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Inspection on 28/05/08 for Atherton Lodge Nursing Home

Also see our care home review for Atherton Lodge Nursing Home for more information

This inspection was carried out on 28th May 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

Because the home changed owners so recently it has been difficult to make too many comments in this area because so much is in the process of being changed. Staff told us they were happy that the new owner had held staff meetings so they were being kept informed about the changes planned. All of the people that we spoke with were very positive about the progress made so far. The company that owns the home has produced a statement of purpose and a service user guide and these provide comprehensive information about the home and the services provided with lots of easy read and picture formats to help people with communication difficulties. This helps to make sure that people who live in the home or are thinking of moving in have information so they know what it offers. The people we spoke to were satisfied with the care that they receive and relationships between staff and residents appeared relaxed and warm, particularly in the dementia care unit. People told us that they enjoy their meals.

What has improved since the last inspection?

Care plans are being re-written so that they provide more detailed information about each resident, and staff will know about their individual needs and how their needs should be met. Medicines storage has been moved to a larger room that is better ventilated so the medicines are easier to keep in good order. Medicines administration records were very good so it was clear that people who live at the home are receiving their medicines as prescribed. There have already been significant improvements to the environment since the change of ownership so the surroundings are more comfortable, homely and safe for the people who live in the home. Records showed that good recruitment practices are followed for new staff and all staff have a criminal records bureau disclosure. There is a new induction programme for new staff and this is more comprehensive.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Atherton Lodge Nursing Home Atherton Lodge 202 Pooltown Road Ellesmere Port South Wirral CH65 7ED Lead Inspector Wendy Smith Unannounced Inspection 28 May 2008 9:30 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 Atherton Lodge Nursing Home DS0000018711.V371265.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. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Atherton Lodge Nursing Home Address Atherton Lodge 202 Pooltown Road Ellesmere Port South Wirral CH65 7ED 0151 3554089 0151 3560141 No email 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) Par Nursing Homes Limited Care Home 49 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (40) of places Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 49 service users to include: * Up to 40 service users in the category of OP (old age not falling within any other category * Up to 9 service users in the category of DE(E) (Dementia over the age of 65 years) Date of last inspection 14 December 2007 Brief Description of the Service: Atherton Lodge is a two-storey detached property that has been converted and extended by a purpose built extension into a care home for 49 older people, some of whom require nursing care. It is situated within a mile of Ellesmere Port town centre and is close to local shops. There are attractive gardens with access for residents, and ample parking space. The main part of the building has three lounges and a dining room, all on the ground floor. A separate unit has nine places for people with dementia and has its own lounge/dining room. All except one of the bedrooms are single rooms. Sixty percent of the bedrooms are in the purpose-built part of the home and these rooms all have an en-suite toilet. There are two staircases and a passenger lift fro access between the floors of the home. The home’s fees are from £367.54 to £417.86 per week. This does not include the additional payment for nursing care. Hairdressing, chiropody and newspapers are available at an extra charge. Atherton Lodge Nursing Home DS0000018711.V371265.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. Two inspectors made an unannounced visit to the home on 28 May 2008. During the visit we spoke with residents, staff and visitors. A tour of the building, including all communal areas and some bedrooms, was completed. A sample of records was looked at and time was spent talking with the acting home manager and the area manager. The home changed ownership in April 2008 and has a new manager. We carried out a short inspection of the home in December 2007 to find out whether action had been taken to address requirements made at the inspection in May 2007. Window restrictors had been fitted where needed for the protection of residents. However, problems were found with bedrails, the management of medicines and staff recruitment; all of these shortfalls left the people who live at the home at risk and we made requirements for them to be dealt with. At this inspection, we checked to see if these things had been put right. What the service does well: Because the home changed owners so recently it has been difficult to make too many comments in this area because so much is in the process of being changed. Staff told us they were happy that the new owner had held staff meetings so they were being kept informed about the changes planned. All of the people that we spoke with were very positive about the progress made so far. The company that owns the home has produced a statement of purpose and a service user guide and these provide comprehensive information about the home and the services provided with lots of easy read and picture formats to help people with communication difficulties. This helps to make sure that people who live in the home or are thinking of moving in have information so they know what it offers. The people we spoke to were satisfied with the care that they receive and relationships between staff and residents appeared relaxed and warm, particularly in the dementia care unit. People told us that they enjoy their meals. