Care Home: Squirrel Lodge Residential Home

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What the care home does well The care and attention given by the staff were praised by the residents and relatives we spoke to. The homely style and atmosphere were noticeable during the visit. The home is well maintained, and several people commented on how clean it was kept. The dining room is quiet and pleasant to be in, and the newly extended lounge is comfortable and well furnished. A relative told us: The staff speak nicely to residents and respect them. They are always cheerful. Another told us: I visited eleven care homes. Of these, Squirrel Lodge was our first choice. A care manager told us: The staff are well trained and the management ethos is clearly focussed on the care of the residents. There is appropriate care for the residents with a focus on independence where possible. There is always a relaxed atmosphere in the home which does not compromise the professionalism of the care provided. What has improved since the last inspection? Care plans and records have been redesigned and reorganised, to capture all care needs and tasks in one document for easier referral by staff and to ensure that staff are always up-to-date with a resident`s changing needs. Two additional single rooms have been built and registered. The lounge has been extended with an outside patio area. A residents` association has been introduced to gather residents` views about all aspects of the running of the home. The home now records all comments and concerns as well as formal complaints. This record shows that these matters are dealt with swiftly as they occur. A review of staffing levels has led to additional hours being used for the morning and early evening shifts to ensure that staff can meet the needs of the higher number of residents, and to meet the increasing needs of some residents in a flexible way. What the care home could do better: The recording of medications given must be improved to show that residents have been administered the medication prescribed for them. A system of regular audits would quickly pick up any deficiencies. The AQAA described what improvements the owners intend to action in the coming year. These included responding to the views of residents about the type and range of activities and outings, and upgrading the main kitchen. CARE HOMES FOR OLDER PEOPLE Squirrel Lodge Residential Home 541 London Road South Lowestoft Suffolk NR33 0PD Lead Inspector John Goodship Unannounced Inspection 11th August 2008 10:15 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 Squirrel Lodge Residential Home DS0000064004.V370006.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. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Squirrel Lodge Residential Home Address 541 London Road South Lowestoft Suffolk NR33 0PD 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) 01502 515423 squirrellodge1@tiscali.co.uk Squirrel Lodge Ltd Mrs P M Hunton Care Home 24 Category(ies) of Dementia (24), Old age, not falling within any registration, with number other category (24) of places Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 24. 13th August 2007 2. Date of last inspection Brief Description of the Service: Squirrel Lodge started as a small home for the three older people in 1984. It was first registered in 1987 and has been adapted and extended over the years and now provides residential care for up to twenty-four older people. It is set back off the main road into Lowestoft and is close to community facilities including local shops, the promenade and the beach. The home has private gardens with level pathways and the majority of rooms have patio doors opening to the well-maintained external areas. The home has a gravelled car parking area to front. At the time of inspection, the fees ranged from £355.00 to £495.00 per week. Squirrel Lodge Residential Home DS0000064004.V370006.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 inspection visit was unannounced and covered the key standards which are listed under each outcome group overleaf. This report includes evidence gathered during the visit together with information already held by the Commission. The inspection took place on a weekday and lasted six hours. The manager was present throughout, together with the other owner and senior staff. The inspector toured the home, and spoke to three residents, one in their own room and two in the communal areas. We also interviewed a senior and a junior member of staff, and spoke to other staff around the home. We also examined care plans, staff records, maintenance records and training records. We sent out questionnaires through the manager to be distributed to residents, staff, relatives and health and care professionals to be returned by 28 July. At the time of writing this report, two questionnaires had been received from relatives, one from a health professional and one from a care manager. Comments from their responses have been included in this report under the relevant outcome group. The manager was also required to complete an Annual Quality Assurance Assessment (AQAA). Data and comments from this have been included in the report. What the service does well: The care and attention given by the staff were praised by the residents and relatives we spoke to. The homely style and atmosphere were noticeable during the visit. The home is well maintained, and several people commented on how clean it was kept. The dining room is quiet and pleasant to be in, and the newly extended lounge is comfortable and well furnished. A relative told us: The staff speak nicely to residents and respect them. They are always cheerful. Another told us: I visited eleven care homes. Of these, Squirrel Lodge was our first choice. A care manager told us: The staff are well trained and the management ethos is clearly focussed on the care of the residents. There is appropriate care for the residents with a focus on independence where possible. There is always a Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 6 relaxed atmosphere in the home which does not compromise the professionalism of the care provided. 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. Squirrel Lodge Residential Home DS0000064004.V370006.