CARE HOMES FOR OLDER PEOPLE
Linden House Residential Home Delph Lane Blackburn Lancashire BB1 2BE Lead Inspector
Mrs Jackie Riley Unannounced Inspection 09:30 4 September 2008
th 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 Linden House Residential Home DS0000022493.V365076.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. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Linden House Residential Home Address Delph Lane Blackburn Lancashire BB1 2BE 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) 01254 690669 Mr Keshav Savdas Khistria Mrs Kirti Khistria Vacant Post Care Home 40 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (27), of places Physical disability (1) Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for the following categories: Older people over the age of 65 years - OP = 27 either sex Dementia over the age of 65 years - DE(E) = 12 either sex Physical Disability under the age of 65 years PD - 1male Date of last inspection Brief Description of the Service: Linden House is a registered care home. The home is owned by Mr K S Khristia & Mrs K Khristia, they have been the registered persons in respect of Linden House since March 2002. The home is located in a residential area of Blackburn and is close to local amenities of shops, public house, Church, School and Pharmacy. The home is close to a main road and a main bus route. The home is a converted and extended single storey property set in its own grounds. The grounds include a small garden area to the front and side of the home and a small car park. The accommodation for service users has been divided into two separate units, one for those residents with dementia and one for older people. Each unit has a lounge and dining area. There is a mixture of 24 single and eight shared bedrooms. Six of the single bedrooms have en-suite toilet facilities. The home has a Statement of Purpose and Service User Guide , although it is being reviewed to update the information so that it is an accurate reflection of the service being provided A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home, however it should be noted that due to the level of understanding of some residents due to dementia, most of the information is used by relatives or advocates of the resident. A Statement of Purpose and a Service User’s Guide is in place. At the time of the inspection the fees for care were £341.00. Extra charges were made for hairdressing, newspapers and personal toiletries and clothing. Linden House Residential Home DS0000022493.V365076.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 Stars. This means that people who use this service experience good quality outcomes.
This was an unannounced visit that took place on the 4th September 2008, over a period of approximately 7.0 hours as part of the inspection process. We spoke to the registered providers, the manager, who is in day-to-day control of the home, two other members of the management team, five staff members, four individual residents and a group of residents in the lounge, and two visitors. The home is divided into two units one for older people and one for people with conditions relating to dementia. The comments made in this report are based upon what we saw and who we spoke to, other comments will be included from other sources such as staff and relatives as well as from surveys received prior to the site visit to the home. During the time spent at the home we made general observations of the interaction between residents, staff and management. We talked to people using the service, and asked staff about those peoples needs. We also looked at care plans, records, and daily notes for three people, this is called case tracking. We also toured the home to look at the environment. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. There were some responses from surveys sent to people who use the service for their views on how the home is run. The records of three members of staff were also looked at. What the service does well:
A trained and motivated workforce is managing the home well so that people who use the service are receiving a good level of care. Through discussion with staff it was confirmed they have a good knowledge of the individual care needs, social and cultural needs of residents living at the home so that they are not disadvantaged in any way. Comments received from staff included,
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 6 “we all work really well together”, “we receive training in the needs of residents so we know what care they require”, “I like working on both sides of the home, it’s very challenging at times” Records of residents living at the home are complete and provide evidence of the needs of the resident, so that staff can directly identify their individual needs and meet them. The homes owner visits regularly and was present at the time of the site visit, they told us they visit at least twice a week, they were seen to communicate with residents and staff during their visit. We saw there was good communication at all levels throughout the inspection. What has improved since the last inspection?
