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Inspection on 16/04/08 for Blacklake Lodge Residential Home

Also see our care home review for Blacklake Lodge Residential Home for more information

This inspection was carried out on 16th April 2008.

CSCI found this care home to be providing an Good 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

The physical environment is to a high standard, meets national minimum standards and provides a pleasant, well equipped and well maintained homely environment. The home is set in several acres, most rooms have views of the surrounding countryside and there is good access to the garden and patio areas from the communal areas and many bedrooms on the ground floor. The providers have shown a commitment to improving standards where possible, are open to advice and compliant with any requirements or recommendations made. There were no requirements arising from the last inspection.

What has improved since the last inspection?

The accommodation for younger physically disabled people in the 2 bungalows in the grounds has now been de-registered. The office accommodation has been transferred to a room in one of the bungalows above, freeing a good size bedroom with en-suite facilities and door to the outside garden area for additional use. Building work is underway to replace an existing bedroom with 2 single bedrooms with en-suite facilities. Appropriate application for change of additional registration will be made after completion of the work.

What the care home could do better:

Some residents felt that more activities would be helpful to them. The home should consult residents about the programme of activities to ensure their social and recreational needs can be met.Scales used to monitor weight of residents should be re-calibrated or replace to ensure accuracy. Risk assessments should contain more detail of the support required to reduce risk and all risk assessments should be reviewed following falls. When established, food/fluid intake charts must be completed accurately, quantifying daily input which can be measured/monitored. Some updated training is required for staff in the Safeguarding of Vulnerable Adults.

