Inspection on 25/09/07 for Acorn Lodge

This inspection was carried out on 25th September 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

Acorn Lodge 01/08/06

Acorn Lodge 08/09/05

Acorn Lodge 22/06/05

Acorn Lodge 12/10/04

Acorn Lodge 03/06/04

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

CARE HOMES FOR OLDER PEOPLE Acorn Lodge 183 Reads Avenue Blackpool Lancashire FY1 4HZ Lead Inspector Mrs Jackie Riley Unannounced Inspection 25th September 2007 09:00 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 Acorn Lodge DS0000009866.V346505.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. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Acorn Lodge Address 183 Reads Avenue Blackpool Lancashire FY1 4HZ Telephone number Fax number Email address 7Provider 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) 01253 300036 Mr Anand Seedheeyan Mrs Savitree Seedheeyan Mr Daniel Lea Care Home 10 Category(ies) of Dementia (6), Mental disorder, excluding registration, with number learning disability or dementia (4) of places Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2006 Brief Description of the Service: Acorn Lodge provides residential care for ten service users. The care home is situated in a residential area close to all community amenities, including shops and the public transport system. Access to the home requires service users to be mobile without the need for mobility aids. The care home has two floors accommodating service users. They include five ground floor single rooms one with en- suite facilities and five first floor rooms, one double and four single. There is a ground floor shower and toilet room, close to the entrance of the home. There is no lift access to the first floor therefore service users occupying first floor rooms must have good mobility. At the time of the site visit the range of weekly costs of living at the home is £279.00 to 3360.00, based on local authority contractual arrangements and with the home having received a quality care award. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 25/09/07, over a period of approximately 5.0 hours. The Inspector spoke to the registered manager, proprietor, two staff, three individual residents and a group of residents in the lounge. Comments received will be included throughout the report. A period of two hours was spent in the lounge. During this time there were general observations made of interaction between residents, staff and management. We talked to people using the service, and asked staff about those peoples needs. We also looked at the care plans, medical records and daily notes for three people, this is called case tracking. We toured the home to look at the environment. There were three responses from surveys sent to people who use the service for their views on how the home is run. There were no surveys returned from GP surgeries. Comments were varied about the standard of care and support provided by the staff and management of the home. The records of three members of staff were also looked at. What the service does well: What has improved since the last inspection? We saw the home has reviewed the way it manages medication, so that the system is safe. There has been a recent audit of medication for individual residents living at the home. We saw evidence the pharmacist was satisfied medication was being managed safely and in accordance with clinical guidance. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 6 We found evidence the homes information records including the Statement of Purpose and Service User Guide had been reviewed and provide residents with information about the home and included in this are the names and contact details of independent agencies for residents to contact should they not be satisfied with the way the home is being run. There is now a window restrainer in place on the first floor toilet window for the safety and protection of people who live at the home. We saw light shades are now in place on all lights seen throughout the home. Nurse call systems have been replaced and improved and all residents have had new overhead lighting systems put in place so they are accessible to all residents living there, comments included “Its easier to call somebody and the light works now”. What they could do better: We say the homes environment must be improved for the comfort of people who live and work at the home. Repairs to decoration on the landing area and in a resident’s bedroom are required following a water leak from the roof area. The offensive odour from the ground floor toilet and shower room must be attended to, as this is causing concern for residents and visitors to the home. Comments included, “it really smells in there, its not very nice”, “I don’t like going in there, it smells”. We say there must always be staff available to assist residents attending appointments, so that any health treatment is carried out when needed. We saw there is a limited activity programme in place, but it is not necessarily followed due to the flexibility of the home. There were comments from surveys, which said, “it would be nice if everyone there did more”, “residents sit around a lot”. It is recommended the home develops a more its activity programme by getting ideas from people who live there. We say the registered manager continues to gain qualifications in management so that they have the knowledge and skills to carry out the day-to-day management of the home. Whilst staffing levels were seen to be acceptable at the time of the site visit, there had been comments raising concerns about there being only one member of staff on duty on occasions. We say this must not occur at any time for the health safety and welfare of people living at the home. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 7 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. Acorn Lodge DS0000009866.V346505.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 Acorn Lodge DS0000009866.V346505.