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Before a new person comes to stay at the home the manager should ensure that there is as much information as possible about their needs so that staff can be aware of what care they need. The temperature of the drugs fridge was rather high. The fridge is old and may need to be replaced to make sure that medicines can be stored at a safe temperature. The home needs to develop a programme of social activities that suits the needs and preferences of residents so they can stay active and stimulated. Residents should be offered a choice of what they would like to eat so they can have what they prefer to help them keep healthy. There should be a record kept of all complaints made to the home and how they were dealt with. This will show that complaints are taken seriously and that the management are aware of where the service can improve. In one of the lounges there was a very hot radiator and this was situated in a position where residents might hold onto it when moving around. This needs to be made safe so people do not burn themselves. Action must be taken to ensure that all staff are brought up to date with mandatory training about moving and handling, fire safety and safeguarding adults. Other training needs should be identified and addressed - for example training about the care of people with dementia, infection control, wound care – so staff can provide good quality care. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 7 Fire drills should be held regularly so that all staff have the opportunity to attend at least twice a year and be familiar with what action they should take in case of emergency. 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. Atherton Lodge Nursing Home DS0000018711.V371265.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 Atherton Lodge Nursing Home DS0000018711.V371265.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 and 3 (Standard 6 is not applicable to this service) People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. The new owners have produced a new statement of purpose and service user guide so people have accurate information about the home before they move in. Some people have moved into the home without a full assessment of their needs being carried out. This means that the staff do not have information about what care they need. EVIDENCE: The home changed ownership on 11 April 2008, and a new statement of purpose and service user guide have been written to give information about the service that will be provided at Atherton Lodge. These new documents are very comprehensive, with lots of easy read and picture formats to help people with communication difficulties. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 10 At the time of the visit the number of available places had been reduced to 46. One bedroom has been converted into a medicine room and two others are out of use for refurbishment. There were 43 people living at the home, all over 65 years of age, and 22 have been assessed as needing nursing care. In the week before our visit, three people had moved to the home for a short stay. The home had received very little information from the social workers who had requested the placements at short notice. There was a full assessment for one of the three people but this was dated December 2007. There were no details of what care the home was being asked to provide for them so staff would not know what care needs these people had, nor what they would have to do to meet them. Atherton Lodge Nursing Home DS0000018711.V371265.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 and 10 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Care plans are not sufficiently thorough and detailed to make sure that staff know what to do to meet people’s needs in the way they prefer. Medicines are well managed so people receive their medicines as prescribed to maintain their health. EVIDENCE: The area manager considers that care plans have not been completed to a satisfactory standard and at the time of our visit they were being rewritten for all residents. The care plans that we looked at did not contain sufficient details about the individual needs of residents and how they should be met. In general residents appeared to be well-cared for and all of the people we spoke with were satisfied with their care. Their comments included: staff are wonderful nothing is too much trouble for them and you couldn’t meet better staff. However there were some examples of where staff Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 12 appeared to have not paid enough attention to the comfort of residents. A very frail person who was being cared for in bed was wearing just a thin garment and her arms and hands were cold. In another bedroom a person was sitting in a wheelchair in front of a table that had porridge spilled on it. This was at 11am. The area manager said that the use of cocoons, as a way of preventing people from falling out of bed, has been reduced. There was some use of bedrails and these were safely fitted and had padded protective covers. The risk assessments for the use of bedrails seen in the care plans did not contain enough information to explain why bedrails were needed for each person and whether any alternative had been considered. Since the home changed ownership, ten new adjustable beds have been provided. A frail person who has been looked after in bed for a number of years developed a small sacral pressure sore in December 2007. Since 28 April 2008 there is a daily report in the care plan about how the sore is healing but the entries made are not consistent and the use of a wound chart would provide more accurate information. The use of photographic records should also be considered as a way of recording wound progress. The manager said that the continence advisor has assessed people in the home who have continence difficulties and the regimes for continence management have been reviewed. Medicines storage has been moved to a different room that is more spacious and has better ventilation, and this is a great improvement. The fridge temperature is recorded daily at about eight degrees, sometimes more. On the day of the visit the fridge was in need of defrosting although it had only been done three weeks ago. It is old and may need to be replaced to make sure that medicines can be stored at a safe temperature. Medicines administration records were very good. Hand-written entries contained all of the information for staff to know how the medicine was to be given. They were signed by two people. There was only one controlled drug in use and controlled drugs records were good. Atherton Lodge Nursing Home DS0000018711.V371265.