We found all care plans have been reviewed and improved so that they contain all the necessary information as to the health and welfare of the resident. There has been a review of the risk assessment format. We saw this has improved how individual level of risk is recorded. Risk assessment plans seen were up to date and reviews of risk factors are taking place on a monthly basis. We found that routines in the home are flexible to meet the needs of people living there. There are good staffing levels in place to make sure there is flexibility in the day-to-day routines in the home. We saw that there is a positive approach to training staff in safeguarding issues so that people are safe. Staff training records showed all staff have received training in this area. There is ongoing maintenance in the home and externally to improve the environment. A bathroom has been redesigned to include a specialist bathing facility for resident with poor mobility. Recruitment checks have been reviewed and three records looked at contained all the necessary fitness checks prior to an employee commencing work in the home. Induction training has been reviewed and a new procedure has been put in place for all new staff, which means there is a comprehensive inductiontraining log to be completed by the member of staff and to be audited during supervision sessions. The way residents monies are managed means that there is a clear audit trail of how the monies are managed and records kept to manage this, so that people are protected. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 7 We saw the home has introduced a record for recording any accidents or injuries sustained to users of the service, which means that there is a clear record of the accident or incident, action taken and the outcome for the user of the service. We saw evidence of residents receiving an assessment prior to coming to live in the home, either from a placing authority or by the home, so that the home knows the needs of the resident at the time of admission. What they could do better:
We looked at the information the home provides to people who may choose to use the service. We found that the information is being updated, however there is a requirement for the information to reflect the actual service it is going to provide. As the home provides care to Older People and People with dementia, set in two units, the written literature should clearly show this so that people choosing the service knows the specialist care the home provides, thereby being able to make an informed choice. There must also be included a record of the number, relevant qualifications and experience of the staff working in the home. We looked at the homes application form for staff. We say it should include a criminal record declaration so that applicants have the opportunity to declare any previous convictions. We saw the home works on a four- week cyclical menu, however it was noted the choice of lunchtime meal on the day of inspection was a hot main meal with an alternative snack. We spoke to the manager about this and determined there must be a choice of two main meals, so that people have the choice of a substantial meal rather than a snack followed by another light teatime meal. Work should be ongoing for the general refurbishment of the home both internally and externally so that it is a well- maintained environment to live in. We found that in one instance a resident is prescribed the option of one or two tablets. In such instances the home must record what the dose administered was for a clear audit to be available. Whilst we saw a range of activities in the home, they were limited in range in the dementia unit. It is recommended the home research other ranges of activities specifically designed for people with dementia conditions so that they are stimulated in a way in which they can express themselves within the confines of their condition. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 8 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. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 9 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 Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 10 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): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have information about what services they can expect when living there, however there was limited information about the specialist care people with dementia require. Admission and assessment procedures are in place so the home can meet individual needs EVIDENCE: The homes written literature is currently being reviewed so that the information is up to date and informs people of the services the home provides. However, we noted there must be information in the Statement of Purpose and Service User Guide, which reflects the care being provided by the home. As the home provides residential care for older people and people with dementia the written literature must reflect this, so it is clear for people to be able to make an informed choice to use the service. In addition the written literature does not currently provide information as to the staff team in respect of numbers, qualifications and experience of the staff working in the home.
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 11 We looked at the records of four resident’s, they had assessment details recorded, so that staff had an insight into what the needs of residents are and how they will be met. Residents who are resident at the home have in place social work assessments or hospital assessment. We talked to the manager who said she always likes to visit a prospective resident prior to admission to the home to make sure the home is suitable to meet the needs of the resident. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is monitored and health needs are identified and met. EVIDENCE: We looked at the records of four residents, we saw they have been reviewed and developed to take into account all areas of health and personal care. We found them to be up to date and accurate with information about an individual’s health, welfare and social care needs, which supported the staff team and helped monitor individuals needs. Comments included, “as a key worker I use the records a lot, and I find them to be really useful”, “we use the care plans daily to make sure we are delivering the care the resident needs”, “we have regular reviews so we can make changes when its necessary”. Risk assessments have been completed for all residents looking at a range of areas including the environment, personal, moving and handling, and
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 13 nutritional risk. The records we looked at were up to date and accurately reflected the needs of the resident. We found the risk assessment are reviewed monthly and there was evidence on some files of changes being made in order to manage an identified risk for the protection of the resident. Comments from some users of the service included, “they talk to me about what I need and what might be best for me”, “the staff tell me about hospital appointments, and they weigh me every month”, “They get the care they need, many don’t know much due to their dementia”, “Given an excellent standard of care”, “The staff are very patient when dealing with residents who have dementia”. We looked at the way medication is managed in the home and found it to be safe. We saw the staff responsible for administration of drugs, have received training for this. The records we looked at were accurate and up to date, however we advise that where medication is prescribed with the option for one or two tablets to be administered the actual dose given must be recorded so that there is a clear audit trail. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. however some of the activities for residents with dementia are limited. Limited choice of a main lunchtime meal has the potential to disadvantage people. EVIDENCE: We spoke to residents and staff and they said routines within the home were flexible and they were able to make their own decisions about how to live their lives. Comments included, “I like to stay in the lounge and see what’s going on”, “I like to take my visitors to my room rather than stay in the lounge its more private”. Staff comments included, “We try and help everyone as much as possible”, “we have things going on for both units, so that there is always something stimulating for the residents”. We saw a group of residents playing bingo during the inspection, they all seemed to be enjoying the game and it stimulated a range of conversations between the residents.