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): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have information about what services they can expect when living there. Admission and assessment procedures are in place so the home can meet individual needs, EVIDENCE: We looked at the records of three resident’s, they had assessment details recorded, so that staff had a good insight into what the needs of residents are and how they will be met. The information was up to date and showed regular reviews take place so that information is current and reflects the needs of the residents living at the home. Comments included “I make sure all the information is correct and up to date”. There was evidence of the assessment details from other agencies that made placements at the home, so that the staff team have the knowledge of the individual needs of the residents being admitted. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 10 We spoke to individual residents who confirmed they have been involved in the assessment and review process and able to give their views of the support they required. “I can tell the staff what I need”. Other comments included, “we find out about all aspects of a person including what they used to do, so we can help them remember”. Standard 6 was not assessed, as Acorn Lodge does not provide intermediate care. Acorn Lodge DS0000009866.V346505.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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is monitored and health needs are identified and met. EVIDENCE: We found the records of resident’s that were followed were accurate and had good information about their health and social care needs that supported the staff to maintain and promote each individuals daily needs. We saw care plans were up to date and reviews were taking place, so that resident’s needs were being monitored and any changes recorded. We spoke to residents who said, “We talk about how I’m getting on”, “they ask about how I like to do things, and what I need”, “I’ve just changed my glasses, we went to choose them from the shop”, “I don’t like the dentist but I know its best to go”. We say staff should always be available to assist residents when they require appointments beyond the home, so that relatives are not expected to assist, as this can cause anxiety for relatives. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 12 The records we looked at confirmed risk assessments have been improved, so that risk is being managed for the resident’s safety and protection. We saw significant events had been recorded and daily entries made by carers demonstrate the care given. We spoke to a number of residents who said, “Its good to be able to get on with the things you want to do” Another said, “The staff are really helpful and know what I need”. We found that medication practices have been reviewed so that the procedures are safe. Senior staff on duty had a good knowledge and understating of the homes medication policies and procedures. There are no controlled drugs being administered by the home. We saw evidence of a recent audit by the pharmacist, who reviewed individual medication for people living at the home, and also an audit of the stock control and records of meds dispensed by the home. We found the audit results were satisfactory and the home is following clinical guidance. We say resident’s rights to dignity and privacy were found to be acknowledged by a workforce who are aware of the need to make sure the rights of residents are met with respect at all times. This was confirmed by observing staff members knocking on doors before entering rooms, and the way staff talked to residents. This was carried out with sensitivity and patience on all occasions. We saw residents communicating well with staff members, and they appeared relaxed and receptive to things going on around them. We saw staff encouraging participation with others in a way in which did not infringe their dignity. Comments included, “they know what we like and don’t like”. A member of staff spoken to say, “We know the importance of privacy and how we respect residents and this is part of our training”. Surveys received showed there were concerns as to lack of attention in residents attending appointments for their dental treatment, due to lack of staff. We discussed this with the management team, who stated they always endeavour to assist with any appointments for health care related needs. We say the home must always ensure any appointments for resident’s healthcare needs are kept and staff made available if necessary, so that the healthcare needs of residents are never impeded, due to lack of resources. Acorn Lodge DS0000009866.V346505.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): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home, however lack of organised activities means residents stimulation is limited. EVIDENCE: There is no dedicated cook at the home; members of the staff team are responsible for the preparation of food. There was seen to be a varied menu, which is flexible to meet the individual needs of residents living in the home. One resident commented, “The foods nice and they know my likes and dislikes”. We spoke to staff members who are aware of the individual likes and dislikes of residents, so that they can make sure people get the right meals for them. Special diets can be catered for including low fat and diabetic controlled diets. We saw evidence on individual files where this was necessary. Staff spoken to say, “we cook as much as we can with fresh produce, so that we know they Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 14 are getting a balanced diet”. “we always have special teas for any birthdays or celebrations”. A survey received commented on never seeing any fresh fruit and that the food is frozen food. At the time of the site visit we saw the fruit bowl had a variety of fresh fruit and that whilst some of the food is frozen there was evidence of fresh produce being used, so that the balance healthy. We say the home should make sure they