Inspection on 10/06/08 for Arundel Lodge

This inspection was carried out on 10th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Arundel Lodge 26/04/10

Arundel Lodge 05/02/10

Arundel Lodge 14/09/09

Arundel Lodge 17/07/09

Arundel Lodge 09/06/09

Arundel Lodge 12/06/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Arundel Lodge 1 Station Road Wesham Kirkham Lancashire PR4 3AA Lead Inspector Ms Susan Dale Unannounced Inspection 10th June 2008 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 Arundel Lodge DS0000069503.V362587.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. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arundel Lodge Address 1 Station Road Wesham Kirkham Lancashire PR4 3AA 01772686343 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) Hexagon Healthcare (UK) Ltd Care Home 22 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (2) of places Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to service users of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP.(maximum number of places: 2) Dementia over 65 years of age - Code DE (E) (maximum number of places: 20) The maximum number of service users who can be accommodated is: 22 Date of last inspection Brief Description of the Service: Arundel Lodge is registered with the Commission for Social Care Inspection to provide personal care for 19 service users of either sex who are elderly mentally disordered (DE category) and 3 service users who are elderly (OP category). The home is situated on the main road in a residential area of Kirkham and is within easy reach of community resources and facilities and is located on a bus route. Service users accommodation is arranged over three floors. There are fourteen single and four double bedrooms. There is a passenger lift to each floor of the home, and ramped access to the garden and patio area affording service users access throughout the home. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection was unannounced and the focused mainly on key standards. The inspector was able to speak to service users, manager a relative and staff and examine various records. Surveys were provided to service users, staff, relatives/friends and health professionals prior to the inspection. One survey was returned from a relative and one from a staff member. A tour of the home took place. What the service does well: What has improved since the last inspection? The care plans are now more structured and the manager is still in the process of transferring information onto new formats. The majority of service users have continence problems and a toileting regime is in operation. The manager has increased the number of times service users are toileted to four times a day and pads are now placed in individual bags, this has considerably improved the environment The manager has reinforced the key worker system and ensures that staff are aware of their role and duties towards the care of the service users. A deputy manager has been employed to assist the manager in the management of the home. There are now additional activities including some games and staff are able to take service users out in wheelchairs. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 6 There is now a dedicated cook and according to the relative and service users spoken with, the meals have improved. New carpet has been purchased for the hall and stairs. There is a new medication trolley and a dedicated fridge for the storage of any medicine that requires refrigerated storage. All staff are now participating in training and there was good evidence of various training courses being provided to staff including Dementia. Over 50 of the staff have received National Vocational Qualification Training in Care. Staff are now being provided with one to one individual supervision and appraisals. The manager has provided regulation 37 notices to the Commission, which details any deaths, illnesses or other significant events. What they could do better: The manager has been in post for a considerable time and needs to apply to be registered with the Commission for Social Care Inspection. Staff should ensure that any gaps in the medication records are explained in order to protect the health of the service users. The service users should have more opportunities for stimulation through activities and trips out in line with their capabilities and wishes. Although new carpet and dining furniture has been purchased, certain areas of the home are shabby. The décor, flooring and furniture in the bedrooms of service users with dementia are poor and worn including the flooring in certain communal areas. The bedrooms are unlikely to attract new service users and do not provide a pleasant environment for the current service users. The new dining furniture is not fit for purpose, is dangerous and should be replaced. The outside area immediately outside the exit doors from the large lounge should be made safe in order to encourage service users to go outside and ensure their safety. The television in the upstairs lounge was not working and a replacement TV was found but it was small and unsuitable as a permanent replacement. A Television should be purchased for the upstairs lounge that is suitable for service users with poor eyesight and with a text facility for service users hard of hearing. The telephone trolley upstairs should be removed as the public telephone is disconnected and the trolley is hazardous. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 7 There was no evidence about finances belonging to service users to ensure that the personal allowances of service users are not pooled but kept in separate accounts in order to protect the interests of the service users. There was no evidence of a record kept by the registered provider when he visits the home once a month about the conduct of the home as detailed under regulation 26 of the Care Home Regulations. 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. Arundel Lodge DS0000069503.V362587.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 Arundel Lodge DS0000069503.V362587.