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 15 There were a number of visitors calling into the home throughout the inspection process. Visitors were seen to be welcomed by the staff team and were able to see residents in their own rooms, in the lounge areas and in additional communal areas in the home. We were told there are no restrictions to visitors. There is a range of activities available to residents including, board games, craftwork including painting and drawing as well as occasional trips out. We found there are activities in the dementia unit in the home, however they are more limited and would benefit from further research into activities for people with dementia conditions. We spoke to the cook, who is responsible for the daily meals served to residents. We saw there is a commitment to provide residents with fresh produce wherever possible. There is a four-week cyclical menu with choice on a daily basis. However, we noted on the day of inspection there was a hot main meal choice at lunchtime with an alternative snack. We say there should be a choice of two main meals so that people are sustained, as teatime meals tend to be a range of snacks. There was recognition of the need to provide specialised diets for people with medical needs including diabetes. We were given examples of their dietary needs during the inspection. Comments we received said, “I like the food here, you get what you ask for”, “the meals are always hot and you have a choice if you don’t like it”. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service. EVIDENCE: The home has a complaints procedure, which is made available to them or their relative or advocate during the admission process. Surveys we received and people spoken to confirmed they are aware how to make a complaint, one comment said, “Never had to raise concerns about care, although I know who to go to if I’m unhappy about something”. The staff team confirmed they know how to deal with complaints and we found there is an open system of communication so that any concerns raised are dealt with by the manager at the time of the concern. There had been several concerns raised with the home all related to issues internally, and there was action seen to be taken by the manager by way of investigating the issues and documenting the outcome. All issues had been resolved and changes made where necessary. Comments included, “we encourage residents to say if they are not happy about something so that we can put it right”. There has been one complaint received by the commission in the previous twelve-month period. This has been investigated by the Commission and the
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 17 issues have been addressed by the home so that improvements have been made for the benefit of people using the service. The home has a procedure in place for dealing with allegations of abuse. Staff spoken to are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Staff comments included, “we’ve have had training for it, so we know what to look out for and what to do”. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 18 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is designed to meet the people who live there. There is ongoing maintenance work to ensure the home is maintained to a satisfactory standard. EVIDENCE: We looked around the home. It is designed to be homely and comfortable for residents to live in. There are a range of aids and adaptations including specialist bath, shower facilities so people have a choice of how they wish to be bathed. There are handrails throughout the corridors. As some of the corridors can be long this is necessary for frail residents. There are mobility aids including wheelchairs to ease the amount of walking which may be involved.
