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Inspection on 03/09/09 for Lyndhurst Residential Care Home (Orrell Lane)

Also see our care home review for Lyndhurst Residential Care Home (Orrell Lane) for more information

This is the latest available inspection report for this service, carried out on 3rd September 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People who live in the home said they thoroughly enjoyed being there and felt comfortable, valued and at ease. The atmosphere in the home was one of calm and comfort and staff were seen to enjoy excellent interactions with all the residents.Lyndhurst Residential Care Home (Orrell Lane)DS0000062401.V377430.R01.S.docVersion 5.2The manager was able to demonstrate how he and his staff provided needs led care for the people living in the home and care plans showed that each person was treated as an individual with their own preferences, choices and capabilities. Staff demonstrated how they work together as a team and staff spoken with said they felt supported by their line management structure. Comments from people living in the home were most positive and included: This home is like one big happy family. We can do what we want to do and staff look after us and make us feel safe. The staff are kindness itself. The manager and staff are very good and they make sure we are well cared for. The food is good, I can go out to the shops or the pub or enjoy other activities in the home, its nice here.

What has improved since the last inspection?

The manager and staff have worked very hard to address the requirements and recommendations from the last inspection and as a consequence they have improved in many areas to include: The manager has now become registered with The Care Quality commission. Changes have been made to the recruitment and selection procures and staff are only confirmed in post when all the requirements of this process have been met. All equipment used in the home has been checked and maintained to safeguard the health and safety of the people using the service. The manager and staff no longer hold responsibility for handling money belonging to the residents and have made arrangements for the residents who do not have the capacity to manage their own money to have an advocate to do this on their behalf. The statement of purpose and service user guide have been updated and made available in other formats to include pictorial information. The activities programme has been updated and an activities co coordinator appointed to arrange activities that are or interest to the current residents of the home. Staff training has been enhanced and records show that all staff has either NVQ level 2 or 3 qualifications. A building refurbishment has commenced with many areas benefiting form redecoration, re carpeting and new fabrics and furnishings. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 A quality assurance system has been implemented and the manager and senior staff ensure that questionnaires about the service provision are provided to residents and their representatives and other people who have an interest in the home.

What the care home could do better:

The inspection process identified that the manager and staff had worked extremely hard to improve the services for the people living in the home and throughout the visit it was noted that all residents presented as being at ease and very much at home with their surroundings. However examination of medication records revealed that the recording of receipt and disposal of medication was incorrect. Discussions with the manager and senior carer identified where the error had occurred and it was noted that this error had not affected the medication administration or storage which were seen to be in order. Systems were immediately put in place to resolve this problem and it is noted as a requirement within this report.

