Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 25/07/07 for Aisling Lodge

Also see our care home review for Aisling Lodge for more information

This inspection was carried out on 25th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

People who live at Aisling Lodge are treated with respect and kindness by the care staff who work at the home. The staff approach was observed during the lunchtime meal and when medication was being administered and at various periods throughout the inspection when their attention to people and their style of communication was observed. The care staff should be commended for their mature and respectful attitude they showed to people living at the home. Individual health needs and care is promoted by seeking the support of community nurses and GPs. A visiting District Nurse and student nurse confirmed this when they said that staff always worked in partnership with them by informing them of peoples needs and always accompanying them to see people and provide essential information regarding their health.

What has improved since the last inspection?

The eight requirements made in the last inspection report for the 22/09/2007 have been met. Care plans included a brief, yet descriptive account of the person that was kept in the person`s room. The plans kept in people rooms were part of their overall care plan and were person-centred documents that safeguarded their confidential information whilst providing informative descriptions of the person and approaches to their care. Medication training and administering and monitoring of care staff is conducted and is well managed. The home has improved their timing and awareness and response to concerns of potential abuse. The home has recently applied for and secured Local Authority grants for improving the home`s environment. Work has been planned and is intended to begin soon after this inspection visit. A new acting manager has been employed and will be taking over from the current registered manager when she retires, in the near future. The last inspection report fro 22/09/06 made a requirement for specialist advise from an Occupational Therapist (OT). An OT was consulted and had visited the home. An Environmental Health Officer inspected the kitchen and has advised improvements to this area. These were in hand to be undertaken and further improvements have been planned for the future.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Aisling Lodge Church Street St Neots Cambridgeshire PE19 2BU Lead Inspector Don Traylen Key Unannounced Inspection 25th July 2007 10:00 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 Aisling Lodge DS0000064767.V345846.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. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aisling Lodge Address Church Street St Neots Cambridgeshire PE19 2BU 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) 01480 476789 01480 214410 Orchid Care Homes Ltd Mrs Morag Morgans Care Home 22 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (19) of places Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. OP (19) for the duration of condition number 2. DE(E) for 3 named females for the duration of their residency only. DE(E) 3 places for unnamed individuals over 65 years of age with dementia. When 3 unnamed individuals over 65 years of age with dementia are in the home then the number of other service users may not exceed 19. 22nd September 2006 Date of last inspection Brief Description of the Service: Aisling Lodge is a privately owned registered care home that provides accommodation and care for up to twenty-two people over 65 years of age. The home is situated close to the centre of the busy market town of St. Neots, opposite the church, with shops and local facilities only a few minutes walk from the home. Originally a Victorian rectory, the old part of the house retains many original features. It has been extended to provide accommodation in single and double rooms. The home has an enclosed, walled garden. As at July 2007 the fees ranged between £351 and £500 per week. Additional costs include those for private chiropody, hairdressing and some toiletries. A copy of the inspection report is available at the home on request and via the CSCI website. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the home, including the kitchen and some of the bedrooms. Observations of the interactions between care staff and people living in the home were an important method of assessment. The opinions of one visiting relative were asked. A visiting District Nurse and a student nurse were spoken to. Documents assessed included care plans and assessments, training records and staff recruitment details and policies and procedures. Records concerning fire safety, and reports concerning protection from abuse were read. During the inspection, two visitors arrived unannounced and were allowed to look around the home on behalf of a relative, who was considering moving into the home. What the service does well: What has improved since the last inspection? The eight requirements made in the last inspection report for the 22/09/2007 have been met. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 6 Care plans included a brief, yet descriptive account of the person that was kept in the person’s room. The plans kept in people rooms were part of their overall care plan and were person-centred documents that safeguarded their confidential information whilst providing informative descriptions of the person and approaches to their care. Medication training and administering and monitoring of care staff is conducted and is well managed. The home has improved their timing and awareness and response to concerns of potential abuse. The home has recently applied for and secured Local Authority grants for improving the home’s environment. Work has been planned and is intended to begin soon after this inspection visit. A new acting manager has been employed and will be taking over from the current registered manager when she retires, in the near future. The last inspection report fro 22/09/06 made a requirement for specialist advise from an Occupational Therapist (OT). An OT was consulted and had visited the home. An Environmental Health Officer inspected the kitchen and has advised improvements to this area. These were in hand to be undertaken and further improvements have been planned for the future. What they could do better: • The admissions process should be improved so that assessments undertaken by the home are more comprehensive and searching. This will ensure that the home can fully inform itself of a person’s needs and can judge whether they are able to provide the appropriate type of care to any person who may choose to live at the home. The assessment should be adequate enough to inform a written plan of care, so that the plan is an accurate recorded response of how the home intends to meet a person’s individual and recognised needs. Some aspects of the records contained in care plans should be more indepth descriptions of the precise and actual tasks and should include the approach and way of providing individual care. DS0000064767.V345846.R01.S.doc Version 5.2 Page 7 • Aisling Lodge • Care plans were not always written, or reviewed, in a manner that a person’s care history and their progress of personal care and health needs could be explained. The internal environment can be improved. The home has planned future improvements to the kitchen and the replacement of furnishings and redecoration of areas of the home. The use and management of the kitchen should ensure that it is not used as a passageway, and that it is kept free of obstacles. Recruitment processes and records maintained by the home concerning staff recruitment details must be improved. Obtaining appropriate and satisfactory references must be more rigorously applied and records confirming a new employee’s employment and contract, must be maintained and made available for inspection. The home should ensure they could produce recorded evidence of the monitoring they undertake in respect of the quality of care provided by care assistants when manoeuvring people. Other care tasks should also be monitored in the same way the home monitors the administration of medication, so that assuring quality of care is improved. • • • 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. Aisling Lodge DS0000064767.V345846.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 Aisling Lodge DS0000064767.V345846.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): 1,3,5,6, Quality in this outcome area is adequate. People who use the service are assured of an assessment but the home’s ability to assess needs is less than adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people files were read that contained assessments undertaken by the home. The assessment carried out by the home for one person who was selffunding his care, and who had had not been assessed by a PCT Care Manager was brief. It did not contain written descriptions, or details of all needs, despite these having been identified after the person had moved into the home (and had been recorded in the care plan. It was discussed with the manager and the acting manager and the Responsible Individual, that people who move into the home must be adequately assessed, so the home are able to judge whether they are able to meet their needs. The home has an admission policy Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 10 that states that an assessment will be obtained before anyone moves into the home. During the inspection two people arrived unannounced and asked to see the home. They were immediately invited to look around the home. Aisling Lodge DS0000064767.V345846.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. Care plans address needs and people are assured of being referred to Health Services when necessary and are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A visiting District Nurse said that she regularly attends the home and is confident of staff reporting to her any healthy needs of people living at the home. She was satisfied with the level of co-operation and the fact that staff record her visits as one of their responsibilities. She also advises and supports staff to administer minor dressings. The District Nurses medical supplies and records are locked in a dedicated room and within a locked cupboard and are not accessible to care staff. One relative who visits each day and at random times, said, “staff are always polite and always knock on the door” and also commented “I feel very Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 12 confident”, and added, “they are extremely friendly and nice” when asked about the care being provided. She described how she was satisfied with the care she had often observed being given and was aware of the written contents in the care plans kept in the room, which she allowed me to read. Another person’s care plan included the involvement of the PCT falls-coordinator and a specialist device to monitor his movements as he was at risk of falling if left without assistance. There were daily records, risk assessments and falls assessments with a record of all falls and accidents kept and a record for one person of their hourly, night time checks. The care plans contained many details of the care being provided, although it was difficult to read and distinguish the chronological sequence of events and alterations in care needs or care patterns. This information was given to the manager as feedback during the inspection. The manager