Inspection on 07/02/06 for Chaplin Lodge

This inspection was carried out on 7th February 2006.

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

Chaplin Lodge 07/05/08

Chaplin Lodge 14/05/07

Chaplin Lodge 22/05/06

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 08:40 7 February 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chaplin Lodge DS0000018079.V265522.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. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 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 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.V265522.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 9th September 2005 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. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out on 2nd February 2006 by Inspector Michelle Love and Lead Inspector Carolyn Delaney. The inspection took place between the hours of 08.40 and 20.30. Information about the residents who live at the home, such as assessment documents and care plans were sampled and examined and five residents were spoken with. Relatives of two residents were spoken with on the day of the inspection and the relatives of seven 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. Three responses in relation to the surveys were received and a summary of these are included in this final version of the report. Records in respect of the recruitment, training and deployment of staff who work at the home were sampled and examined and seven members of care staff and three domestic staff were spoken with. The serving of the breakfast and lunchtime meal and midmorning and afternoon refreshments was observed. Records in respect of the receipt, administration and storage of medicines were examined. A brief tour of the premises was carried out. What the service does well: Chaplin Lodge provides a warm and comfortable environment for older people who require assistance with daily activities of living. Senior staff on duty of the day of the inspection ensured that visiting healthcare professionals such as doctors and district nurses were given up to date information about the treatment and needs of residents so that appropriate changes to treatment could be implemented. The home provides a well-balanced and varied diet for the people living at the home. Many of the staff have worked at the home for a number of years, which helps to promote continuity of care, and a number of staff were seen to provide care and engage in positive interaction with the people in their care. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 6 Two off the three people who responded to the relatives questionnaire indicated that they were satisfied overall with the care provided by the home and one relative commented that staff working at the home were very kind. What has improved since the last inspection? What they could do better: Staff could better evidence the care they provide by ensuring that they keep accurate and up to date records such as updating care plans and assessments when residents care or safety needs change. Some staff could exercise more care and attention when carrying out care. Staff must provide care according to safe practices, training and the homes policies, in particular when moving and handling residents and when administering medicines. The routines of the home should be reviewed so that residents receive the support they need for example at mealtimes. Each of the three relatives whop responded to the questionnaire sent out to obtain relatives and visitors views commented that there were not always sufficient numbers of staff on duty at all times. One relative also commented that the laundry service could be improved as items of clothing regularly go missing. The manager must ensure that all equipment needed by residents such as hoists are maintained in good working order. Staff would benefit from specialised training such as training in relation to dealing with aggression so that residents who have aggressive outbursts receive appropriate care. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 7 The home is generally clean and free from unpleasant odours, however some were detected in one corridor and this must be addressed. 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. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 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.V265522.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 The information provided by the home in relation to the services and facilities offered by the home has not been updated in light of the organisational and local management changes. Records did not evidence that residents needs were consistently assessed prior to their moving into the home, so as to determine that taking into account the needs of other people living at the home and the available resources, including staffing, that the home can meet these needs. EVIDENCE: The homes statement of purpose and service users guide has not been updated in light of the recent local management and organisation changes. Pre- admission assessment documents for two people who had recently moved into the home were examined. The records in relation to the care and safety needs of both of these people was not fully sufficient so as to determine that the home can meet these needs or to provide staff working at the home with detailed information so that they can best meet residents needs. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 10 For example one admission record was incomplete and did not provide any level of information about the person to whom it related. In other assessments key information in relation to residents needs such as mobility, eating and drinking and general capabilities was not recorded. It was also noted that other information such as social services assessments (COMM5) also lacked sufficient detail about people to be admitted to the home. Chaplin Lodge does not provide intermediate or rehabilitative care. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, & 11 Records in respect of residents care, health and safety needs are not always maintained in sufficient detail so as to ensure that staff have the necessary information about the planned care and treatment for residents and staff do not always act according to planned care and the homes policies and procedures in order to best care for the people living at the home. Staff do not consistently act in accordance with their training, the homes policies and procedures and current legislation in relation to the safe handling and administration of medicines. Some staff act in a manner, which promotes resident’s dignity and independence. Residents wishes in relation to end of life issues are not consistently obtained and recorded. EVIDENCE: Care plans for ten residents were assessed. Some care plans were very detailed and included specific information about how the person would prefer to have their care and treatment carried out. Records and information about Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 12 how residents who display aggressive behaviour are cared for did not indicate that staff were trained or skilled in managing aggression. Assessments and plans for managing risks to residents of injuries from falls or risks of developing pressure sores were not detailed. Some records did not evidence that staff took appropriate action to minimise risks, for example it was recorded that one resident’s sacral area was breaking down and that staff had applied some topical cream, however it was not clear that any other action had been taken and the care plan had not been updated with information about the changes to the individuals condition. All staff who have the responsibility for administering medication have received training and there are detailed policies and procedures in place. However a number of issues of concern were noted on the day of the inspection. The morning medicines, which are prescribed for 08.00, were not commenced until after 09.00 and some residents did not receive their morning medication until almost 11.00. Lunchtime medicines were administered at 13.00 leaving less that two hours between doses. The serious implications of this of this practice was discussed with the one of the homes Team Leaders and the organisations operations manager who undertook to rectify the issues with immediate effect. Other concerns were raised when it was noted that staff had signed to indicate that they had administered a medication on a number of occasions, which had not been prescribed to be administered at the times when it was given. Staff do not consistently keep accurate records in relation to the medicines that they receive and administer to residents. An Immediate Requirement notice was issued in relation to the serious concerns raised regarding staff handling of medicines in the home. A number of staff were observed throughout the day to care for residents in a very kind and sensitive manner, however others were observed to be somewhat abrupt and to carry out care tasks without speaking to or explaining to residents what they were about to do. Resident’s relatives who were spoken with during the inspection said that they felt that staff were kind and caring. Of the eight residents records assessed the preferences for end of life issues and arrangements following death were recorded for six. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The home does not provide a range of activities or stimulation and occupation for the people living at the home. Residents are supported in maintaining contacts with family and friends. Some but not all residents are assisted in exercising control and making choices about how they live their lives. Residents receive a balanced, varied and well-presented diet, however residents do not receive the support and assistance required in accordance with their needs at mealtimes. EVIDENCE: The home employs an activities coordinator for twenty-five hours per week between Monday and Friday. The home has a vacancy for another coordinator to cover thirty hours. The home employs a volunteer to assist with the provision of activities, however it was noted that this person did not seem to be supported or guided so as to best make use of their time spent at the home. On the day of the inspection there was very little noted in the way of suitable stimulation or activities for the people living at the home and many of the Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 14 residents spent the morning sitting in lounge areas sleeping. The activities coordinator said that she had spent the morning purchasing items for residents and that she planned a ‘sing along’ for the afternoon. It was noted that in the afternoon it took almost an hour to organise this event and it lasted for approximately thirty minutes. A small number of residents appeared to enjoy the singing, however a number appeared disinterested. The provision of suitable stimulation and activities has been identified at the previous inspection and there have been no improvements noted since this time. Residents and relatives who were spoken with during the course of the inspection said that staff welcomed visitors to the home. One resident and their relatives were going out for the afternoon and staff assisted as needed to facilitate this. Some staff were observed to act in a manner, which promotes residents choices and independence such as asking residents how they would like certain aspects of their care to be delivered. However others did not engage in any conversation, explaining what care was to be carried out and asking