Inspection on 31/01/08 for Byron Lodge Care Home

This inspection was carried out on 31st January 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.

Other inspections for this house

Byron Lodge Care Home 08/08/06

Byron Lodge Care Home 29/09/05

Byron Lodge Care Home 14/04/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Byron Lodge Care Home Dryden Road West Melton Rotherham South Yorkshire S63 6EN Lead Inspector Christine Rolt Key Unannounced Inspection 31st January 2008 08:45 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 Byron Lodge Care Home DS0000063174.V344927.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. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Byron Lodge Care Home Address Dryden Road West Melton Rotherham South Yorkshire S63 6EN 01709 761280 01709 878567 byronlodge@care.wanadoo.co.uk 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) Florence Mallaband Limited Tracey Anne Cowdell Care Home 61 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (46) of places Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons 60 years of age and above. Date of last inspection 8th August 2006 Brief Description of the Service: Byron Lodge is situated close to all local amenities in the residential area of West Melton. It is a purpose built home with ample parking to the front of the building. Accommodation is on two floors and is serviced by a passenger lift. On the first floor Ruskin Unit provides nursing and residential care for people with dementia and Shakespeare Unit provides nursing care. On the ground floor, both Browning and Wordsworth Units provide residential care. Each unit has a lounge, dining room, bathrooms and lavatories and all bedrooms have en-suite lavatories. The fees ranged from £343 to £469 for residential care and from £358 to £619 for nursing care. Hairdressing, newspapers, personal toiletries and private chiropody were not included in the weekly fee and were charged separately. The registered manager supplied this information during this site visit on 31st January 2008. Further details were included in the current service users guide. The home’s statement of purpose, service users guide and most recent inspection report were displayed in the foyer. People living in the home had copies of the service user guide in their bedrooms. Byron Lodge Care Home DS0000063174.V344927.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 was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 8:40 am to 17:10 pm. The manager completed an Annual Quality Assurance Assessment before the site visit. This document gave the manager the opportunity to say what the home did well, what had improved and what they were working on to improve. Various aspects of the service were then checked during the site visit. Care practices were observed, a sample of records was examined, a partial inspection of the building was carried out and service provision was discussed with the manager. The majority of people living at the home were seen throughout the day and chatted to and a visitor was also asked for her opinion. The care provided for four people was checked against their records to determine if their individual needs were being met. Questionnaires were sent to sixteen people living in the home, six relatives and six health care professionals. Completed questionnaires were received from six people living in the home, three relatives and two health professionals. Information and comments from the surveys are included in this report. The inspector wishes to thank people living at the home, relatives, health professionals, the staff, and the manager for their assistance and co-operation. What the service does well: People considered that the home was “Welcoming and friendly” and “One of the best in the area”. The home was well maintained, clean and hygienic, and there were no offensive odours. People living at the home were well cared for, and they were treated with respect. Staff recruitment procedures were robust and all staff undertook regular training relevant to their roles. Care staff undertook mandatory health and safety training (i.e. adult safeguarding, infection control, moving and handling, Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 6 basic food hygiene, emergency first aid and fire awareness), which was updated regularly. This is good practice. The company had a good quality assurance system to ensure that the home was run in the best interest of people living at the home. A further comment about the home was, “…went into Byron Lodge September 2006. Something I did not want to do. …. is looked after very well. The nursing staff and the carers are excellent, could not be better. Any difficulties that come along they always discuss with me. They are all very kind and caring…” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People had the information they needed to make an informed choice and assessments provided the information to ensure that people’s needs could be met. This home does not provide intermediate care. EVIDENCE: People considered that they had received sufficient information to make a choice about the home and that the home met their needs. People living at the home had copies of the service user guide in their bedrooms. The statement of purpose, service user guide and latest inspection report were displayed. The registered manager assessed people who wished to come into the home to ensure that the home could meet their needs. Four assessments were Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 9 checked. The assessments contained detailed information of each person’s needs and wishes. People were informed in writing that the home could meet their needs and copies of these letters were available on file. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were treated with respect. Medication recording procedures were met. Care and health needs were met but care planning could improve. EVIDENCE: The majority of responses received were of the opinion that people living in the home received the care and support they needed, that staff listened and that relatives were kept informed. Comments were, “Taking care of my mam. I have peace of mind now I know she is being looked after”, “The care home is working well and I am happy with the amount of care my mother receives”, “When needing a nurse or doctor they are very efficient” and “Respect people’s dignity”. However, there were some comments about bad practices and lack of empathy. The manager said that there had been issues last year with certain Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 11 staff but these issues had now been resolved and the staff no longer worked at the home. People living in the home looked well cared for, clean and appropriately dressed. They said they were happy living in the home. Staff were observed treating people with respect and kindness, and interactions were good. Four care plans were checked in detail. Information of meeting health needs and emotional needs tended to have good detailed information. Information of meeting physical needs was dependent on who had completed the forms but some tended to be broad based e.g. ‘needs help with washing and dressing’ with insufficient details of what this involved and how this was to be achieved. The daily records stated ‘hygiene needs met’ without details of what these hygiene needs were. It was also noted on at least one file that the daily records included information that the person “Ate and drank well” even though there was no identified need relating to this. However, there was very little information of how people spent their day although some files contained information of visitors. Person centred care (covering physical, health, social and emotional needs) was discussed with the manager. To assist staff in working to the identified needs, the manager was advised to audit files and condense the information. Files contained risk assessments. There was information on one file that staff had received training in using the Malnutrition Universal Screening Tool (MUST) but files had not been updated to include MUST and continued to use other nutritional assessments. The manager was advised to obtain and use MUST for people deemed to be at risk of malnutrition. Information on visits by health care professionals e.g. GPs, district nurses and opticians provided good information and this cross-referenced to daily records. Accidents were recorded and the manager said that monthly analyses of accidents were carried out. The manager was advised to use 72-hour monitoring sheets for any persons who had accidents. The manager said that both she and the area manager carried out random checks of medication as part of the company’s quality assurance system. Medication was stored securely. The medication for three people was checked. There were no gaps in the Medication Administration Record sheets. Medication was signed and dated on receipt and quantities were recorded. Records contained the name and a photograph of the person. The manager was advised to also include information on allergies. Medication that needed to be kept cool was kept in the medication refrigerator. The temperature was recorded daily and this showed that the temperature was within the prescribed limits, which was also shown on this sheet. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 12 Controlled drugs were stored in a controlled drugs cupboard. The controlled drug register was checked. Medication was recorded properly with two signatures and a diminishing total. Byron Lodge Care Home DS0000063174.V344927.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 the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People received nutritious and appetising meals and choices were offered. The lifestyle did not match people’s expectations and preferences. EVIDENCE: Activities created the highest number of negative comments. People felt that activities were available only sometimes or rarely. This was despite the home having an activity co-ordinator. Comments were, “A major concern is the decline of social provision and activities in Byron Lodge... We are …in this situation for 24 hours a day, it would therefore seem little to ask that we have some stimulation at least once a day for surely social care is as important as nursing care in our situation”, “There are not enough activities to keep elderly residents occupied and their minds active”, “More activities instead of watching TV. They can get bored watching TV…something for them to do” “…I think there should be more activities and nice music to listen to. Painting, sewing, making each other a birthday card or Xmas card, exercise in our wheelchairs for upper body even throwing a ball to each other. I think also Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 14 that after dinner or tea whilst we are at our tables they could clear them and ask if anyone wants to play dominoes, cards or even do a game…” “There is a marked absence of group activities. The home is very peaceful and languid to the point of comatose. It would be pleasant to hear residents and staff laughter about the home once more”, “The activities are very poor for all residents and very infrequent and not aimed at residents capabilities