Inspection on 18/07/07 for Aarandale Lodge

This inspection was carried out on 18th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aarandale Lodge 18/07/08

Aarandale Lodge 08/08/06

Aarandale Lodge 16/03/06

Aarandale Lodge 13/10/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Aarandale Lodge Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex SS0 7PR Lead Inspector Michelle Love Unannounced Inspection 18th July 2007 09:50 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 Aarandale Lodge DS0000065514.V345033.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. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aarandale Lodge Address Aarandale Lodge 2-4 St Vincent`s Road Westcliff-on-sea Essex SS0 7PR 01702 352096 F/P 01702 352096 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) Mr Navneet Singh Johar Mrs Aunjali Johar Mrs Sandra Halls Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Twenty x older persons who may have dementia. To comply with the report of the fire brigade including the provision of a second fire escape. Work to be completed within six months of registration To relay the tarmac to the front entrance and car park area. Work to be completed within six months of registration. Thermostatic valves to be fitted to all hot water taps accessible by residents. Work to be completed within three months from registration. 8th August 2006 Date of last inspection Brief Description of the Service: Aarandale Lodge is situated in a residential area close to the town centre of Southend, the sea front and rail and bus links. It is registered for twenty older people who might additionally suffer with dementia. The accommodation is on two levels with a shaft lift to enable access to both floors. It has two lounges, one with a dining area, eighteen single bedrooms and one shared bedroom. It has a large enclosed garden and there is limited parking to the front of the property. The home has an updated Statement of Purpose, Service User Guide and a copy of the last inspection report in the entrance hall. The current scale of charges as at July 2007 is between £312.00 and £550.00 per week. Extras charged are for hairdressing, chiropody, newspapers, personal toiletries and attendance to appointments using local taxis. As part of the inspection process an Annual Quality Assurance Assessment was forwarded to the Commission prior to the inspection. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced `key site` visit was carried out by Michelle Love, inspector over a total period of approximately 9 hours. At this site visit, the inspection was conducted with the assistance of the acting manager and with the assistance of other senior members of staff and care staff. As part of the process a number of records relating to individual residents and care staff were examined e.g. care plans/risk assessments, staff employment files, training records, complaint records, menus/nutritional records etc. Additionally the homes medication systems were observed and records inspected. During the site visit several residents were spoken with. Following the inspection several surveys were randomly forwarded to staff and resident’s relatives/representatives to seek their views about the care provided and the way Aarandale Lodge is run. Of 12 relatives surveys sent out the Commission for Social Care Inspection received 6 completed documents. A small number of staff surveys were returned to the Commission. Issues and direct quotes where appropriate have been recorded and highlighted within the main text of the report. What the service does well: What has improved since the last inspection? Many areas of the home have been redecorated and there are plans underway to make further improvements both internally and externally (garden). Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 6 The home has implemented a new care planning/risk assessment process. This has proved successful and it is clear that individual resident’s needs are well documented. 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. Aarandale Lodge DS0000065514.V345033.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 Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an appropriate formal system for assessing the needs of prospective residents. EVIDENCE: Admissions are not made to the home until a full needs assessment has been undertaken to see if the home are able to meet the individual’s needs. On inspection of the pre admission assessment for the newest resident, it was positive to note that this had been conducted with the resident and their representative. In addition to the homes own assessment, additional information had been sought from the individual’s placing authority. The acting manager advised that on most occasions it is the area manager and registered provider who conduct pre admissions assessments, however she is enabled to contribute to the process. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 9 The acting manager was advised that no information was available to indicate that the registered provider had confirmed in writing to the prospective resident and/or their representative that it could meet their needs. The home does not provide intermediate care. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s care planning processes are good and each individual resident has a plan of care depicting their needs. Some inappropriate medication procedures were observed which do not keep residents safe. EVIDENCE: At this inspection three individual care plans were inspected. Each care plan was observed to be detailed, informative and person centred detailing the social, physical, emotional and healthcare needs of the individual person. It was evident that wherever possible the care plan had been compiled in conjunction with the resident and their representative. The acting manager was advised of ways to improve the homes care planning process further by ensuring that additional information is recorded detailing how individual’s dementia impacts on their daily lives and how staff specifically provide support and interventions. For example one care plan made reference Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 11 to the resident having some difficulty in expressing their needs and emotions and their speech could be inappropriate on occasions. The care plan did not specifically identify how this impacted on the individual resident or what staff’s interventions/support was to be. The care records for one resident made reference to them having a poor diet. Daily care records consistently evidenced occasions whereby the resident either ate very little or refused to eat one or more of their meals. No care plan was devised pertaining to dietary needs for this person. For the same person the care plan was not updated to reflect that some of their medication (20 tablets) had been located on the floor and not digested by the individual resident. No care plan or risk assessment had been devised. Daily care records for another resident made reference to them on occasions exhibiting physical aggression and agitation. No information was recorded detailing the specific nature of the aggression, possible known triggers and guidelines for staff as to how to deal consistently with the behaviour so that care could be provided in a way that ensured the individuals safety and well being. Daily care records were written on most occasions daily, however within one care file records were not written for two days. The acting manager was advised that daily care records are a good source of evidence to show that care is being provided as detailed in the care plan. Daily care records when well written help ensure a consistent approach and good quality of care for individual people. Detailed daily records will help the person in charge of the care home to audit the care being provided to residents and ensure that staff are following the guidelines in the care plans. Risk assessments were devised for the majority of assessed risk areas however as already stated above there were some gaps. There was evidence to indicate that both care plans and risk assessments had been regularly reviewed. The homes storage facilities for medication were deemed appropriate. A small number of omissions were observed whereby staff had not signed the MAR (Medication Administration Record) sheet to indicate that medication had been administered to and received by residents. Additionally the inspector observed the senior in charge dispense medication from residents’ blister packs into individual pots and place these within a pocket of their uniform before administering to individual residents. The acting manager was advised of the poor practice at the time of the inspection. This is seen as poor practice and potentially places residents at risk of receiving medication that is not prescribed for them. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 12 A list of staff names/initials and signatures for those staff deemed competent to administer medication to residents was available, however the acting manager advised, this needs to be reviewed and updated. On inspection of training records for those staff deemed competent to administer medication to residents, evidence suggested that not all staff had received training. The registered provider/acting manager must make sure that all staff who administer medication are appropriately trained and where training updates are required, this is undertaken within a reasonable timeframe. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who reside at the care home have the opportunity to be involved within a meaningful programme of activities. Meals offer a varied and healthy diet to residents. EVIDENCE: Of those care plans inspected information was recorded depicting individuals `lifestyle and social care needs` and individuals personal preferences, likes and dislikes. Within individual’s pre admission assessments, information was recorded detailing past hobbies and interests. An activity programme and evidence of individual events were displayed within the home. This depicted activities such as armchair exercises, hairdresser, DVD afternoon, quiz, cards, dominoes, arts and crafts, manicures, sing-alongs, community based activities e.g. walk/local shops and talking newspapers. Further effort is required to ensure that those people with complex needs and/or poor cognitive development/dementia have activities, which meet their needs. On the afternoon of the site visit several residents were observed to watch a film (Chitty Chitty Bang Bang). Comments from Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 14 residents were positive and most were noted to enjoy the entertainment. It was disappointing to note that staff deployment within the lounge areas was poor throughout the day of inspection. The acting manager was advised that better staff deployment is required to ensure that residents are supported at all times. The inspector observed both the lunchtime and teatime meal. A white board within the dining area was observed to detail the menu of the day. The home operates a rolling four-week menu and includes a choice of two main meals/teatime meals each day. The acting manager advised that alternatives to the menu are able to be prepared. The lunchtime meal was seen to be plentiful and looked appetising. Comments from individual residents were noted to be positive e.g. “oh yes the food’s always good” and “it was lovely”. Care staff, were observed not to hurry those people who require assistance to eat their meal, however staff were noted to stand up rather than sit down. The dining area at lunchtime was observed to be crowded as at one time there were 17 residents and 3 members of care staff within this same area. The inspector observed the senior in charge of the shift preparing the teatime meal during the afternoon. This reduced the number of staff supporting residents within the home from three to two and is seen as inadequate. As stated previously lounge areas were not supported and several residents with poor dementia were observed to wander aimlessly. One resident was observed to access the kitchen without staff knowing and the inspector had to intervene and advise staff of the individual’s whereabouts. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s complaints procedure and policy. EVIDENCE: The inspector was advised that since the last inspection the home has received no complaints. The homes complaints policy and procedure was not inspected on this occasion, however this was seen to be appropriate at the previous inspection to the home. The home has an adult protection policy and procedure in place. No issues have been highlighted since the last inspection. On inspection of the homes training matrix, evidence suggested that not all staff have received protection of vulnerable adults training and no staff have received training pertaining to challenging behaviour. The registered provider/acting manager must consider staff receiving the latter training within a reasonable timeframe as it is clearly evident that a number of people residing at the home present with `lively` and some challenging behaviour. This will enable staff to feel confident to deal with any issues that may arise, to protect both themselves and individual residents who they care for and to ensure consistency of care/support. One relative’s survey commented “there was one occasion when visiting, on which a new resident was very vociferous and threatening. The staff (in the evening) did Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 16 not have the ability to control the situation. The worker made a call to the management because of concern for the staff and other residents”. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an environment that is appropriate to the specific needs of the people who live there. EVIDENCE: As this was the inspector’s first visit to the care home, it was not possible to comment on the improvements undertaken since the last inspection. The Annual Quality Assurance Assessment details that the registered provider has undertaken a lot of refurbishment and redecoration since acquiring the home in October 2005. Many bedrooms have been redecorated, had new carpets and curtains fitted and some new bedroom furniture has been purchased. Additionally more car parking space has been created to the front of the property. The acting manager advised the inspector that improvements are to begin shortly to the rear garden (pathways to be widened, raised flower beds Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 18 to be created and a walk through pergola). Also improvements are to be made internally e.g. to create a walk in shower room on the ground floor. On inspection of a random sample of resident’s bedrooms, all were observed to be personalised and individualised. Of those residents spoken with, all expressed pleasure with their own personal space and the care home in general. No health and safety issues were highlighted at this site visit. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager advised the inspector that current staffing levels at the time of the inspection were 1 senior staff member between 07.30 a.m. and 17.30 p.m., 2 care staff between 07.30 a.m. and 14.30 a.m., 1 care staff member 07.30 a.m. to 13.00 p.m., 2 care staff between 14.30 and 21.30 p.m. and 2 waking night staff between 21.15 p.m. and 07.45 a.m. each day. The acting manager’s hours are supernumerary to the above Monday to Friday. In addition to the above a domestic is employed between 09.00 a.m. and 14.00 p.m. Monday, Tuesday, Wednesday and Friday each week and a cook between 07.30 a.m. and 14.00 p.m. each day. Laundry staff are allocated each day from within the staff team. On inspection of four weeks staff rosters from 25.6.07 to 18.7.07 inclusive, the rosters appeared somewhat muddled and unclear and evidence suggested that there were insufficient staff on duty on occasions. The acting manager and registered provider advised the inspector that this would not have occurred and that additional staff from their `sister` home would have provided the additional cover. The Commission accepts this could be the case, however the Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 20 staff roster is a statutory record and has not been updated to reflect all staff working at the care home on any given shift. The rosters also evidence that some staff are working in excess of between 5066.5 hours per week. The acting manager was advised that this is not good practice and potentially places both staff and residents at risk (some staff are undertaking 14 hour shifts). The acting manager advised the inspector that following a recent staff meeting, plans are in place to review the current staffing levels. It is proposed that 3 care staff will be on duty between 17.30 a.m. and 20.00 p.m. each day, however staffing levels will be reduced by one staff member from 07.30 a.m. to 11.00 a.m. each day. This is seen as counter productive and not best practice as the mornings are a very busy time. This refers specifically to residents getting up in the morning, receiving personal care (washing and dressing), medication being administered, breakfast etc. The registered provider must at all times consider the dependency levels of residents within the home and resident’s individual needs before any reduction in staffing is undertaken. As already stated deployment of staff within the care home was observed to be poor during the site visit. Surveys from relatives and from staff made