residents how they would like care to be carried out so as to support people to make decisions about how they wished to spend their days. The serving of breakfast and lunch was observed in each of the three dining areas in the home. Residents were offered a choice of cereals, grapefruit and prunes and toast for breakfast. Some residents were noted to wait in the dining room for approximately an hour before they were served breakfast at about 9am. Residents were offered the choice of roast chicken or fishcakes and a selection of vegetables and mashed potatoes for lunch. The meal looked appetising and nutritious, however there were a number of residents who did not receive the assistance and support they needed. For example in Parkview a number of residents required support and prompting to take their meal and there were insufficient staff available to assist these people. It was noted that those more able and independent residents living on Parkview were seated separately from those who require a lot of support and this would have greatly enhanced the dining experience had they not been served their lunch last and therefore their meal was cold. In the other dining room on the ground floor a number of people needed assistance and support with their meal, however staff were not available in sufficient numbers to provide this assistance. Residents are not routinely offered the choice of hot and cold drinks at refreshment and meal times. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 15 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 Care practices do not generate a large number of complaints. Records in relation to complaints are not consistently maintained. Staff receive training and information in relation to the protection of people living at the home from harm EVIDENCE: Records indicated that there had been five complaints made about the services provide by the home since the last inspection. There was a log in relation to these complaints, which indicated that two were still ongoing and that the other three had been resolved. There were no records available in relation to the investigation being carried out for one of the ongoing complaints and there was no record of the response for one of the complaints, which had been closed off. It was further noted that some complaints had been made which had not been recorded or investigated according to the homes policies and procedures. Residents and relative who were spoken with said that they felt their complaints or concerns are dealt with to their satisfaction. Staff receive training and information in relation to the protection of vulnerable people from abuse and harm. There have been no incidents of harm to residents since the last inspection. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 16 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, 22, 23 & 26 People living at the home have access to comfortable and well-maintained accommodation. Equipment as required for the safe moving and handling of people with high mobility needs was not available on the day of the inspection. While the home is in the main free from unpleasant odours, some were detected throughout the day in one area of the home. EVIDENCE: The home is well maintained and although it is an older property it is kept in fair decorative order and resident’s bedrooms had comfortable divan type beds and their rooms were personalised with their belongings. On the day of the inspection it was noted that none of the three batteries for one of the hoists were fully charged which meant that there was insufficient moving equipment for the needs of the people who required this equipment. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 17 In general the home was free from odour and was kept clean, however some strong odours were detected in one corridor and the operations manager said that there were plans to change the floor covering in this bedroom once consent had been sought from the resident occupying it. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 18 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 staffing levels, deployment of staff and staff practices and routines do not ensure that residents care needs are met. Staff are recruited in a robust manner so as to best protect the safety and interests of the people who live at the home. Staff receive mandatory training, however staff do not consistently act in accordance with training and the homes policies and procedures when carrying out their roles within the home. EVIDENCE: The staff duty rota indicated that a number of staff regularly worked sixty hours, which could impact, on the quality of care provided to the people living at the home. The duty rota did not always indicate the number of hours that staff worked each day and it was not clear that all shifts are adequately covered. The deployment of staff at key times such as mealtimes was not sufficient so as to assist residents with taking their meals. Each of the three relatives who were contacted by post so as to obtain their opinions about the services provided by the home commented that there were not always sufficient staff on duty in the home. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 19 It was positive to note that staff recruitment practices had greatly improved since the last inspection with the inclusion of detailed checks and interview of candidates so as to minimise risk and best meet the needs of people living at the home. There was evidence that staff receive basic mandatory training such as safe moving and handling and training in relation to the protection of vulnerable people from harm. However staff were observed to act and carry out practices contrary to their training and the homes policies and procedures. For example some staff were observed to move residents in an unsafe manner and medicines were not consistently administered as prescribed. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 & 38 The home is generally managed in an open and conducive way, however staff practices do not always best meet the needs of the people living the home. EVIDENCE: The registered manager is motivated and proactive with an open and positive management style and her influence on the ethos of the home is evident in the improvements seen in the recruitment and support of staff. Staff who were spoken with said that the homes manager supported them. There were good records maintained in relation to the monies held on behalf of residents and monies checked were accurate in accordance with the records and receipts for transactions such as hairdressing and chiropody. There were no issues raised in relation to the maintenance of the premises. Records of maintenance, repair and renewal for fire, gas, electrical and Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 21 mechanical equipment were not assessed on this occasion and will be checked at the next inspection. However it was noted that there was no evidence that staff, including those who work during the night have received sufficient training and information regarding how to deal with an outbreak of fire at the home. Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 22 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 2 X 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 1 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X 2 3 X X 2 STAFFING Standard No Score 27 1 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Chaplin Lodge DS0000018079.V265522.R01.S.doc Version 5.0 Page 23 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 OP1 Regulation 4&5 Requirement Timescale for action 30/03/06 2 OP3 14(1)(2) The registered persons must ensure that the information provided in relation to the homes service provision be kept up to date. The registered persons must 30/03/06 ensure that people are only admitted to the home following a detailed assessment of the individuals care and safety needs and taking into consideration the needs of the people already living at the home and the homes resources it is determined that the home can meet each persons needs. (Previous timescales following the last inspection has not been met.) 3 OP7 15(1)(2) 4 OP8 13(4) The registered persons must ensure that information about residents needs is recorded clearly in the plan of care and that this information is kept up to date in accordance with any changes to care and treatment. The registered persons must ensure that so far as it is practicable that all risks to the health and welfare of people DS0000018079.V265522.R01.S.doc 30/03/06 30/03/06 Chaplin Lodge Version 5.0 Page 24 living at the home are fully assessed and managed. (Previous timescales following the last inspection has not been met.) 5 OP9 13(2) The registered persons must ensure that staff working at the home handle and administer medicines in accordance with the homes policies and procedures and current legislation. (Previous timescales following the last inspection has not been met.) 10/02/06 6 OP12 16(2)(m) (n) The registered persons must ensure that the range of activities provided for people living at the home are suited to the individuals needs and wishes. (Previous timescales following the last inspection has not been met.) 30/03/06 7 OP15 13(2)(i) 8 OP16 22 9 OP22 23(2)(c) (n) 11 OP26 16(2)(k) 12 OP27 18 The registered persons must ensure that residents receive assistance and support as required at mealtimes. The registered persons must ensure that records are maintained in relation to the receipt and investigation of complaints are kept up to date and evidence that complaints are dealt with appropriately. The registered persons must ensure appropriate equipment for the needs of the people living at the home is made available and kept in good working order. The registered persons must ensure that all areas of the home are maintained so far as it is possible free from unpleasant odours. The registered persons must ensure that the staff duty rota accurately reflects the staffing levels at the home and that staff DS0000018079.V265522.R01.S.doc 28/02/06 30/03/06 30/03/06 30/03/06 28/02/06 Chaplin Lodge Version 5.0 Page 25 13 OP30 18 are employed and deployed so as to meet the needs of the people living at the home. The registered persons must ensure that staff working at the home receive appropriate training in relation to their roles and meeting the needs of elderly people living at the home and that staff act in accordance with training programmes and the homes policies and procedures. (Previous timescales following the last inspection has not been met.) 30/04/06 14 OP38 23(4)(a) (b)(c)(d) The registered persons must ensure that all staff are aware and trained so as to act appropriately and safely in the event of an outbreak of fire at the home. 28/02/06 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 It is recommended that wherever it is practicable that residents wishes in relation to end of life issues and preferred arrangements following death be obtained, recorded and kept under review. It is recommended that training in relation to the protection of people from abuse be reviewed so as to include training regarding the management of aggressive and challenging behaviour. It is recommended that daily routines and care practices be reviewed so as to make best use of the staffing resources and to best meet the needs of residents at key times such as mealtimes. 2 OP18 3 OP27 Chaplin Lodge DS0000018079.V265522.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 Chaplin Lodge DS0000018079.V265522.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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