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): 3&6 Quality in this outcome area is good, prospective service users have an assessment that ensures their needs will be met by the services provided by the home. The home does not provide Intermediate Care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Following a change of ownership, the assessment documentation has been changed and the manager is in the process of transferring information onto the new format. A number of service users were case tracked and the documentation included an initial assessment. The manager usually carries out the initial assessment, which, is comprehensive and either undertaken at the service users own home or in hospital prior to admittance to the home. There was also evidence of an assessment by social services where funding is provided by the local authority. The process examines any potential risks to the individual with regard to the Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 10 environment or being taken outside the home. Senior staff are being trained by the manager to undertake initial assessments in his absence. The manager has been on a training course that provided information about the Mental Capacity Act. The home does not provide Intermediate Care. Arundel Lodge DS0000069503.V362587.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; appropriate records are maintained with regard to care planning, health and medication. Service users are treated with respect and their privacy respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A key worker system has been re-instated that ensures a member of staff takes responsibility for individual service users and becomes more familiar with their needs. Care plans were examined using new documentation and the details covered physical as well as emotional needs, hobbies and interests. The care plans are based around individual needs and the background and life history are taken into account where this information can be obtained. One of the relatives has supplied a photograph album with details and photos of the individual’s life. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 12 The current documentation includes separate sections for any visits by health professionals such as district nurses or General Practitioner and there was evidence of a good relationship maintained with health professionals. The home subscribes to the UKQCS; Care Quality Management System based on equality diversity principles. Staff are provided with the principles at induction training and they are available to read at all times. The majority of service users have continence problems and a toileting regime is in operation. The manager has increased the number of times service users are toileted to four times a day and pads are now placed in individual bags to help cut down any odour. This has considerably improved the environment since the last site visit when there were obvious signs and smells of incontinence. Medication is stored within a dedicated room. Since the last site visit, the home has purchased a new storage trolley for medication and a dedicated fridge for the storage of any medicine that requires refrigeration. Medication records were examined including the record of controlled drugs; the records were accurate but there were a few gaps and the manager is going to reiterate to the staff concerned the need to ensure any gaps are explained. The manager confirmed that he checks the records every couple of days. One of the service users is able to self medicate and a risk assessment has been undertaken and a signature has been obtained from the service user to show she takes responsibility for her own medication. The pharmacist has been changed since the last inspection and provides free training to the staff and visits the home approximately every eight weeks. One member of staff has received the training and the manager is in the process of going through workbooks with the staff until all have received medication training. There was evidence to show that staff treat service users with dignity and their privacy is respected. All service users looked well cared for with regard to their appearance, clothes, hair and nails. A relative spoken with at the time of the visit was extremely happy with the care to her relative who has been admitted to the home within the last twelve months. At the previous home she had displayed some challenging behaviour and was not eating. Since living at Arundel she had considerably improved and was enjoying her food. Other comments included: ‘I am happy with the personal care and attention my mother receives.’ ‘I have discussed my mother’s care plan with staff concerned.’ Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 13 ‘Staff are skilled at looking after people with dementia.’ ‘They recognise the need to seek help for some other situations.’ ‘Staff are good at maintaining the dignity of individuals, spending time for example at mealtimes.’ Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate; service users are provided with social activities that are suitable for their individual abilities. Meals are provided that offer choice at times suited to individual requirements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of activities provided has been increased slightly with Sing-aLongs provided by an entertainer who visits the home on a regular basis. The manager has been contacted by the Lancashire Fire Brigade who via The Princes Trust have chosen the home to be provided with funds to help the local community. The home has chosen to use the funds to purchase suitable games designed to stimulate service users with short concentration. The range of activities also includes Soft Ball games and staff now take some of the service users out in wheel chairs. A party was held a Christmas. Relatives take one of the service users who is more independent out regularly and the other would be assisted to go out if she wishes. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 15 The manager is looking at fundraising in order to provide more in the way of activities and is planning a barbecue, unfortunately for the majority of service users there is a lack of interest from relatives etc in participating in any fund raising activities. The home does not provide any trips out and both service users and staff have raised this as a concern. Although there is an outside space that could be accessed by the service users via a ramp, the ground outside is uneven and would be dangerous for any service user to walk upon. There is a need to conduct a risk assessment on the area and look at how the ground could be made safe for walking service users, wheelchair users and staff. A relative spoken with confirmed that were no restrictions on visiting times and was made to feel welcome by staff. Drinks or refreshments were not generally offered by staff to visitors but provided if asked. A recommendation was made that there needs to be a standard procedure in place for welcoming visitors to the home that includes the offer of refreshments and that this may encourage more relatives to visit the home and participate in any fundraising activities. It is difficult to communicate with the majority of service users with dementia but those spoken with were happy and looked presentable. The two service users who are more independent are happy with the services provided by the home and are able to join in any activities if they wish although their accommodation is quite separate. Since the last site visit the cook has left and various staff have taken over the cooking. One staff member has now taken over the cooking on a permanent basis and the manager does the cooking on her days off. Both have Food Hygiene Certificates shortly to be re-newed. The menu offers choice and there were no complaints about the quality of the food. As previously mentioned, one of the service users has begun to eat since residing at the home and a relative mentioned how impressed she was with the help provided by staff at mealtimes. Arundel Lodge DS0000069503.V362587.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; policies and procedures are in place that ensures any complaints are investigated and service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an appropriate complaints procedure that is made available to all interested parties. The surveys indicated that service users and relatives know how to raise any concerns. Two random inspections have taken place at the home within the last twelve months following concerns raised with the Commission for Social Care Inspection. The majority of concerns were not substantiated except for the need to change commodes that were old and rusty and unsuitable for use. There is a policy and procedure with regard to Adult Abuse and training has been provided. There are five senior staff and all have received the training, the rest of the staff are in the process of receiving the training in-house. A recent incident that was referred under the Adult Abuse procedures was reported to Social Services and the Commission was discussed and the implications that it had on ensuring that service users are protected. In this case the home was not provided with enough information about a service user prior to their admission to the home. All staff are provided with Health and Safety training and risk assessments were undertaken appropriately as required. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is poor; parts of the home are in need of refurbishment and decoration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the last twelve months new carpet has been purchased for the hall and stairs and downstairs lounge. Other parts of the home are in need of attention particularly within the bedrooms belonging to the service users within the dementia category. The bedrooms although clean and tidy are unwelcoming and the furniture and fittings are old and shabby; duvets and curtains seen were worn almost threadbare. The flooring in the majority of bedrooms was very worn and where there was carpet it was stained in places. Commodes and chairs need replacing. A few of the service users have brought their own furniture and this contrasted to the shabby furniture and fittings owned by the home. It is unlikely that the home will attract new service users despite the Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 18 good care provided by the staff and management of the home if the decoration, furniture and fittings is not improved. As highlighted at the last site visit, the public telephone was not working and it was still situated on a rickety phone trolley. The manager has been employed since the last site visit and the situation was discussed as to why action had not been taken. It appears that the homes own mobile phone would be provided to any service user who asked, one service user has her own mobile phone. The rest of the service users are incapable of using a phone independently. It was agreed that it would be better to remove the current telephone table and phone, as it was hazardous. The television in the upstairs lounge was not working and was replaced by the manager with a television from one of the other lounges. This replacement was quite small and it would be beneficial if a new larger television was purchased with a remote control for the benefit of the service users in the upstairs part of the home. Although new tables and chairs have been purchased for the dining room it appears that they are unsuitable for commercial use as through constant usage they have become dangerous and should be replaced as soon as possible. The manager confirmed that the owners of the home are aware of the situation and are taking action. As previously mentioned the outside space needs to be improved before service users can use it, as the ground is uneven and dangerous. The home employs a cleaner and despite the fact that the cleaner was absent on the day of the site visit the home was clean and tidy with no obvious odour. One of the bedrooms is shared by agreement and a screen is available. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good; there are suitably recruited staff on duty at all times and there is a commitment to staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has recruited a deputy manager to cover in his absence. There were sufficient staff on duty according to the number and needs of the current service users. There is a key worker system in place and the manager has defined their role so that staff are clear on what is expected of them. The majority of staff have received suitable foundation training including induction training and half day training in Dementia. Staff were undertaking Manual Handling Training on the day of the site visit. Training has also been provided on Infection Control. There are currently 14 care staff and 9 have completed National Vocational Quality (NVQ) training at level 2 in Care, 4 more staff are in the process of obtaining the qualification. Staff had been recruited appropriately with security checks undertaken with the Protection of Vulnerable Adults (POVA) Register and the Criminal Records Bureau (CRB) and two appropriate references. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 20 It was not possible to speak to the majority of staff at the time of the visit because they were all receiving training. Comments received by staff on surveys indicated that they feel well supported by the manager. Other comments included the following: ‘Our manager always keeps us up to date with new regulations etc either in meetings, written down or verbally.’ ‘We have supervisions every 6 to 8 weeks and appraisals once a year.’ ‘ We always have handovers at the start of every new shift and our manager is always in on them (Manager on duty)’ ‘Provides our clients with a good clean environment, with excellent care given from all staff.’ ‘Maybe a few trips out to be arranged. It can be difficult with our clients having dementia.’ ‘The owners need to spend some money and get some decent dining tables and chairs. The ones we have now are new but, not very safe. I also think they need to get some new bedroom furniture.’ Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. The home is managed well and service users benefit from the services provided by the staff. The manager of the home must apply to be registered with the Commission for Social Care Inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home has considerable experience of the management of a care home and is qualified with NVQ level 4 in Care and the Registered Managers Award. The manager has been in post for some time but has not been put forward to be registered by the Commission for Social Care Inspection (CSCI) by the owners of the home. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 22 The manager was unsure as to whether any finances belonging to service users are held in separate bank accounts as the owners of the home hold the financial records. Where finances and bank accounts are not being looked after by the service user or a relative, there is a need to provide evidence that each service user has their own bank account. An inventory is maintained of personal possessions brought into the home; a safe is available for any valuables. A quality assurance system for measuring the quality of the services provided was seen to be in place. There was evidence of formal staff supervision and staff meetings. The manager has sent notices under regulation 37 to the Commission. Under Health and Safety as previously mentioned, the outside space is dangerous for both service users and staff. Tables and especially the chairs in the dining area need to be replaced or there is the potential for an accident. The registered owners of the home visit on a regular basis but the manager was unaware of any formal reports recorded by the owner as necessary under regulation 26 of the Care Homes Regulations. The reports should be recorded once a month and be made available as necessary to the Commission. Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 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 1 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 13 Requirement The chairs must be replaced in the dining area in order to ensure the health and safety of the service users. Timescale for action 31/07/08 2 OP33 26 Evidence must be provided that 31/07/08 the registered provider visits the home once a month and records a report about the conduct of the home as detailed under regulation 26 of the Care Home Regulations. (Previous Timescales of 01/07/07 not met) Evidence must be provided that 31/07/08 the personal allowances of service users are not pooled kept in separate accounts and appropriate records and receipts are kept in order to protect the interests of the service users. 3 OP35 20 Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 5. Refer to Standard OP9 Good Practice Recommendations Staff should ensure that any gaps in the medication records are explained in order to protect the health of the service users. The service users should have more opportunities for stimulation through activities and trips out in line with their capabilities and wishes. A procedure for welcoming any visitors to the home should be put into place that includes offering any drinks and/or refreshments. The programme of decoration and refurbishment should continue in order to bring the decoration, flooring, furniture and fittings up to a higher standard particularly in the bedrooms and certain corridors of service users with dementia. The outside area immediately outside the exit doors from the large lounge should be made safe in order to encourage service users to go outside and ensure their safety. A television should be purchased for the upstairs lounge that is suitable for service users with poor eyesight and with a text facility for service users hard of hearing. The telephone trolley upstairs should be removed as the public telephone is disconnected and the trolley is hazardous. The manager should apply to be registered with the Commission as soon as possible as required under the Care Homes Regulations. OP12 OP13 OP19 6. OP19 7. 8. 9. OP19 OP19 OP31 Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Arundel Lodge DS0000069503.V362587.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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