Inspection on 10/07/07 for Amber Lodge

This inspection was carried out on 10th 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.

Other inspections for this house

Amber Lodge 01/08/06

Amber Lodge 06/04/06

Amber Lodge 25/04/05

Amber Lodge 11/08/04

Amber Lodge 19/04/04

Similar services:

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Byars Care Home

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

CARE HOMES FOR OLDER PEOPLE Amber Lodge 686 Osmaston Road Derby DE24 8GT Lead Inspector Angela Kennedy Key Unannounced Inspection 10th July 2007 10:30 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 Amber Lodge DS0000002156.V340499.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. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Lodge Address 686 Osmaston Road Derby DE24 8GT 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) 01332 740740 01332 740923 None Diginew Limited Vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (6) of places Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers: No one falling within category PD may be admitted into Amber Lodge where there are 6 persons of category PD already accommodated within this home. Service user numbers: No person to be admitted to Amber Lodge in categories OP or PD when 40 persons in total of these categories/combined categories are already accommodated in this home. To be able to admit the named person of category PD named in variation application number V39489 dated 26 February 2007. 1st August 2006 2. 3. Date of last inspection Brief Description of the Service: Amber Lodge is a forty-bedded care home with nursing for older people. Six of these beds are available for younger people with physical disabilities. The home is situated in the Allenton area of Derby and was purpose built. Resident’s bedrooms are located on both the ground and first floor and are accessed by a passenger shaft lift or stairs. Bedrooms are attractively decorated and personalised. Communal areas are bright. There is a garden area with some outdoor seating. Support services are in place with a choice of GP, optician and dentist. Community psychiatric nurses, occupational therapists, physiotherapists and dietician are accessed as required. Staff training takes place to inform and enable staff to care for residents appropriately. Some entertainment and outings are arranged and residents are assisted to go out if they wish. The scale of fees for 2007 were as follows: Individuals funded by the local authority £355 per week plus nurse banding agreed by the Primary Care Team and weekly top up paid by resident and or their representative of between £20-£50 a week. Individuals privately funded £440- £530 per week plus nurse banding agreed by the Primary Care Team. The following items were not included in the weekly fee: All trips out of the home and entertainment provided are not included within the weekly fee, but are funded through the resident’s fund. This fund is sourced through fund raising activities undertaken by the home, and through donations to the home. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 5 Hairdressing services- fees variable depending on services given. Chiropody at £8 per visit. Toiletries- these can be purchased from Amber Lodge if required. Taxis for hospital appointments. (This does not include emergency admissions) Further information regarding the home and the current scale of charges can be obtained by contacting the home directly by telephone or by email at amberlodge@msn.com Details of previous inspection reports can be found on the Commission for Social Care Inspection’s website: www.csci.org.uk. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over approximately 7 hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with residents and their representatives. The inspection was focused on assessing compliance with defined key National Minimum Standards. The commission had requested the service to complete an Annual Quality Assurance Assessment and the information provided within this has also been used to inform this inspection report. Care home surveys were sent out to residents and four completed surveys were returned prior to this inspection. The opinions within these surveys have also been used within this report. The acting manager was present at the inspection and the provider. Some of the staff team were spoken with to ascertain their views of the service and their opinion of the training and support provided to them. Three residents were case tracked and these residents were spoken with. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at plans and other documents relating to that persons care, talking to staff regarding the care they provide, talking to the resident if they are able to communicate or observing the care they receive. What the service does well: There was a low staff turn over at Amber Lodge, which meant that there was consistency in residents care, and the staff spoken with demonstrated a good understanding of residents needs. Amber Lodge is well maintained and provides a comfortable, bright and homely environment for the people who live there. Information obtained from residents and their representatives indicated that the residents were happy with the care and support they received from the staff team. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. Amber Lodge DS0000002156.V340499.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 Amber Lodge DS0000002156.V340499.