Inspection on 14/05/07 for Chaplin Lodge

This inspection was carried out on 14th May 2007.

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

Chaplin Lodge 07/05/08

Chaplin Lodge 22/05/06

Chaplin Lodge 07/02/06

Chaplin Lodge 09/09/05

Chaplin Lodge 08/02/05

Chaplin Lodge 24/06/04

Chaplin Lodge 04/03/04

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 Chaplin Lodge Nevendon Road Wickford Essex SS12 0QH Lead Inspector Carolyn Delaney Unannounced Inspection 14th May 2007 11:00 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 Chaplin Lodge DS0000018079.V335477.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. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chaplin Lodge Address Nevendon Road Wickford Essex SS12 0QH 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) 01268 733699 01268 570602 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Mrs Claire Jane Collins Care Home 66 Category(ies) of Dementia (18), Old age, not falling within any registration, with number other category (66) of places Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Personal care to be provided to no more than 66 service users over 65 years of age. Total number of service users for whom personal care is to be provided shall not exceed 66. Service users with dementia to be accommodated in Parkview Unit only. The home may provide accommodation & personal care for up to a maximum of three people who are over the age of 50 years and under the age of 65 years. 22nd May 2006 Date of last inspection Brief Description of the Service: Chaplin Lodge is a care home which provides personal care without nursing for up to a maximum of sixty-six older people, including up to a maximum of eighteen people who have a diagnosis of dementia who are accommodated in a separate area of the home called Parkview which is accessed via a coded entry system so as to minimise the risks to those residents who are confused and tend to wander. Accommodation is provided in the main area of the house over two floors, which are accessed via a passenger lift. Residents have access to a number of communal areas including lounge and dining rooms. The home is situated in a busy residential area close to Wickford town centre. The cost of a place at the home is between £426.09 - £600.00 per week. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced Key inspection carried out on 14th May 2007. Lead inspector Carolyn Delaney carried out the inspection. As part of the inspection process a number of the Commissions ‘ Have your say about..’ service users questionnaires were given to residents to complete on the day of the inspection. A number of residents and visitors to the home were spoken with during the inspection. The relatives of fifteen residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. At the time of completing this report seven people had responded. The comments and views of residents and those people who responded to questionnaires have been used in conjunction with the findings of the inspection visit so as to make a judgement about the level of services provided by the home and have been included throughout the report. Records including assessments, care plans, daily care notes, and medication records and risk assessment documents in respect of a number of people living at the home were examined. Six members of staff including the homes manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out. Key standards as identified in the intended outcomes sections of this report are inspected at each key inspection. Key standards are identified for each section of the report. Where other standards have not been assessed these will have been assessed at previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: A number of residents’ relatives have commented that there could be more stimulation for residents, particularly at weekends. Some people feel that there are not always enough staff employed at the home and one person said that staff should ‘treat residents like people and not patients’ spending more time with them ‘to have fun..’ Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 7 Some people also said that bedrooms are not always clean and that more could be done so that residents clothing is not mislaid when sent for laundering. Chaplin Lodge has a training programme for all staff who work at the home however not all staff have received training relevant to their roles within the home and they needs of the people living at the home. 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. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is detailed information made available for anyone looking for a care home as a place to live. Senior care staff assesses the needs of each individual before a decision is made to offer the person a place at the home. EVIDENCE: Chaplin Lodge has a detailed statement of purpose, which clearly sets out the aims and objectives of the home and describes the care and services provided. This document needs to be updated so as include the cost of a place at the home. In addition to this there is specific information relating to the care provided for people with dementia who live in Parkview unit. All of the residents who live in the home are provided with a copy of the homes service users guide, which details about the facilities available at the home, Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 10 including the range of activities provided, the arrangements for meals etc. The service users guide is also available on audio cassette. Of the seven residents relatives who completed ‘Have your say about..’ survey three said they always receive enough information about the home so as help them make decisions, three said they usually do and one said that they sometimes do. Senior care staff working at the home carry out an assessment of each persons needs before they are offered a place at the home. A number of these assessments were examined and they were noted to be clearly written and that a decision had been made following the assessment that the home could meet the persons assessed needs. It is the policy of Southern Cross that a pre-admission draft care plan is formulated for each person based upon the information obtained at the time of the assessment. This is to ensure that when a person moves into the home that staff have information in order that staff working at the home will be able to provide care to the person during the first days of admission until such time as more detailed care plans are devised. These draft care plans had been developed for each of the people whose records were examined. Wherever it is possible people are invited to visit the home before deciding whether it will be suited to their needs. One relative who was spoken with during the inspection visit said that staff were very supportive and helpful when they was looking for a care home their mother. Chaplin Lodge does not provide intermediate care to those people requiring a period of rehabilitation before moving home or a permanent place in a care home. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Chaplin Lodge receive the care and treatment they require and are supported in making decisions about their daily lives. EVIDENCE: There have been a number of improvements made in the way that staff record information about each residents care and treatment. The care plans for three people who were living at the home were assessed. For each person there was a plan of care for his or her assessed needs. Care plans were written clearly and there were detailed instructions for staff to follow so as to best support and assist residents. Where it was possible to do so the wishes and preferences of the individual were recorded within the care plan so that staff can deliver care and support in a way, which suits the individual. Residents who were spoken with and observed during the inspection looked well cared for. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 12 Each of the ten residents who completed ‘Have your say about..’ surveys said that they were looked after well. Residents said that ‘staff allow them to live their lives..’ and ‘help where help is needed..’ Of the ten residents relatives who completed surveys three said that they felt that the home always meets the needs of residents and give residents the care or support needed / agreed. The remaining four said that they home usually does. There was evidence that so far as possible residents are encouraged and supported to remain as independent as possible and where they can participate in activities such as washing and dressing this was recorded. Care plans, which were examined during the inspection had been reviewed and revised on a regular basis and where there had been changes to the persons condition or the care and treatment they were to receive this was recorded. Risks to the health and safety of residents such as risks of falls, developing pressure sores, weight loss and risks associated with the use of lifting hoists are identified and monitored. Due to the risks associated with the use of bedrails these are not used in the home and a number of other measures are employed to minimise the risks of injury due to falls from bed such as the use of bed wedges, low level divan style beds and in some instances the placing of mattresses on the floor. It was positive to note that where risks were identified that there was a plan to manage these while minimising the limitations to a person’s independence and choice. Each of the seven residents relatives who completed surveys indicated that they are always kept up to date with important issues affecting their friend or relative. One person commented that they had been contacted very late at night when their relative had a fall. This person felt that as there had been no serious injury that the call could have been left until the morning. Consideration should be given to agreeing with each individual a plan for contacting relatives at night in event of a change in resident’s condition or accidents etc. Regular checks are made in respect of resident’s weights and where there are problems with poor appetite or weight loss staff record food intake and a plan of care is developed for the individual. When people move into the home their ability to safely retain and administer their medicines is assessed. The majority of people choose that staff retain control of and administer medicines. Staff working at the home have received training in respect of the safe handling and administration of medicines. Staff were observed to administer medicines at appropriate times. The homes manager said that the practices for administering medicines had been changed so that people took medicines after Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 13 their meal. This practice means that antacids such as ‘Gaviscon’ are more effective and that resident’s appetite and taste are not adversely affected by medicines. Medication Administration Records (MAR), which were assessed during the inspection, were well maintained. Staff were advised that it would be good practice to have a second person check and countersign when they hand write MAR so as to minimise the risk of error. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to live their lives in a way, which meets their wishes and needs. EVIDENCE: The home employs two activities coordinators who work a total of fifty-five hours per week. There is a programme of planned activities, which includes board games, crafts, reminiscence, film shows and ‘shopping days’. This is delivered in a flexible way so as to best meet the needs of residents. In addition to this outside entertainers including music entertainers visit the home on a regular basis and an exercise instructor visits the home once a fortnight. The homes manager has arranged for three of the residents who live on Parkview unit to attend a local day centre one day per week. One residents relatives who were spoken with during the inspection said that they are always welcomed when they visit the home and that they regularly take their relative out shopping and plan to take her on holiday. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 15 During the day of the inspection staff were observed to spend time chatting and engaging with residents. Those residents who completed surveys said that staff assisted them to keep in contact with friends and relatives. Of the five residents relatives who commented as to whether the home helps residents keep in touch with relatives and friends two said that the home always did, two said that the home usually did and one said that the home sometimes did. Some residents who took part in the homes own quality assurance survey last year indicated that they did not have access to telephone facilities. Some relative felt that more could be done so as to provide more stimulation for residents. One person commented that staff could be ‘less task orientated and treat residents as people not patients..’ and spend more time with them ‘to have fun..’ Three residents relatives said that the home always support people living at the home to live the life they choose. One said that the home usually does and the remaining two did not answer this question. The home has a menu, which is reviewed and revised on a regular basis, and residents are asked to make suggestions about what meals they would like provided. On the day of the inspection residents enjoyed a mixed grill with sausages, bacon, eggs, mushrooms, tomatoes, hash browns and onion rings. Some residents chose to have baked potato, macaroni cheese or spaghetti. Residents were observed to enjoy their meal and those who were spoken with said that the food was very good. So far as it is possible resident’s preferences are catered for. Residents have the choice of a hot meal option or a choice of sandwiches at teatime and there are home made cake served for afternoon tea on alternate days. Residents have the choice of where they take their meals and most chose to eat in the homes dining areas. Meals are served in a congenial setting with tables laid nicely and condiments such as salt, pepper and vinegar are provided. Residents are encouraged to remain independent and staff are available to assist where this is required. Chaplin Lodge DS0000018079.V335477.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives feel that any complaints or concerns will be taken seriously and dealt with appropriately and that residents will so far as possible be protected from abuse, harm or neglect. EVIDENCE: Chaplin Lodge has a policy and procedure for dealing with complaints. Each complaint will be investigated and a response made, in most cases, within twenty-eight days. The homes manager operates an ‘open door policy’ whereby residents or their relatives may discuss any issues or concerns with her directly. Six of the seven relatives who completed surveys said that they were aware of how to make a complaint. Four of these six people said that the home always responded appropriately if they had raised complaints or concerns. The remaining two said that the home usually did. A record of all complaints received and the action taken is kept in the home. Records indicate that there have been six complaints made since the last key inspection. One complaint was made about a resident’s hearing aid and reading glasses ‘going missing..’ another person complained that their relative had been given water in a dirty jug. One person complained about the quality of the food provided by the home and the staffing levels. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 17 There was evidence that all of the issues identified within the complaints had been investigated and an appropriate response had been made to the complainant. The home provided training in respect of the protection of people who live at the home from abuse, harm or neglect to all staff as part of their ongoing training programme. From the training tracker matrix provided on the day of the inspection it was noted that three care staff and two ancillary staff had not received this training. Of the remaining staff 65 had received training updates within the previous twelve months. There has been one incident of theft of a residents monies by a member of staff since the last inspection, which resulted in a Protection of Vulnerable Adults (PoVA) alert and subsequent investigation by Essex Police, which was being dealt with at the time of the inspection. The homes manager had followed the policy and procedure and taken appropriate and prompt action once the incident was highlighted. Chaplin Lodge DS0000018079.V335477.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, 20 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Chaplin Lodge provides a clean, safe and homely place for older people. EVIDENCE: There have been some improvements made to the overall environment of the home since the last inspection. A number of carpets have been replaced and there has been some redecoration in Parkview. The corridors on the first floor have been redecorated making them bright and airy. A number of resident’s bedrooms have been redecorated and furnished with new wardrobes and cabinets. Resident’s bedrooms, which were viewed were noted to be personalised with ornaments and pictures and items of residents personal furniture. The manager said that wherever it is possible residents may bring items of their furniture into the home when they move in. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 19 Each of the residents who took part in the homes service users opinion survey said that they felt their surroundings were comfortable, that they were satisfied with the content of their rooms and that they have the freedom to move around the home. Fourteen of the twenty-two residents who completed this survey said that they did not have access to a radio and twenty said that they did not have access to a telephone. Some resident’s relatives commented about the décor and two said that it could be improved. One person commented that bedrooms are not always clean and another said that the courtyard garden could be tidied up and furnished with more seating for residents. Chaplin Lodge DS0000018079.V335477.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are recruited to work in the home in a consistent and robust manner. Staffing levels are reviewed and revised in accordance with the needs of the residents living at the home. EVIDENCE: The home employs ten staff during the hours of 08.00 and 20.00. Staff are deployed in the different areas of the home according to the needs of the residents. Three staff are employed in Parkview unit, which accommodates up to a maximum of eighteen people who have dementia, four staff are employed on the ground floor and three on the first floor where residents are less dependent. The arrangement for deployment of staff is reviewed and changes are made wherever it is appropriate. However a number of resident’s relatives said that there do not always seem to be enough staff on duty. One person commented that there do not seem to be enough staff working at the home at weekends. Another person said that they were concerned that staff appear to ‘take their break together..’ Most relatives commented that staff working at the home were kind, considerate and genuinely caring. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 21 Occasionally the home employs temporary agency staff. There was evidence that where agency staff are employed that detailed information in respect of the persons skills, training, CRB disclosures and PoVA First checks and a photograph are obtained before the person commences work at the home. Six care staff working (22 ) at the home had undertaken National Vocational Qualification (NVQ) level 2/3 in care and a further twelve staff have registered with a local training provider to undertake this training. The National Minimum Standards recommend that a minimum of 50 of care staff undertake this training. The staff files for three people who have been recruited to work at the home since the last inspection were examined so as to assess the procedures for staff recruitment at the home. There was evidence that all of the checks as required by regulation including a satisfactory Criminal Records Bureau (CRB) disclosure, PoVA First check and references had been obtained before each person commenced work at the home. Each person had attended an interview so as to determine his or her suitability to work in the care home. All new staff who commence work at the home undertake a period of induction to the home and complete an induction programme, which is in line with the Skills for Care programme. The home has an ongoing programme for staff training. All of the care staff working at the home have undertaken training for the safe moving & handling of people with 87 of staff having undertaken training updates within the last twelve months. All staff working at the home at the time of this inspection had undertaken fire safety training. In addition a number of staff have received care planning, dementia awareness, continence management and challenging behaviour training. Six members of ancillary staff are undertaking NVQ training in housekeeping / food preparation. Six senior care staff are undertaking training in respect of the safe handling and management of medicines and staff working in Parkview are undertaking training in care of people who have dementia, both courses being provided through Chelmsford Adult Education College. However not all staff have undertaken training in respect of infection control, food hygiene, and basic health and safety. There is planned training for both food hygiene and infection control in May 2007. Chaplin Lodge DS0000018079.V335477.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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Chaplin Lodge is well managed and run in the best interests of the people who live in the home. EVIDENCE: The homes manager ensures that the home is managed in an open positive and inclusive manner. Residents and relatives enjoy a good relationship with the manager and staff. Southern Cross have provided a system for managing monies held by them on behalf of residents. These monies up to a maximum of £500 are banked in a pooled non-interest bearing account. The Commission have been in discussion Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 23 with Southern Cross to decide the best way to manage the handling of resident’s monies. At the time of this inspection the practices employed by the home had not been agreed. The home has a system in place for obtaining the views of residents regarding a number of areas including environment, daily life and health and well being so as to monitor maintain and improve the experience for people living at the home. The last survey was carried out in June 2006. Twenty-four responses out of a possible sixty-six were received. Generally responses were positive and most residents indicated that they could make decisions about their lives such as what time they get up and retire to bed, how they spend their time and the activities they participate in. Residents indicated that they feel safe and supported within the home and that they receive assistance from staff when needed. Some residents said that they did not have access to telephone and radio facilities. Relatives who were contacted to give their views about the home were asked what the home do well and where they could improve. People said that staff were ‘caring’ that ‘residents were not restricted’ and had the freedom to walk around the care home. One person said that ‘care staff care very much about the welfare of all the people living at the home..’ another person said that the ‘care is excellent..’ Some people commented that the housekeeping and laundry services could be improved as bedrooms are not always clean and items of clothing regularly go missing. Three of the seven residents relatives said that they feel that there could be more staff and that staff should spend more time chatting with residents. There was evidence in the staff records, which were sampled that staff working at the home receive regular supervision. Regular checks are carried out on all of the equipment and systems in the home including fire alarms, emergency lighting, gas and electric systems and equipment such as lifting hoists, heating and hot water systems. Detailed records are maintained in respect of these checks and where any problems are identified these are dealt with promptly. Chaplin Lodge DS0000018079.V335477.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 2 X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 3 X 3 Chaplin Lodge DS0000018079.V335477.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 OP30 Regulation 18(1)(c) Requirement All staff who work at the home must receive training for the roles they are ton perform. Timescale for action 30/07/07 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 OP11 Good Practice Recommendations Wherever it is possible residents wishes for care and treatment should their condition deteriorate / as they reach the end of their lives should be obtained and recorded. More could be done so as to ensure that all residents are provided with appropriate opportunities for stimulation, including staff spending more time with residents. Consideration should be given to agreeing with relatives the procedure for contacting them in the event of any incident / accident at the home. All staff working at the home should receive regular training in respect of the protection of people from abuse, harm or neglect. Consideration should be given to the provision of radio & telephone access to residents. DS0000018079.V335477.R01.S.doc Version 5.2 Page 26 2. 3. 4. 5. OP12 OP13 OP18 OP19 Chaplin Lodge 6. 7. 8. OP20 OP27 OP28 More could be done so as to make the garden area more suitable for residents to enjoy. Staffing levels / deployment should be reviewed in light of the comments made by residents relatives. A minimum of 50 of care staff should undertake National Vocational Qualification level 2/3 in care. Chaplin Lodge DS0000018079.V335477.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Chaplin Lodge DS0000018079.V335477.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. 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