in the home. The risk of abuse to people is minimised through robust protection procedures being in place. There are clear whistle-blowing policies and staff are aware of how to respond if there is an incident or an allegation made. Staff has received training in abuse awareness. The manager is experienced and knowledgable about safequarding adults procedures. Lawns Nursing Home The DS0000028032.V349899.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 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a clean comfortable and safe environment. EVIDENCE: The home meets residents’ personal and collective needs in a comfortable manner. Since the last inspection the dining and lounge areas have been redecorated with some refurbishment. The premises are easily accessible and provide a safe and well-maintained environment for the people who live there. Aids and adaptations are provided and regularly serviced. The home employs a handyman who is responsible for routine maintenance and the monitoring of some health and safety aspects of the premises. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 17 Information provided by the manager and the sampling of some health and safety records showed that every effort is made to provide a safe environment. Records show that the staff receives fire training and fire equipment is routinely serviced. The lift is routinely serviced and maintained in a safe condition. A tour of the premises included all of the public areas, some bedrooms, kitchen, bathrooms and toilets. The home is clean and smelled fresh. Infection control guidance is followed and systems are in place to prevent the spread of infection. Staff is provided with Health and safety training, which covers infection control. Staff was observed using protective clothing when entering the kitchen, in the dining room and when dealing with personal care. This practice reduces the risk of cross contamination. Lawns Nursing Home The DS0000028032.V349899.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 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The safety and well being of residents is promoted through a robust recruitment process and a well-trained workforce. EVIDENCE: Staff was observed carrying out their duties in a calm and relaxed manner. They responded quickly and appropriately to requests from residents and spent time talking to them. Feedback from relatives’ surveys confirmed that staff have the right skills and experience to look after people properly and are available and provide the care and support needed. Some relatives commented on the staffing difficulties at the time of the investigation. Other comments received include “friendly and receptive management and staff” and “staff do appear to be capable of dealing with a wide range of responses from residents.” Staff surveys confirm that other than in unforeseen circumstances there is enough staff on each shift to ensure good service delivery. There is enough time to spend with service users to allow proper respect for privacy and dignity. The home employs its own bank staff to cover shifts. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 19 A requirement was made at the last inspection to improve the recruitment process and this has been achieved. The home has a well - developed recruitment procedure that seeks to ensure that only suitable people are employed. Staff files examined showed that all appropriate and relevant pre employment checks are carried out before anyone is offered employment. All staff is recruited subject to a satisfactory probationary period. Staff surveys confirm that proper checks were carried out before they started work. There is an induction programme that ensures new staff members are given the right information to be able to do their jobs well. Throughout the induction programme staff are familiarised with the whistle blowing policy, and they are made aware of actions to be taken in the event of observing bad practices within the Home. Staff surveys confirm that the training programme provides them with the skills and knowledge to meet residents’ needs. The training programme includes all the mandatory training needed to meet residents’ basic needs such as lifting and handling, first aid, food hygiene, and health and safety. Some specialist training is also provided. The Home currently has staff with a National Vocational Qualification Level 2 or above in care, and some staff have expressed wishes to further their NVQ status to level 3. Within the last twelve months all staff have received the mandatory three paid training days. Lawns Nursing Home The DS0000028032.V349899.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): 31,33,35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed in a manner that promotes the best interests of residents. EVIDENCE: The registered manager is a qualified Mental Health Nurse and has completed the Registered Managers Award. She has experience in delivering a care service to people with dementia care needs and other mental health issues. The manager is well supported by senior management and is able to access training to improve her skills. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 21 Regular relatives/friends meetings are held where ideas for improvements can be put forward. Staff meetings, formal staff supervision and appraisal encourage an open and transparent management style that concentrates on the needs of service users and the proper support of staff. Staff surveys confirm the manager meets regularly with staff to give support and discuss their work. There is a quality assurance scheme and regular quality monitoring systems in place some of which attempt to canvass the views of others. Since the last inspection a range of more user friendly quality questionnaires have been developed and are sent to relatives and other professionals involved with the service. Information captured is used to inform the annual development plan for the home and improve service delivery. A senior manager of the organisation does monthly audits of the service. Proper financial arrangements are in place when the service holds personal monies on behalf of residents. Head office collects some monies on behalf of residents, which is deposited in individual named bank accounts. Staff provides support for residents who require help in managing their finances and there is a robust procedure in place to direct staff in their practice and protect residents from financial abuse. The home works to a clear health and safety policy and regular safety checks are carried out. Some randomly selected records and safety certificates were looked at and were up to date. Lawns Nursing Home The DS0000028032.V349899.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 x 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations An improved activities programme should be provided. Lawns Nursing Home The DS0000028032.V349899.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Lawns Nursing Home The DS0000028032.V349899.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. 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!