make sure people are aware of the fresh produce used so that people using the service are aware of how food in the home is nutritionally balanced with choice being available at all times. There is a limited activity programme in place, but it is not necessarily followed due to the flexibility of the home. Staff said to us that they like to take things day by day depending on the choice and mood of the residents. We spoke to a number of residents who said “I like to do my own thing”, “we can go to parties at the other home if we want”. Three resident choose to stay in their own rooms and come and go as they please, we found they like to make their own choice in their day to day lives, and we found that staff respect this. There were comments from surveys, which said, “it would be nice if everyone there did more”, “residents sit around a lot”. It is recommended the home develops a more its activity programme by getting ideas from people who live there. We spoke to staff who say, “the residents have their likes and dislikes when it comes to activities”. “The residents have their favourite things they like to do”. We saw there were no restrictions on visiting by relatives or friend, a resident spoken to said “I see my son whenever he can come over”. A survey received said, “we have never seen any other visitors”. We discussed this with the manager, who said there are some residents who have no contact with relatives through their choice and the staff team respects this. Acorn Lodge DS0000009866.V346505.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service. EVIDENCE: We saw the home has a complaints procedure, which is made available to residents or their relative or advocate during the admission process. We saw the contact addresses for outside agencies including the Commission has been improved so that people have access to independent agencies if they are not happy about something in the home. A survey received showed relatives are ware of whom to complain to or raise an issue with if they are not happy about something, however they felt they could not discuss all their concerns whilst leaving their relative in the home. We say the home should make sure all relatives or advocates are made to feel they can discuss any concern without feeling vulnerable, so that any issues can be sorted out for the benefit of the resident and relative or advocate. Comments from staff included, “we want people to say if they are not happy about something so that we can put it right”. “ It’s sometimes difficult for residents, as they can be distressed due to their condition, but we understand this and try to make things right for them”. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 16 There have been no complaints received by the commission in the previous twelve-month period. We saw the home has a procedure in place for dealing with allegations of abuse. Staff spoken to are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Staff comments included, “I have had training for it, and it’s covered in NVQ training”. Acorn Lodge DS0000009866.V346505.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): 19,21,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home is designed to be homely and comfortable, however lack of decoration and maintenance has the potential to have a negative impact on resident’s lives. EVIDENCE: We looked at the homes environment by going around both floors. On the ground floor we saw a lounge area used by most residents. The room is brightly decorated, warm and residents spoken to said, “Its nice sitting in here, its so bright”, “I like sitting here you can see everything going on”. We saw a number of resident’s rooms on the ground floor. Some have been decorated, with evidence of previous requirements being addressed including all light fittings with covers, overhead lighting replaced, and nurse call systems Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 18 being replaced by an improved system. Residents spoken to who were occupying their rooms were happy with how they can use them at any time. One resident said, “I like to be here with my things around me”. The original shower room on the ground floor corridor is still used by residents, however, this is due to residents finding it difficult to use to new shower room due to the step into it, which some say is to high. In addition the previous recommendation for transparent glass to be put in place for additional privacy has not been addressed. This is an issue we say requires attention so that the new shower facility is fit for purpose. There remains one ground floor toilet in the shower room. It was found this room has an offensive odour, which residents said was not pleasant to use. This is an area, which also requires attention for the benefit of all people who live, work and visit the service. Comments from surveys stated, “one toilet not always clean for ten women and men, I don’t think this is right”. The top of the landing area has wallpaper coming away from the wall due to water damage from a previous leak. This requires attention. We looked at resident’s rooms on the first floor. All rooms have now overhead lighting and replaced nurse call systems, except for one room where the resident chooses to retain the old nurse call. One room seen had received water damage due to a previous leak; we say this requires redecoration at the earliest opportunity. We saw the first floor bathroom is cluttered. There is an unused shower facility, which is used for storage, the bath is stained, we say there should be consideration given to developing this facility so that it is a well designed bathing facility and decorated to a good standard for the comfort and convenience of people who live there. In general some of the residents rooms require decoration and updating. Residents spoken to say they like to use their rooms as they please but most said they didn’t like the bathing experience. We discussed this with the manager, who said this is being taken into account in the homes business plan for the next twelve months. Since smoking regulations were introduced in July 2007, the home has introduced a smoking policy, which means all residents who choose to smoke have a designated area for them to do so. Most residents we spoke to said they accepted how this is now. We tested the water temperature in the first floor bathroom and ground floor shower they were found to be in compliance of health and safety requirements. We saw there is a rear garden area, which is private and not overlooked. We spoke to a number of residents who said they liked to spend time there especially during the summer months. Acorn Lodge DS0000009866.V346505.