reference to there being a need for more staff on duty within the care home. Comments from relative’s surveys recorded “perhaps review staffing levels in `off peak` times”, “under the previous owner had more staff at all times. As wonderful as the staff now working there are, I do not think we would have put our relative there with current staffing levels” and “people in care are left alone in the TV rooms without members of staff being present. Admittedly they may have other work to do at the time but with proper supervision maybe the patients would not fall so often if properly supervised”. Three recruitment files were inspected for those newly employed members of staff since the last inspection (8.8.06). The majority of records as required by regulation were available, however gaps were noted pertaining to no evidence of training/experience/qualifications for two out of three files, POVA 1st/Criminal Record Bureau check received after one person had commenced employment at the care home, no record of induction for one person and the record of induction for two people not in line with Skills for Care, no record of a job description for two people and within one file there was only one written reference. The training matrix submitted to the inspector indicated no evidence of training undertaken for 2 people and gaps relating to food hygiene, moving and handling, health and safety, fire awareness, medication, protection of vulnerable adults and dementia were clearly evident. The acting manager advised that she has contacted the local Primary Care Trust to arrange training in relation to infection control, nutritional needs, falls prevention, pressure area care and diabetes in the near future. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience to run the care home. EVIDENCE: The acting manager has been at Aarandale Lodge since January 1996, and has attained NVQ Level 2, 3 and has completed the Registered Manager’s Award. In addition to the above the training matrix evidences that the acting manager is committed to continue to undertake training relating to those conditions associated with older people and training in core areas e.g. first aid, moving and handling, food hygiene, health and safety, fire awareness, medication awareness etc. The training matrix evidences further updated training/refresher courses are required. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 22 The acting manager advised the inspector that she is due to undertake a Fit Person Interview as part of the inspection process to becoming formally registered with the Commission for Social Care Inspection. Quality Assurance questionnaires have been forwarded to resident’s relatives/representatives and visiting professionals. The acting manager advised that surveys are to be undertaken with individual residents in the future. The registered provider/acting manager should also consider seeking the views of staff working within the care home. A random sample of records as required by regulation were inspected at this site visit, pertaining to the homes fire risk assessment, record of fire drills, fire equipment, emergency lighting/alarms, passenger lift, employers liability certificate and gas/electrical safety inspection. All records were seen to be satisfactory. On inspection of four resident’s monies/receipts, records and actual monetary totals were observed to tally. Relatives surveys were observed to state “We feel very fortunate that ……. Has gone to this home”, “the care staff at Aarandale are lovely” and “the staff are wonderful. They laugh and joke with us, are tactile and give hugs”. Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 Requirement Ensure that the registered person has confirmed in writing that it can meet the needs of the prospective resident. Ensure that appropriate arrangements are made for the safe administration of medication to residents. This refers specifically to medication not being collectively dispensed into pots and carried by the senior person in charge before administering to individual residents. Ensure that all care staff working within the care home receive training relating to protection of vulnerable adults and challenging behaviour. Ensure that at all times there are sufficient numbers of staff on duty at all times and that the staff roster accurately reflects those staff working at the care home on any given shift. Ensure that all records as required by regulation have been sought and that the homes recruitment procedures are DS0000065514.V345033.R01.S.doc Timescale for action 01/09/07 2. OP9 13(2) 01/09/07 3. OP18 13(6) 01/12/07 4. OP27 18(1)(a) 01/09/07 5. OP29 19 01/09/07 Aarandale Lodge Version 5.2 Page 25 6. OP30 18(1)(c) and(i) robust and in line with regulatory requirements. Ensure that all staff working 01/01/08 within the care home receive training appropriate to the work they perform. This refers specifically to core training courses and those associated with the conditions of older people. 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 Ensure that the list depicting the names/signatures/initials of those staff deemed competent to administer medication is reviewed and updated to reflect accurately those people who administer medication to residents. Ensure that staff remain competent to undertake their job/role. This refers specifically to some staff working excessive hours (50-66 hours). Ensure that the deployment of staff within the care home is appropriate for the numbers and needs of residents within the home. 50 of staff to be trained to NVQ level 2 in care. Not inspected on this occasion. 2. 3. 4. OP28 OP28 OP28 Aarandale Lodge DS0000065514.V345033.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Aarandale Lodge DS0000065514.V345033.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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