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 19 This a single story home therefore no stairs are involved for residents. Residents spoken to said they like the homes environment comments included, “I like my room, I’ve got my own bits and pieces in there”, “I like the space in hear, and with it being on ground level its easy to get around”. We toured the home and found residents rooms to be well furnished in general. There are a number of rooms with specialist beds in place, which can be raised or lowered for the benefit of the residents and staff. All residents have their own rooms, which we saw to be personalised, and some residents said they like to use their rooms whenever they choose. One resident likes to use their room most of the time and this is not seen as a problem and is respected by the staff team. The home is divided into two units, one for older people the other for people living at the home with conditions associated with dementia. We looked at both units and found them to have a large amount of space for resident to move around in. Decoration is being upgraded throughout the home, and the refurbishment is part of the three-year business plan in place for the development of the home. There are two external quad areas, which are being developed into garden areas for the use of residents. The external grounds of the home are grassed areas and tend to be overlooked by a public path which runs alongside the home, therefore the development of the external quad areas would provide a private area for residents to use. There is some ongoing maintenance work being carried out to the external walls of the home to improve the rendering. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 20 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. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are good ensuring suitable personnel are employed. The deployment of a competent staff team throughout the day is sufficient to meet the needs of residents. EVIDENCE: The way staff recruitment takes place has been reviewed and improved so that the provider follows the correct protocols to make sure staff are safe to work in the home. We looked at the information the home asks for when recruiting staff, and found there is a revised application form for people to complete on application for a post. We found the application does not request applicants to complete a criminal declaration, which would provide them with the opportunity to declare any previous convictions, so that a balanced judgment can be made upon their fitness for the role applied for. Comments “CRB checks are made for each employer before they start work here. No staff are allowed to work her unless they have the checks”. By looking at three staff files we can confirm this is the case and people are protected by the recruitment system. We talked with the manager about staff training. We found there has been a positive approach to ensuring all staff receives training in the needs of
Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 21 residents who live at the home. Most of the staff team have attained vocational qualifications at various levels, and other qualifications in meeting the needs of residents who live at the care home. We looked at the homes training matrix, which clearly shows which staff have attended the wide range of training available to them. The manager said this helps them to identify individual training needs. We looked at how the home is staffed and found it is staffed to meet the needs of the people who live there, this is done by making sure there is always a senior member of staff on duty and that staffing levels are adjusted according to the needs of the people living at the home. Comments relating to the staff were very positive and included; “ The residents are treated with respect at all times”, “I have worked in other homes and this is very good”. Residents always come first, it’s a good place to work”, “I am very happy every day and well looked after”, “They have so much patience with all the residents”. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well, with systems and policies in place for the protection and safety of staff and residents. EVIDENCE: The manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. Comments from people who use the service say they feel the manager is supportive and is a good listener. “we feel really supported by the Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 23 manager, she is always there for you”, “If you are not sure about anything them the manager, or one of the management team is there to help out” We talked to the manager about quality assurance issues and were told, there is now ongoing quality monitoring carried out through informal discussion with all users of the service including staff. As well as this there are regular staff and resident meetings, which are minuted and the information used as part of the management planning process for the development of the home. We spoke to the manager about how the recently introduce quality assurance information and comments are received and she stated all comments are taken seriously and listened to, so that issues raised are addressed and recorded if necessary. We talked about the way residents allowances are managed and were told the system has been reviewed. We looked at the records available and found them to be accurate and audited by the management team. All appliances in the home are checked regularly for the health and safety of all users of the service. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 25 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 OP1 Regulation 4(1)(b) Requirement The homes Service User Guide and Statement of Purpose must provide information about what service it provides to resident within the older persons category and the dementia category so that people are fully informed of the service being provided by the home. There must be a choice of two substantial meals at lunchtime so that residents receive wholesome food in addition to any snack type meals. When medication is prescribed with the option for one or more tablets, staff must record the number of tablets administered so that there is a clear audit of medication being administered. Timescale for action 31/10/08 2 OP15 16(2)(i) 31/10/08 3 OP9 13(2) 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 26 No. 1 Refer to Standard OP29 Good Practice Recommendations The home staff application form should ask applicants to declare any previous offences or convictions so that they home can make an informed decision based upon accurate information provided at the time of application. The continuing development of the homes environment should continue so that it is well maintained and comfortable for people who live at the care home. The home should research current good practice in developing activities for people with dementia conditions so that they can express themselves within the confines of their condition. 2 3 OP26 OP12 Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Linden House Residential Home DS0000022493.V365076.R01.S.doc Version 5.2 Page 28 - 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!