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 Squirrel Lodge Residential Home DS0000064004.V370006.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): 1,2,3,4,5. 6 is not relevant to this home. Quality in this outcome area is good. Prospective residents can be assured that they will have sufficient information to decide if this home is where they wish to live. The home will also collect information to assure the person that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose was up-to-date including the extensions recently opened, and included the information items required by the regulations, such as the facilities and services offered, the organisational structure and the qualifications of staff. The Service Users’ Guide (called a Welcome Pack) was issued to people who were offered residential care. This gave more details of the daily routines in the home. The form of contract was seen, together with the separate letter which was issued at the same time advising of fees. There was an Individual Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 9 Placement Contract in each care plan detailing fee payment methods and dates when fees were due. The home had three larger rooms which were shared. The practice of the home, when a vacancy arose in a single room, was to offer that vacancy to a person in a shared room, if they had expressed a wish for a single room. This meant that any new admissions were normally only able to be offered a shared room. The manager said that prospective residents were always aware that they would be sharing because they would have been shown the room and introduced to the other occupant. A relative wrote in their survey: I visited eleven care homes before my relative went into Squirrel lodge. This was our first choice. A relative who was visiting during our inspection told us that their relative had been admitted the day before. They had looked at several homes before choosing this one. Files and care plans contained the pre-admission assessments made by the manager or deputy. These assessments also included information provided by the hospital and social worker as appropriate. A social worker told us: I have been very impressed that the management have been keen to receive and read the assessment and further social and family information I have provided. All twenty-four places were filled at the time of the inspection. One person was due to transfer to a care home with nursing because of their high level of nursing care needs. Squirrel Lodge Residential Home DS0000064004.V370006.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. Quality in this outcome area is good. Residents can be assured that their health, personal and social care needs are set out in an individual care plan. They are able to contribute to the development and review of their care plans, with their views and needs taken into account. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA told us that following the inspection and report in 2007, the home carried out a critical assessment of residents’ personal care files system resulting in significant changes. We saw that the 24 hour individual day and overnight personal care records had been completely revised and care staff now signed for care carried out. An additional care document would be raised for residents assessed with having special needs such as help with feeding and possible nutritional risks. The bathing and weight records were now kept in individual 24 hr care files. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 11 The service users general care log and medical log had been merged into one document for convenience of use and easier referral. The manager told us that the changes to the care record system and files had brought about more care staff engagement with senior staff and with each other. Staff also told us that the files were now easier to follow and it was clear what changes had been made to meet residents’ needs. We examined two residents’ plans in detail. Both of them were having their food and fluid intake recorded because of concern about their condition. The manager told us that three residents in total were being monitored in this way. We saw the daily personal care schedule which was signed on each shift when various tasks had been completed, including changing of continence pads, application of creams, washing, bath time routine, hair and nails cleaned. It also where appropriate checked that the resident had been supported to eat their meal. There was evidence that care plans were regularly reviewed, and identified care needs and how they should be met. Staff who were spoken to demonstrated that they were aware of residents’ needs. Staff were heard to address residents with respect and to treat them with dignity. They always knocked before entering a room. A health professional told us: I have always been received very positively by the staff and am impressed by the privacy offered to residents when I need to consult them. Staff are always willing to assist me which is very important. One resident told us that they had visited the home for some years with a library service. They had now become a resident and knew some of the other residents from their previous work. This person said they were very comfortable in the home. We inspected the medication procedures and records. We noted that there were several gaps in signatures on the Medicine Administration Record (MAR) sheets. We noted that from a stock check of one drug that the medication had apparently been given. The senior carer responsible for medication agreed to check with the staff on duty on each occasion. There was no evidence of a regular audit of these records. A social worker told us that medication was an item on the agenda for reviews held with the family on a regular basis. The home had supported residents through their last days where it was possible for them to remain in Squirrel Lodge. A health professional told us: Dignity and respect is maintained to an exceptional degree even immediately after death. We were shown a letter from a relative of a deceased resident which said: You are people who actually did care about what happened to our relative. Squirrel Lodge Residential Home DS0000064004.V370006.