Inspection on 20/12/05 for Chadwick Lodge Residential Home

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Chadwick Lodge Residential Home 12/04/07

Chadwick Lodge Residential Home 13/06/06

Chadwick Lodge Residential Home 27/09/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Chadwick Lodge Residential Home Chadwick Lodge 8 Chadwick Road Westcliff-on-sea Essex SS0 8LS Lead Inspector Vicky Dutton & Michelle Love Unannounced Inspection 20th December 2005 08:15 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 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 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. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chadwick Lodge Residential Home Address Chadwick Lodge 8 Chadwick Road Westcliff-on-sea Essex SS0 8LS 01702 331599 01702 331599 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) More Care (Home Counties) Limited Mr Peter Roger Cordery Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (15) of places Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Old age (over 65) not falling within any other category (OP) (15) Dementia - over 65 years of age (DE(E) (15) Age: Over 65 years of age Total number to be accommodated shall not exceed 15. The registered manager shall complete a recognised qualification (NVQ Level 4/Registered Managers Award) within 12 months of registration. Date of last inspection Brief Description of the Service: Chadwick Lodge provides personal care and accommodation for fifteen older people. The home is also registered to provide care for residents who suffer from dementia. The building is a three story property with the second floor being private accommodation. Most accommodation is in single bedrooms, some of which have en suite facilities. The home has two shared bedrooms. There is spacious open plan communal accommodation. Chadwick Lodge has a large and pleasant garden which is well maintained. A minibus is available. The home is situated close to local transport links. Day care places are also offered at Chadwick Lodge. Separate accommodation is provided in the homes grounds for this, and the facility does not currently fall within the remit of the inspection process. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection since the home was registered to the current provider in June of this year. The inspection was unannounced and took place over three and a half hours. As two inspectors were present this equated to seven hours of inspection time. This additional inspection was undertaken as a result of concerns raised at the previous inspection, and to assess progress against the previous agenda for action. On the day of inspection thirteen residents were being accommodated. At this inspection a tour of the building took place. Staff, care, medication and other records were inspected. Residents and staff on duty were spoken with. The registered person was present for part of the inspection and received feedback on the inspector’s findings. What the service does well: What has improved since the last inspection? The registered provider is keen to improve the service for residents, and is working towards this. Since the previous inspection in September progress has been made towards meeting the many requirements and recommendations made. These are identified in the body of the report. Work towards improving the environment for residents by redecorating and providing new equipment is continuing. Safety for residents and staff in the home is improving. New fire doors are being fitted. A system of laundry disinfection has been put in place. A system for managing any complaints has now been put in place, so that if residents or visitors raise concerns, these can be managed and recorded properly by staff. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 6 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. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 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 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4. Information on the home is available to prospective residents. The home could not show that resident’s needs are fully assessed before they move into the home. In addition gaps in staffs’ induction and training mean that resident’s needs may not be fully assessed, understood or met. EVIDENCE: The registered person has produced a statement of purpose and service users guide for the home. These are available for interested parties to tell them about the home and services provided. No admissions to the home have taken place since the previous inspection. It was not therefore possible to tell if pre-admission assessment procedures have improved. No assessment tools or other documentation was available to show how any improved process will work. Staff training records were not available at this inspection. Staff confirmed that some training in core areas has taken place since the previous inspection. However no dementia training has yet taken place. The registered provider said that this is planned from the end of January 2006. Intermediate care is not provided at Chadwick Lodge. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 9 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. There is a care planning format in place at the home but this is not adequately or consistently completed. It does not properly provide staff with the information they need to fully meet resident’s care, health and social needs. Medication at the home is generally well managed. EVIDENCE: Individual care files are available for all residents. Several were sampled as part of this inspection. Since the previous inspection it was possible to see that efforts had been made to improve on care planning and the level of information provided for staff. Care planning is however still not adequate, and does not fully assist staff in understanding and meeting resident’s needs. Care plans do not ensure that all aspects of health, personal and social care needs are identified and adequately planned for. One resident has exhibited challenging behaviour but this was not mentioned in care planning information, with advice to staff on managing this. For another resident with dementia, whose care plan had recently been reviewed, there was no mention of dementia on the care plan. Care files are kept separately from resident’s daily records. This practice will not encourage staff to fully use or understand care plans. In addition to this a new ‘resident awareness’ book has been put into use. It was noted that this was, in most cases, just providing duplication of Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 10 information. Risk assessment processes are in place to identify potential hazards relevant to individual residents. These however were not adequate. For example there was no risk assessment in place for a resident who chose to smoke in their room. The registered provider stated that he was hoping to replace existing care planning and recording systems with a new and clearer format. Records showed that staff respond to changes in residents health care needs, and that appropriate referrals are made. Recording of these events needs to be monitored to ensure that visits and interventions are recorded consistently. The current range of documentation (see above) allows the potential for variation and errors to be made in recording practices. Residents are regularly weighed, and since the previous inspection the home has started to maintain nutrition records. These however need to provide a greater level of detail. Medication procedures were generally satisfactory, and managed safely to protect residents. During the inspection staff were noted to uphold residents privacy and dignity when carrying out personal care tasks. In spite of advice given at the previous inspection, the institutional practice of using communal toiletries such as bath foam and creams was still in evidence at this inspection. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 11 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, 15. There is currently limited planned or other activity in the home to provide residents with a good level of stimulation and occupation. Development is needed to make sure that residents have sufficient choice in the food provided, and that adequate nutritional intake is provided for all residents. EVIDENCE: Residents preferences in terms of activities and daily routines such as rising and retiring times are recorded to some degree in care records through the use of a set format questionnaire. Activities are undertaken on an ad hoc basis. During the inspection staff did spend time interacting with residents. An entertainer visits the home on a regular basis. The home is registered to provide care for residents with dementia. Some resident’s at the home also have significant sensory losses. There was no evidence to show that resident’s social and occupational needs are assessed in a meaningful way in order that stimulation and occupation is tailored to their needs. Although menus were available the cook said that currently food is planned and prepared on a day to day basis. A choice of menu is not available on a routine basis. Records showed that the second option is often just the same menu, but without the meat element, provided for a resident who prefers not to eat meat. The registered provider must ensure that this is providing adequate nutrition. The cook said that she talks to residents about the food Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 12 offered and knows their likes and dislikes. This was demonstrated in relation to one particular resident. The freezers, fridges and store cupboard were well stocked. One resident was noted to require assistance with their breakfast. There was little interaction between resident and staff member while this process took place. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 13 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 The home has a clear complaints process in place. Development is needed to ensure that residents are kept safe and cared for properly by staff receiving training, and being fully aware of adult protection issues and reporting procedures. Staff also need to complete training and be skilled in managing difficult behaviour. EVIDENCE: The home has a general complaints policy and procedure in place. This is available in the entrance hall of the home, but could be better displayed for the benefit of residents and visitors. Since the previous inspection a system has been put in place for the recording and management of complaints. No complaints had been reported to have been made, therefore none were recorded. Staff training records were not available at this inspection. A senior member of staff confirmed that they had received training in adult protection, and was able to show an understanding of basic principles. However clarity in reporting and recording procedures was not demonstrated. The registered provider reported that most staff are undertaking a modular training course relating to challenging behaviour. This is important as at least two residents at the home can demonstrate challenging behaviour, and staff require the skills to manage this consistently and effectively. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 24, 25, 26. The communal areas of the home are reasonably appointed. Resident’s private accommodation however does not provide them with a well decorated and furnished environment. The premises are not yet maintained in a safe and hygienic manner to ensure that residents are kept safe. EVIDENCE: The home is situated in a pleasant residential area. The new owner of the home is gradually undertaking a refurbishment of the premises. This will include redecoration of rooms and the purchase of new furnishings to improve the environment for residents. At this inspection two further bedrooms were undergoing re-decoration. It was also seen that some new beds and other equipment had been purchased. The home has pleasant grounds for residents to enjoy. The homes communal areas are open plan and include a conservatory, lounge and dining areas. A separate small lounge is available for smokers. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 15 The home has two bathrooms and one assisted bath. One communal toilet on the ground floor was very small and has been converted into a store cupboard. This leaves only one communal toilet on the ground floor. This situation must be monitored to ensure that it is sufficient for residents. Five bedrooms at the home have an en suite facility. Although works are underway, most of the home’s bedrooms are shabby and require redecoration and bringing up to an acceptable standard in order that residents have a pleasant environment to live in. The home is registered to provide dementia care therefore signage needs to be improved to assist residents in orientating themselves. Since the previous inspection a new assisted bath system has been provided for the benefit of residents. Water temperatures tested at random were satisfactory. There are still some uncovered radiators in the home. In particular the radiator in the upstairs bathroom was felt to be very hot. The registered provider said that covers were on order and were due to be fitted very soon. Adequate laundry facilities are provided at the home. Since the previous inspection the registered provider has installed a laundry disinfection system to provide residents laundry with a high level of elimination of known infections. Odour control is poor in isolated areas. Although the registered provider has started to address this, adequate hand washing facilities were not being provided in all bathrooms, communal toilets and the laundry area. Staff have not received infection control training. The registered provider said that this is planned. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 16 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, 29, 30 The procedures for the recruitment, induction and training of staff have improved but are still not robust enough. Further development is needed to ensure that staff have adequate training and orientation to be able to safely care for residents. EVIDENCE: The homes minimum staffing levels for fifteen residents are for three care staff, one of whom is a senior in charge, to be on duty at all times during the day. This may need to increase depending on the needs of the residents being accommodated. At night the home has one awake night staff, and one person sleeping in. Since the new registered provider took over, the home has experienced some staff turnover. Some agency staff are now being used to cover shortfalls in the homes rota. Staff rotas showed that some staff are still working long hours. This could be detrimental to residents. The home employs a cook, domestic cover is provided, but the homes rota showed that this was not always adequate. The home must keep staffing levels under review to make sure that they are sufficient to meet all resident’s needs. To protect residents detailed checks such as employment history, obtaining references, checking identity, obtaining a POVA First/Criminal Records Bureau check (CRB) and ensuring people are physically and mentally fit for the work must be undertaken on any new staff recruited. The files of recently recruited staff were sampled. From the previous inspection a significant improvement was noted in recruitment practices, however some shortfalls remain. In Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 17 particular one file had no evidence of the staffs immigration status. Files did not contain copies of job descriptions. To ensure that new staff are aware of how to care for residents, and maintain procedures and standards of care, they should be given a thorough induction into the home. This should be in line with skills for care standards. Some induction was evidenced, in the form of a health and safety induction checklist, and an induction booklet. However, this is an area that the registered person needs to develop. Agency staff that work in the home should also receive a basic induction and orientation into the home. This is not currently evidenced. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 18 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): 36, 38 To show that residents are looked after by competent, trained and supervised staff, staffing records need to be maintained in the home. Health and safety issues identified need to be addressed by the registered provider to make sure that residents are cared for safely. EVIDENCE: The registered provider said that some staff supervisions have been completed. Records for this were not available. Not all aspects of standard 38 were assessed at this inspection. Full staff training records were not available at this inspection. Since the previous inspection some training in some core areas has taken place. Staff said, and records available, showed that moving and handling training had recently taken place. A hoist was available to assist residents, but other equipment that could assist and protect staff and residents, such as handling Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 19 belts and turntables, was not noted to be in use. At previous inspections inspectors had been told that such equipment was available. Some training in the use of specific cleaning chemicals was evidenced, but full training in all aspects of COSHH management has yet to be undertaken by staff. The cook confirmed that a food hygiene course had been undertaken. Food storage was improved at this inspection and it was noted that cleaning schedules were now in place. Since the previous inspection the registered provider has been working to improve fire protection in line with guidance provided by the fire department. Some new fire resistant doors have been fitted and other works are planned. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 2 2 X 1 2 2 STAFFING Standard No Score 27 2 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 2 X 2 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement Accommodation should not be provided for service users until their needs have been fully assessed by a person competent to do so. The service user or their supporter to be given confirmation in writing that the home can meet their assessed needs. This requirement could not be fully reassessed at this inspection and is carried forward. Previous date 01/12/05 2. OP4 18 Staff must receive training appropriate to the care they are to provide. This refers to the need for staff to receive training in dementia care. Previous requirement date of 01/01/06 not met. 3. OP7 15 Service users plans must address how all their health, welfare and social needs will be met. As far as possible they must be compiled in consultation with the residents and/or their DS0000063515.V271909.R01.S.doc Timescale for action 14/01/06 01/03/06 01/02/06 Chadwick Lodge Residential Home Version 5.0 Page 22 supporters. Previous requirement date of 01/12/05 not met. Proper provision must be made for the health and welfare of residents. This refers to the need for adequate risk assessments to be in place for appropriate areas of individual care needs. Previous requirement date of 14/12/05 not met. 5. OP8 12 Service users care plans or records must fully show how their healthcare needs are met and document the involvement of relevant professionals in a consistent manner. Previous requirement date of 14/12/05 not yet met. 6. OP7 17 Sch 4 A proper nutrition record must be maintained by the home. This requirement was partially met but further work is required as detailed in the report. Previous date 14/12/05. The home should be conducted in a manner that respects residents’ privacy and dignity. This refers to the need for the home to review some of the institutionalised practices identified in the report. Previous requirement date of 01/01/06 not yet reached. 8. OP12 12, 16 The registered person must make proper provision for the health and welfare of service users. This refers to the need consult with service users and DS0000063515.V271909.R01.S.doc 4. OP7 12, 13 14/01/06 14/01/06 14/01/06 7. OP10 12 01/01/06 14/01/06 Chadwick Lodge Residential Home Version 5.0 Page 23 provide meaningful occupation and activity for all service users including those who suffer from dementia or other conditions. Previous requirement date of 14/01/06 not yet reached. 9. OP18 18, 13 Staff must receive training appropriate to the care they are to provide. This refers to the need for all staff to receive training in adult protection and managing challenging behaviour. Progress noted but requirement not yet met, and previous requirement date of 01/02/06 not yet reached. 10. OP25 12, 13. The provider must make proper provision for the health and welfare of service users and ensure that all parts of the home are free from hazards to their safety. This refers to the need for action to be taken to manage the temperatures of radiators in the home within a risk assessment framework. Previous requirement date of 01/12/05 not met. 11. OP26 13 Suitable arrangements must made to ensure adequate levels of hygiene control in the home. This refers to issues identified in the report. All areas to be kept clean, and odour free, and appropriate hand washing facilities to be provided. This requirement is partially met but further work is required. Previous requirement date of 01/12/05 not met. 01/02/06 14/01/06 01/02/06 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 24 12. 13. OP29 OP29 17 Sch 4 19 Staffing records as required by regulation relating to staff must be maintained in the care home. Robust recruitment procedures must be followed, and records maintained in the home as per schedule 4 and 2 of the Care Homes Regulations. This requirement is partially met but further work is required to fully meet requirement. Previous requirement date of 14/10/05 not met. 14/01/06 14/01/06 14. OP38 18 Staff must be given training appropriate to the work they are to perform. This refers to the need for a robust induction process to be in place. Previous requirement of 14/10/05 not met. Staff at the home must be appropriately supervised. This requirement could not be fully assessed at this inspection. It is therefore carried forward. Previous requirement date of 01/01/06 The registered person must make suitable arrangements for the safe moving and handling of residents. This refers to the need for suitable equipment to be available and for staff to be fully trained in it’s use. Previous requirement date of 01/01/06 not yet reached. 01/02/06 15. OP36 18 01/02/06 16. OP38 13 01/01/06 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard OP7 OP16 OP22 OP21 OP27 OP30 OP36 Good Practice Recommendations The practice of storing daily records separately from residents care plans should be reviewed. The homes complaints procedure should be on display for residents and other interested parties. Signage at the home must be improved for the benefit of residents who have dementia. The number of communal toilets on the ground floor must be monitored to ensure that it is sufficient to meet Resident’s needs. Staffing levels must be kept under review to make sure that they are sufficient to meet resident’s needs. Staff induction should conform to Skills for Care Standards. Care staff should receive formal supervision at least six times a year. Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Chadwick Lodge Residential Home DS0000063515.V271909.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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