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are generally enough staff on duty to meet the needs of people using the service. People living at the home are protected well by the recruitment procedures. There is a staff training and development programme in place. EVIDENCE: We found there have been no staff changes since the previous inspection. This means that the staff team are consistent and residents livening at the home find they know them well. Comments included, “we know all the staff and they know us”, “staff are always there if you need them”. We looked at duty rotas and discussed staffing levels with the manager. The rotas show there should be sufficient numbers of staff on duty to make sure resident’s are supported and their needs are met. However comments received from surveys raised concerns about only one member of staff being on duty on occasions. We discussed this with the manager and proprietor. They accepted the concerns and stated they would ensure there are no occasions when only one staff member would be on duty at any time. We saw staff are offered training in a number of topics such as manual handling, medication, fire safety, First Aid, and Protection of Vulnerable Adults. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 20 Two staff members we spoke to said that they are well supported in respect of training, comments included, “we go on lots of training courses, and are really well supported”. We looked at the recruitment records for three members of staff. These were very well maintained and contained all the necessary checks including Criminal Records Bureau (CRB) checks. Acorn Lodge DS0000009866.V346505.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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems and policies in place for the protection and safety of staff and residents are good. EVIDENCE: We say the manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. Comments from surveys received say they feel the manager is supportive and is a good listener. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 22 We discussed management qualifications with the registered manager who is completing a recognised management qualification so that he is able to manage the home with the knowledge and skills we say is necessary. Staff spoken to say they found the management team to be supportive providing clear leadership. Comments included, “we are well supported by the manager”, “it’s a small home but we all get on well together”, “the manager gets things sorted out”, There is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. The management team takes the views of people who use the service seriously, so that changes can be made to improve the service wherever possible. Staff and resident meetings are carried out on a regular basis, so that the views of people who live and work in the home are taken into account. We spoke to the manager about how information and comments are received and he stated all comments are taken seriously and listened to, so that issues raised are addressed and recorded if necessary. We recommend the management team make sure all stakeholders of the service including visitors are communicated with so that any issues can be discussed and changes made if necessary, and people feel involved in the care process. All appliances in the home are checked regularly for the health and safety of all users of the service. Acorn Lodge DS0000009866.V346505.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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 X 2 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Acorn Lodge DS0000009866.V346505.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 OP19 Regulation 23 Requirement The home must be maintained to a satisfactory standard including decoration and fittings, for the comfort of people living there. Previous timescale of 30.09.06 has not been met. The home must have in place suitable cleaning systems to manage offensive odours, so that this does not affect people living, working or visiting the home. The previous timescale of 30.09.06 has not been met. The home must improve the current shower and bathing facilities so that they are easily accessible and are decorated to a satisfactory standard, for the benefit of people who live there. There must be no occasions when staffing levels fall below the minimum level of two members of staff on duty at any time during the day, so that people living in the home are safe and protected. Timescale for action 31/12/07 2. OP26 23 30/10/07 3. OP21 23(2)(a) 31/12/07 4. OP8 13(b) 30/10/07 Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 25 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. 2. 3. Refer to Standard OP12 OP31 OP21 Good Practice Recommendations The home should develop activities by consulting resident who live there so that they are stimulated by a range of activities available to them. The registered manager should continue to complete management qualifications so that they have the knowledge to carry out their role. The ground floor bathroom would benefit from nontransparent glass being in place at the window to ensure the privacy and dignity of users of the service. Acorn Lodge DS0000009866.V346505.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Acorn Lodge DS0000009866.V346505.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!