CARE HOMES FOR OLDER PEOPLE Blacklake Lodge Residential Home 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS Lead Inspector Peter Dawson Key Unannounced Inspection 16th April 2008 09:00 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 Blacklake Lodge Residential Home DS0000004918.V362459.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. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blacklake Lodge Residential Home Address 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS 01782 388881 01782 396597 blacklake-lodge@virgin.net 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) Mr Eric John Dudley Mrs Sylvia Dudley Mr Eric John Dudley Care Home 35 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (35) Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories:old age not falling within any other category, OP, 35 dementia - over 65 years of age, DE(E), 11; physical disability - over 65 years of age, PD(E), 35. The maximum number of service users to be accommodated is 35. 2. Date of last inspection 15th January 2008 Brief Description of the Service: Blacklake Lodge is an extended detached house which provides 24 hour residential care for up to 39 older people, all of whom may have a physical disability, and 11 of whom may have dementia. Located just off the Hilderstone Road and surrounded by open country, it is less than a mile from Meir Heath where there are local shops. More extensive services are available at either Longton or Stone. A bus service passes the home and the nearest railway station is two miles distance as Blythe Bridge. The home offers a permanent service to elderly and physically disabled people of both sexes and when a bed is available will also provide respite care in the same categories. The home has 35 single rooms and two shared rooms, all have en-suite facilities. All rooms meet current size requirements, and eight of the single rooms are large enough to be used for wheel chair accommodation. Bathrooms and toilets are to be found conveniently located around the home. Three communal lounge areas are provided, and two dining areas. Extensive gardens surround the home and there is substantial off road parking. Blacklake Lodge Residential Home DS0000004918.V362459.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 2 stars. This means the people who use this service experience good quality outcomes. This unannounced key inspection was carried out by one inspector on one day from 8.30 a.m. – 5.00 p.m. The National Minimum Standards for Older People was used as the reference for the inspection. The provider had returned an AQAA (Annual Quality Assurance Assessment) prior to the inspection – this is a legal requirement. The assessment contained all required information and forms a basis of some information contained in this report. The inspection was conducted with the Registered Manager (Provider) and Deputy Manager who provided useful and helpful information throughout. Most residents were seen and many spoken to separately and together. Visitors arriving throughout the day were seen and 5 spoken with privately. A GP who visits the home regularly was spoken with on the telephone and a relative living in Canada who is a Specialist Cancer Consultant spoke highly of the care provided for her father and considered the home was “Gold Standard”. She described the staff as “amiable, affable and devoted”. The local GP made very positive comments about relations between the practice and the home and the proactive approach of staff in referring health care matters. Residents spoken with said that they were satisfied with staff commitment and the care provided at Blacklake Lodge, they had no complaints or concerns. One person said “The staff deserve a medal for looking after us, I don’t know how they have the patience….” There was an inspection of the physical environment including a sample of bedrooms. All areas of the home meet the current National Minimum Standards. A sample of records were seen including care plans, risk assessments, medication records, staff records and other documents relating to the inspection process. There were 34 people in residence at the time of this inspection – there was one vacancy in a shared bedroom. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Some residents felt that more activities would be helpful to them. The home should consult residents about the programme of activities to ensure their social and recreational needs can be met. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 7 Scales used to monitor weight of residents should be re-calibrated or replace to ensure accuracy. Risk assessments should contain more detail of the support required to reduce risk and all risk assessments should be reviewed following falls. When established, food/fluid intake charts must be completed accurately, quantifying daily input which can be measured/monitored. Some updated training is required for staff in the Safeguarding of Vulnerable Adults. 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. Blacklake Lodge Residential Home DS0000004918.V362459.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 Blacklake Lodge Residential Home DS0000004918.V362459.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): Standards 1-5 were inspected on this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some updating of information in the Statement of Purpose/Service Users Guide is needed. All residents have contract and pre-admission assessments and visits are carried out wherever possible. EVIDENCE: There is a Statement of Purpose/Service Users Guide outlining the service provided. This information requires some updating which was discussed with the Manager who will revise the Statement of Purpose to include greater details of care needs that can be met and include all information defined under Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 10 Schedule 1 of the Care Home Regulations. the information and updated regularly. Fees for care should be included in Several residents are self-funding and a sample of records showed all had received written contracts. Funded residents have a copy of the contract with the relevant Local Authority. A sample of recently admitted residents showed that pre-admission assessments had been carried out appropriately and trial visits and preliminary visits arranged wherever possible prior to admission. Blacklake Lodge does not currently provide intermediate care and has no plans to offer this service. Blacklake Lodge Residential Home DS0000004918.V362459.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): Standards 7 – 10 were inspected on this visit. Quality in this outcome area is good. Health and personal care needs are set out in care plans and are met, although some aspects of recording could be improved. There is a safe system of medication in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans were seen including both recently admitted residents and longer-term residents. Information was generally good and all had been reviewed on a monthly basis. Plans reviewed after 6 months are generally rewritten unless there is little change in assessed need. