Inspection on 05/05/06 for Corner Lodge

This inspection was carried out on 5th May 2006.

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

Corner Lodge 29/05/07

Corner Lodge 06/12/05

Corner Lodge 27/06/05

Corner Lodge 28/01/05

Corner Lodge 28/05/04

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 Corner Lodge 185-193 Meadow Way Jaywick Sands Clacton on Sea Essex CO15 2HP Lead Inspector Diane Roberts Unannounced Inspection 5th May 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Corner Lodge Address 185-193 Meadow Way Jaywick Sands Clacton on Sea Essex CO15 2HP 01255 220228 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) Mr Rahul Jagota Mr Sanjay Jagota Mrs Patricia Carol Webb Care Home 48 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (48) of places Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, over the age of 65 years, who require care by reason of old age (not to exceed 48 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) The total number of service users accommodated in the home must not exceed 48 persons Service users must not be admitted to the home under the Mental Health Act 1983 or the Patients in the Community (Amendment) Act 1995 6th December 2005 Date of last inspection Brief Description of the Service: Corner Lodge Residential Home is registered to provide care for older people over the age of 65 years and people over the age of 65 years with Dementia. The home accommodates 48 people in total and at the current time is primarily caring for people with dementia. The home is purpose built over three storeys with a passenger lift. The home has a garden and patio to the rear and car parking facilities. There are 42 single rooms and the majority have en suite toilets. There is a large dining room and four lounges, one of which is also used for dining. The home is situated in the seaside town of Jaywick and is within easy walking distance of the seafront and shops. As of the 05/05/06 the current scale of charges is £380.00 to £420.00 depending on level of need. Additional costs are charged for hairdressing, chiropody and aromatherapy. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection took place over six and a half hours and was carried out as part of the annual inspection programme for this home. The registered manager was present at the inspection. This home is developing positively and steady improvements are made to the service at each CSCI visit. There is obvious commitment from the management team to meet the National Minimum Standards. The Inspection focused upon all of the key standards and the homes response to the last agenda for action. A partial tour of the premises was undertaken. Evidence was also taken from the Pre Inspection Questionnaire completed by the home and submitted to the CSCI. Three relatives, two residents and three staff were spoken to during the inspection. Five comment cards were received from residents or relatives on behalf of residents. A CPN and District Nurse liaison were also spoken to as part of the inspection. Due to the care needs of the residents at the home it was not possible to fully obtain their views but residents’ appeared happy, relaxed and comfortable. What the service does well: What has improved since the last inspection? Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 6 The care records in the home have improved since the last inspection. These are developing into a positive record of the care provided to each resident. There is still some work to do but the manager is aware of this. The records, which show how the home has dealt with any complaints and concerns, have improved. They also show that they have an objective approach to complaints and are keen to ensure they are dealt with promptly and to everyone’s satisfaction. The induction for new staff starting work at the home has improved and the home now has records to evidence this. New staff confirm that they have had an induction. 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. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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): 2 and 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents in the home have a suitable contract of residence. Prospective residents are generally properly assessed prior to admission to the home, which ensures the home can meet their current needs. EVIDENCE: The home has a suitable contract of residence which clearly outlines the terms and conditions of the home. These were sampled at random and found to be signed by both the resident and/or their representative. The manager currently undertakes all pre-admission assessments. The forms used meet all the requirements under this standard and completed documentation was inspected at random. These were completed to a high standard, giving detailed and individualised information. Records show that the Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 9 home obtains, where possible, copies of either NHS assessments or Com 5 – Social Service assessments. This gives the home a good overall assessment. Relatives commented that the home were very supportive at the time of admission and were able to give them all the information they required. During the inspection it was possible to observe two residents being admitted and the high level of input being given by staff to both the residents and their relatives. However, it has been noted that one resident was assessed, refused admission due to illness and admitted a month later, without re-assessment and with developing complex needs. The manager needs to ensure that assessments are as up to date as possible and repeated if necessary. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a care planning system in place that is developing positively. Resident’s health care needs are generally met but records need to improve, to evidence this further. The medication systems in the home are managed well. Resident’s privacy and dignity is respected. EVIDENCE: Case tracking shows that the residents care plans are steadily developing. The review of care plans has improved with valuable information and observations being recorded by care staff and countersigned by the manager. Reviews are generally not always being done once a month as per the homes policy although extra reviews were seen for residents where there were placement or current care issues. The timing of reviews needs to be revisited. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 11 From discussion with relatives at the home, they are unaware of the care records held on behalf of the residents. They all stated that they felt well informed regarding the care of their relative and of any current care issues that had been noted or were being attended to. Family meeting minutes do evidence that family have been invited to view care records should they so wish and the homes’ quality assurance system identifies this as an area for work. From records, care needs identified had a care plan in place and these contained detailed information where required. This was also seen to be individualised information. Daily records have improved and are informative but they do not always link to the care plan and care provided. Risk assessments, including those for falls and nutrition are in place. Reviews are now being undertaken on these assessments but there needs to be a more consistent approach. The consistent recording of resident’s weights needs to improve with this client group. Where residents refuse weighing, the staff should try more than once during a month to weigh a person, especially if that person has care needs in relation to weight loss/dietary intake. Chiropody and bathing records also need to improve to give an accurate picture of the care provided. Medical records show that advice is sought promptly and that a wide variety of health professionals are used. Records also show that appropriate referrals are made to specialist advisors such as continence advisors and tissue viability nurses. The GP visiting service to the home has developed and improved. The GP now visits the home proactively twice a week and then as and when required. This time with the GP allows for a more proactive approach to healthcare and enables up to date reviews of medication etc. The visiting Community Psychiatric Nurse commented that the staff at the home refer to him in a proactive way, addressing any issues before they become a concern and therefore they achieve a good level of hospital admission avoidance. He felt that the staff were quite knowledgeable, the care records are up to date and that the staff know the residents well. For residents medication the home uses both a blister pack and bottle to mouth system supplied by a local pharmacy. This was inspected and records reviewed at random along with those linked to care plan case tracking. Residents were seen to be on appropriate medications with regular reviews being undertaken. Some residents, in relation to their care needs, do refuse medications and the GP is aware. Residents who are regularly refusing medication are being appropriately monitored by the GP who is made aware of the situation. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 12 Records were found to be in good order and a clear returns system is in place. Stock control was good with no excess medications being stored. No controlled medications were being stored at the time of the inspection. Since changing to a new pharmacy the home is able to obtain prescriptions the same day and the pharmacy provides an audit and staff training. Records show that staff receive updates in medication training and further courses are planned. It was noted that dates of opening are needed on liquid medications in order to provide an audit trail and for disposal purposes. Residents report that the staff are kind and sensitive when providing care and that they have the time to care. They also confirmed that staff always knock when entering their room and that they addressed them the way they chose to be addressed. Staff helping residents during mealtimes were seen to be sensitive and maintaining individuals dignity. Inspection of the laundry and residents clothing shows that the system is good and that residents are wearing their own clothes and that their clothes are well cared for and labelled. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both care and social activities in the home are very resident led and where possible preferences are taken into account, but written evidence of this is limited at times. Residents have good contact with family and friends and this is being developed further. As far as possible, residents are helped to exercise choice and control over their lives. Whilst the food provided is generally good and enjoyed by residents, there are some areas for improvement. EVIDENCE: The activities programme in the home is slowly developing. More staff, over 10, have undertaken detailed training in therapeutic activities in dementia care. They now need to put this knowledge into practice and make good records of the activities both planned and carried out. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 14 A two weekly programme of activities is displayed in the main hallway and includes, for example, Tai Chi, quizzes, exercise/ball games, crafts and music linked sessions. Residents still find the Tai Chi sessions very enjoyable. Unfortunately the records inspected do not accurately reflect the activities provided or planned and this needs to be addressed. Residents spoken to were aware that activities are on offer. Some choose not to take part and either to stay in their room or just observe. Other confirmed that they take part in the drawing/art sessions and the Tai Chi. The life histories in the residents care plans have not all been completed and this needs to be addressed. Both residents and relatives spoke positively regarding their contact with relatives and friends. The relatives felt welcomed into the home and felt that communication between them and the staff team was good. The home has an open visiting policy. Where possible residents access the local community. The manager now holds family meetings at the home and is in the process of linking with a local day centre that residents will be able to access. Minutes of the family meetings show that a wide variety of subjects are covered and that the management team have an open and inclusive approach. Information on advocacy services are displayed in the home. No residents are using advocates at the current time. Residents, who are able, have their own keys to their rooms and where possible residents can bring in their own belongings to the home. Records show that good inventories are made. Completed care plans show that staff are taking into account, personal preferences and choices and this was confirmed on discussion with residents and relatives in the home on the day of the inspection. The chef has worked in the home three years and from discussion, is obviously keen to ensure that the residents enjoy the food at the home. Whilst the chef has attended a food hygiene and health and safety course, it may be beneficial for her to attend a course based upon meeting the nutritional needs of the elderly or elderly with dementia in order to increase her knowledge base. This was discussed with the manager. The home works to a four weekly menu. On inspection this was found not to be the case, with the printed menu just outlining what may be prepared. This needs to be reviewed along with the teatime meal, which showed a limited choice over the week, mainly consisting of sandwiches. The home needs to ensure that a nutritionally sound menu is provided over a set period. Menu choice records do show that individual preferences are taken into account and that residents are provided with food other than the main choices, which was seen to be very positive. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 15 A cooked breakfast is provided twice a week with a lighter lunch menu on those days as many of the residents enjoy the breakfast. Fresh fruit is available as snacks and on the afternoon tea trolley on a regular basis. Residents spoken to commented that the food was very nice and that there was plenty of it. Residents confirmed that staff come and visit them with a menu and that they have a choice. Residents also confirmed that they were able to have something more substantial at suppertime, during the evening, should they so wish. Lunch was seen to be a clam and relaxed affair downstairs with staff sitting eating with residents and helping and prompting them during the meal. This was seen to be a positive and dignified way of helping residents during meal and the staff team at the home are commended for their approach. Mealtimes for residents in the upstairs lounge requires review, especially for those having a soft diet. Staff were observed to mix all the food together. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems in place to help ensure that concerns and complaints will be listened to and acted upon. The home has systems in place, which help to ensure the protection of vulnerable adults from abuse. EVIDENCE: The home has a clear and concise complaints procedure in place. This is displayed in the hallway and is found in the Service Users Guide, which was observed to be in many of the resident’s bedrooms. The home has a recording system for logging complaints/concerns but is not utilising this fully. This was discussed with the manager. Records of any complaints investigated by the home have improved and show more detail. Records show that complaints are dealt with promptly. Two complaints had been received since the last inspection, one relating to care standards and moving and handling and one relating to a member of staff. One involved Social Services and was dealt with as a POVA. It was found that there was no case to answer. The latter complaint was also found to have no case to answer to. The most current inspection report is freely available to relatives in the main reception area. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 17 The home retains letters and cards of compliment and these commented that residents were ‘in good hands’, ‘well cared for and loved’ ‘excellent care’ and ‘staff kind and friendly and ‘kept us well informed’. Residents spoken to knew that they could raise any concerns they had with either staff or through their families and did not appear reluctant to do this. Senior staff spoken to were informed and clear about what they would do if a POVA incident occurred whilst they were in charge of the home. The manager and senior staff cover the home for advice etc on a 24hr basis. New staff spoken to were equally aware of the need to report any concerns. The home has up to date polices and procedures in place to guide staff. Records show that there are significant gaps in staff training with regard to POVA and this needs to be addressed. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well maintained. The home is clean and pleasant. EVIDENCE: Since the last inspection the proprietors have redecorated more bedrooms in the home and have also purchased an significant amount of new beds and bedroom furniture. New chairs have been purchased for the lounges and main dining room and new curtains have also been put up in the dining room. Both residents and relatives spoken to on the day of the inspection were happy with the home and their rooms, stating that the rooms were comfortable and the décor was nice. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 19 Residents and relatives also felt that the cleanliness of the home was good and no odours were noted. The home has a maintenance man in post who attends to any work required and who also does some decorating for them. A partial tour of the home was undertaken and the home was found to be clean. The hot water system has been checked since the last inspection and works are ongoing to address any glitches in the system. The home has had a recent visit from the Fire Officer and records show that they have addressed any minor shortfalls noted. A tripping hazard was noted by the top floor lounge and this was raised with the proprietor on the day of the inspection for attention. The proprietor started to address this on the day of the inspection. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff generally meets services users needs, but this is still developing. Residents are generally in safe hands but an increase in staff knowledge could improve this further. The home has sound recruitment policies and procedures, which they follow. The home has a training programme in place, which will help to ensure that staff are competent to do their jobs, but shortfalls were noted. EVIDENCE: Recent staffing rotas were inspected at random. The home currently has a few staff vacancies but manages to cover these with their own staff rather than using agency. Staffing levels are currently being maintained at 7 a.m, 7 p.m and 4 at night. These levels are usually achieved apart from odd days, mainly at weekends, due to sickness. If required, extra staff will be used to cover escort duties. Sufficient domestic and kitchen staff are employed to cover the home. The home has a new acting deputy manager who is qualified to NVQ level 2 and plans to start NVQ level 3. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 21 Residents spoken to report that the care staff team are generally very nice and friendly – ‘a nice bunch of people’. The experience and skill level of the staff team is increasing as the managers puts into place the planned training programme for the home. Care staff have been attending training in Dementia care and therapeutic activities. Relatives spoken to say that the staffing levels in the home have never given them any cause for concern and that staff were always available to talk to if needed. 25 care staff and 11 ancillary staff are employed at the home. Records show that 10 staff have NVQ level 2 and above so the home has yet to achieve the 50 required standard. 11 care staff are due to commence NVQ level 2 in the near future. Only one person holds a first aid certificate and this needs to be addressed. 