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): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had information to enable them to make a choice about where to live and a written contract/ statement of terms and conditions was in place that promoted the rights of the people that used the service. There was sufficient admission information available to establish that the home could meet residents’ needs. EVIDENCE: The service user guide was looked at in detail at the last inspection visit in January 2007. At this time it was noted that the information provided included information on, accommodation, the provision of meals, personal and nursing care and a description of the standard services. Fees for additional services such as meals Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 10 for relatives was also included, however the total fee payable for the services including any nursing contribution and the arrangements for payments, including any additional charges was not included. It was confirmed at this inspection visit that the total fee payable has now been included within the service user guide. Information provided by some of the residents confirmed that they and their representatives had received enough information prior to moving into Amber Lodge to enable them to make an informed decision about the home At the last inspection visit undertaken in January 2007 the Terms and Conditions for some of the residents were seen, and it was recommended that some of the paragraphs within these Terms and Conditions be reviewed, as some elements of these conditions could have been viewed as potentially unfair. These paragraphs have now been amended and were found to be satisfactory. All three residents files seen had needs assessments in place and these had been undertaken before they had moved into the home. These assessments addressed all areas of care including personal, health and social care, and prescribed medication. The manager discussed the procedure that was followed prior to admission regarding assessing each individuals needs and stated each individual was visited prior to admission to undertake an assessment of needs to determine that their needs could be met at Amber Lodge. Where residents had been admitted with the involvement of social services or the primary care team the appropriate assessment documentation was also on file. Amber Lodge DS0000002156.V340499.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. The health, personal and social care needs of residents are set out in their plan of care and are based on their individual needs. The medication practices in place ensured residents’ welfare was maintained EVIDENCE: The three residents files looked at contained care plans that were detailed and directed the staff team on the level of support and care each person required to ensure their needs were met. Care plans had been reviewed regularly to ensure any changing needs were identified and the correction action taken to enable needs to be met. The care plans seen had been signed and dated by staff, however there was little evidence to demonstrate that residents or their representatives had been involved in the development of their individual care plans, although records Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 12 were maintained of care plan reviews that had been attended by residents, care managers, families and health care professionals. One visitor spoken with confirmed that they were invited to the care reviews of their relative. Risk assessments were in place that addressed all identified areas of risk such as, moving and handling, nutrition, falls and pressure sores. These assessments were regularly reviewed, which demonstrates that a proactive approach is maintained to ensure any changing needs are quickly identified and the correct measures are put into place to address these needs. Records were maintained of professional health care input such as visits from doctors, chiropodists, dentists and opticians and hospital appointments. One of the residents spoken with was very complimentary regarding the care and support provided to them and said that the staff were “very nice”. Another resident confirmed that generally the staff were “nice” but indicated that some staff could be gentler when supporting with moving and handling practices and personal care. One of the visitors that was spoken with said that generally the staff team appeared supportive and helpful but said that certain staff appeared a little ‘sharp’ in their approach. The information provided by residents and their representatives, within the four surveys returned indicated that the residents were happy with the care and support they received from the staff team. The medication practices were looked at and good systems were in place regarding the receipt, administration, safekeeping and disposal of medication. A sample of medication administration records were looked at, including the residents that were case tracked, and all records had been completed accurately. The storage and administration of controlled drugs and medication requiring cold storage was assessed and found to satisfactory. Amber Lodge DS0000002156.V340499.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. This judgement has been made using available evidence including a visit to this service. Activities were planned according to the interests of residents, and individuals had the opportunity to maintain and develop important family relationships and friendships. The meals provided were balanced and nutritional and in general enjoyed by residents. EVIDENCE: Discussions took place with the activities coordinator regarding the activities and entertainment available to residents. Evidence was seen of indoor activities such as soft ball games and it was confirmed that tabletop games were available for any residents who wished to use them. The activities coordinator stated that indoor activities were less favourably received than trips out in the community. Therefore community Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 14 activities such as lunches out, canal trips, visits to country parks and garden centres were arranged on a weekly basis. External entertainers also visited the home and provided a variety of musical entertainment. Comments from residents regarding activities were varied, some confirmed there were activities available to them and one resident said they had “ lovely trips out”. However two residents commented that more entertainment was needed. Visitors spoken with confirmed that they were