and interests…. Very little in way of stimulation”, “What activities. Considering there is a paid member of staff with sole responsibility for activities the contact time is sparse, and the content questionable for the abilities and age range of the clients. This has been reported to the management several times but even intervention by group staff has limited and short lived effect in contrast with the social contact provided by church groups and hairdresser.” During a check of the environment, the majority of people in the dementia unit were sat in the lounge without stimulation except for a television that no one was watching. The need for stimulation was discussed with the manager. The home had an activities co-ordinator and there was an activities board in the main foyer. The activities board listed only activities on three half days, one of which was communion that would be provided by a visiting minister. When the activities co-ordinator was asked about her weekly routine, she said that this was variable; therefore there was no structure so that people would know when she would be working on their unit. She considered that sitting with people for film nights and during church services in the home to be part of her group activities. The need for activities to be interactive, provide stimulation and be relevant to people living in the home was discussed. She was advised to discuss with the manager and the area manager her accountability and provide a structured programme. This should be ‘needs led’ with a more interactive approach to provide stimulation for people living in the home. It was also suggested to the manager that care staff could work with the activities co-ordinator to arrange ‘film nights’, as these would not impinge on their duties and would free the activities co-ordinator to provide more interactive leisure pursuits. People said that their choices were supported, staff were observed offering choices and information in people’s files showed that people’s preferences were listed. These preferences included food, drink, baths, bedtime and keys to doors. Visitors were made welcome and a relative said that there was a kitchenette on the unit where they could make themselves a cup of tea. People said that the meals were good. On the day of this site visit, breakfast and lunch were seen. Dining rooms were clean and pleasant. People had the choice of a cooked breakfast. Lunchtime was a choice of two hot meals and Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 15 on the day of this site visit were meat and vegetable pie or scampi. Comments about the meals were, “Appears Food Good” “The standard of cooking is quite good” “Very good. Excellent food” “On the whole the meals are very good and well presented” There was one negative comment and this was that a family said they had to supply some foods that the care home would not supply. This was discussed with the manager. She said that anything that people wanted, the home would provide. She said that following discussions with people living in the home several foods had been incorporated into the menus including beef dripping on toast and tripe. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and their visitors were provided with information to enable them to raise concerns about the home and their care. People were protected from abuse EVIDENCE: The home had a complaints procedure and the CSCI details needed amendment to bring it up to date. People felt that they always or usually received an appropriate response to complaints. The complaints book was checked and this showed that appropriate action had been taken and in one instance the complainant thanked the manager for the action taken. People said that they knew how to complain and who to speak to if they weren’t happy. There was one comment about lack of communication where information had not been passed on to other staff, and a resident considered that unless their family was involved, nothing got done. These incidents were discussed with the manager and advice was given on how the home could improve its service and demonstrate accountability. There had been an allegation of abuse since the last inspection. The manager and the area manager had dealt with this appropriately; the member of staff no longer worked for the company and was being referred to POVA. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 17 The manager said that all staff undertook adult safeguarding training and was currently being arranged for new employees. Byron Lodge Care Home DS0000063174.V344927.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): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was pleasant, hygienic, well maintained and safe EVIDENCE: The home succeeded in creating a very good first impression for any new visitor. It was pleasant and clean with a calming atmosphere and there were no offensive odours. The gardens were neat and tidy. All rooms were well decorated and well lit. A rolling programme of redecoration was ongoing. Furnishings and furniture were in good condition and new furniture was on order. A new carpet had been fitted on one unit. Bedrooms were personalised and were clean and well decorated. Bathroom and toilets were clean. Aids and adaptations were in place. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 19 The communal areas in the dementia unit could improve. They would benefit from pictures and means of orientation and stimulation for people with dementia. This was discussed with the manager. People considered that the home was always or usually fresh and clean. Comments were, “Very good” “…which must be very difficult considering it is an EMI unit.” “The home is clean and tidy.” Byron Lodge Care Home DS0000063174.V344927.