10 staff have recently attended training on loss and bereavement and ancillary staff are undertaking NVQ’s. Whilst the training programme steadily progresses in this home further work is required. Staff spoken to confirmed recent training in dementia care, fire safety, health and safety etc. The staff induction programme in the home has improved since the last inspection. The Manager and Deputy Manager confirmed their efforts on this part of the staff training and records show that staff are now receiving an induction. The staff induction programme was seen to be comprehensive and will take time to complete. At the current time it is not linked to Skills for Care and the manager may wish to review this. Staff spoken to obviously enjoy working at the home and feel that the environment is pleasant. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is of good character, suitably qualified and fit to run the home. The quality assurance programme in the home is basic and needs to be organised and developed. Resident’s financial interests are safeguarded. The health and safety of residents and staff is promoted, with only minor shortfalls noted. EVIDENCE: Since the last inspection the Manager has completed her NVQ level 4 in Management. Staff spoken to view the manager as open minded, fair and is Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 23 good at looking at the bigger picture when issues or ideas arise. They also stated that she is on the floor a lot and is not afraid to help out and see what is going on. They also said that she likes to be kept up to speed. The quality assurance systems at the home still require developing and implementing. Resident/relative satisfaction questionnaires are used and the results are evaluated and shared. Some feedback has been received in 2005 from visiting professionals. Feedback was seen to be very positive for 2005. The home needs to develop their own internal audit system and develop methods for looking at trends and incidents to see if they can improve or develop practice, for example with accident records or referrals to the District Nursing team. The home encourages residents and their families or representatives to deal with their financial interests as far as possible. The home does not act as appointee for any residents currently in the home. The home does hold small amounts of personal monies on behalf of residents and this was checked at random. These were kept in good order with records and receipts available. Three residents are able to manage their own personal/financial affairs and the home supports them to do this. The manager at the home provided written evidence that stated that all the current safety and maintenance certification was up to date. A random sample was checked (fire safety equipment and checks and the passenger lift) and these were found to be in order. Accident records were reviewed. These were seen to be clear and informative, giving a good level of detail. Were appropriate RIDDOR forms had been completed It was noted that quite a few residents were suffering skin tears or minor lacerations, some caused by falls and others with an unknown origin. Records show that district nurses had been asked to see these residents. Not all wounds were recorded in the accident book. This needs to be reviewed by the home so they can monitor more closely the incidence of these wounds and reduce risks if possible. This was discussed with the manager who will be reviewing these wounds and seeing if any proactive measures can be taken. Records shows that staff training is up to date for fire safety, manual handling and that 14 staff had recently undertaken a health and safety course. Further training in this subject should be provided. 11 staff have recently completed food hygiene training. Since the last inspection the manager has completed safe working practice risk assessments for the home. These were seen to be informative and realistic. On discussion it was apparent that these have yet to be shared with the appropriate staff and this should be addressed. Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 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 X 3 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 26 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 The registered person must ensure that pre-admission assessments are current for the time of admission. The registered person must ensure that each resident has a care plan in place, which is kept under review. The registered person must ensure that where possible residents and/or their representatives have input into the care planning system. The registered person must ensure that residents receive appropriate health care and maintain records of such. With specific reference to weight monitoring and chiropody. The registered person must develop the activities programme further and maintain records to evidence the programme. The registered person must continue to develop the stafftraining programme to ensure that staff are fully able to meet the needs of residents. Timescale for action 14/06/06 2. OP7 15 30/06/06 3. OP7 15 30/06/06 4. OP8 13 30/06/06 5. OP12 16 30/06/06 6. OP30 18 30/06/06 Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 27 7. OP38 13 (4) The registered person should ensure that any unnecessary risks to the health and safety of residents are identified and so far as possible, eliminated. This refers to the incidence of skin tears in the home. 30/06/06 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. 2. 3. 4. 5. Refer to Standard OP9 OP12 OP15 OP15 OP18 Good Practice Recommendations The registered person should ensure that dates of opening are recorded on all liquid medications. The registered person should ensure that the social histories of residents are completed and that staff are aware of the content. The registered person should give consideration to the ongoing development and knowledge base of the kitchen team in relation to the resident group in the home. The registered person should ensure that residents on special diets are fed/helped appropriately. The registered person should provide further staff training in the Protection of Vulnerable Adults to ensure that all staff are aware of current guidelines etc. The registered person should give consideration to the staff induction programme being linked to Skills for Care. The registered person should ensure that staff are aware of the safe working practice risk assessments that have been completed. 6. 7. OP30 OP38 Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Corner Lodge DS0000052195.V293084.R02.S.doc Version 5.1 Page 29 - 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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