Inspection on 26/08/08 for Cedar Lodge Nursing Home

This inspection was carried out on 26th August 2008.

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 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

Cedar Lodge Nursing Home 01/08/07

Cedar Lodge Nursing Home 15/08/06

Cedar Lodge Nursing Home 10/01/06

Cedar Lodge Nursing Home 07/06/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Cedar Lodge Nursing Home 58-62 Kingsbury Road Erdington Birmingham B24 8QJ Lead Inspector Ashley Fawthrop Key Unannounced Inspection 27th August 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 Cedar Lodge Nursing Home DS0000063476.V371889.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. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedar Lodge Nursing Home Address 58-62 Kingsbury Road Erdington Birmingham B24 8QJ 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) 0121 350 3553 0121 384 4811 United Care Ltd Ms Sonia Seymour Care Home 36 Category(ies) of Dementia (36), Old age, not falling within any registration, with number other category (36) of places Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 36 Dementia (DE) 36 The maximum number of service users who can be accommodated is: 36 1st August 2007 2. Date of last inspection Brief Description of the Service: Cedar Lodge is a three storey property situated within the residential area of Erdington, West Birmingham. The home provides nursing care for up to 36 persons who are aged 65 years or over and may suffer from dementia, physical disabilities or terminal illness. The home is situated approximately one mile from Erdington centre where the main shopping facilities are located and a short distance from Sutton Coldfield. There is public transport within close proximity and Gravelly Hill interchange is convenient for those travelling by car. There is ample off road parking to accommodate at least seven vehicles situated at the front of the premises. Bedroom accommodation is available on each of the three floors, there are both single and shared rooms and some have en-suite facilities. Access to each floor is by a shaft lift and the home has a good supply of specialist pressure relieving equipment and mobile hoists for the benefit of residents who have restricted mobility. Meals are prepared on site as well as laundry facilities. The communal areas are located on the ground floor. The property has an extensive rear garden, which lends itself to outdoor functions during warm weather. The structure of the home provides good potential for further development. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 5 The home owner will shortly be submitting plans to extend the premises, which if approved will result in a total of four communal rooms to give people choices about which room they wish to occupy during daytime hours. The proposed plans indicate that there would be minimal disruption to people living at the home during the extension works. The minimum fee rate is £480.00 and maximum is £591.00 per week. Other items that are not included in the charges are private chiropody, hairdressing, magazines and newspapers. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people using the service experience adequate quality outcomes. The site visit to the home was unannounced records examined during this inspection, included, care records, staff recruitment records, training records, social activity records, staff duty rotas, health and safety records and medication records. Other evidence used included a pre-inspection questionnaire and resident and visitor Care Home Survey Forms sent to the home by the Commission prior to the inspection. Four people’s care plans were ‘case tracked’. This involves establishing an individual’s experience of living in the care home by meeting or observing them, talking to their visitors (where possible) about their experiences, looking at people’s care files and focusing on outcomes. Additional care records were viewed where issues relating to a people’s care needed to be confirmed. The inspection process consisted of looking around the home, a review of policies and procedures, discussions with the manager, staff, visitors and people who live in the home. What the service does well: People living at the home continue to be well supported by staff Personal care is delivered in the privacy of the persons own bedroom or a bathroom thus ensuring that peoples dignity and self esteem are preserved. It was observed during the previous inspection as well as this one that the manager adopts an ‘open door’ approach to all people who wish to speak with her. This makes sure that guidance, support and explanations are delivered in a prompt and professional manner. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 7 There is an ongoing programme of improvements and redecoration of the premises to ensure that people live in a pleasing environment. When concerns or complaints are raised these continue to be dealt with effectively and any resultant action is identified and carried out. This ensures that people are given explanations and outcomes in a timely and professional fashion. There were no adverse comments were made any people living at or visiting the home. People said that the staff were professional and always helpful. The home was welcoming and people were supported. What has improved since the last inspection? What they could do better: Recording and updating to care plans need to be improved, were peoples health deteriorates there needs to be prompt and accurate updating to the care plan. The manager and staff need to develop areas of socialisation for people in the home, these should be people centred to make sure that activities are fulfilling and appropriate. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 8 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. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 9 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 Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 10 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 using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service People receive good information about the home and the services it provides before they make a decision to move in. Peoples needs are assessed before they move into the home so they can be confident their needs can be met there. EVIDENCE: The statement of purpose contains all the information people need to make an informed decision as to whether the home can support their needs or not. The information is also available in other formats including audiocassette for the Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 11 assistance of people who are visually impaired. This is viewed as being good practice. The home starts the pre admission assessment when people make contact about a possible admission this is in the form of an enquiry sheet. The form is updated when other contacts are made. The pre-admission assessment included good information about people’s needs and included health and cultural needs and appeared to include the degree of support and whether any specialist equipment would be required. This information and details obtained from other sources suggests that the home is able to demonstrate that it can meet people’s needs at the time of admission. The home does not provide intermediate care. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 12 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 using the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. In practice peoples healthcare needs were being met but this was not confirmed in the care plans. Staff practices regarding the administration of medications are unsafe and put people ate risk of harm. EVIDENCE: People have individual care plans that record their needs. These identify special needs that were identified when the pre admission assessment was carried out, this makes sure that the care staff have been provided with a means of monitoring individuals health status. Four care plans were case tracked including all with varying healthcare needs. Some changes had been made in that a variety of pre-typed forms were being Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 13 Some of the care plans had good information recorded from when they were first started but some of the needs had not been updated as in one case were a wound care plan had not been updated when there had been evidence that pain was not controlled. Care plans should be regularly reviewed and any changes recorded and care plans altered to make sure that all needs are being met. There were dates missing of some care plans this means that staff are not sure which is the most up to date information and there fore can not guarantee they are giving the best care. There was a recording on a nutritional risk assessment where the risk was assessed as low to medium risk but the body mass index had not been calculated therefore staff did not know what his weight should be so could not easily be notified if the risk increased. Care planning continues to detail the physical and nursing needs of individuals well but does lack information about people’s cultural and spiritual needs. Staff need to look at people’s care more holistically so that the individual has all there needs met. There is some information in the pre admission assessments relating to past activities and what people enjoy doing this should be the used to commence care plans in the same way that nursing needs are used. The staff handover done every time new staff come on to a shift. This continues to involve staff advising other staff who have just arrived to start their shifts of updates of people’s care. Each person in turn was discussed and clarification sought as needed. There continues to be evidence that the services of external professionals are consulted where needed and thaw people have access to National Health Service services. . Comments from people living and visiting the home said that the staff always made them welcome that they show support and encouragement to people and that staff are professional and they are always willing to assist people and are open to ideas. The arrangements for the ordering, receipt, storage, administration, recordings and disposal of medications were reviewed. All with the exception of one aspect were found to be satisfactory. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 14 Audits of blister packs and boxed medications continues to be carried out but on inspecting the medication records there were gaps where staff should have signed to say that medications had been given out there fore staff can not guarantee that medications were actually administrated. We recommended that medication audits are increased to reduce the risk of mistakes being made. A controlled drugs check was carried out and these were found to be correctly recorded and signed for but staff were storing other items in there that should be stored somewhere else for safekeeping. Should also remember to write the code in the medication record for medications that haven’t been given. This makes sure that if a pattern of refusal is seen the GP can be informed. People were happy with the way they are cared for no concerns were raised and good practice was observed. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 15 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 using the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Though people are physically and mentally stimulated and activities are available they are not developed with people’s previous hobbies in mind. Activities are not seen as important as physical care therefore there is little evidence that people are not making decisions about their day to day activities. Dietary needs are catered for including special diets resulting in provision of a varied and nutritious diet. EVIDENCE: The activities programme continues to be on display on the notice board dedicated for people who live at the home. The seven day rolling programme and continues to include sing-a-longs, exercises, hoopla, arts and crafts, sport and films, and reminiscence. Theses are standard activities that people think older people would want to do. There is little evidence that people have been Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 16 asked what activities they enjoyed in the past and what they would like to do now. Staff continue to be available each afternoon and overlap so that they have time to be involved with activities. Staff either carry out group activities or one to ones in peoples rooms this gives staff the opportunity to speak to people in private as well as giving people who live in the home to socialise although they do not like to join in with larger groups. Entertainers visit the home regularly to provide music, gentle exercises and other music sessions. People continue to be involved in activities outside the home including day centres, family outings and attendance at church. There is evidence of regular meeting where people living at the home can express their views on the services provided by the home and voice their opinions. There was evidence that the people living at the home and their relatives have the confidence and the opportunity to say what they don’t like and this is recorded in the minutes of the meeting. This continues to be good as it is evidence that the home is open to criticism and open about it. However, we informed the managers that where comments have been made relating to the service there should be evidence available relating to the action taken by the home. People visiting the home did say that the staff were all kind and that they were always made welcome. Staff showed support and encouragement and that people’s time with the home was the best. The meal menu offered a range of meals with choices and indicates that balanced and nutritious diets are encouraged. All catering staff have completed training in food standards. The cook has experience in cooking dishes of many countries. Specialist diets are catered for and meals were culturally appropriate for the client group. Cedar Lodge Nursing Home DS0000063476.V371889.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are aware of how to make a complaint and are confident that concerns raised would be dealt with appropriately. Arrangements are in place to protect people from risks of abuse. EVIDENCE: The written complaints procedure is available to people in the service users guide and is on display on the notice board. It continues to provide clear guidance to assist people in how to make a complaint. The home uses a complaints log to document concerns; the form provides a clear pathway of information about how and when the complaint has been dealt with. The numbers of compliments continue to far out weigh the complaints received by the home. There were four complaints recorded investigations and action taken was appropriate. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 18 There was evidence that complaints were responded to promptly and professionally and that complainants were treated with respect. The written policy regarding adult protection continues to be extensive. The manager advised that the content of the policy had not been changed since the last inspection. All staff continue to receive training in adult protection and those who were spoken with demonstrated that they would respond appropriately if abuse was suspected. Cedar Lodge Nursing Home DS0000063476.V371889.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 23, 24 and 26 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a safe, comfortable and pleasing environment. Recreational space and seating is limited and restricts choices. The home is hygienic throughout. EVIDENCE: There have been no changes to the environment since the last inspection ehe home has a good sized, airy dining room that leads out onto the garden where people were noted to be enjoying the warm weather. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 20 As recorded in the last inspection the adjacent lounge does not permit sufficient space to accommodate enough comfortable chairs for number of people in the home. Plans, have been submitted to the Local Authority that will provide three more lounges to give people a good range of choices about where they wish to sit. Corridors are narrow and may be restrictive to wheel chair users in some areas. There are also plans to extend the balcony on the first floor to create a larger seating area at the present time this area is used as a staff room. The home employs a maintenance people so that repairs can be carried out quickly to promote a safe and pleasing environment for people to live in. The cracked velux window in the staff toilet has been since the last inspection. There are ample bathroom and shower rooms the shower rooms have walk in facilities making access and showering easier for people with physical disabilities Bedrooms are located on each of the three floors; they vary in size and layout. The rooms were visited of the persons whose care plans were seen. People are encouraged to take in small items of furniture and personal possessions to make the room as homely as they wish. All bedroom doors have suited door locks so that people who are assessed as being able are offered a room key to increase their privacy. Some rooms had signage on the doors to assist people in orientating and to maintain their independence. It is recommended that the signage should be further developed. It was noted that the carpet in the lounge is beginning to bubble up and could become a trip hazard. The home was light and airy and has domestic style lighting. All hot water outlets that people who live at the home has access to is randomly tested to ensure that scalds are prevented. The kitchen and laundry rooms were clean and tidy. Cedar Lodge Nursing Home DS0000063476.V371889.