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. Quality in this outcome area is good. Residents can be assured that there will be activities which they can choose to take part in and be consulted about. Residents’ nutritional needs are monitored, with safe catering procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A newsletter was published regularly. The July edition was posted on the noticeboard. It included information on the two new rooms, the new front door lock, the residents association, the names of new residents, and those who had died, and the names of new staff. The noticeboard also advertised a tabletop sale in two weeks time and a coffee morning. The AQAA stated that there was provision for a monthly religious meeting in the home. One resident was taken to church each Sunday. Birthdays were always recognised and celebrated. The manager told us that families were invited in for a birthday meal. Special events were organised at Christmas time. The home had formed a residents association with their agreement, in order to understand their preferences better. One suggestion was to go to more local Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 13 functions and places of interest using wheelchairs where needed. The manager told us that they wished to use the local Dial-A-Ride minibus, using the funds from their fund-raising activities. One relative told us: It as much independence own health and safety. Staff do all they can to events. is a very difficult line to tread to help my relative keep as possible whilst persuading X to accept help for their Squirrel Lodge manages this much better than I do. stimulate them mentally and involve them in all social The dining room was comfortably furnished with room for twenty-four places. On the day of our visit, fourteen residents were taking lunch there. The others were either choosing to eat in their rooms, or needed to eat in their rooms because of their health. We saw some staff supporting residents in their rooms. The menu on the day of our visit was savoury mince hotpot with mashed and new potatoes, sprouts and carrots, followed by lemon meringue pie. The meal was hot and well presented. Staff told us that there were always alternatives available. Residents were weighed regularly, and some were having their food and fluid intake closely monitored. A relative told us: The food I have seen appears to be of good quality and appetising. My relative’s weight has remained constant and correct. The Environmental Health Officer (EHO) had inspected the kitchen in January 2008. We saw their recommendations, that some cupboard doors needed replacement, and one chopping board should be replaced. The home was following the “Safer food, better business” procedure recommended by the EHO. This included maintaining purchasing records of provisions which evidenced fresh fruit, vegetables, and meat were regularly used. The AQAA told us that the owners planned a major kitchen upgrade in the coming twelve months. Squirrel Lodge Residential Home DS0000064004.V370006.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. Quality in this outcome area is good. Residents can be assured that their views will be listened to and acted upon. There is a proper training programme in place to give residents confidence that they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no formal complaints to the home or to the Commission since the last inspection. The AQAA told us that a record of concerns had been introduced to complement the complaints procedure. We saw this record which included concern about a missing handbag (found later), a bell pull being out of reach (the staff member spoken to), and a resident unhappy that a carer waited until their visitor had left before helping them with personal care (privacy and dignity issues discussed with resident and agreed on future action). The home also kept a file of all the letters of thanks from relatives for the care given to their family member. The training record and the training plan showed that there was a schedule of in-house training in the protection of vulnerable adults throughout the year. Staff who spoke to the inspector agreed that they understood the topic. One person said that they had covered it under NVQ Level 2 as well. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 15 We checked the cash held by the home for two residents. It was held in a safe in the office. One account was in balance and all entries tallied with the cash. The cash in the other was twopence short of the amount in the cash book. We noted that this was due to a mistake in calculating the previous balance after the last transaction. Receipts confirmed that the cash amount was correct. Squirrel Lodge Residential Home DS0000064004.V370006.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): 19,20,21,24,26. Quality in this outcome area is good. Residents can be assured that the home provides a comfortable and wellmaintained environment and that they are able to personalise their rooms should they wish to do so. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two additional single rooms were registered in July 2008. The home was built on one level with a front door where visitors and staff have to ring the bell to gain access. The rear door could only be accessed through a secure side gate where a path led around the building and ensured security for the residents. A courtyard garden offered the residents the opportunity to sit in the fresh air and walk around the level pathway. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 17 There were four bathrooms, therefore the home had a ratio of more than the required 1 to 8 ratio. The lounge area had been extended and the communal areas offered five square metres per resident, therefore in excess of the required 4.1 square metres. There was a patio area outside the lounge with tables and chairs. A resident told us that several of them had sat outside to watch the recent air festival. We noted during the visit that the home was clean and tidy. There were no unpleasant odours. Residents confirmed that they chose whether or not to bring their own furniture into the home or not. Rooms were individual and residents talked happily about the pictures they had on their walls, their ornaments, and the view from the window. The dining room was comfortably furnished with dark wood tables and chairs. The chairs had cushions on them and the room was carpeted. These made the room pleasant and gave a quiet and homely atmosphere. There was an area off the main lobby where wheelchairs were stored in an unused entranceway to keep them nearby for use but not obtrusive or an obstruction. The home had two moveable overhead hoists. These gave the flexibility to respond to the needs of residents as their needs changed. One bathroom also had a ceiling tracking hoist. The home also had an electric wheeled hoist, a stand aid and a lifting cushion. Special door closers, which held the doors open until the fire alarm sounded, were fitted to the bottom of all bedroom doors in the home. This allowed those residents the choice of keeping their doors open or closed. Newer doors were linked electronically to the fire alarm. No separate cleaning staff were employed as all care staff were required to include cleaning and laundry duties in their job description. This was a deliberate policy of the owners to ensure that there were no divisions of responsibility between staff, and that all staff were aware of the need for high standards of cleanliness and hygiene. Squirrel Lodge Residential Home DS0000064004.V370006.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. Quality in this outcome area is good. Residents can be assured that sufficient numbers of staff with appropriate training are on duty at all times to provide for their needs. Residents can expect that they will be protected by the home’s policy on recruitment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection, the manager had increased the staffing of the daytime shifts by one extra carer in the morning, and one from 6:00pm to 9:00pm.In addition there was an extra two hours per day rostered as a floater to be based where the need was greatest that day. Overall there were now seven care staff and a senior on duty in the mornings, and four staff and a senior in the evenings. These changes were to ensure there were sufficient staff to care for residents whose needs were increasing, either due to their dementia or a deterioration in their health, and to cover the additional two places. The AQAA told us that almost half of the staff had changed over the last twelve months. However the home was now fully staffed and no agency staff were used. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 19 The staff files for the two newest recruits were examined. They contained all the required identification and reference documentation. Both had started before receipt of the full CRB disclosure certificate, but POVA First returns had been received before their start dates. The files contained the record of induction both in-house and externally to meet the Common Induction Standards. They also held training certificates for infection control, dementia care, fire procedures and protecting residents from abuse. We saw a complete training plan and record for all staff, showing that staff had completed or were programmed to attend training in food hygiene, infection control, and moving and handling. Three staff had completed the sixteen week course on Dementia Care with a local college, and seven staff were scheduled to start it. Eleven staff had completed NVQ Level 2 and above. Squirrel Lodge Residential Home DS0000064004.V370006.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): 31,33,35,36,38. Quality in this outcome area is good. Residents can be assured that there is a system for obtaining their views on the running of the home to ensure it is run in their best interests. A process of staff supervision protects residents by continually monitoring and improving the skills of the staff. Their safety is assured by the home’s health and safety practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is one of the registered owners. They have been at the home for twenty-four years and their aim as stated in the statement of purpose was to try to create as homely an atmosphere as possible. A family member responsible for administration had obtained the Registered Manager Award. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 21 Another had completed the NVQ Level 4 in Health and Social Care. This person had been formally appointed as Assistant Care Manager. The current process of quality assurance, as stated by the manager, included observation of care practices by senior staff, and by listening to staff and relatives. There was regular testing of views through such means as questionnaires, for example about the menus. The latest one had been issued in June 2008. The results would be published in the next Newsletter. Eleven questionnaires had been returned. Nine said that they were satisfied or very satisfied with their care. The process of obtaining residents’ views had been strengthened by the formation of a Residents Association. We saw the schedule of staff supervisions. Some were waiting to be done but we saw the record of some completed sessions in the staff files. Health and safety records were up-to-date. Hot water temperatures were regularly checked and recorded. We saw the records of the fire alarms and fire equipment checks. The fire risk assessment had been reviewed the month of our inspection. The accident log was properly completed showing no untoward events, and no pattern of accidents by type or by resident. Squirrel Lodge Residential Home DS0000064004.V370006.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X X 3 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 3 X 3 Squirrel Lodge Residential Home DS0000064004.V370006.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 OP9 Regulation 17(1)(a) Requirement All medications administered must be recorded and signed by the person who administers them. Timescale for action 11/08/08 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 OP9 Good Practice Recommendations There should be a programme of auditing the medical administration records to ensure that all administrations are recorded to ensure they have been given as prescribed. Squirrel Lodge Residential Home DS0000064004.V370006.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Squirrel Lodge Residential Home DS0000064004.V370006.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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