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): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were protected by the home’s recruitment procedures and staff were competent but would benefit from some additional training. The numbers of staff on duty met people’s needs. EVIDENCE: At the time of this site visit there were sufficient care staff on each unit. Ancillary staff were seen throughout the day. People considered that care staff always or usually had the skills and experience to do their jobs. Comments about the staff were mixed. The comments were, “Pleasant, concerned staff” “Some staff don’t seem dedicated to the task of caring for older people in the way that deserve her dignity” “Whilst many staff are very caring and understanding there are a few that lack the compassion and sensitivity to realise that there is a person that just would like some help.” “More and better qualified staff “Employ more care staff and cleaning staff” These comments were received last year. The manager said that there had been problems with a minority of the staff last year but since then, these staff Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 21 had left and new staff had been employed, therefore the issues had been resolved. The manager said that staff received training. This ranged from induction training, NVQ in care and various skills training. Since the last inspection staff had undertaken skills training in continence care, diet and feeding, communication and chronic pain management. Copies of staff training records were seen during the inspection. The manager was advised to provide training in dementia and sensory awareness to ensure that staff had empathy and an understanding of people with failing health. The recruitment files for four members of staff were checked. the relevant checks and information. All contained Byron Lodge Care Home DS0000063174.V344927.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): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was run and managed in the best interests of people living at the home. Their health, safety and welfare were promoted and their financial interests were safeguarded. EVIDENCE: The registered manager was qualified and experienced. She had completed NVQ 4 in management and it was suggested that she undertake the Registered Managers Award. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 23 The home had a quality assurance system that included audits of systems, meetings and questionnaires. Questionnaires were sent to people living in the home, relatives and visitors and also health and social care professionals. Information from questionnaires was collated and action taken to improve the service. Reports of visits by the responsible individual were also available. Money held on behalf of people who lived at the home was stored safely. Records were kept and a sample of these was checked against the money and these tallied. Receipts were available for purchases made on behalf of people living at the home and these were numbered for ease of reference. Audits were carried out. Mandatory health and safety training (i.e. moving and handling, infection control, basic food hygiene, emergency first aid and fire awareness) was ongoing and information of each member of staff’s level of training was recorded. Ancillary staff undertook training relevant to their jobs e.g. COSHH. Certificates were available to verify that systems and equipment within the home had been serviced and maintained within the required timescales. Byron Lodge Care Home DS0000063174.V344927.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 3 X 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement Provide more specific information in the care plans of how the identified physical care needs are to be met and ensure that the daily records provide evidence of specific physical needs being met. Daily records need to include information of how each person spent their day (group activities, hobbies, one-to-one sessions etc). Consult people about their interests and provide a programme of activities suited to their needs Update the complaints procedure to include the Commission for Social Care Inspection’s current details. Timescale for action 28/03/08 2. OP7 15 28/03/08 3. OP12 16m & n 28/03/08 4. OP16 22 07/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 26 No. 1 2 3 4 Refer to Standard OP7 OP7 OP8 OP9 Good Practice Recommendations Consider auditing people’s files to ensure that the relevant information about people’s needs is prominent. It is recommended that the Malnutrition Universal Screening Tool replace other nutritional assessment tools. Implementing 72-hour accident monitoring sheets would ensure that injuries would be highlighted quickly where no injury was apparent at the time of a fall. It is strongly recommended that people’s allergies are recorded on the MAR sheet and that where this information is unknown, the sheet is marked up ‘None Known’ In the dementia unit, provide pictures and visual stimulation and means of orientation to time and place to assist people with dementia The provision of sensory awareness and dementia training would provide staff with the skills for meeting people’s needs. It is recommended that the registered manager undertake the Registered Managers Award 5 6 7 OP19 OP30 OP31 Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Byron Lodge Care Home DS0000063174.V344927.R01.S.doc Version 5.2 Page 28 - 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!