Inspection on 10/12/07 for Abigail Lodge Care Home

This inspection was carried out on 10th December 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

Abigail Lodge Care Home 09/12/08

Abigail Lodge Care Home 13/12/06

Abigail Lodge Care Home 14/11/05

Abigail Lodge Care Home 20/06/05

Abigail Lodge Care Home 09/02/05

Abigail Lodge Care Home 21/07/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Abigail Lodge Care Home Gloucester Road Delves Lane Consett Durham DH8 7LB Lead Inspector Jim Lamb Unannounced Inspection 10th December 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abigail Lodge Care Home DS0000000686.V356318.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. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abigail Lodge Care Home Address Gloucester Road Delves Lane Consett Durham DH8 7LB 01207 502405 01207 502439 abigail.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd 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) vacant Care Home 60 Category(ies) of Dementia (30), Dementia - over 65 years of age registration, with number (30), Old age, not falling within any other of places category (30), Physical disability (3) Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three persons within the category of PD aged 55 years and over may be accommodated commensurate with the home’s Statement of Purpose. 13th December 2006 Date of last inspection Brief Description of the Service: Abigail Lodge is a care home with nursing. It has two units, each with 30 beds. One is registered to provide care (including 24 hour nursing care) for people aged 65 or older, together with convalescence and palliative care for people aged 55 or older. The other accommodates people with dementia care needs (including 24 hour nursing care). The home is located on the edge of Consett, close to a supermarket and a public house. It was opened in 1995 and is a purpose-built, two storey building. All bedrooms are single with en suite facilities. There is a passenger lift in each unit. The home has large gardens that are well maintained and easily accessible. Fees at the time of inspection were £365.00 to £576.00 Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary: How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 13.12.06 • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 10.12.07. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: Service users described good relationships with the staff and said they were all polite and helpful. Staff interviewed were very friendly and relaxed and showed a good understanding of the service users care needs. Arrangements for service users to maintain contact with their family and friends are good. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 6 Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of those spoken to were pleased with the quality and choice available. Nutritional assessments are routinely completed for all service users. Hygiene practices throughout the home were good protecting the health of service users and staff. The vetting process helps protect service users. The staff had a good understanding of service users individual needs. The service users were very complimentary about the staff. Residents Comments included: “I’m very happy with the care I receive”. “I am well cared for here, the staff are good”. “I am very happy living here, I couldn’t manage on my own any more”. “ I like the food, there is always plenty to eat, and I still enjoy going to the pub for a pint”. “ I would know how to make a complaint if I needed to, but I haven’t made any yet”. What has improved since the last inspection? The home has managed to meet most of the requirements and recommendations identified at the last inspection visit; they are waiting for a new sling weighing scale to be delivered. A new manager has recently been appointed. Accurate complaints records are being maintained. They have devised a policy on sexuality and intimate relationships. All corridors and some lounge and dining areas have been decorated. There is funding in place to landscape the gardens, creating new seating areas, walkways, raised beds, and new fencing. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 7 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. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. 1 2 3 6 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with enough information about the service to enable them to make a choice about where they want to live. All service users are appropriately assessed prior to admission into the home. All are provided with a written contract explaining their terms and conditions with the home. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 10 EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Four service users’ files were checked and each included a full needs assessment completed by the service users care manager. The home also completes a detailed pre admission assessment. The service users and their representatives are involved in drawing up both these initial assessments and the home’s subsequent service user plans. The service users spoken to all said their needs were met and they were happy with the care offered to them. Service users records and staff spoken to confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Intermediate care is not provided. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. 7 8 9 10 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care planning system is not yet clear enough to ensure that staff has the information they need to meet the assessed needs of the service users. Service users are supported to make decisions about their lives, and take risks to promote their independence. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. As a safeguard, these should all be agreed and signed by service users or their representatives. There are advocacy arrangements, as well as family input, to represent service users. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 12 Each service user has an allocated key worker. Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis, some plans need to be developed further to ensure that service users holistic and specific needs are clearly identified and person centred. Using the information already obtained from service users and their representatives, social care plans should also be implemented. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Staff who have completed relevant training administers medication. A sample of medication records was examined. These include service users photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. The health care needs of the service users are met, and they have access to a range of health care professionals. The Regional Manager described the excellent support that the home receives from the Behavioural Therapist based at Shotley Bridge Hospital. Service users can use a range of external agencies that promote independence. Any rights that are restricted are linked to risk assessments. Service users’ said they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. Staff were observed to treat service users with respect, and they were very knowledgeable about the service users care needs. Abigail Lodge Care Home DS0000000686.V356318.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): Quality in this outcome area is adequate. 12 13 14 15. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users have access to a wide range of community activities, and maintain contact with their family and friends. Social stimulation does not fully meet the needs of the service users. They do receive support and encouragement to enable them to be in control of their own lives. EVIDENCE: Each service user has practical life skills assessment carried out. Service users and their representatives participate in this process. Once these are completed, very specific social care plans should be devised. The home has an activities co-ordinator; she has some very good ideas about social stimulation and she is very enthusiastic. She does require specific training regarding specialist activities and therapies for service users on the elderly mentally infirm unit. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 14 The homes domestic staff is also involved in social activities within the home, this is good practice. However it is recommended that the nursing and care staff also become involved in providing regular activities on a daily basis. This is a large home; therefore it is impractical for a part time co-ordinator and domestic staff to provide activities. The capacity for social activity will vary according to each individual and many service users will need special support and assistance in engaging in activities of daily life. For some a structured daily social life may well be very therapeutic, and there will be a wide variation in preferences and capacity to take into account. Therefore it is vital that all staff become involved in providing social activities both inside and outside the home. In addition to the above, the elderly mentally infirm unit must be provided with displayed information to assist service users with their orientation, there should be clearly defined areas with appropriate signs and symbols. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. Special diets are prepared as and when necessary. The Cook demonstrated good knowledge of the service users dietary needs, and she ensures that meals are well balanced and nutritional. Stock levels were good and there was a good supply of fresh vegetables and fruit available. The service users spoken to said that the food was good and confirmed that they are always provided with a choice. Abigail Lodge Care Home DS0000000686.V356318.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): Quality in this outcome area is good. 16 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Procedures are in place to protect service users from abuse or harm. Safeguarding Adults training is ongoing for staff. Service users are confident that their concerns/complaints are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Five service users said that they had been given copies of the procedure and that staff listened to their concerns/complaints and dealt with them fairly. The home keeps a record of complaints. During the last twelve months there has been seven complaints received, three of these were referred to the Adult Protection Team, all were fully investigated, Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 16 and several outcomes were upheld, and improvements to the service have been made as a result of these outcomes. The Regional manager is currently investigating complaints received from an agency staff. The home and the Regional Manager are good at keeping the CSCI informed of any incidents that occur. The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. All staff have recently been briefed and reminded about the homes whistle blowing procedures. Adult Protection Training is ongoing for all staff. The home also has a copy of the Department of Health’s document, “NO SECRETS”. The Home keeps detailed financial records on behalf of the service users, and these are regularly audited. For those service users without relatives to manage their finances and are unable to manage these themselves, their cash is held in a non- interest bank account. It is recommended that the bank should be approached to find out if they can change the account to an umbrella account that will pay interest to each individual. Cash held in the home on behalf of service users is pooled, following a discussion with the Regional Manager and the home’s Administrator, it was agreed that service users cash would be held separately. Receipts of personal spending are kept. Abigail Lodge Care Home DS0000000686.V356318.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): Quality in this outcome area is good. 19 20 21 22 23 24 25 26 People who use the service experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for those living there. The standard and decoration within the home is generally good. Some areas still need to be improved. Communal areas and bedrooms are large enough to meet the service users needs. All areas within the home are well maintained, clean, tidy and free from offensive odours. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home was clean, well decorated and well maintained; all the corridors and some lounge and dining areas have recently been decorated. The grounds were tidy, safe, attractive and accessible. There are plans to fully landscape the gardens to include seating areas for service users, raised beds and walkways; the gardens will be enclosed allowing service users to use these areas safely. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in good condition. Some lounge chairs/sofa’s need to be renewed. Some of the dining rooms would benefit from having easy clean flooring laid, rather than carpets. Lighting was bright and domestic in design, and all doors have privacy locks. The entrance door to the home is now kept locked. Room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist nursing equipment. The bedrooms were highly personalised, and attractively decorated. Windows are fitted with appropriate restrictors, the rooms were centrally heated and the heating level could be controlled within each bedroom. All bedrooms have ensuite facilities. There are assisted bathrooms throughout the home, and there are several adapted shower rooms. Consideration should be given to upgrading the shower rooms. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was extremely clean and free from offensive odours. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 19 The laundry facilities are very well organised. The washing machines had the specified programme to meet disinfection standards. Abigail Lodge Care Home DS0000000686.V356318.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): Quality in this outcome area is adequate. 27 28 29 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff offering consistency of care within the home. One unit did not have enough staff to meet the needs of the service users. There are robust procedures in place for the recruitment and selection of new staff, which helps to protect service users. The staff receives supervision and this provides them with a good understanding of the service users support needs. EVIDENCE: Staff levels on the day of the inspection did not meet the agreed level: on the general ground floor unit there was one qualified nurse and three care staff. The Regional Manager agreed to increase the number of care staff on this unit to four with immediate effect. Staff spoken to on the elderly mentally infirm unit said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 21 Training needs of staff are identified in supervision and appraisal sessions. Currently 30 of staff has achieved NVQ level 2 or above, over 50 are expected to achieve this within the next twelve months. Statutory training is ongoing for all staff. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. The home has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Abigail Lodge Care Home DS0000000686.V356318.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): Quality in this outcome area is adequate. 31 33 35 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The newly appointed manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The systems for service users’ consultation are good, and service user’s views are both sought and acted upon. The health and safety of the service users is promoted. The service is aware of equality and diversity and its implications. Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager has several years experience in senior management prior to her recent appointment to the home. The organisation is confident that the new manager has the appropriate qualifications, experience and skills necessary to manage the service. CSCI will organise a fit person interview as soon as all the necessary recruitment checks have been processed. Staff spoken to were clear about their responsibilities. Two service users confirmed that they are told when inspections take place and they are shown inspection reports. Copies are available for relatives and others to see. The organisation has developed a range of policies and procedures which have been linked to the National Minimum Standards. A quality system is in place to monitor the quality of the service provided, this involves gaining feedback from service users, relatives and professionals involved with the home, the outcomes are made available to all prospective service users. The home is also in the process of implementing an annual development plan. The records inspected were found to be appropriately completed. These included the fire log book, accident book, personal allowance records and Health and Safey manual. There are appropriate maintenance contracts for the home. It is recommended that service users unable to manage their own finances and without family to assist, should be referred to care management processes to have their accounts managed by local authority appointed persons. Othewise change the current account to an interest gaining account. Water storage tanks, gas and electrics are checked annually. Abigail Lodge Care Home DS0000000686.V356318.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 3 X X Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 (c) Requirement Timescale for action 31/05/08 2. OP7 16(2) 3. OP12 16(2(n)) Service users care plans must be revised to ensure they are person centred, and holistic. Risk assessments must be agreed and signed by service users or their representatives. Outstanding since 10.12 06 The elderly mentally infirm unit 01/02/08 must be equipped with orientation boards, and appropriate signs and symbols. Service users must be provided 31/05/08 with activities, which meet their expectation and preference and provide for meaningful social and occupational activity. Outstanding since 10.12.06 Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 26 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 OP27 Good Practice Recommendations Staff should be deployed in sufficient number to meet the needs of the people resident. It is recommended staffing hours should, at a minimum, meet residential forum guidance. At least 50 of the staff team should be qualified to NVQ level 2 or above. People unable to make financial decisions for themselves and without family to assist this process should be referred to care management processes to have accounts managed in their names by local authority appointed persons and have their capital in interest gaining accounts. Or change the account to an interest one. 5. 6. OP28 OP35 Abigail Lodge Care Home DS0000000686.V356318.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Abigail Lodge Care Home DS0000000686.V356318.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. 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