CARE HOME ADULTS 18-65
Derby Lodge 2a Blackbull Lane Fulwood Preston Lancashire PR2 3PU Lead Inspector
Mrs Marie Cordingley Unannounced Inspection 26th March 2007 13:00 Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 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 Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Derby Lodge Address 2a Blackbull Lane Fulwood Preston Lancashire PR2 3PU 01772 718811 01772 716581 derby.lodge@btinternet.com 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) Derby Lodge (Preston) Limited Mrs June Nicholson Care Home 23 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (3) of places Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. This house may accommodate 20 physically disabled adults who may also have a learning disability. 26th November 2005 Date of last inspection Brief Description of the Service: Derby Lodge is situated in Fulwood, in easy reach of Preston City Centre and all the amenities that the City has to offer. There are also many services and facilities close by. These include banks, churches, GP surgeries and Preston College. The home provides accommodation for 23 adults who have a physical disability and who may, also have, a learning disability. The home is arranged over two floors and is fully accessible to residents. A passenger lift operates between floors. Much has been done to minimise the institutional appearance of Derby Lodge, the premises are well maintained and there is an ongoing programme of decoration and renewal of the physical environment. The home offers a mixture of accommodation including single rooms, some of which are en suite and flatlets that include a sitting room and kitchen. There is a large car park at the front of the premises and extensive gardens to the rear. During the summer months various recreational activities take place in the garden area. The fees at the home vary between £422 and £679 depending on the individual resident’s need. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection included a site visit to the home which was carried out over an afternoon and early evening. During the site visit we spoke with people who live at the home and some staff members. We also talked to the manager and one of the directors of the home. We looked around the home, in the communal areas and in some residents’ bedrooms. We also looked at a selection of paperwork including residents’ care plans and staff records. Prior to the visit we sent out some written questionnaires to residents and their families. We asked them about daily life at the home and their opinion on the standard of care provided. We received a good response to these surveys. We also sent a detailed questionnaire to the manager of the home asking for details about the people who live and work there and other questions, about staff training for example. Throughout this report there is reference to the case tracking exercise. This is a process where we closely examine all the care that has been provided to selected residents from the point of their admission to the home. What the service does well:
We received a very positive response to the questionnaires that we sent to residents and their relatives. All those who responded (14 in total) expressed satisfaction with the care provided at Derby Lodge. All of the residents felt that they could make decisions about everyday things such as when to have their meals or go to bed, for instance. One resident wrote about how the manager of the home had helped her to access an independent advocate to support her in expressing her views and wishes. Residents also felt that staff listened to them and acted on what they said. The relatives who responded confirmed that the home kept them updated about issues affecting their loved ones and made them welcome to visit at any time. Relatives also said that they could spend time with their loved ones in private when they visited. These positive comments were echoed by the residents we spoke to when we visited the home. All the residents we spoke to looked relaxed and contended and told us that they were happy living at Derby Lodge. One resident said ‘’This is the happiest I have ever been, I like everyone here.’’ We talked to residents and looked at records of the activities that they had carried out in the previous weeks. We found the residents at the home were
Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 6 given lots of opportunities to take part in interesting and enjoyable activities both inside and outside the home. There were a number of residents who attended college courses to learn new skills. One resident we spoke to said she enjoyed this very much. We looked at a selection of residents’ care plans. These are documents that detail each resident’s needs and how their needs should be met by staff. We found the care plans were of a very good standard. They were very detailed and had a lot of information about the resident’s preferences, likes and dislikes. When we talked to the manager, staff and residents we found a lot of examples of how the home had helped people to get access to additional services. For example, the manager had helped one resident access counselling after she had suffered a bereavement. Residents’ health care needs are met by community services such as G.Ps and district nurses. We found the home were very good at working with these health care professionals and the residents’ care plans we looked at included advice or instructions from health care professionals. The home have very good procedures in place to ensure that any person thinking about moving there is given a good deal of information to help them make their decision. In addition, prospective residents are given the chance to visit the home for meals, full days and eventually overnight stays. This helps them to get a feel of the home and the people in it. There is a national target for care homes that at least 50 of their carers should hold a National Vocational Qualification in care at level 2 or above. At Derby Lodge 12 out of 19 carers hold the qualification and as such, the home has exceeded this target. What has improved since the last inspection? What they could do better:
Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 7 Risk assessments are carried out in the majority of key areas and are completed to a good standard. However, when we looked at the care plans of some residents who had bed rails, we found that risk assessments had not been carried out. We advised the manager that a risk assessment should always be carried out for any person who has a bed rail. Risk assessments are carried out for general activities, but we found that it was not general procedure to complete risk assessments before supporting residents to go on holidays. We recommended that the home always carry out risk assessments in these circumstances. Some residents at the home need help to manage their behaviour at times. In situations like this carers need to be aware of what might cause a resident to become upset and what strategies they should use to assist them to become calm. Sometimes, a behaviour management plan is developed which contains all this information. We recommended that the manager consider developing a plan like this for those residents who would benefit from it. Staff would benefit from training in the area of challenging behaviour. This would help them to become more consistent and more confident when managing challenging situations. When we toured the home we noticed that some of the doorways appeared to be less wide than the recommended 800mm. We recommended that all doorways be assessed and consideration given to widening doorways (wherever possible) to make access easier for people who use wheelchairs. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 8 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 Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering a move to the home are given enough information to help them make a decision. Enough information is obtained by the home about new residents to ensure that their needs will be met. EVIDENCE: All the residents who responded to the written survey told us that they had received enough information about the home before they moved there. There are good systems in place to enable prospective residents to visit the home before they decide if they want to move there. Usually, people will be invited for a meal, then a full day, eventually building up to a few overnight stays. This gives them the chance to get a feel for the home and an idea if they would like to live there. One resident said ‘’Before moving into the home, I met some members of staff and from the discussion that we had, it felt like the appropriate place for me. This proved to be the correct decision as I am very happy here.’’ Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 10 As part of the case tracking exercise we looked at the information the manager had obtained about residents prior to them moving into the home (preadmisison assessments) We found these assessments were of a very good standard and contained a good deal of information about the relevant person’s care needs. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are carefully considered when developing their care plan. Residents are encouraged to make decisions and live as independently as possible. EVIDENCE: We looked at a number of peoples’ care plans and found them to be of a very good standard. The plans contained a lot of details about the residents’ individual care needs and preferences. People who took part in our written survey and spoke to us when we visited, knew about their care plans and the things written in them. When we spoke to people during our visit we heard lots of examples of how they had been encouraged and supported to make decisions and express their opinions. One resident who wrote to us said ‘’I made an important
Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 12 decision recently where the manager helped me with an advocate to act on my behalf.’’ Staff and managers at the home are familiar with local advocacy services and regularly assist residents to make contact with such groups. Through discussion with staff and residents we confirmed that residents are supported to take appropriate risks when they want to, and there are good risk assessment procedures in place to help people keep safe. However, we made a recommendation that risk assessments should always be carried out prior to supporting residents to go on holiday. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Derby Lodge are able to spend their time how they choose. Lots of activities are made available for people to choose from. EVIDENCE: We talked to residents and looked at records of the activities they carry out. We found that residents at the home have the chance to take part in lots of different activities on a regular basis. There are a number of people at the home who enjoy football and several of them attend Preston games regularly. Other activities outside of the home include pub lunches, shopping trips and day trips to places such as Blackpool. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 14 Within the home activities available include aromatherapy sessions and sensory relaxation. During our visit the manager told us about a recent disco that had been held in the home. A DJ was booked and a bar made available. Residents were able to invite their family and friends and this night was so successful that the home have decided to hold the disco on a regular basis. There is transport available for the use of residents. One resident who responded to the written survey told us that she had a friend who lived out of the area, and when she wanted to go and visit him she just needed to arrange it with the driver of the home. A number of residents attend college courses. We spoke to one resident who attends college on a weekly basis to do arts and crafts. She said she enjoyed this very much. All the residents we spoke to or who responded to the written survey were satisfied with the standard and variety of meals available. We also spoke with the cook at the home who confirmed that mealtimes were flexible and could be organised around people’ activities at any time. We looked at records of meals served and found that people are provided with a varied and nutritious diet. There are a number of choices available at each mealtime. When we case tracked one resident who had special dietary needs we found that the home had done a very good assessment in relation to this, before he had moved there. They had assessed exactly what type of meals he needed and made sure that the cook was aware of this. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and general wellbeing is closely monitored and advice is sought promptly when issues are identified. The home work carefully to ensure that safe procedures are followed when helping people with their medication. EVIDENCE: All the residents who spoke or wrote to us felt that the staff treated them well and listened to them. People were satisfied with the standard of care provided and felt it was in line with their personal wishes. When case tracking residents and in discussion with the manager, we found that the home were very good at meeting individual residents’ needs. We found a lot of examples of situations where the manager had helped people to access specialist services such as counsellors or advocates. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 16 Residents have access to community health care services and the home clearly record peoples’ health care needs in their care plans. A record of health care visits is kept. We found some very good examples of situations where staff at the home had communicated well with health care professionals and acted quickly when they were concerned about the health of any resident. When we talked to the manager and staff we were satisfied that they would be able to deal with a situation where a resident displayed some challenging behaviour. However, we recommended that all residents who sometimes experience difficulties in this area should have a positive behaviour plan in place. The plan would clearly state what kind of things may cause a person to become anxious or frustrated and guide staff in how they should approach the situation. Such guidance would help staff to deal with situations consistently and more confidently. The home have clearly written procedures for helping people with their medication. Only senior staff administer medication and they have all received training in this area. We looked at some medication records which we found to be in good order, without any errors or omissions. We were also able to confirm that if a resident wants to manage their own medication this is always possible, as long as the resident is able to do so. We looked at the care plan of one resident who manages her own medication and found that an appropriate risk assessment had been carried out. In addition, she had signed an agreement that she would ensure the medication was stored safely. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22& 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Any concerns raised by residents are dealt with appropriately. The manager and staff are aware of their responsibilities to protect residents from all forms of abuse. EVIDENCE: All the people we consulted said that they knew how to go about making a complaint and in general, people said that they would feel comfortable in raising any concern they had. One resident said ‘’I know I could just tell them if I wasn’t happy with anything and they would sort it out.’’ The home keep a record of all complaints made and also record how they have investigated any complaint made and what the outcome is. This record was viewed and it was confirmed that their had been one complaint since the last inspection which the manager had dealt with appropriately. The home have clear written guidance in place for managers and staff explaining how to deal with any allegations or concerns that a resident has been harmed by another person. This guidance is usually referred to as ‘safeguarding adult procedures’. When staff begin working at the home the safeguarding adult procedures are explained to them in detail. They are also told about the home’s whistle
Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 18 blowing procedures – which are procedures put in place to protect any staff member who reports any concerns that they have. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Derby Lodge offers a good standard of accommodation. Specialist equipment within the home is regally checked for safety. EVIDENCE: During the visit we looked all around the home, in communal areas and in some residents’ private flats and bedrooms. Derby Lodge is a large home with a variety of areas available to residents. There are several lounges and dining areas. One lounge has a very large TV screen which has just been purchased. There is also a quiet lounge which is sometimes used as relaxation room, when soft lighting and music is put on. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 20 All peoples’ bedrooms are single and the majority of these are en suites. There are also a number of self contained flatlets within the home, that include a small lounge and bedroom. All the bedrooms that we viewed were nicely decorated and contained lots of personal items such as football posters, ornaments and pictures. There is a rolling programme of improvement ongoing which means several areas of the home get updated each year. Several residents who we spoke to had recently had their private rooms improved. One resident said ‘’I have just had my flat redecorated with new lounge and bedroom carpets and curtains.’’ All the areas of the home that we viewed were clean and tidy. People we spoke to also confirmed that the home was kept clean and tidy at all times. When we looked around the home we found that there was much equipment available to assist residents. Equipment for helping people to move (hoists) were viewed and we were also able to confirm that this equipment is regularly checked for safety. There is also a passenger lift available for the use of residents. Some people have specialist systems which help them to carry out tasks like turning on lights or televisions independently. When we looked around the home we noticed that some of the doorways were quite narrow for people using wheelchairs to get through. We recommended that all doorways used by residents should be assessed and consideration be given to widening them if possible. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensure that they only recruit people who are suitable to work in the care field. People living at Derby Lodge receive care from well trained staff. EVIDENCE: We looked at a number of staff files which confirmed that managers are very careful to only recruit suitable people to work within the home. When someone applies to work at the home they must provide full details of all the jobs they have had in the past. If there are any gaps or periods when they have not worked, they must explain why. Two references are obtained and whenever possible one of these is from the person’s current or most recent employer. Before they are offered a job, the applicant must undergo a criminal record check and the home also check to ensure that they are not listed on the POVA
Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 22 register (a list of people who are barred from working with vulnerable adults by the Secretary of State.) There are systems in place to ensure that all staff members are provided with the training they need to do their jobs well. Staff receive training in areas such as moving and handling and first aid. Out of 19 care staff in the home, 12 hold National Vocational Qualifications in care at level 2 or above. This is a good achievement and exceeds the national minimum standard that 50 of staff should hold this qualification. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Derby Lodge is a well managed home where the wellbeing of residents is paramount. EVIDENCE: This was an unannounced visit which meant that people at the home did not know it would be taking place until we arrived. Throughout the visit, both the registered manager and director who were present at the time were very helpful and accommodating. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 24 We spoke to the manager about all aspects of her role. She showed that she was very committed to the people who live at the home and staff, and keen to make improvements wherever possible. Managers work hard to ensure that the health and safety of residents, staff and visitors to the home is protected. There are a number of procedures in place including fire safety and infection control. The fire service recently visited Derby Lodge and made some recommendations about how the home could be made safer. We were able to confirm that all these recommendations had been followed. A number of records are kept to show that regular safety checks are made within the home. This is in areas such as gas and electrical equipment and water temperatures. Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 23 x 3 x 3 x 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43
DS0000009861.V325556.R01.S.doc LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Derby Lodge Score 3 3 3 x 3 x 3 x x 3 x
Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA42 YA42 YA32 YA32 YA18 YA24 Good Practice Recommendations Risk assessments should always be carried out for people who have bed rails. Risk assessments should be carried out prior to supporting people away on holiday. Staff should be provided with physical intervention training Staff should be provided with training in positive behaviour management. A positive behaviour plan should be developed for each resident who would benefit from one. All doorways under 800mm that are used by residents should be widened (if physically possible). Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Derby Lodge DS0000009861.V325556.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!
