Inspection on 03/01/06 for Cosy Lodge

This inspection was carried out on 3rd January 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

Cosy Lodge 24/09/08

Cosy Lodge 04/10/06

Cosy Lodge 07/07/05

Cosy Lodge 01/02/05

Cosy Lodge 27/04/04

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

CARE HOME ADULTS 18-65 Cosy Lodge Cosy Lodge Westwell Leacon Charing Ashford Kent TN27 0EH Lead Inspector Mrs Ann Block Announced Inspection 3rd January 2006 13:40 Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 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 Cosy Lodge DS0000023375.V263984.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 Adults 18-65. 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. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cosy Lodge Address 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) Cosy Lodge Westwell Leacon Charing Ashford Kent TN27 0EH 01233 713 515 Counticare Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2005 Brief Description of the Service: Cosy Lodge is a detached chalet style property situated in a rural setting to the edge of Westwell Leacon on the outskirts of Ashford. Counticare are registered owners and have a number of other services in Kent. Cosy Lodge is registered to provide accommodation, personal care and support for up to six adults with leaning disabilities. Counticare vehicles are available to use. To the front of the property there is gated access leading to parking for up to four cars. Cosy Lodge is on two levels. On the ground floor there are two bedrooms, lounge, dining room, office, kitchen, laundry room and staff toilet/shower room. There are four further bedrooms and two bathrooms on the first floor. There are secure gardens to the rear of the property. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission was represented by Ann Block, regulatory inspector, who was in the home from 13.40 to 19.10pm. During that time the staff on duty, acting manager and service users spoke with the inspector. The inspector is familiar with the service, judgments for this report have been made from conversation with staff, some of the client group, observation, records and previous experience of the service where relevant. Les Standley has been in an acting managers role at the home for 2 years, he also oversees two other homes owned by Counticare. Written and verbal feedback was provided to him during and at the end of the inspection. The atmosphere was relaxed with clients and staff interacting fully and enjoying life at Cosy Lodge. Written and verbal comments from staff, relatives and professionals referred highly to the standards of care and support provided, commenting how clients benefited from living at Cosy Lodge. Comments made by clients and relatives included: ‘I like my home. I can speak to Tom my keyworker’ ‘Staff have worked hard to understand him and help him’ ‘The staff at Cosy Lodge are welcoming, caring and considerate……they are easy to talk to and his bedroom and possessions kept immaculate. We cannot thank them enough’ What the service does well: Clients follow a planned and comprehensive introduction to Cosy Lodge to help the process of moving in. Each person will have a detailed life plan set up where they can record their choices and needs so that staff can give personal and consistent support.. Clients have access to a range of activities where they are well supported by staff. Clients have an annual holiday which they help to choose. Visitors and relatives are welcomed to the home and have their opinions listened to. Health care is well managed with clients having access to a range of medical services. Clients live in a modern, well decorated and good sized environment with safe and secure gardens. Client safety is promoted by regular servicing of supplies and equipment and a good response to maintenance requests. Clients benefit from a well managed home with motivated, trained staff who are committed to providing a good service and whom clients like. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Prospective clients follow a sound admission process to give a smooth as possible transition into the home. EVIDENCE: A statement of purpose and service users guide is available and contains good detail of the service, including staff roles and qualifications. The statement of purpose is available in printed format, the service users guide in print and widget. Rights and responsibilities, including services included in the fees, is detailed. Prospective service users make initial contact via the organisational placement officer who will decide which of the Counticare services has vacancies and would be most suitable. Records held confirmed a sound assessment process with information obtained from relevant professionals and previous placements. Staff recognise that a change of placement can be stressful for clients, particularly those with autism, hence plan the moving in process to reduce stress as far as possible. The home specialises in providing care and support to younger adults with learning disabilities in a homely as possible environment. The current group are male and include clients with autism. Staff have received training to meet the needs of the clients living at Cosy Lodge. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 9 Records seen at the last inspection detailed the process for a client moving into Cosy Lodge and included visits and meeting other service users in a planned manner. All clients start their stay on a trial basis to see whether they like the home and whether the home meets their needs. Each client has a contract between the home and themselves which they or a representative sign. The contracts give good detail of the services provided, are also in widget format, record who is responsible for what and include attachments as referred to in the document. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Clients receive good, safe and personalised care which is evidenced in documentation and practice. Routine recording of all risks would enhance the system. EVIDENCE: Each client has a life plan. Those seen as part of case tracking gave excellent detail of the client concerned being personalised, updated as necessary and informative. Information from a range of sources, such as care management, family, previous placements and health professionals, informs the plan. Cultural differences are included and respected. Each client has clearly recorded goals, staff on duty knew what the current goals were. They understood the need to share information and would inform the keyworker of any new developments. Areas of the plan are formally reviewed where the client, families, professionals and the keyworker will be involved. Daily record sheets are held which are sectioned to record areas of daily living. Separate records are made by the Counticare day service. Clients are encouraged to make decisions about their lives and to have those decisions respected both formally through regular client meetings and on a Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 11 daily living basis. Systems to enable clients to participate in the recruitment process were being explored. Staff felt that the service was very good at enabling clients to have time to themselves and to be aware they have the right to make decisions. Staff said that choice would only be restricted where the risk was unacceptable, or there was formal agreement to a particular practice. It was noticeable that this system had greatly reduced challenging behaviours. The majority of clients have their finances managed through Counticare with monies individually named held in a combined dedicated account for which records are held. As with other Counticare services, due to the system for requesting monies for service users, a delay of two or three days can occur before receiving money requested. Clients keep an amount for more immediate use in their wallets, the amount of which is recorded separately. A sound risk assessment process is in place. Staff are required to sign an index sheet in each file stating they have read and understood the risks, staff said that additional signature sheets would be used when risk assessments were updated. Risks are well known by staff, who work consistently to the guidelines. This familiarity leads to some risks not being formally recorded. A system to alert visitors to potential risk would be beneficial. Staff understand the need to balance risk management whilst ensuring other clients are not prevented from taking acceptable risk. Strategies for managing behaviour which might challenge are recorded and carried out in practice. Staff have a good understanding of confidentiality issues. Clients’ records are held securely and those seen maintained client confidentiality. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15 & 16 Clients have an active and varied life where they can be the decision makers. EVIDENCE: Opportunities that arise during the day to develop personal skills are encouraged, both at Cosy Lodge and Counticare day care. One client was found to enjoy basic cooking and is having in house cooking sessions as part of his goal plan. Most clients attend day services run by Counticare at their centre in Folkestone and at the day room at the sister service. Cosy Lodge has its own day room with a pool table. Clients also make use of the indoor swimming pool at another local Counticare home. Staff are considering looking for other unrelated external day activities. Social opportunities are provided in the evening, on the day of inspection clients went out to the local pub and were deciding what drinks they would have. Clients attend the weekly Counticare disco, one client loves dancing. The music channels on the Sky TV are a favourite. An annual holiday is provided as part of the fee structure. Clients chose to have the same base for their holiday for the last two years, staff are working on an alternative for this year which the group might enjoy. Clients choices whether to join in an activity are fully respected. One client Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 13 may not wish to have a holiday away from the home hence a trial night away is being considered.. Staff rosters are altered to meet social and recreational needs as necessary. Staff costs incurred when escorting clients on outings is paid from an amenity fund for which fundraising activities are held. Many references were made to contact with family, including them in clients’ lives if appropriate and to making home visits. Most clients went home for the Christmas period, some have regular visits home. Cultural experiences, such as special meals, are shared as part of integrating family and background into clients’ lives whilst at Cosy Lodge. Visitors are welcomed to the home at all reasonable times. Personal relationships and close friendships are supported. Staff respect clients rooms as private. Bathrooms and toilets are lockable. Clients, if they choose and are risk assessed as safe, may have locking plates fitted to their doors to make the locks functional. One client has settled in so well, with such greatly reduced challenging behaviours, that he now feels comfortable choosing to go to his room and listen to music in private. Meals provision was not assessed. At the last inspection there was evidence of good nutrition and choice of food. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Clients’ benefit from good standards of health care and support, small improvements to record keeping would better evidence good practice. EVIDENCE: Staff on duty had a very good understanding of the preferred routines of each client, as recorded in care plans seen. The keyworker is responsible for setting out preferences for others to follow. It has been found that following agreed routines and structures helps a number of clients by reducing stress. There is a small staff team giving consistency of staff working with the clients, this is particularly beneficial to those clients who find change difficult. Clients have clothing and hairstyles which they like and have helped to choose. Staff work with a range of health professionals as many clients have complex medical needs including diabetes, epilepsy, hearing and speech and language difficulties. Support from a psychiatrist is bought in by Counticare. Records of attendance at such health services are recorded in life plans. Clients also make regular visits to optical and dental services. Clients are registered with a local General Practitioner (GP)who staff said is supportive and is happy to liaise with other health and associated professionals. Any concerns about the wellbeing of a client are promptly reported to the GP. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 15 Medication is held in a locked metal cupboard. Separate secure storage is used for controlled medication. The current storage facilities do not allow sufficient room to satisfactorily store internal and external medication separately. Most medication is administered via a Nomad monitored dosage system. Records of administration of medication are held which evidences the amount and time medication was given. The senior team leader holds lead responsibility for medication and checks medication on arrival and through the returns book. The system should evidence the amount of medication received. Very good procedures are in place for specialist medical assistance such as for diabetes and epilepsy management. Staff liaise closely with the local diabetic nurse. There is currently no agreed system for the administration of homely remedies, staff said that if any were needed, the GP would be contacted. Some medication is given ‘as required’. The arrangements for such medication are not routinely being administered as recorded, such arrangements should be agreed by the GP with these directions recorded on the administration record. A monitoring checklist for medication storage and records is being started. Storage at the time of inspection was clean and within limits of space, well ordered. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Clients’ rights to a good service are upheld. They are protected from the risks of harm or abuse. EVIDENCE: A complaint procedure is in place which gives contact detail of relevant organisations. A format for recording complaints is available which includes the nature of the complaint, action taken and outcome. Complaints are taken seriously. It is difficult for the client group to make formal complaint, staff are aware of this and ensure that any concerns, however expressed, are listened to and actioned. Meetings provide an additional forum for making comment about the service. The service has a copy of the latest Kent and Medway joint working adult protection protocol and are aware of the providers part in the alerting and response procedure. Staff receive training in adult protection systems through Counticare. There is a good awareness of the different forms abuse might take. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 & 30 Clients live in a homely and well maintained house. EVIDENCE: Cosy Lodge is a domestic property which is well maintained and decorated in a homely style. It is situated close to farmland at the edge of the village. The kitchen and one bathroom were refurbished in 2005. The other bathroom is waiting to be similarly refurbished. The dining room was redecorated in 2005 with new wooden chairs purchased to give the room a modern yet comfortable and safe environment. Other areas of the home have also been redecorated. There is ample communal space for clients to use with a separate lounge and dining room. The kitchen is domestic in style and is used by clients and staff. Bedrooms are large and well personalised, all for single occupancy and with plenty of storage space. Clients enjoy having space to themselves and were clearly very much at home in an environment which they liked. None of the bedrooms have washbasins, but there are two very large bathrooms on the first floor with separate shower cubicles and toilet. Clients are able to choose whether to have a bath or shower. Staff have their own toilet and shower on the ground floor but do not have separate sleep in rooms, using the lounge and the dining room when clients have gone to bed. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 18 There are large secure, attractive and very well maintained gardens to the rear of the property with super sized swing and trampoline for clients use. Seating and tables are provided on the patio with a brick barbeque for summer use. No specialist equipment is needed. One phone line serves the clients phone and the office. In addition a company mobile phone can be used in private. A separate laundry room is sited to the rear of the house with washing machine, tumble drier and storage cupboards. Clients may assist with their washing. Staff assist clients to keep their rooms clean and are responsible for cleaning communal areas. To reduce the risks of cross infection disposable paper towels and pump soap dispensers are used in communal areas. At the time of inspection the home was clean and hygienic. A Counticare maintenance person visits the home regularly, staff said he was responsive to requests. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 & 36 Clients are supported by a staff team who are interested and motivated to provide a good standard of care. EVIDENCE: A small mixed gender staff team work at Cosy Lodge. There is little staff turnover or sickness absence. Due to internal transfers a new member of staff was recently appointed and was settling in well showing a good rapport with the clients. Staff spoken to were clear about their roles and responsibilities. Staff said there would always be senior on duty who would take responsibility for that shift. Interviews were taking place the following day for a new post of Deputy Manager. Staff felt there were always sufficient staff on duty, they saw this as a strength of the service. They considered staff had time to monitor the wellbeing of clients, work individually with them, act as escort for day and evening activities and carry out paperwork. There are job descriptions for staff which reflect their roles. Throughout the inspection, there was evidence of very good relationships between staff and clients, with good two-way interaction, appropriate communication, including signing (Makaton). Staff consider there is excellent communication between the team through handovers and team meetings. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 20 The personnel file of a recently recruited member of staff was seen. There was evidence of sound recruitment practice and regulatory matters being met including POVA (protection of vulnerable adults) and criminal records bureau checks. A ticklist interview record was seen. To evidence equal opportunities are met, the form should more usefully record actual questions asked and responses. All staff are appointed for a probationary period ending with a review of progress. The probationary period can be extended if necessary. On completion of a successful probationary period staff would be put on the Skills for Care induction programme. Before that, an in house induction programme would be followed. Staff receive a statement of terms and conditions. Counticare have their own training coordinator. Staff spoke of a range of training they had undertaken including core and client specific training. The training record indicated that core training had been carried out for all but the recently appointed member of staff. A training request for core training had already been set up. Staff felt that externally sourced training was more useful than internal training, saying that in the past some internal training wasnt certificated. 95 of staff hold NVQ level 2 or above in Care. The acting manager felt that training had improved since the new training coordinator had been appointed. There is a staff supervision procedure in place. Staff consider supervision is useful, two way and held regularly. They were able to talk about training needs, client and policy issues and have general support and guidance. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41 & 42 Clients benefit from a safe and well managed service. EVIDENCE: There is no registered manager, the registered manager of the adjacent home, Summerlands, also oversees Cosy Lodge. The acting manager has many years experience in working with adults with learning disabilities, including in a management role. He holds relevant qualifications in management and care. The acting manager felt he was able to implement policies and procedures which were relevant to Cosy Lodge. Staff also felt that policies were relevant saying they had read and understood them. From previous inspection reports, the inspector is aware that service users benefit from an improved atmosphere, better management systems, greater recreational opportunities and enhanced environment over the last two years. Care Managers have by letter and verbally commented that their clients have a better quality of life, are more settled with a reduction in behaviours which may challenge. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 22 Staff evidenced that they were aware of the management structure, the senior Team Leader taking general day-to-day responsibility but referring as necessary to the acting manager. Quality assurance is carried out. The acting manager said that Counticare sent out questionnaires to families, these questionnaires refer mainly to the quality of the organisation. Service specific questionnaires are readily available to visitors being by the signing in record. Questionnaires are also available in pictorial form. A representative of Counticare carries out Regulation 26 visits to monitor the standard of service provision, copies of the report are sent to the Commission. Records as required by regulation and good practice are held. Records are stored securely with those seen containing detail as required by regulation. Records are, with minor exceptions, well maintained. There is a good awareness of the Data Protection Act and maintaining confidentiality. Staff evidenced they have had training in safe practices and carry out learning in practice. All staff have had recent fire training. Food was stored properly with fridge and freezer temperatures checked daily. The dishwasher had debris along the seals, being a risk of cross infection. Staff felt the age of the dishwasher meant the debris was ingrained and impossible to clean thoroughly. Information provided by the acting manager as part of the inspection recorded up to date servicing of supplies and equipment. Counticare has invested money in the service and is responsive to planning and development requests. A current certificate of employer’s liability was seen. Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cosy Lodge Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000023375.V263984.R01.S.doc Version 5.0 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 0 Regulation 0 Requirement None from this inspection Timescale for data input purposes only Timescale for action 31/12/06 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 YA9.3 2 YA20.1 3 4 YA20.6 Refer to Standard Good Practice Recommendations As a development to the current well documented risk assessment process, all risks should be routinely recorded and where necessary made known to visitors to the home. Consideration should be given to providing more storage for medication to ensure internal and external medication can be stored separately. Records of receipt of medication should record the amount of medication received and by whom. Guidelines to ‘as required’ medication should be agreed with the prescriber with such directions recorded on the medication record, this should include periods when such medication is being given routinely. DS0000023375.V263984.R01.S.doc Version 5.0 Page 25 YA20.6 Cosy Lodge 5 YA34.1 6 YA42.3 To evidence recruitment followed the principles of equal opportunities the interview record would be improved by recording questions and answers. Consideration should be given to replacing the dishwasher Cosy Lodge DS0000023375.V263984.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cosy Lodge DS0000023375.V263984.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!