able to visit at any time and were made welcome by the staff team. Residents were able to speak with their visitors in private or within the communal areas as they chose. Information regarding independent advocacy services was displayed at Amber Lodge. This ensured that residents were aware of this service and the contact details were available if required. Resident’s rooms seen were personalised with their own belongings. Some of the residents had chosen to have a private telephone line within their room. The acting manager confirmed that residents were able to use the homes telephone if required, and a payphone was also available for residents use. The majority of comments from residents regarding the meals provided was positive, although one resident felt the meals provided were a little repetitive, and there was an indication by two residents that the service was a little slow at meal times which had on occasion resulted in the meals not being very warm. All of the residents spoken with commented on the generous meal portions provided. One resident commented that their drinks such as a cup of tea were too sweet and on discussion confirmed that they would be able to add their own preferred amount of sugar. It is therefore advised that residents who are able and wished to are provided with a sugar bowl to add their preferred amount of sugar. Staff consulted residents each day regarding their preference regarding the meal choices available and the residents spoken with confirmed this. Training in nutrition was being undertaken by some of the staff team including catering staff. The acting manager confirmed that once this training was complete the remainder of the staff team would undertake nutrition training. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 15 Evidence was seen within the residents care files looked at to demonstrate that specific dietary requirements were recorded and information pertaining to specific dietary requirements was obtained. One resident with specific dietary requirements, due to health care needs was spoken with. This person stated that although they were restricted in the foods they could eat, a wide and extensive range of meals was provided for them, which they confirmed they enjoyed. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Residents were aware of the complaints procedure and were confident that the staff team would promptly address any concerns they had. The practices in place regarding safeguarding adults, ensured residents were safeguarded from abuse. EVIDENCE: Amber Lodge had received six complaints within the last twelve months. Records were in place regarding these complaints and their outcomes. All of the complaints seen had been responded to within the twenty-eight day timescale. A copy of the complaints procedure was on display with the reception area of Amber Lodge and was simple and clear to understand, and included the required timescale for responding to complaints. The name of the inspector from the commission for social care inspection that previously inspected Amber Lodge has now been removed from the complaints procedure. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 17 Comments from residents indicated that they were aware of the complaints procedure and knew who to speak to if they were unhappy with any aspect of their care. The acting manager confirmed that the majority of staff had undertaken training in Safeguarding Adults and stated that of those still awaiting this training were mainly housekeeping staff. One member of the nursing team had undertaken the train the trainers Safeguarding Adult course with Derbyshire Social Services and was therefore qualified to train the staff in Safeguarding Adults practices and procedures. This member of staff was able to provide the staff team with any information or queries they had regarding safeguarding adults. Discussions took place with this member of staff who confirmed this and stated that they were awaiting the purchase of training equipment such as an overhead projector to enable training to be provided to the remainder of staff. The Derby and Derbyshire Safeguarding Adults procedures were in place at Amber Lodge, which ensured the correct procedures were followed in any referral or investigation undertaken. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, attractive and well-maintained environment was provided for the residents at Amber Lodge and good standards of hygiene were kept. EVIDENCE: A partial tour of the building was undertaken. The laundry room was seen and housed the appropriate equipment to enable disinfection standards to be maintained. A two-pot sterilizer was also in place. The acting manager confirmed that the laundry was staffed seven days a week. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 19 Some of the resident’s bedrooms were seen and had been personalised with resident’s own belongings, making a homely and comfortable environment. New carpets had been purchased for the lounge and dining area and these were due to be laid during the week of this inspection. The home appeared clean and tidy, and the acting manager confirmed that two housekeepers were on duty each morning and one each afternoon. The exception to this was on Monday’s when three housekeepers were on duty in the morning to undertake a weekly deep clean. Comments from residents were in general positive regarding the standards of hygiene maintained at Amber Lodge. Amber Lodge DS0000002156.V340499.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The levels of staff rostered on shift should be maintained to ensure residents needs can be met, and to ensure residents are protected, further development is required to the recruitment records held EVIDENCE: Staffing levels throughout the day were aimed at six care staff and two nurses and two care staff and a nurse throughout the night. At the time of this inspection the acting manager discussed the recent staffing issues with regard to staff sickness, which led to the staff rota being amended to ensure adequate staffing levels were maintained. Staff spoken with also confirmed that there were times when staffing levels had been low due to staff sickness. Some comments from residents also indicated that there were occasions when the home appeared short staffed and comments from residents included, “staff don’t always have enough time to talk” and “ there constantly seems to be a shortage of staff” and “ sometimes short staffed and have to wait a little longer than normal”. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 21 Staff sickness should be addressed to ensure the staffing levels in place are sufficient at all times to meet resident’s needs. Out of thirty-one care staff, twenty-two had achieved a National Vocational Qualification (NVQ) at level 2 or above in care, and eight staff were working towards this qualification. This means that Amber Lodge had achieved the target of 50 of the care team achieving an NVQ at level 2 or above in care. The recruitment records held for three members of staff were looked at and in general the required documentation was in place. However it was noted that a full employment history with any gaps in employment had not been recorded for two members of staff and one member of staff only had one reference in place rather than the required two references. Staff training had improved and a rolling programme was in place for staff to undertake dementia training and nutrition training. These training programmes were provided through a distance-learning programme. Other training undertaken included epilepsy training, safeguarding adults training, fire safety, vision impairment and moving and handling training which was provided in house by the acting manager and a nurse who had undertaken the train the trainers course in moving and handling. Amber Lodge DS0000002156.V340499.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): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality assurance systems in place demonstrated that the home proactively seeks the views of residents in order for the home to be run in their best interests. The health and safety practices in general were well managed but all areas of health and safety must be kept up to date to ensure resident’s welfare is maintained. EVIDENCE: The acting manager who has been in post for just over twelve months, confirmed that she had completed the application form to apply for registration Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 23 with the commission and stated that the completed form had been given to the provider of the home. Discussions with the provider confirmed this and it was stated that this matter was going to be addressed within the week of this inspection. Monthly quality audits were being undertaken by the provider of the home who confirmed that the views of residents were obtained as part of these audits. Discussions took place regarding plans to set up an amenities fund, to raise funds for resident’s trips out and entertainment. The group was to consist of residents, relatives and friends, and members of the staff team. This was in the planning process at the time of inspection and expressions of interest to join this group were being sought. Satisfaction questionnaires were sent out to residents and their representatives and the findings of these questionnaires and any actions taken were fed back to residents by means of a newsletter that was handed out and made available within the home. Of the resident’s case tracked, two had monies that were held by the home for safekeeping. These monies were checked against the records held and both records corresponded with the monies held. Although receipts were given for any monies deposited, it was noted that only one signature was present at each transaction undertaken and discussions took place regarding a second signature, which could be that of the resident or the person depositing the money. This would ensure best practice is maintained and would safeguard the resident’s financial interests and the member of staff dealing with resident’s finances. The service and maintenance documentation indicated that residents are protected by robust procedures, with all evidence of gas, electrical, hoists and lift services having been suitably checked/maintained. Mandatory training in health and safety issues was generally well maintained, however discussions with the acting manager confirmed that only 50 of catering staff were up to date with food hygiene training. It was confirmed that this was due to the cancellation of the last two training courses. It is therefore recommended that alternative trainers are sought to enable all catering staff to have the required information to ensure all aspects of catering are undertaken safely and within the required hygiene standards. Amber Lodge DS0000002156.V340499.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 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 3 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 2 Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 (1) (b) Requirement Timescale for action 01/12/07 2. OP38 18 (1) (i) All staff recruitment files must contain two written references and a full employment history with any gaps in employment recorded. All staff working within a food 01/12/07 preparation area or involved at any level in the preparation, cooking or serving of meals must have the relevant up to date food hygiene qualifications in place. 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 Refer to Standard OP27 OP35 Good Practice Recommendations Staffing levels must be appropriate to ensure residents needs can be met at all times. Two signatures should be sought on resident’s financial transaction records. Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 26 Amber Lodge DS0000002156.V340499.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Amber Lodge DS0000002156.V340499.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. 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!