Key inspection report CARE HOMES FOR OLDER PEOPLE Lyndhurst Residential Care Home (Orrell Lane) 51 Orrell Lane Walton Liverpool L9 8BX Lead Inspector Lynn Paterson Key Unannounced Inspection 3rd September 2009 09:00 DS0000062401.V377430.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndhurst Residential Care Home (Orrell Lane) Address 51 Orrell Lane Walton Liverpool L9 8BX 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) 0151 525 2242 lyndhurstltd@hotmail.com Lyndhurst Limited Mr Kavish Mahadeo Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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 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 The maximum number of service users who can be accommodated is: 20 Date of last inspection 9th September 2008 Brief Description of the Service: Lyndhurst is a small privately run residential care home in the Orrell district of Liverpool. The service is operated by a company called Lyndhurst Limited, which is a family run business - registered to provide accommodation and care for a maximum of 20 older people. The home is set in a Victorian detached property and the residents’ rooms are situated on two floors. The rooms are either double or single and there are enough bathrooms and toilets on both floors to meet the residents’ needs. The lounge and dining area is located on the ground floor. The home is fitted with a passenger lift and a call bell system is fitted throughout. Lyndhurst is well served by local shops and public transport and there are pubs and restaurants close by. Newspapers are delivered to the home and arrangements can be made for hairdressing and chiropody services for residents as required. Care Home Fees range from £330.00 to £350.00 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 5 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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 2 star. This means the people who use the service experience good quality outcomes. The inspection of Lyndhurst Care Home was carried out by one inspector over a one day period on 3rd September 2009. The visit to the premises was one part of the inspection. Other information received was also looked at. Before the visit the agency manager was asked to complete an annual quality assurance document (AQAA) to provide up to date information about the services provided. Questionnaires were provided for people who use the service, relatives and staff to find out their views. Other information that had been provided since the last inspection was reviewed. During the visit various records, policies and care files were looked at and a partial tour of the premises undertaken. A number of people who live at the home were spoken with as well as six staff members and they all gave their views about the service. The manager was able to give clear information about the services undertaken by the home and detailed changes to policies and procedures that had recently been implemented. All information gained from discussions, surveys and document reading were used as a basis for the process of this report. What the service does well: People who live in the home said they thoroughly enjoyed being there and felt comfortable, valued and at ease. The atmosphere in the home was one of calm and comfort and staff were seen to enjoy excellent interactions with all the residents. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 7 The manager was able to demonstrate how he and his staff provided needs led care for the people living in the home and care plans showed that each person was treated as an individual with their own preferences, choices and capabilities. Staff demonstrated how they work together as a team and staff spoken with said they felt supported by their line management structure. Comments from people living in the home were most positive and included: This home is like one big happy family. We can do what we want to do and staff look after us and make us feel safe. The staff are kindness itself. The manager and staff are very good and they make sure we are well cared for. The food is good, I can go out to the shops or the pub or enjoy other activities in the home, its nice here. What has improved since the last inspection? The manager and staff have worked very hard to address the requirements and recommendations from the last inspection and as a consequence they have improved in many areas to include: The manager has now become registered with The Care Quality commission. Changes have been made to the recruitment and selection procures and staff are only confirmed in post when all the requirements of this process have been met. All equipment used in the home has been checked and maintained to safeguard the health and safety of the people using the service. The manager and staff no longer hold responsibility for handling money belonging to the residents and have made arrangements for the residents who do not have the capacity to manage their own money to have an advocate to do this on their behalf. The statement of purpose and service user guide have been updated and made available in other formats to include pictorial information. The activities programme has been updated and an activities co coordinator appointed to arrange activities that are or interest to the current residents of the home. Staff training has been enhanced and records show that all staff has either NVQ level 2 or 3 qualifications. A building refurbishment has commenced with many areas benefiting form redecoration, re carpeting and new fabrics and furnishings. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 8 A quality assurance system has been implemented and the manager and senior staff ensure that questionnaires about the service provision are provided to residents and their representatives and other people who have an interest in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards. 1.2. 3. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who consider living in the home are provided with clear details of the services provided and staff assess their needs to see if the home has the facilities to provide needs led care. EVIDENCE: The manager has revised the statement of purpose of the home and the service user guide to ensure that they hold clear details of the staff and service provision. The documentation is clear and easy to read and is provided in different formats to meet individual needs. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 11 Three care plans examined in detail showed that a pre admission assessment of needs is carried out on all prospective residents prior to them being offered accommodation in the home. Staff said that this assessment enables them to identify of the home has the facilities to meet assessed need and also enables the person considering the placement to ask questions , read the documentation provided and make an informed choice about their future. The manager said that people are also invited to visit the home and have a look around, speak with staff and residents and enjoy meal to enable them to see what the home is like before making any decisions about, moving in. Documentation viewed evidenced that all people living in the home have a contract which identifies what rooms they are occupying, what the current fees are and what the terms and conditions of residence are. Discussions with people living in the home confirmed that they have a contract with the home and comments included; We know what we would do if we wanted to leave, we would give a months notice but no one would want to leave here, it’s so good. We know what we can do here, which is almost everything we want. We cannot smoke in our rooms but we have a room at the back of the house and a covered area outside where we can smoke so that’s ok. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards.7.8.9.10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning has been updated to make sure that the health and personal care of each resident is fully met. EVIDENCE: Three care plans examined showed that they had been written in full consultation with the individual resident and other people who were involved in her care. The plans were well put together and held sections for each area of daily life. For example one section for personal care tasks to be identified detailed how staff would carry out this care ensuring that the person’s dignity was intact. All plans were signed by the individual resident or their representative to show that they had been fully involved in drawing up the plan of care. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 13 Another section held details in respect of health needs and other sections were in place to record other aspects of care and support required to meet the general needs of health and personal care. The care plans identified that the home had liaised well with health and special care professionals with clear records being maintained of all interventions. Records hold evidence that resident’s health care needs are being met. District nurse and doctor’s visit are recorded and included in the care files. Residents seen in the home were appropriately dressed and well presented and they said they received very good personal care support. Discussions with people living in the home confirmed they felt they were well looked after and treated with respect. Comments included; I like to stay in my room and staff respect my wishes and carry out my care needs exactly as I choose. The staff provide good care and are always kind and considerate. Staff are patient and spend lots of time with us. We are all happy here and feel it is one big family. Discussions with staff revealed they respected each resident and ensured that their privacy and dignity was maintained. In general medication record sheets were clear and accurate. Staff said that medicines are received into the home and the amounts recorded on the medication records sheets. Staff records show that all staff that are responsible for the management of medication have undergone training in this area and staff spoken with disclosed good understanding of the medication polices and procedures as used in the home. However it was noted that medications that had been received from a Community Psychiatric nurse had not been recorded or managed as per the home policy. Discussions with the manager and senior carer identified where the error had occurred and it was noted that this error had not affected the medication administration or storage which were seen to be in order. Systems were immediately put in place to resolve this problem and it is noted as a requirement within this report. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12.13.14.15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to maximise their daily life and to maintain good links with the local community. EVIDENCE: The social atmosphere in the home presented as warm and relaxed. Staff were observed to be interacting and supporting residents around such tasks as giving drinks and assisting people at meal times. There is a notice board that advertises activities and staff advised that the home provide daily activities, however not all the residents are interested in joining in. Staff reported that they have time to sit and socialise with the residents and discussion with people living in the home fully confirmed this. Comments included: Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 15 The staff here are so nice and very interesting to talk to. They sit with us and we talk about anything and everything. We sit in the lounge and talk about the past and the good old days and we have a sing along. We all love it here. Staff are lovely and friendly. They go out of their way to make sure we are happy. It was noted that the home are currently working on developing the garden area so that residents can enjoy more outside activity. A newly built free standing conservatory/garden room was sited at the rear of the property and staff advised that this would be used as an activity room for the residents to include the provision of a snooker table. Social activities are listed in the care files and residents said they loved the outings and had recently enjoyed a day at Southport and could not wait for the next one. Observations of residents coming and going from the home and general discussions with them identified that they enjoy their daily life and feel safe and well supported and are encouraged to maximise their independence wherever possible. A menu board shows what the meals of the day are and residents said the food is always good. One resident said s/he always had a cooked breakfast which was lovely. Other residents said they were able to have any food of their choice and meal times were flexible. One person advised that s/he always had breakfast at about 10-30 am and another said s/he had breakfast when s/he felt like. Staff confirmed that mealtimes were made to be as flexible as possible to meet the needs of the people living in the home. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16.18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents concerns are listened to and addressed by the manager and staff are trained and knowledgeable in adult protection to ensure the protection of the people living in the home. EVIDENCE: There is a complaints procedure and this is made available to the people living in the home and their family, friends and representatives. People spoken with or who supplied feedback through surveys were aware of how to complain and felt the management were very approachable and responsive and would listen and act upon any concerns as a matter of urgency. One complaint had been received by the home since the last inspection and records show it was investigated as per the homes procedures with the outcome being recorded on file. The management were aware of the local procedures for reporting any allegation of mistreatment and staff records show that all staff had received training in adult protection. Staff spoken with demonstrated full understanding of the protection of vulnerable adults. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 17 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19.26. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment has been improved to enable residents to have an improved lifestyle. EVIDENCE: The manager and staff of Lyndhurst Care Home said that they aim to provide a good quality of care to the residents in a clean and safe environment. A tour of the premises confirmed that it was clean and satisfactorily maintained internally so that resident’s living space was safe and comfortable. The building has disability access to the front and rear. The premises presents as an older style building with the lay out being provided over two floors and to ensure the Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 19 residents do not have any difficulty with orientation signage has been used to identify toilet and day areas as well as residents bedrooms. The home benefits from an ongoing refurbishment of fabrics and furnishing and smelled clean and fresh at the time of the unannounced visit. Externally there are spacious grounds which are accessible to residents and free standing conservatory is sited at the rear of the property and staff advise this will be used as a recreation room for residents to include snooker and pool facility. People living in the home said they were warm and comfortable and felt safe and secure. They said they were very satisfied with the accommodation and could see no room for improvement. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27.28.29.30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing of the home is consistent and staff are trained, supported and motivated to be fully competent to carry out their respective roles. EVIDENCE: Discussions with staff identified that they worked together well and felt supported by each other and the management structure of the home. Staff records showed that there is a low turnover of staff and residents said they knew the staff well and felt at ease in their company. Training records showed that staff training is an ongoing process of the home and all staff either have or are in the process of undertaking NVQ qualification courses. Induction record show that there is a standard induction programme in place with ongoing support and training taking place after the induction period has passed. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 21 Staff interviewed advised that the had all undertaken the induction training and were provided with updated mandatory training in areas such as moving and handling, fire safety, health and safety and food hygiene. They revealed that they were also able to access specialised training in areas such as dementia mapping. Staff files examined showed that the recruitment standards of the home concerning necessary checks to ensure staffs fitness to provide safe care were carried out satisfactorily and the interview process was fair and equal. Discussion with people who live in the home and comments received from surveys identified that staff were very much appreciated for their input in the home. Comments included: Staff are kindness itself. Staff are good kind caring people who put themselves out to provide us with high levels of care and support. They are angels, they work so hard. Staff treat us with kindness and respect; nothing is too much trouble for them. We are one big happy family. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards. 31.32.33.35.38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is respected by staff and residents for his transparency and his commitment to providing services that are in the best interests of the people living in the home. EVIDENCE: The home manager, Kavish Mahadeo, is qualified and experienced in health and social care management and through discussion and observation was able to demonstrate his understanding of the individual needs of the people living in the home. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 23 He was able to further demonstrate his management ability by the completion of the Annual Quality Assurance Assessment which is a self assessment of the service and allows the manager to reflect upon the current practice and to plan for the future. The manager displayed excellent knowledge of needs led care, personalisation and diversity throughout the inspection and was able to demonstrate that the home had met the requirements made at the last inspection and had developed the service to ensure that all areas of change had been met. The annual quality assurance in the home includes attention to relative’s feedback and the feedback of health and social care professionals who have involvement with the home. The manager said that this enables him to have clear vision of the perceptions of the people who use the service and enable him to develop the service as appropriate. The homes policies on the daily management of resident’s personal allowances and good practice guidance around receiving of gifts and staff responsibly regarding management of resident’s finances were in place and individual records were maintained where appropriate. General risk assessments form the basis of the health and safety management in the home. Records seen were up to date and the ongoing management ensures residents safety. Moving and handling management was assessed. The home has hoists and other moving and handlings aids and staff records show they are provide with training and support to ensure both they and the resident are protected. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 3 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.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 OP9 Regulation 12 Requirement Medication must be ,managed as per the homes medication policy Timescale for action 12/12/09 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 Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 26 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Lyndhurst Residential Care Home (Orrell Lane) DS0000062401.V377430.R01.S.doc Version 5.2 Page 27 - 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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