said she was aware of this aspect of the written care plans. Medication was observed being administered. The person administering medication was being observed by the recently appointed person who will become the new acting manager. People are observed for their competency to administer medication, after they had received the training. One care assistant stated she welcomed the changes for monitoring staff brought in by the newly appointed acting manager. Training in administering and safe management of medication was provided by an initial in-house training session and followed by a distance learning arrangement with Cambridge Regional College and assessed by the College. Only some care staff are nominated to administer medication. The Medication Administration Record (MAR) sheets were accurately maintained and checked against the remaining tab lets in the blister packs. Where medication entered on the MAR sheets “as required”, each person was observed to be asked whether they wanted their medication. The returns of “extra” or remaining medication are returned monthly to the pharmacist and records kept. The arrangements for any district nurses supplies of medication are now managed totally by them and not by the home. A visiting District Nurse confirmed this at the time of the inspection. Aisling Lodge DS0000064767.V345846.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 good. People living at the home are assured they are facilitated to make choices and relatives have easy access to the home at any time. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One visiting relative was spoken to who said that she came to the home each day and usually at random times. One person living at the home said that she likes to go to Church sometimes on Sundays and that she only has to ask and staff will take her. She said she could go whenever she chooses. It was noticeable that the TV was not turned on as an automatic background sound in either of the lounges and that people were not expected to watch TV without making a choice. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 14 A meal of sausages, potatoes, mashed swede and peas, was observed being served and eaten. There were places for sixteen people to eat in the dining room although only twelve were seated whilst five people were eating in the adjacent lounge for their comfort and one other person was eating in a separate lounge where she said she had chosen to remain although she said she does also eat in the main dining room. She chose not to eat the meal as she stated she was not hungry. She said, “the food is usually OK”. She stated that she always had a cooked breakfast every morning and that sometimes she did not feel hungry at lunchtimes. Her routine was conformed by a care assistant who came into the room to check how she was. There was adequate attention given by the three care assistants. A senior carer was also working plus the manager. Staff were observed to be polite, helpful and attentive, when serving the food that they carried from the nearby kitchen. When questioned they stated th0op98ey were aware that food might be too hot and that they ensured it was not served. A `menu was kept in the kitchen of the meals planned for a four week period with two choices each day. Diabetic or no sugar diets are prepared for four people. All deserts are prepared with low or no sugar. Aisling Lodge DS0000064767.V345846.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. People are protected by the willingness of staff to respond appropriately should they suspect abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three people living at the home who were each asked what they would do if they were unhappy with anything in the home and each stated they would make their views known to the manager should they feel they wanted to. A complaints book had been maintained and an adult protection folder contained details of recent allegations of abuse. Each incident had been appropriately reported to a PCT Lead Practitioner. It was encouraging and good safeguarding of vulnerable people to see that care staff had alerted management to a recent concern. Recent Strategy meetings had been held in relation to these allegations. Cambridgeshire County Council had trained the majority of staff in Protection Vulnerable Adults from Abuse. The staff that had not been trained were on long-term sick leave. It was discussed with the prospective new acting manager about contacting Cambridgeshire County Council for the refresher training in this topic that she was considering. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26, Quality in this outcome area is good. People living at the home are assured of a homely and clean environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home smelled fresh and clean. The home is an older style listed building that has certain planning restriction placed upon it that affects any development. There are a lot of small areas with different floor levels and small stairways and narrow passageways connecting throughout the home. The priority area in need of attention is the kitchen. The main cooker is in need of a thorough industrial clean. The cook stated it functions perfectly and does not need replacing yet. The Environmental Health Officer had recently inspected the kitchen and made recommendation for more open-plan shelves and storage facilities. There were some cleaning items and a laundry basket Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 17 near the kitchen door that were likely to cause a hazard and were immediately moved during the inspection. The Responsible Individual explained that a grant from Cambridgeshire County Council had recently been provided for environmental improvements. Daily, weekly and monthly rosters for cleaning different parts of the kitchen had been identified; although the cook thought that a more systematic approach to maintaining the kitchen was needed. Whilst the kitchen was clean it appeared worn and in need of some general maintenance of equipment and fittings. The two doors at either side of the kitchen allow it to be used as a thoroughfare and this was observed during the inspection. This lack of attention to food safety and hygiene and interruption to the running of the kitchen should be avoided. The enclosed walled garden was very neat spacious and well maintained. One person who was sitting by window eating her lunchtime meal described how she sometimes sits outside and often looks outside to enjoy the view. . Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 18 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 adequate. People who live in the home are assured of staff who are trained to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection there were three care assistants, one senior care assistant and the manager working, whilst there were eighteen people living at the home. Two staff files were read. Each file contained a CRB disclosure before either person commenced employment. However, neither file contained a copy or reference of a CRB application or of a POVA First check. One file was of a EU foreign national contained references addressed, “to whom it may concern” and appeared to be written by previously named places of study and employment. However, not all the employment history had been made clear. There was not a copy of any correspondence or confirmation of employment, or of a contract of employment. The other person’s file did have a start date and a letter of confirmation of employment and a CRB disclosure. A reference had been applied for from the previous employer. Two other references were contained in this file that were Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 19 written to anyone who read them, were not contemporaneous references and had not been requested by the home, but had been produced by the applicant. Training is adequate and had been recorded for all staff. Staff files contained training certificates as proof of training undertaken. The majority of staff have had Dementia care training and all staff have had the basic training and induction training. Cambridgeshire County Council had provided training in the Protection of Vulnerable Adults for all staff bar two, who were absent. It was discussed with the manager whether refresher training in this topic was being planned as some training had been provided in 2005. Five people living in the home all said that staff were responsive to their needs and were respectful. When questioned, each person agreed there were usually sufficient numbers of care staff. During the inspection visit it was observed that adequate attention and appropriate assistance with helping people to manoeuvre was carried out and enquiries about people’s needs and wellbeing were conducted in a routine manner by care staff. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 20 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. The people living in the home have their best interests promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager announced she is soon to retire and a person has been employed to become the acting manager when the manager retires. The acting manager has stated her intention to apply to become the registered manager. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 21 The best interests of people living in the home are upheld by the attitude and attention observed during this inspection. Records of their health needs and of their Health Service attention is documented. People’s finances are not managed by the home. A record of the meals provided and of the temperatures of cooked meats and of the fridge and freezers is maintained on a daily basis. Fire alarms are checked weekly, as are the emergency lighting checks. Fire drills are carried out but had not been recorded. The home’s policies and procedures were read. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 22 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 2 X 3 N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 & Schedule 4 Requirement The home’s recruitment processes must ensure that full and satisfactory references are obtained by the home from the most recent employer and a continuous record of the person’s employment history is known and the employee’s start date must be recorded and made available for inspection, so that people living in the home are safeguarded by robust recruitment processes. Timescale for action 01/09/07 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 OP3 Good Practice Recommendations The home should improve their admissions process by ensuring that assessments carried out by the home are conducted by a person trained to do so, to ensure that the needs of any person interested in moving into the home are comprehensively and accurately recorded. DS0000064767.V345846.R01.S.doc Version 5.2 Page 24 Aisling Lodge 2 OP7 3 4. OP26 OP36 Care plans should be reviewed so they are recorded and organised in a clearer account of any changes and alterations to a person’s care can be clearly traced and understood. The kitchen should not be used as a through passageway so that a higher level of attention to food hygiene is achieved. A system for monitoring specific skills around care practices, such as manoeuvring people in the appropriate way and of assessments carried out by the home are recorded to assure quality of care and safety of people living in the home. Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Aisling Lodge DS0000064767.V345846.R01.S.doc Version 5.2 Page 26 - 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!