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The allocated numbers of staff meet all of peoples needs. Staff have received sufficient training to provide them with the skills to respond if an emergency occurs. EVIDENCE: On looking at the rota for all staff working in the home there were sufficient staff on each shift to meet the needs of the people living in the home. There continues to be in excess of 50 of staff employed have successfully completed training in NVQ level 2 and more staff were undertaking the course. This promotes an efficient workforce who will be capable of meeting people’s needs. Review of a number of staff personnel files indicated that the home continues to have good arrangements in place for staff recruitment. These are necessary to protect people from risks of harm. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 22 New care staff continue to undertake an induction programme that contains all of the topics within the Skills for Care package. This provides them with the knowledge and skills about how to carry out their roles in the care sector. There is a staff training matrix that is updated every three months this identifies training that has been completed and any updating of mandatory training. Other mandatory training is provided such as Health and Safety and Moving and Handling to ensure that staff provide care by safe means to protect people from risks of injuries. Other training that has been supplied include Dementia Care, Tissue Viability and Pressure Ulcer Care, Diabetes, Staff Supervision, PEG(specialist) Feeds, Continence, Nutrition, The Mental Capacity Act and Alzheimers Disease. Such training provides staff with the knowledge and skills to meet peoples’ specialist and diverse needs. There had been three sessions of fire safety training and all members of staff had attended at least one session. Cedar Lodge Nursing Home DS0000063476.V371889.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager has the knowledge and the experience to manage the home appropriately, however, she must make time to concentrate on the issues relating to health and personal care so that this can be raised to a good standard. People living in the home and staff are kept safe by the health and safety policies and procedures. EVIDENCE: Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 24 The manager possesses the knowledge and skills to manage the home. She has a wealth of experience and leads by example to promote a skilled workforce. However, she must concentrate on time on improving the areas relating to heath land personal care. People and staff said that senior staff were approachable and willing to listen to concerns or suggested initiatives that may benefit the home. There continues to be a good quality assurance programme in operation. Monthly audits are carried out and the registered provider supplies the manager with a written report of his findings during his monthly formal visits. Reports are developed around the findings and any shortfalls are identified and action plans collated to rectify the problems. The arrangements for the safekeeping and transactions of monies held on behalf of people living at the home remain good. This protects people from the risk of financial abuse. The manager holds at least six staff meetings each year. The agenda includes such topics as aspects of care, routines in the home, staffing issues and information about external agencies such as CSCI. There is a range of policies and procedure available for staff to refer to this helps them to perform their duties appropriately. All aspects of health and safety checks and servicing of equipment continue to be carried out at the correct times. Fire alarms and emergency lights are tested and the findings recorded. The manager holds health and safety meetings with staff and monthly audits are carried out to promote safety awareness. These arrangements make sure people have a safe environment to live in and their visitors are safe when they visit. Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 25 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 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 3 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 3 3 X 3 X X 3 Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 26 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 OP7 Regulation 15(1) Requirement Care plans must be updated immediately when the health and well being of people deteriorate, all entries must be properly dated and signed. The medication system needs to be audited more effectively to make sure that all the administration sheets are recorded correctly. Only controlled medications should be stored in the cabinet all other personal items should be stored elsewhere. Timescale for action 01/01/09 2 OP9 13(2) 01/01/09 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 Socialisation should be as important as the nursing needs of people and should be b recorded in the care plan and reviewed regularly. DS0000063476.V371889.R01.S.doc Version 5.2 Page 27 Cedar Lodge Nursing Home Cedar Lodge Nursing Home DS0000063476.V371889.R01.S.doc Version 5.2 Page 28 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. 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