Inspection on 31/01/07 for Anchor Lodge

This inspection was carried out on 31st January 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

Anchor Lodge 02/01/08

Anchor Lodge 15/05/06

Anchor Lodge 06/03/06

Anchor Lodge 31/10/05

Anchor Lodge 02/03/05

Anchor Lodge 28/09/04

Anchor Lodge 28/04/04

Anchor Lodge 12/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Anchor Lodge Cliff Parade Walton-on-Naze Essex CO14 8HB Lead Inspector Sara Naylor-Wild Key Unannounced Inspection 31st January 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 Anchor Lodge DS0000036541.V330995.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. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anchor Lodge Address Cliff Parade Walton-on-Naze Essex CO14 8HB 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) 01255 850710 01255 850710 www.anchor-lodge.co.uk Mr Farooq Mohammed Mrs Uzaira Farooq Manager post vacant Care Home 14 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (2), Old age, not falling within any other of places category (14) Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 14 persons) Two persons, aged 65 years and over, who require care by reason of dementia, whose names were provided to the Commission in April 2005 One person, under the age of 65 years, who requires care by reason of Korsakoff Syndrome (dementia) whose name was provided to the Commission in March 2004 15th May 2006 Date of last inspection Brief Description of the Service: Anchor Lodge is an established care home situated in a residential area of Walton on Naze. Local shops, post office, library, churches and leisure facilities are all found in the town. The detached property overlooks the seafront with views of the beach and the sea from the home. There is a front garden in which service users can sit. There is off road parking to the rear and side of the home. Accommodation is in twelve single rooms and one double room, over three floors. Access is via a staircase or passenger lift. In recent years alterations and additions have been made to the bedroom accommodation, all now having en suite facilities of wash hand basin and toilet. Communal areas are a ground floor main lounge and a small sun lounge. There is also a small first floor lounge with sea views. The range of fees charged by the service are between £354 and £650 per week. There are not any additional charges. This information was provided to the Commission by the provider in June 2006. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents the findings of the second key inspection carried out at Anchor Lodge in the last 12 months. The evidence used to inform the judgements in this report included speaking to residents, staff and the proprietor, gaining feedback from relatives questionnaires and looking at records such as care plans and staff files. Anna Rogers, Regulation Manager, accompanied the lead inspector for the purposes of this visit. The service had received a second inspection due to the concerns in respect of the compliance with the Care Homes Regulations 2001 and the National Minimum Standards for Older People. The inspectors were assisted throughout the inspection by the proprietor, Deputy Manager and staff on duty. What the service does well: What has improved since the last inspection? Overall the level of compliance with the Care Homes Regulations 2001 have improved and together with the commitment of staff to the care of the residents at the home, will improve the quality of the residents experience in the service. The quality of care planning information for the most recently admitted residents had greatly improved and provided a good picture of the individual and the support they would need. They are written from the residents’ perspective and encourage staff to understand how the individual’s independence can be supported with acknowledged risks. The staff supervision programme had been commenced with a strong investment in the skills needed to provide staff with a positive experience of good supervision. The activities available in the home have improved with a daily activity event that is determined by the residents living at the home. The appointment of an existing staff member to additional hours for use as an activities co-coordinator provides focus the programme. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 6 The communal lounge has been refurbished to a high standard with new wall and floor coverings. The addition of French windows the front aspect of this room provides a lovely view across the seafront and access to the front gardens. 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. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can have an increased confidence that the home understands their needs prior to moving into the home. EVIDENCE: The initial assessments of four residents were considered at this inspection. Two of these were records of established residents and were generally unchanged from previous inspection in that they contained varied levels of information. However, the other two assessments had been completed in respect of residents newly admitted to the service. These contained a greater depth of information and identified where residents would require support to meet their daily needs. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 9 They provided a comprehensive picture of the resident and would enable both the decision about whether the service can meet their needs and to allow a care plan to be commenced. Residents and their relatives spoken with during the inspection stated that a member of staff had visited them prior to the admission to discuss their likes and dislikes such as the time they get up etc. This was appreciated and provided a welcome introduction to the service. The service does not provide intermediate care. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from care plans that are a better reflection of their needs and how staff should best support them. However, this improvement needs to be applied to every care plan to provide the full benefits to all the residents. EVIDENCE: During the inspection the care planning documents of four residents were examined. Two of these documents related to residents that had been living at the service for some time, and the quality of these were largely unchanged from previous inspections. They contained some information about the individual residents but did not provide staff with the information to enhance the way in which they supported them. However the plans relating to the two residents who had been more recently admitted to the home contained a revised format and were a notable improvement in both the reflection of information gathered at the initial Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 11 assessment and the instructions to staff in providing support that residents would find most helpful. The plans described how each resident was able to meet their own needs and what limitations to this staff should expect. They provided conclusive instructions in the action that staff should take to support residents’ independence. The wording of the care plans was clear and positive in demonstrating the respect and dignity staff afforded to residents. Examples included the way in which resident’s trips out of the home were to be supported and the clear understanding given of their ability to assess their own risks and where staff should support them. As well as a detailed breakdown of how areas of daily living such as personal care, mobility and dexterity etc. there was an A4 sheet titled “My daily guide” that contained an overview of the main points required to support the resident from their own perspective. This would assist anyone needing to gain an immediate insight into how to support the resident effectively, and promoted the resident as an individual. The daily recorded observations of staff did not comment against the care plan, although a weekly summary of the care plan was undertaken by the deputy manager and senior care staff, the quality of these varied, which appeared to indicate the individuals knowledge and competence in care planning. The best examples of these were a well written and gave an understanding of how the plan of care worked on a regular basis. The health care records contained in care plans and monitoring records provided evidence of a proactive response to the residents health needs Issues such as diet and weight were monitored, as well as the visits of health professionals and their outcomes. Medication administration was considered at this visit, including the records relating to receiving, disposing and administering medication. These were in good order and demonstrated a robust system for safe administration of medication. Discussions with the deputy manager indicated a good knowledge of the requirements of a safe system of administration, with only some minor advice taken in respect of the storage of controlled drugs and the different control levels. All staff that are required to administer medication had undertaken training including night staff. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from an increased opportunity to participate in an activities programme. This experience would be enhanced with the development of individually tailored activity to suit assessed needs. EVIDENCE: During the inspection day residents took part in an organised activity led by the activities coordinator. The bingo/reminiscence session was lively and obviously enjoyed by the residents present. The activities coordinator has devised a programme of activity for each day, based on residents’ choices. In addition some individuals care plans contained reference to their preferences in occupation and activity, such as walking although this varied. Residents spoken with felt that activities had improved, although they felt they would like to do more, one resident said, “it can be a bit monotonous”. The inspectors concluded from records and observation of practice, that staff did not identify the activities of daily living as opportunities to engage residents in the tasks they were undertaking. This element of good practice in the Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 13 provision of stimulation and occupation for residents was discussed with the deputy manager. Relatives surveys returned to the commission identified a high satisfaction with the service and their ability to be involved with their family members care. They made statements that included “ we cannot praise the staff enough” and “they are dedicated to the residents and provide the best care possible” The visitors’ policy remains unchanged from previous inspections and sets out to welcome visitors as part of the residents support network. Relatives spoken with during the inspection were also complimentary saying that “staff are very welcoming, and often offer refreshments” “we are made to feel like we are all part of an extended family” The care plans all set out to promote individuals choices, although the plans written for the most recent residents admitted to the home have a greater insight and record of the individuals choices, the risks involved and how staff should support them. A resident and their family spoken with during the inspection stated that staff were respectful of the residents choices in how to spend their day and the extent to which they became involved in organised activities. They had appreciated that the deputy manager had spoken with both the resident and their family to understand their normal mood and sociability, in order to meet their preference. Good communication is key in ensuring individuals are able to exercise choice in their daily lives. In considering the way in which staff supported residents, inspectors observed that of the staff on duty some had an intrinsic ability to communicate and involved residents in carrying out their daily tasks, whilst others did not appear to communicate to involve the resident. This is an area of where staff needs to gain insight and confidence about how their interaction with residents enhances the quality of care they receive. The midday meal was provided to residents and the inspectors. The meal was pleasantly presented, appetising and enjoyed by all the diners. Residents were offered a choice of meals at each sitting with alternatives on offer as part of the planned menu. Residents said they enjoyed the meals on offer and knew they could have alternatives if they wanted them. The staff maintained a record of meals choices and quantities consumed by residents, this helps to monitor wellbeing. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their complaints will be responded to and that Staff understand the Protection of vulnerable adults. EVIDENCE: The complaints policy has not changed and meets the expectation of the Care Homes Regulations 2001. The service promotes the complaints policy in its Service Users Guide that is provided to prospective residents visiting the service. Residents spoken with were confident that there was someone to speak to. One resident said, “I have a particular member of staff, I go to when I need to speak”. Relatives were also clear that they would approach senior staff members, and were confident in their ability to address issues raised. The Service has a policy in relation to Protection of residents from abuse and the staff whistle blowing procedures. The staff have recently undertaken an intensive health and welfare course with a number of statutory and essential training sessions including Protection of Vulnerable Adults. The staff felt the course had provided them with the skills required to understand their responsibilities in protecting individuals from abuse. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a bright and homely environment, although the organisation and monitoring of minor repairs requires attention. EVIDENCE: The premises are generally bright, clean and well decorated. The refurbishment works that were underway at the last inspection to the main lounge had been completed and the finish was to a good standard with new wall and floor coverings and French windows on the front aspect of the lounge, giving views over the front garden and seafront. Some new furnishing had also been provided for the lounge and during the visit, residents were seen enjoying the space and many commented on the lovely views. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 16 The proprietors had provided a ramp into the front garden from the French windows, however the gradient this had been set at, was a concern to the inspectors, and the proprietors were advised to gain advice about the safety to residents using this exit. During the tour of the building the inspectors noted a number of repair issues such as failed light bulbs in en-suites, damaged fire door stays on bedroom doors, dirty and clogged extractor fans that pose a possible fire risk and hot water temperatures in residents en-suites that exceeded safe levels. The proprietor stated that a relative was now working as a part time handyman at the service and staff notified this person of any works required via a maintenance book. The examination of the book identified that the last entry had been in September 2006 and did not appear to be in current use. The examination of the fire safety books did identify that the faults with the door holds had been reported to the electrical safety contractors. The proprietor was advised to reinstate the maintenance book and to identify a routine for premises health and safety checks of the building as part of the risk assessment processes. The temperatures of some radiator surfaces were very hot and the inspectors’ felt presented a possible risk to residents. The proprietor was reminded of the need to have risk assessments carried out for these and to provide either radiator covers or low surface temperature radiators to reduce the risk of burns to residents. The proprietor advised that although not recorded in a maintenance plan for the premises, the planning for this was already in place and that covers were being purchased. Residents’ bedrooms are a good size, with plenty of natural light and decorated to a good standard. Residents had personalised their rooms and in some cases brought their own furnishings. Where this was not the case the rooms were furnished to a good standard. One bedroom that had recently been decorated had un-obscured windows to the main corridor that afforded no privacy to the resident using that room. Prior to the decoration the window had been obscured by a permanent covering, but this had apparently not been replaced following the works, some time previously. The lack of respect and dignity demonstrated to this resident is a matter of concern and must be addressed. The premises were clean and tidy on the day of the inspection with no noticeable odour in any part of the building. The staff had undertaken a training session in infection control as part of their intensive health and welfare course. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The skills and numbers of staff working support the residents’ needs. However widening the range of training on offer to staff would enhance their existing skills. The registered person does not always ensure that the recruitment of staff adheres to the requirements of The Care Homes Regulations 2001 and that satisfactory CRB’s are always obtained prior to the member of staff starting. EVIDENCE: Although staffing numbers remained at two care staff and a cook were on duty for the am shift and two staff on pm, the needs of the resident group had become less physically dependent. Whilst this meant that residents placed less demand on staffs’ time in meeting issues such as personal care, they continued to require mental and emotional support and stimulation. The inspector examined a selection of staff files to provide evidence of the homes recruitment process. The documents held on files included application forms, proof of identity and two written references. Although all the files sampled contained CRB (Criminal Records Bureau) checks and POVA (Protection of Vulnerable Adults) first returns, in the case of one member of staff the CRB related to their previous employment and had not been renewed Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 18 when they took up their post at the home. CRB responses ceased to be transferable in July 2004, following the introduction of the POVA list by the Department of Health. This is to ensure that the applicant has not been added to the POVA list following during the last employment and requires a new check at each appointment to a care service. The POVA list cannot be checked without the submission of a full CRB application at each new employment. The proprietor was advised to seek updated knowledge of the requirements in relation to CRB and safe recruitment regularly from the CRB website, or the umbrella body used to process the applications. Six members of staff held an NVQ level 2, with five staff going on to gain their NVQ 3 .In addition to this training had taken place in medication, moving and handling, food hygiene, dementia care, health and safety, infection control, first aid, POVA and falls prevention. The proprietor maintained an annual sheet of training staff had already undertaken. This demonstrated that not all staff had attended the all the training on offer, but that there was monitoring of their attendance and gaps in knowledge Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 19 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to protect residents’ interests and well-being. The changes to the management arrangements present a risk to the continuity of the services compliance. EVIDENCE: The Registered managers post remained vacant at the time of the inspection, although the proprietor was able to advise of a possible appointment of a suitable applicant. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 20 The present arrangement for day-to-day management continues to be shared between the deputy manager and the proprietor. This has been in place for some time and although initially the CSCI had concerns about the effectiveness of the arrangement given the level of continued shortfalls in compliance, however, the increased compliance in some significant areas of standards at this inspection has given a greater sense of confidence to the arrangement. Unfortunately the deputy manager responsible for many of the successful initiatives in compliance was due to commence extended maternity leave within a few weeks of the inspection. This change in key staff will be a challenge to the consistency of the improvements noted to have begun at this visit. A quality assurance system has been operating with annual questionnaires sent to stakeholders (residents, relatives and health professionals). The responses are analysed and action considered to address these. The provision of an improvement plan that sets out how these will be addressed would complete the cycle and ensure that everyone involved with the service are kept informed of the plan. The management of residents monies held by the home was examined at this inspection. There are individual account transaction records for each resident with money deposited with the home. These are kept with the funds and recorded any monies deposited by family or friends and the expenditure on items purchased. The detailed receipts for each item were attached to the record. The records examined gave a detailed account and balanced with both the receipts held and the monies in the safe. The deputy manager and Mrs Farooq had attended a supervision training course. The deputy manager had implemented the recommendations of the course with staff including a briefing session about the objectives of supervision and how it should be conducted. Following this regular formal supervision of staff had been established, with contracts and records of sessions held for each staff member. . The inspectors were impressed with the quality of the briefing shared with staff and the determination shown by the deputy manager in encouraging staffs’ participation. Elements of additional good practice were shared with the deputy manager to further develop the impact of supervision in the practice and ethos of the service. The inspectors examined the records relating to the health and safety of services and equipment. These included items such as fire safety, gas and electrical systems maintenance checks. The records were all present and in date for their periodic inspection. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 3 X 3 Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 17(1)(a) Schedule 3 Requirement The registered person must ensure that each resident has a written contract/terms and conditions with the home. This regulation was not assessed at this inspection. 2. OP7 12 (4)(a), 13 (5), 15 The registered person must develop and review the residents’ plans of care, to ensure all plans contain the same quality of information about how the individual should best be supported. The registered person must ensure that residents’ privacy and dignity is protected. Specifically this relates to unobscured windows between corridor and residents rooms. The registered person must ensure that residents’ expectations and preferences in respect of activities that are supported by the daily routine of the home and staffs practice 31/07/07 Timescale for action 31/07/07 3. OP10 12(4)(a) 30/04/07 4. OP12 OP14 16(n) 31/07/07 Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 23 5. OP19 OP25 13 (4)(c) 23(2)(p) 6. OP25 13(4)(c), 23 (b) The registered person must ensure that the premises are maintained in a good state of repair and that lighting and heating are suitable for residents needs. The registered person must ensure that pipework and radiators are guarded or have guaranteed low temperature surfaces. The registered person must ensure that there is a staff training and development programme, which meets the National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims and objectives of the home and meet the changing needs of residents. The registered person must ensure that the home has a registered manager who is qualified, competent and experienced to run a home. The registered person must provide a business and financial plan for the establishment, open to inspection and reviewed annually. This standard was not inspected at this visit. 31/05/07 31/05/07 7. OP30 18,19 31/08/07 8. OP31 8,9,38 31/08/07 9. OP34 25 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 24 No. 1. Refer to Standard OP3 Good Practice Recommendations The registered person should ensure that the assessments of all prospective resident are sufficiently complete, and that these are updated through reassessment at their review. The registered person should ensure that controlled drugs are appropriately stored. The registered person should maintain a record of residents’ choices to exercise their right to participate in the civic process and how this is supported. This standard was not assessed at this inspection. 2. 3. OP9 OP17 4. 5. OP19 OP20 The registered person should ensure that the ramp leading from the lounge French windows is set at a safe incline for residents to use. The registered person should consider whether the dining room facilities are suitable for the purpose of achieving the aims and objectives set out in the Statement of Purpose and the needs of residents. Anchor Lodge DS0000036541.V330995.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Anchor Lodge DS0000036541.V330995.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. 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