Inspection on 25/07/06 for Bowland Lodge

This inspection was carried out on 25th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Bowland Lodge 17/09/09

Bowland Lodge 20/08/09

Bowland Lodge 20/09/07

Bowland Lodge 26/01/06

Bowland Lodge 27/09/05

Bowland Lodge 05/10/04

Bowland Lodge 22/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Bowland Lodge Western Avenue Newcastle Upon Tyne Tyne & Wear NE4 8SP Lead Inspector Alan Baxter Key Unannounced Inspection 09:30 25 and 26th July 2006 th 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 Bowland Lodge DS0000000434.V295749.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. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bowland Lodge Address Western Avenue Newcastle Upon Tyne Tyne & Wear NE4 8SP 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) 0191 273 4187 F/P 0191 2734187 Mr Ram Perkesh Malhotra Mr Darshen Kumar Malhotra Mrs Linda Parkin Care Home 36 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (12), Old age, not falling within any other of places category (21) Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One OP bed to be used to accommodate a named person in category DE, for a period of eight months from 5th December 2005 26th January 2006 Date of last inspection Brief Description of the Service: Bowland Lodge is a care home that provides personal care to 36 older people and people with dementia. The home is located within a residential area of the west end of Newcastle upon Tyne. The three-storey property is converted from two adjacent Victorian houses. A new passenger lift has recently been installed. There is easy access by public transport and to local amenities and shops. The fees payable are £365 per week, with extra payments for hairdressing, toiletries and newspapers. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home. It took place over two consecutive days in July 2006. It took ten hours in total. Time was spent with the home’s manager, Mrs Parkin, examining residents’ care records and other relevant documentation. The building was toured. Previous requirements were checked for compliance. Residents were spoken with and their opinions noted. Questionnaires were sent out to residents, relatives and visiting professionals, and the results are included in this report. What the service does well: This home is very much a part of its local community and provides a service mainly to the people of that community. This means that residents are in familiar surroundings, can continue to use local shops, pubs etc. where they are already known, and are close to their families, who are encouraged to visit and be part of the home. The home makes sure that it can meet all a person’s assessed needs before it admits them to the home. The staff treat every resident as an individual, respect their different lifestyles, and provide each resident with a unique package of care. Each resident has a detailed care plan for each area of need that has been assessed. Residents’ health needs are fully met. Residents are treated with great respect by the staff, and their privacy is upheld. The spiritual needs of residents are assessed and met. Residents are encouraged to take as much control of their own lives as they are able. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 6 Residents are very happy with the food and say there is plenty of choice. Any complaints are taken very seriously by the manager and staff and are quickly resolved. Residents are protected from abuse. The home is kept clean and tidy and a pleasant environment for residents. The home deals well with people from ethnic minorities and people with particular persuasions. Sessional workers who speak Cantonese and Hakka are employed. The home is well staffed. The staff group is knowledgeable and well motivated, and most have achieved a National Vocational Qualification (NVQ). Attached health and social care professionals rate the service highly, and say that the home works closely with them and follows any advice given. None of the eighteen residents spoken with had any complaints, and none could suggest any ways to improve the service being given. Residents are generally well groomed. Residents’ health and safety are protected. What has improved since the last inspection? Records of residents’ medicines are better kept. A building maintenance plan has been carried out. Issues picked up by an Environmental Health inspection have been dealt with. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bowland Lodge DS0000000434.V295749.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 Bowland Lodge DS0000000434.V295749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each new resident has his or her needs fully assessed before they move in, to make sure that the home can meet all those needs. The home does not provide intermediate care. EVIDENCE: Study of the care records of four residents with complex needs showed that all had been fully assessed by their referring social workers/care managers before the home had agreed to admit them. All had comprehensive assessments and social services care plans on file. One had an appropriate specialist risk assessment regarding particularly challenging behaviour. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 10 In addition, there was evidence that the manager also carries out her own assessments of needs before admission, to make sure the home can meet all the needs. These assessments included ‘activities of daily living’, handling, diet, mental health (CAPE), spiritual, risk and social assessments. The home has a useful ‘preparation for admission’ document that records the process from initial referral, through visits to the home, and eventual admission to the home. This is good practice. Bowland Lodge DS0000000434.V295749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents’ health, personal and social care needs are set out in individual plans of care. Residents’ health care needs are fully met. Residents are protected by the way the home deals with their medicines. Staff treat residents with respect. EVIDENCE: The care plans of four residents were inspected. A very good match was found between the list of assessed needs and the list of care plans. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 12 Care plans are sensitive and give an appropriate amount of detail to guide carers. They also cover all areas of the individual resident’s needs, including social and spiritual issues as well as health and physical needs. Study of the care records of the above residents showed that their mental and physical health needs are properly assessed by the social worker and the home. Care records also show that these assessed needs are fully met, using the normal range of community based health provision (general practitioners, district nurses, opticians, chiropodists and dentists) and, where necessary, referral to specialists such as consultant psychiatrists, speech and language therapists, rehabilitation and intermediate care services, dieticians and occupational therapists. The manager keeps a central log of all contacts with health professionals, from the most routine chiropody appointment to an emergency admission to hospital, and is thus able to show the full range of health-related activities within the home. This is good practice. Comments cards returned by residents showed that six of the seven who responded said that they always receive the medical support they need (one said ‘usually’); all seven said that they always receive the care and support they need. Comments cards returned by five attached health and social care professionals all confirmed that the home communicates well with them and follows any advice that they give to the home. They also said that staff demonstrate a clear understanding of the care needs of the residents and said that residents’ medications are appropriately managed. All five said that they are satisfied with the overall care provided to the residents. The home has three beds that are registered for persons under pensionable age who suffer from alcohol-induced dementia, and is developing expertise and experience in this specialist area. It was a requirement of the last inspection report that all medicines administered to residents must be immediately recorded in the Medicine Administration Record (MAR); that all handwritten entries in the MAR must be signed and dated; that a list of staff names, along with the initials used by them in the MAR, must be held at the front of the MAR to allow for proper audit; and that a photograph of each resident must be attached to his or her page in the MAR, as a means of correct identification. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 13 Study of the MAR showed that all of these elements have now been put into practice. Residents spoken with all said that the staff tret them with respect at all times. They also said that staff respect their privacy and always knock before entering residents’ bedrooms. Bowland Lodge DS0000000434.V295749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents’ previous lifestyles and preferences are respected, and the home is flexible to individual needs and wishes. Group activities need more organisation and attention. The home actively encourages families to visit their relatives in the home. Residents are helped to exercise choice and control over their lives. Residents enjoy their meals. The menus are nutritious but need to be more varied and detailed. EVIDENCE: Study of residents’ care records shows that there is a good degree of variety and flexibility in the daily lives of the residents. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 15 Many residents go out daily (independently where they are able, assisted where they are not) to shops, pubs and clubs, betting shop and to visit relatives. Each resident has had an assessment of their social needs and a care plan drawn up to meet their individual needs. This is good practice. The home celebrates residents’ birthdays, holidays, festivals and events such as the world cup. There is a relatively small range of organised social activities, with bingo and quizzes the most popular, and spontaneous activities such as a foot spar and hand massages. The need for a more proactive approach to social activities was discussed, as was the usefulness of having one member of staff to take the lead in this important area, and the need to provide that person with training and resources to do the job. A requirement is made to this effect. The activities diary that was previously used to record social activities and events has fallen out of use in recent months, so the home was unable to demonstrate the full range of social stimulation. This must be re-introduced. Two of the seven residents who returned comments cards said that there are always activities in the home; four said ‘usually’. The home has sessional workers who work with the home’s Chinese residents. The workers speak Cantonese and Hakka, giving these residents the chance to express themselves. Other carers use a basic phrase book, with pictures, to communicate with them. It was noted that staff give very generously of their own time to support residents’ activities and lifestyles. The home actively encourages families to visit their relatives in the home. An example of this very positive policy is the fact the family members may take meals and other refreshments in the home free of charge. The home has many links with the local community and most of the residents are local people. This means that residents are in familiar surroundings, can continue to use local shops, pubs etc. where they are already known, and are close to their families, who often already know each other. Visitors are welcome at any reasonable time (and, indeed, with prior arrangement, at an unreasonable time). However, residents may also refuse to see any visitor, if they so choose. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 16 There is ample evidence in the care records and from discussions with residents that they are encouraged and supported to exercise choice and control over their lives. Residents chose what to eat and when; when to get up and go to bed; what they are called; what they wear; where and when to go out; whether or not to see visitors; whether or not to join in activities, and many more examples. Risk assessments are carried out as necessary, but the ethos of the home is that living must contain some level of risk. Residents may handle their own financial affairs; three currently do so. Advocacy services are advertised on the home’s notice board. Residents may bring personal possessions with them when they enter the home. Lunch on the day of inspection was a choice of pork casserole, mince and dumplings or bacon chop. Meals were sampled and found to be very tasty. Residents spoken to at the lunch table all said that the food is very good. Four of the seven residents who returned comments cards said that they always like the meals in the home, and three said ‘usually’. One said that the cook is very good. Menus are rather limited, in that they cover only a two-week period and don’t specify the vegetables offered. A four-week menu is required, to improve variety and choice, and this must also include each day’s vegetables. It was noted, however, that the cook is very flexible and makes every effort to meet individual requests. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 17 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents and relatives are confident that any complaints will be taken seriously and properly attended to. Residents are protected from abuse. EVIDENCE: All seven residents who returned comments cards said that they knew how to make a complaint. Five said that they knew who to speak to if they were unhappy (two said ‘usually’). The home’s complaints records were examined. One complaint (regarding a medication error) has been logged in the past year. This was responded to, promptly and appropriately, with a letter of apology being sent to the complainant. The manager demonstrated a positive attitude to complaints No allegations of abuse of residents have been received in the past year and there has been no use of physical restraint of any resident. No staff member has been disciplined or dismissed in the past year. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 18 The home’s policy and procedure on the prevention of, and response to, allegations of abuse are robust, and include a policy on ‘whistle-blowing’ (the reporting by staff of bad practices or abuse). Six staff have attended a thirteen-week day release course on protection of vulnerable adults (POVA) and the manager is arranging for all other care staff to attend similar training. The home’s policy on physical intervention with residents by staff is currently being reviewed, to clarify what constitutes acceptable physical intervention by staff in Bowland lodge. Residents said that they feel safe in the home. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a safe and generally well-maintained environment. The home has yet to install a hand washbasin in one toilet. The home is kept clean, tidy and hygienic. It is kept odour-free, other than the smokers’ lounge. EVIDENCE: It was a requirement of the last inspection report that the home must fully implement the maintenance plan submitted. A tour of the relevant parts of the building showed that this has been implemented. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 20 It was a requirement of the last inspection report that a wash hand basin must be provided in the toilet opposite room 29. (This requirement is outstanding from 22 May 2004.) This has not been implemented. This requirement is repeated in this report and a warning letter will be issued. It was a requirement of the last inspection report that the contraventions noted in the Environmental Health inspection of 13/10/05 must be addressed. A tour of the relevant areas of the building showed that this requirement has been implemented. The home is kept in a clean, tidy and hygienic state, and is odour-free, other than the smokers’ lounge. The domestic staff are to be complemented on their hard work. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The numbers and the skill mix of staff in the home meet residents’ needs. Residents are in safe hands at all times. Residents are generally well protected by the home’s recruitment practices, but employment histories and references must be more closely checked. Staff are trained and competent to do their jobs. EVIDENCE: Staff rotas were examined. Staffing levels are unchanged at the agreed level of four carers at all times between 8am and 8pm, with two carers on duty overnight. The manager, Mrs Parkin, confirmed her opinion that these levels meet the needs of the current group of eighteen residents. Domestic cover is provided at the rate of 85 hours per week, with 30 hours laundry cover between Mondays and Fridays. Study of the home’s staff training records showed that 75 of the care staff have achieved National Vocational Qualification (NVQ) level two in care. This Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 22 exceeds the required 50 . All other care staff are currently working towards this qualification. This is good practice. In addition, the deputy manager is working towards NVQ level three, and a senior carer is due to start NVQ level four. Staff recruitment records were examined. Most of the required elements are in place, with good interview checklists, well completed; and evidence of POVAfirst and Criminal Record Bureau (CRB) checks being undertaken. Care must be taken, however, to make sure that there are no gaps in the employment history section of the application form. Also, character references are not acceptable where previous work references may be obtained. A Requirement is made to this effect in this report. Staff records were examined. There was evidence of in-depth and thoughtful induction training being given to new staff. All care staff have either achieved National Vocational Qualification (NVQ) level two in care or are currently studying to achieve this. All staff receive a minimum of three paid days training each year, with extra training where the need has been identified. All staff are having a personal training and development assessment as part of their annual appraisal. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is well managed. The home is run in the best interests of the residents. Residents’ financial interests are protected. The health, safety and welfare of the residents and staff are protected. EVIDENCE: The manager, Mrs Parkin, is studying to achieve the Registered Manager Award (RMA). She has completed three quarters of the modules for this award and anticipates that she will achieve this by the end of 2006. She is aware that Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 24 she also needs to hold NVQ level four in care to be fully qualified as a manager of a residential home. Mrs Parkin has over eight years experience as registered manager and consistently demonstrates good management skills. She demonstrates a commitment to keeping up to date by attending all the courses her staff are booked on. The home has good quality assurance policies and procedures, to make sure that it is being run in the best interests of the residents. It asks residents their opinions in regular meetings that look at issues such as meals, activities and laundry. There was evidence that residents’ comments and suggestions are acted upon. The home is due to send out its annual questionnaires to residents in September, to get their views on how the home is being run. There is also a ‘comments’ book at the front door. The manager has an ‘open door’ policy for residents, their relatives and staff. The home’s inspection reports are displayed in the home for anyone to read. It was a requirement of the last inspection report that the person in charge of the home must be able to access money held on behalf of residents at their request or as part of an authorised inspection of the home. This has been implemented. The manager now carries a key to the safe. Residents sign for their transactions, where able. There was evidence of visits by the Lord Chancellor’s Visitors, on behalf of the Court of Protection, to check that Power of Attorney is being properly carried out. This is a safeguard for residents. Records also showed that, due to significant improvement in his physical and mental condition, a Guardianship order has recently been lifted on one resident, giving the resident back full control over his financial affairs. Documentary evidence was seen of the usual range of servicing and maintenance contracts. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 25 The required staff training in health and safety-related issues such as moving and handling, food hygiene and fire safety is kept up to date. The home’s fire logbook is also kept up to date, and records show that the necessary checks and tests of fire equipment and systems are undertaken. Risk assessments for health and safety and fire are in place. The home’s accident book is well recorded, with every accident being followed up by the manager personally. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 26 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 1 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 27 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP12 Regulation 16.2 Requirement A wider and more varied social activities programme must be introduced for residents and activities and other opportunities for social stimulation must be better recorded. A four-week menu must be introduced, and vegetables specified. A wash hand basin must be provided in the toilet opposite room 29. (This requirement is outstanding from 22 May 2004.) Any gaps on the employment history of job applicants must be explored and the reasons recorded. Each applicant must provide two work references, including current/most recent employer. Timescale for action 30/09/06 2. OP15 16.2 30/09/06 3. OP21 23(2) 30/09/06 4. OP29 19 31/08/06 Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 28 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 OP12 Good Practice Recommendations The home should employ an activities co-ordinator. Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 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 Bowland Lodge DS0000000434.V295749.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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