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 12 There was a good example of a resident presenting being referred for review by health car professionals. Due to behavioural management needs the person had been referred to Consultant Psychiatrist, CPN input arranged with changes/reviews in medication closely monitored by the healthcare professionals working closely with staff in the home. A food/fluid intake chart had been established for a person with nutritional deficits and referral made to the Dietetic service. Charts did not contain a comprehensive list of all fluid intake on a daily basis, for instance mid-morning and afternoon drinks were not recorded. This must be recorded accurately and totalled daily to record the level of inputs and any shortfalls referred to the GP. Weight monitoring of this person was also crucial and although recorded regularly as not accurate. A weight change of 1 stone (6.4kg) was recorded within 2 days. The weighing scales must be either re-calibrated or replaced to provide accurate monitoring of weight. There was good information relating many areas of health care. A reddened area of a resident had been noted the day prior to this inspection and referred immediately to the District Nurse who was sourcing appropriate pressurerelieving equipment. The home have a service from 2 GP practices in Stone and good relationships clearly exist. The GP who visits the home regularly was spoken with by telephone during the inspection and stated that “Very good health care is provided by the home, staff are helpful and sensible, work closely with healthcare professionals and there is an excellent relationship between the home and the practice”. Risk assessments were in place relating to daily living. Falls risk assessments provided basic information such as “mobile” but more detailed information is needed to assess risks and the actions to be taken to reduce them. It is also important that risk assessments are reviewed following falls. The medication system inspected showed accurate recording and monitoring of medication provided. There were no deficits/inaccuracies. Blacklake Lodge Residential Home DS0000004918.V362459.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): Standards 12 – 15 were inspected on this visit. Quality in this outcome area is good. Residents lifestyle expectations are met. A more varied and comprehensive activities programme would further improve quality of life for some. Family contacts are promoted and maintained. There is a high standard of food provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a programme of daily activities posted in the home. These take place in the afternoon and sometimes change in relation to demand/preference. During the inspection the hairdresser was present and some residents seen playing dominos with staff. The majority were fairly unoccupied, although some were accessing their bedrooms, receiving visitors and chatting in the lounge areas. Some residents were happy with the level of activities two said that they would “like more to do”. The AQAA (Annual Quality Assurance Assessment) returned to us prior to the inspection stated that “we have Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 14 introduced a wider range of activities”. This obviously needs to be extended further and it is important to consult residents about the type and range of activities to meet their needs. Musical entertainment that residents said they enjoyed is arranged approximately bi-monthly. Residents meeting are held 3-4 times per year, relatives and friends are invited and minutes recorded of the meetings. Several visitors were seen during this inspection. There were friendly, relaxed exchanges between visitors and staff. Several were spoken with and said that they were “always made to feel welcome” could “visit whenever we wish” and were very complimentary about staff commitment and care of residents. A man was visiting with his wife – both had been resident when he, who is the main carer for his wife, was ill. They now visit each Wednesday, his wife has her hair done by the hairdresser and they both stay for lunch (without charge). Their daughter with special needs had been a resident also for a longer period. The visitor was exceptionally satisfied with the care provided at Blacklake Lodge having experienced it himself and said that if his healthcare needs changed they would have no hesitation in moving into Blacklake Lodge on a permanent basis. Contacts with family and friends are promoted - this was seen and also confirmed by residents. A resident said she goes out for 2 hours each Wednesday into the community and is escorted by staff, she also visits places such as Chester with her family. All residents spoken with were entirely happy with the standard and variety of food provided for them. A recently admitted Polish resident has special food provided to suit his cultural taste, assisted in choice by 2 Polish speaking staff. The meal of the day was sampled during the inspection and the quality and presentation of the meal was excellent. The kitchen was not inspected on this visit. There was a recent certificate showing a 4 star rating for food and hygiene standards following a recent visit by the Environmental Health Officer. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 15 Blacklake Lodge Residential Home DS0000004918.V362459.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): Standards 16 – 18 were inspected on this visit. Quality in this outcome area is good. Complaints procedures are readily available for residents and visitors. Some updated training is needed in relation to Safeguarding Adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure in the home readily available to residents and visitors. No complaints have been received by the home since the last inspection. It was recommended that a complaints book could be established to provide a chronological record of any complaints and the provider will do this. Presently any complaints are recorded with individual residents records. No complaints have been received by the Commission for Social Care Inspection. There has been past training in the Protection of Vulnerable Adults, confirmed in discussions with staff. It is recommended that updated training should be Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 17 provided for staff in Safeguarding Adults and that a copy of the revised Safeguarding procedures be obtained from the Local Authority. Some training in the new Mental Capacity Act and the implications for care homes has been undertaken by senior staff. Training is now computerised for all staff to read and sign to confirm they have read and understood the implications for residents. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 – 26 were inspected on this visit. Quality in this outcome area is good. There is comfortable, well maintained, safe environment with good facilities. Bedrooms have excellent facilities are comfortable for residents to use with their personal possessions around them. Standards of hygiene are good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As reported earlier in this report the home have cancelled their registration to accommodate younger adults, the bungalows in the grounds are no longer Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 19 used for this purposes. Care for older people is now concentrated in the main building. The environmental standards are good, all bedrooms have en-suite facilities, there are 3 lounge areas and 2 dining areas, access for residents throughout the building are good with shaft lift access to the first floor. The environmental standards meet current National Minimum Standards. All areas are well furnished with quality décor providing a comfortable homely atmosphere throughout. The grounds are extensive with country views from most rooms with good easy access to the garden/patio area. Some changes to the environment are in process - a bedroom used as an office that has en-suite facilities and patio door access to the garden is to be used as a bedroom (original purpose). Building work is advanced for the extension and creation of two additional en-suite bedrooms from the present one in use. During the inspection the provider was given permission to use the former office accommodation as a bedroom – the resident and her family are keen to move from the bedroom being converted in the building work to the bedroom mentioned as soon as possible. The new room would provide greater space/garden access – their preferred choice One bedroom has a mattress placed at the side of the bed due to falls risk. This has been risk assessed and considered in preference to a bed-guard. All bedrooms seen were clean, well furnished and also well personalised reflecting individuality, containing some items of furniture etc. brought from home. Residents are able to lock their bedroom doors if they wish. One of the 2 shared bedrooms is occupied by a couple who have adequate space and facilities to use throughout the day – their preferred choice is to spend the greater part of the day in their “bed-sitting room”. They are very pleased that their chosen lifestyle is accommodated. They have recently had additional TV programmes installed for use with their large flat-screen TV. It was noted during the inspection that the heating in some areas, including bedrooms was not adequate. This was investigated by the provider during the inspection and rectified. A portable electric heater was noted in one bedroom this should be removed. It is important to ensure a constant ambient temperature throughout the home. The standard of hygiene throughout the home are high and good infection control practices seen to be in place. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 – 30 were inspected on this visit. Quality in this outcome area is good. The numbers and skill mix of staff is sufficient to meet resident need. Training and supervision is in place to ensure safety at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels in the home remain constant. The numbers are 5:4:3 throughout the 24 hour period, plus the Manager and his wife (both providers) are on call to support the home, they live on-site. The staffing numbers are adequate for the perceived dependency levels of the current resident group (34 residents). Staff training records showed that well over 50 of staff are trained to NVQ standard, others are currently involved in NVQ training also. There has been training in the following areas over the past year: COSHH, Mental Capacity Act, Health & Safety, skin care, moving & handling and fire safety. All staff have had dementia awareness training and 3 tissue viability awareness. As Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 21 stated previously in this report updated training is required in Safeguarding of Adults. A sample of staff files showed that POVA or CRB checks had been taken prior to employment. References obtained from 2 sources including last employer. One reference from previous employer could not be found but it was clear that it had been seen by the Deputy Manager. Other required documents had been seen and copied as required under Schedule 2. Staff seen and spoken with were relaxed and helpful. They confirmed that training and supervision arrangements in place were satisfactory. Staff showed a knowledge, interest and high level of commitment to residents. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 -33 and 36 - 38 were inspected on this visit. Quality in this outcome area is good. The home is well-run and managed with positive leadership. The health & safety of residents are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr Dudley, owner and Registered Manager has been managing the home assisted by two Deputy Managers, one has left to complete nurse training the Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 23 other has completed NVQ4 in care and presently studying management to obtain the Registered Managers Award. Mr Dudley intends to retire as Registered Manager in the near future and to propose the Deputy as the Registered Manager. The owners Mr & Mrs Dudley live on-site and have a daily presence in the home. It was observed that residents spoke openly and freely to them allowing them to raise any areas of concern. There is a quality assurance system in place to monitor satisfaction with the service. Questionnaires have provided ideas for improvement which have been implemented. Policies/procedures are reviewed and updated on a regular basis. The AQAA states “Management is approachable and supportive to all staff whilst also providing feedback and allowing staff to contribute their own ideas. This promotes team working and cohesiveness” These statements were evident from observations during this inspection. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 4 4 3 3 3 4 3 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 25 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 2 3 Standard OP8 OP8 OP12 Regulation 12(1) 13(4)(c) 16(2)(a) Requirement Replace scales to ensure accurate monitoring of residents weight. Risk assessments must be more detailed and reviewed following falls to ensure future safety. Consult residents aboiut the programme of activities and provide a range of activities to meet individual needs. Timescale for action 30/04/08 20/04/08 31/05/08 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. 2 Refer to Standard OP8 OP18 Good Practice Recommendations Food & Fluid intake charts to be completed accurately, quantifying daily input which can be measured/monitored Provide updated training & information in relation to Safeguarding procedures. Blacklake Lodge Residential Home DS0000004918.V362459.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Blacklake Lodge Residential Home DS0000004918.V362459.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. 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!