Care Home: Nene Lodge

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What the care home does well People living in this home and their visitors told us they were well cared for by a committed and competent care team. They were very satisfied with the care, approach of staff and the overall service provided by the home. The management team showed that they take care to ensure that each persons needs are thoroughly assessed before entering the home. The assessment fully involves the individual and their family. People said they enjoy their food, which is fresh, varied, well presented and nutritious using fresh ingredients. There was a system to show regular reviews of care are carried out, which fully involved individuals and their family carers when it was right to do so and wherever possible. There was a comprehensive programme of education and training provided for staff, which ensured that staff knew how to care and support the people who live at the home. The staff felt valued by the management and felt part of a team to improve, help and support the people living in the home. What has improved since the last inspection? There has been a new 10 bed extension to the home, which we registered in January 2008. Each bedroom is en-suite and equipped with very comfortable and attractive furniture. As part of their rolling programme of improvements they have laid new carpeting to the whole of the original Nene Lodge building. This has included all bedrooms, corridors, stairs and landing and new vinyl non-slip flooring to ensuites, common toilets and bathrooms, kitchenette, and the drugs room. They have redecorated all the 6 lounges 10 bedrooms and replaced 20 bedroom carpets. The home had received an inspection by South Holland District Council on the 27/8/08 and as a result was awarded 3 Tulips Food Safety Award in recognition of its catering service. What the care home could do better: There were no requirements or recommendations from this inspection. The management carry out regular quality assurance monitoring audits and as a result of these already identify improvements, which need to take place. As a result of discussions during this inspection the manager has agreed to update the statement of purpose to reflect the new extension and to purchase a suitable cabinet for storing controlled medication safely. CARE HOMES FOR OLDER PEOPLE Nene Lodge 224 Bridge Road Sutton Bridge Lincs PE12 8SG Lead Inspector Tobias Payne Unannounced Inspection 28th August 2008 08:30 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 Nene Lodge DS0000002391.V370628.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. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nene Lodge Address 224 Bridge Road Sutton Bridge Lincs PE12 8SG 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) 01406 351000 01406 351 396 nazimnathu@hotmail.com Nathu Limited Ms Wendy Britton Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Nene Lodge DS0000002391.V370628.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 only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is: 52 2. Date of last inspection 24th May 2006 Brief Description of the Service: Nene Lodge Care Home is a Victorian house with a large, purpose built annexe and a new extension at the rear of the home. It is situated on the main road in the village of Sutton Bridge, which borders Norfolk. The home is within walking distance of local shops and facilities and the town of Holbeach is approximately 5 miles away. It is set in its own landscaped grounds and there are car parking spaces at the front of the home. Since January 2008 there has been a 10 bed extension built to the rear of the home. Each bedroom is en suite and comprises toilet and wash basin. Each bedroom has a sliding patio door which gives access to a patio, which will be landscaped in the future. A result of this extension the home now provides personal care and accommodation for 52 residents over the age of 65 in 11 shared and 30 single bedrooms some of which are en-suite. On the day of the inspection there were 38 people living in the home. The home also has central garden areas, which lead, off the homes accommodation. The registered provider is actively involved in the day-to-day running of the home and works closely with the registered manager. The fees charged for services by the home on the 27/8/2008 ranged from £351 to £435 each week. Extras are charged for hairdressing, which range from £5 to £16, chiropody £6, toiletries, personal newspapers, magazines and type of accommodation required. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 5 Information about the home including the statement of purpose, service user’s guide and a copy of the last inspection report can be obtained direct from the management team. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 6 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 key inspection was unannounced and started at 8.30 a.m. It was completed using a review of all the information available to us about Nene Lodge Care Home. The actual inspection visit took place over 7 hours. We spoke with 14 people living in the home and 3 visitors to the home. We spoke with a visiting community nurse and general practitioner both of whom were visiting the home at different times of the day. We also spoke with 4 staff members and the manager and owner of the home. The main method of inspection used on our visit was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of their care. We also looked closely at the annual quality assurance assessment (AQAA) that was sent to us by the manager before this key inspection. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the home. It was very clear and detailed. Before making our visit we asked the people who live there and staff to send us comments about the support they receive and what it was like working in the home. We received 8 comment cards from the people in the home and 4 from the staff. All comments were very positive. During our visit we looked at records, spoke to staff, the people who lived in the home, visitors and walked around the home. What the service does well: People living in this home and their visitors told us they were well cared for by a committed and competent care team. They were very satisfied with the care, approach of staff and the overall service provided by the home. The management team showed that they take care to ensure that each persons needs are thoroughly assessed before entering the home. The assessment fully involves the individual and their family. People said they enjoy their food, which is fresh, varied, well presented and nutritious using fresh ingredients. There was a system to show regular Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 7 reviews of care are carried out, which fully involved individuals and their family carers when it was right to do so and wherever possible. There was a comprehensive programme of education and training provided for staff, which ensured that staff knew how to care and support the people who live at the home. The staff felt valued by the management and felt part of a team to improve, help and support the people living in the home. 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. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 4, 5 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management team ensures that they can meet all the assessed needs of people coming into the home. People receive information to enable them to make a choice as to whether or not to enter the home. All people are involved in their admission to this home and are supported to make an informed decision about where to live. EVIDENCE: There was a detailed statement of purpose and service user’s guide. The Home owner acknowledged that the statement of purpose did not contain information about the new 10 bed extension to the home and was in the process of updating the information. He also explained that he is improving the information in the service user’s guide to make it clearer and easy to read. People confirmed they received a copy of the service user’s guide. People coming to this home told us they also receive a detailed assessment by both the owner and the manager before they choose to make any move. We saw Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 10 very clear records to show that management team works together with individuals, their families and other professionals to ensure that they can meet all assessed needs and make themselves available to answer any questions in advance of any move to the home. We received comment cards from people, which confirmed this assessment process and emphasis on getting it right. Comments included, “we visited and were given every opportunity to inspect and ask questions”. Each person also received a detailed contract with terms and conditions so that they knew what to expect from the service. The manager does not provide an intermediate care service. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being fully involved in identifying their own needs and choices. Clear care plans, created from assessments of need help to ensure that people’s health and welfare needs are fully met. Medication is safely given by staff who know what they are doing. EVIDENCE: Each person had a care plan. There was information about the person, details of activities of daily living, medication, records of GP and other professionals, monthly weight, moving and handling and risk assessment. Each persons plan included details about socialisation, mobility, eating and drinking and their daily routine. There was also a life history, which allowed staff to be aware of each person’s interests and background. Information available showed that the people living in the home and/or their relatives had been involved in their care planning. Their signatures showed this. Records were dated, signed and well maintained. There were clear and detailed policies concerning the administration of medication. The 10 staff Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 12 responsible for the administration of medication had received training. The last pharmacy inspection on the 3/8/08 showed no concerns. We did observe that the home had no controlled drug cupboard and advised that the law now required a care home to have this facility whether or not there were any controlled drugs in the home. The owner agreed to act on this immediately. The manager also carried out audits of medication to monitor medication was given correctly. We received comments which included, “The medical service is excellent and as soon as needs be the doctor is called, medication is always given on time”, “we could not have chosen a better or more caring home” and “very caring and supportive even on issues we were not previously aware of. To sum up they are delightful and caring people”. We spoke with a visiting community nurse who commented, “when ever I visit this home the staff know who I am coming to see and about the background of each person”, “they always introduce me to the people I have come to see and explain why I have come to see them” and “we have a very good relationship with the home and are kept fully informed about the needs of the residents”. We also spoke to visiting General Practitioner who commented, “I am always impressed by the professional approach I see whenever I visit this home”. During the inspection staff were seen to talk to the people in a quiet, sensitive and dignified manner. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are encouraged and supported to make choices to take part in a variety of social activities, which ensures that individual, social and cultural needs are met at the home. People choose from and enjoy a wellbalanced nutritious diet. EVIDENCE: During our last inspection visit we recommended that the management find out from the people living in the home what type of activities they want in the home. This was done and the people told them that they did not want a formal activities programme but enjoyed, flower arranging, Bingo, dancing to music and occasional outside entertainers. There were also board games available. People told the manager that they did not want formal meetings as they felt there was the regular presence in the home of the owner and manager. They felt they could discuss any issues with them. Trips to local shops can be arranged with staff involvement. Outside entertainment is also arranged. The owner was in the process of purchasing a new replacement mini-bus. Comments we received included “There is always entertainment arranged but I Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 14 choose not to take part” and “There are musical afternoons and games, which I enjoy which I attend and enjoy”. Visitors were welcomed to the home and we spoke to 3 visitors who were complimentary about the home and said “I always find the staff very friendly and helpful and can visit whenever I wish to do so”, “the family are always welcomed. We are very happy with her care” and “excellent”. Meals were served in the large dining room or in people’s rooms. Tables were laid with table cloths and table decorations. As a result of comments by the people during the last inspection the menu was now also displayed on the wall. The home had received an inspection by South Holland District Council on the 27/8/08 and as a result was awarded 3 Tulips Food Safety Award. We received comments from the people about the food. They included “Meals are very good and always on time. There is always a choice and the quantity is just right” and “we have a set menu but there is always a choice if it does not suit my needs”. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to make a complaint and feel that staff will listen to their views. The care team know how to respond to a complaint and how to act in order to protect people from abuse. People are protected from abuse by the correct recruitment procedures. EVIDENCE: There was a detailed complaints procedure in the statement of purpose and service user’s guide. Each person receives a detailed complaints procedure, which is in the service user’s guide when they first move to the home. The complaints address for us was up to date and referred to our Cambridge office. No complaints or safe guarding adults’ issues have been received by the home or us since the last inspection. None of the people, visitors or staff had any complaints about the home. They all felt they could approach the staff if they had any concerns. As part of the homes’ induction programme all staff received training about abuse prevention and all staff received checks by the Criminal Records Bureau. This was confirmed through the staff records available. Staff also showed knowledge of what constituted abuse and what they should do if abuse was suspected. The manager also had a copy of Lincolnshire County Council’s Adult Protection procedure and told us how any concerns would be reported in the right way. We received the following comments from people we spoke to, Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 16 “If I have any concerns they are always dealt with speedily” and “There is always someone available to assist or help and at the push of a button management are always there for you.” Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in well-maintained, comfortable, clean and safe accommodation. EVIDENCE: The home has six lounges to ensure choice, freedom and social contact for the people living in the home and their visitors. They have mini kitchenettes, which allow freedom and independence for their more able people to use. There is an identified maintenance and refurbishment programme and the manager told us they are working to make the whole home as attractive as the new facilities in the 10 bed extension. All areas had comfortable seating with ornaments and pictures. There were also 2 caged birds and a cat, and people confirmed they enjoyed having pets in the home. The home is non-smoking and this information is outlined in the service user’s guide. People who wish to Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 18 smoke are asked to use the central patio, which has seating overlooking the gardens. All bedrooms have locks to the doors and a lockable facilities are provided in each bedroom to help people to keep things privately if they choose to. People are encouraged to make their rooms individual with small items of furniture, pictures, television and personal mementoes. We received the following comments, “The home is very clean and always smells nice and fresh. No nasty smells” and “the home is always fresh and clean”. We received no negative comments about the cleanliness of the home from anyone during our visit. The laundry is well equipped with a range of industrial washing machines and tumble dryers. This is sufficient to meet the needs of residents. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a safely recruited, well-trained, supported staff team available who have the skills to meet the varying needs of the people living in the home. EVIDENCE: We looked at the files for 2 staff. These showed that staff had been recruited in a safe way. They showed separate folders for each person with an application form, check by the criminal records bureau, 2 references obtained, interview check list, interview notes, terms and conditions and an induction programme. The manager showed the care team review and check out the dependency of the people in the home regularly and could arrange extra staff as their needs changed. They had arranged for 6 staff to work in the home between 7.30 and 8 am when the need for assistance was greater. There was separate staff for care, catering, housekeeping, laundry, and maintenance/gardening services. Formal training in care (National Vocational Qualifications) was provided and 63 of staff had either obtained an NVQ or were working towards this. In addition 4 staff were studying for NVQ level 3. In house training had included fire prevention, infection control, health and safety, moving and handling, medication, continence and food hygiene. We received no negative comments from staff, visitors or any of the people living in the home. Comments we did Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 20 receive included, “We find the care very, very good”, “and we find the care very, very good. They always listen and take action as necessary” and “very caring and supportive even on issues we were not previously aware of” and “we received plenty of help and support”. Staff comments included, “when I started I was given policy and procedures and was told how they worked and how to report back, I was given a mentor to work with during my induction, I was given a lot of encouragement and support”, “since I started here I have done NVQ level 2, infection control, medicine administration, food and hygiene which have all been very useful for my job, we have staff meetings, staff reviews and discussions, management help and guide us all the time”. Staff members also told us about how people receive individual support saying; “we are given care plans from the moment we see a new resident so that we can give them all the help they need, they are updated when their needs may change, when I started all checks were done and I shadowed another member of staff until they were satisfied I was capable of the job I was doing, we have constant support from the whole team, we are encouraged to do training and learn from experiences of other members of the team”. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 21 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): Standards 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People and staff benefit from the positive leadership of the management team. Management record systems show that residents’ health, welfare, safety and choices are promoted. The management team ensures that residents, relatives, professional visitors and staff have the opportunity to voice their views and opinions. The management uses feedback from questionnaires to make improvements. EVIDENCE: There has been a consistent and stable management as a result of the involvement over 20 years by the manager and owner. They therefore have had extensive knowledge of the home. The manager and owner are studying to obtain a management qualification.They are both actively involved in the dayto-day running of the home. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 22 Comments we received from the people and visitors confirmed this commitment. These included, “after my first visit I was very pleased what I saw. I am still very happy with how things are still run”, “We can approach the management at any time and they are helpful and friendly”, “The friendliness of the home, residents, staff and management it makes you feel part of a family. Nothing is much trouble for them”, “I am very happy here. I hope I can stay here for good”. Staff told us they received regular formal supervision and appraisals. There were also regular staff meetings. Comments from staff were all positive and included, “if I have any problems I receive advice and support from the management. I have been at the home a year and I can honestly say I am happy and being part of the team. A team that values us as individuals as well as team member means my job is enjoyable. We are aiming to be the best we can be and we will”. Further comments were received from staff members about how they are supported by the manager. Staff members told us; “As staff we are always looking at ways to improve ourselves. When we suggest new ideas the management they are willing to consider this. I feel part of a team and love coming to work. I feel appreciated by my peers and management” and “I think we are the best home in the area. The management are firm but always fair and support and encourage us. I am proud to be part of the home and I love working at the home because it is fulfilling and satisfying”. Residents, visitors and staff spoke of how approachable the manager, staff and owner were. Management systems were in place and quality assurance has been established to obtain the views of the people living in the home and outside professional workers (GPs, Community Nurses and Pharmacists) views of the home. Records showed regular surveys were carried out to obtain their views of the home. The last one was in February 2008. Seven forms were received with positive views about the home and its service. The management team want to develop the quality assurance further to learn more from the people using the service about their views in order to continue to further develop/improve the home. The manager told us that wherever possible people where encouraged to be as independent as possible with their finances. However, where people needed help to look after their money the manager showed how it was well maintained with receipts and clear records. There were health and safety procedures in place which the manager and staff followed during our visit. Equipment was well maintained and records were well maintained up to date and available. Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 23 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 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Nene Lodge DS0000002391.V370628.R01.S.doc Version 5.2 Page 26 - 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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