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 and 15 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Some residents would benefit from a programme of regular social activities so they are provided with stimulation and interest. A good standard of food is provided but residents are not always offered choices to make sure they maintain a good diet. EVIDENCE: The area manager said there are plans to recruit an activities organiser for the home to improve activities for residents and involve visitors. We were told that staff are assigned so they can spend time doing one to one and group activities with residents. One of the lounges has been set aside for activities and for residents to be able to take their visitors. Some people are able to go out either with relatives or with a carer. One person said that a carer takes her shopping every fortnight and this is much appreciated. Another person goes to church every Sunday with a friend. Staff working on the dementia care unit told us that six of the nine residents go out either regularly or occasionally with family. New televisions with larger Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 14 screens have been provided. However, we saw no evidence that regular social activities are provided for all the people who live in the home. All of the people we spoke to were happy with their meals. A new four-weekly menu cycle has been introduced. Arrangements for lunch have been reviewed and the people who don’t need assistance have their meal at the first sitting, and those needing assistance go to a second sitting so that they can take their time. It was unclear how residents are able to make a choice of meal. On the day of the visit the choice of lunch was chicken in white wine sauce or chicken sandwiches. This would not be satisfactory for someone who doesn’t like chicken. A resident spoken with said that he enjoyed his meals but when asked about choice he replied: they just bring it. Another resident said that if you didn’t like the meal then the cook would make something else for you but there should be evidence of more consultation and more alternatives. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a thorough complaints procedure but records have not been kept about complaints made. Most staff have received training on safeguarding so they know what to do to protect the people who live in the home from possible abuse. EVIDENCE: The company that now manages Atherton Lodge has policies and procedures about complaints and about safeguarding vulnerable people. The complaints procedure is included in the service user guide that is available for residents and their relatives. There were no records available regarding complaints that had been made since the last inspection. During the change of ownership, CSCI received two complaints from people who were concerned about the changes that were happening. The company has dealt with these complaints satisfactorily. Earlier in 2008 most staff attended training about safeguarding adults so they can protect residents from abuse but some staff have not yet attended. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. A maintenance and improvement plan is being followed to ensure that people live in more comfortable, clean and safe surroundings. EVIDENCE: There have already been significant improvements to the environment since the change of ownership. Carpets in communal areas have been replaced and woodwork has been re-painted. A number of new adjustable beds, armchairs and wheelchairs have been provided. Lighting has been improved in some areas and a new dishwasher and a rotary iron have been bought. The grounds around the building have been improved. The staff room has been relocated to a more spacious room. There is a new maintenance person working full-time at the home to ensure that ongoing maintenance and improvements can be carried out. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 17 The windows in one part of the building are in an unsafe condition and action is being taken to repair or replace them. Some work is also needed to part of the roof. There was a very hot radiator in one of the lounges and this was of concern because it was in a place where residents may hold onto it when mobilising. All parts of the home were cleaner than at previous inspections and there were no unpleasant smells. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. New staff are carefully recruited to ensure that they are suitable to work with vulnerable people, but not all staff are up to date with the training they need to make sure they can provide a good standard of care for residents. EVIDENCE: When the home changed ownership a small number of staff decided to leave and some overseas care staff have been employed. The hours of working have changed and there is an early shift from 7:30am to 3pm, a late shift from 2:45pm to 10pm, and night shift from 9:45pm to 7:45am. Carers spoken with said that some staff had chosen to work a long shift from 7:30am to 10pm but this is not encouraged. The rota shows one nurse and seven care staff in the mornings, one nurse and six carers in the afternoons and evenings. There were occasional difficulties in maintaining these levels and agency staff were used when needed. The rotas did not make clear when agency staff had been on duty. The overall dependency of residents was not very high and on the day of the visit there appeared to be enough staff on duty to meet the needs of residents. Staffing levels needs to be monitored and increased if needed. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 19 Three new care staff had been recruited through an agency that the company has used before. A folder for each person contains the required information about their recruitment and their employment history. They have completed an induction with the agency and are now doing induction training with the area manager. Personnel records for another new member of staff showed that all of the required information had been received before he started working at the home. The manager said that about 75 of care staff have a national vocational qualification in care but there was no detailed information about this. Training records are poor and the area manager is aware that there is a lot of catching up to do to ensure that everyone is up to date with mandatory training to ensure that they work safely with residents. Staff working on the dementia care unit have not received any additional training to help them understand the particular needs of people with dementia. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home has very recently changed ownership and there have been improvements to the way it is managed. Improvements need to be continued and maintained to make sure that the home is run in the best interests of the people who live there. EVIDENCE: The previous manager resigned following the change of ownership. The person who was previously deputy manager is now acting manager. She is a registered nurse and has worked at Atherton Lodge for many years. She intends to start working towards a management qualification. The area manager for the company is currently providing support to the manager, and a Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 21 new deputy manager has been appointed. An application for the acting manager to be registered with the Commission for Social Care Inspection needs to be made without delay. People spoken with were very positive about the new owners. The manager said: so much has improved already. Three staff working on dementia care unit said that things are improving for the people who live there, and their families are happy with the changes they see. Staff have met the new owner and found him very approachable. They were pleased that he held meetings straight away and talked to staff and kept them informed. One member of staff said: In six weeks it’s a much better place. The area manager said that the new owner has contacted all residents and their families and a resident we spoke with said that she had received a letter explaining the change of ownership. She was very pleased that the home has been ‘brightened up’ and has new carpets but these changes have not disrupted daily life. There is company quality audit that will be used to monitor the quality of the service provided. The area manager also intends to introduce a suggestions scheme. There is an arrangement for residents to be able to keep a small amount of personal spending money in safekeeping. This is kept individually and records of all transactions are made. There are appointeeship arrangements with the previous owner for three residents, and alternative arrangements are being sorted out for them. We looked at servicing records for plant and equipment and found that these were all up to date. An environmental health officer visited the home in March 2008 and found some problems in the kitchen that needed to be addressed. At a return visit in April it was found that all the required work had been done or was in hand. Automatic closing devices have been fitted to some doors so that they can be left open but will shut if the fire alarm is activated. A number of staff need to attend refresher fire safety training and fire drills must be carried out regularly to ensure that all staff have the opportunity to attend at least twice a year. The home’s policies and procedures are being replaced with the new company’s documentation. Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14(1) Requirement Before a new person comes to stay at the home the manager should ensure that there is as much information as possible about their needs so that staff can be aware of what care they need. Steps must be taken to make sure that medicines can be stored at the right temperature so that medicines stay effective. Timescale for action 01/06/08 2 OP9 13(2) 30/06/08 3 OP12 16(2)(n) A programme of social activities 31/07/08 must be developed and must suit the needs and preferences of residents so they can keep active and stimulated. A record of all complaints made and how the complaints were addressed must be kept. This will show that complaints are taken seriously and that the management are aware of where the service can improve. Action must be taken to ensure that residents are not at risk of DS0000018711.V371265.R01.S.doc 4 OP16 22 01/06/08 5 OP19 13(4) 01/06/08 Atherton Lodge Nursing Home Version 5.2 Page 24 burns from hot radiators. 6 OP30 13(6) A training programme must be drawn up to show that all staff will be brought up to date with mandatory training about moving and handling, fire safety and safeguarding as soon as possible so they can provide safe care for the people who live at the home. Fire drills must be held regularly so that all staff have the opportunity to attend at least two a year and be familiar with what action they should take in case of emergency. 30/06/08 7 OP38 23(4)(e) 01/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations When any type of restraint is used, for example bed rails, the risk assessment should show clearly why the restraint is needed and whether any alternatives have been considered. Further training should be provided for staff working with residents who have dementia to give them more in-depth knowledge about dealing with challenging behaviour. 2 OP30 Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way 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 Atherton Lodge Nursing Home DS0000018711.V371265.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!