Inspection on 05/07/05 for Eighton Lodge Residential Care Home

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eighton Lodge Residential Care... 21/08/07

Eighton Lodge Residential Care... 10/08/06

Eighton Lodge Residential Care... 15/12/05

Eighton Lodge Residential Care... 01/02/05

Eighton Lodge Residential Care... 02/09/04

Eighton Lodge Residential Care... 25/02/04

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The Highlands

Turret Villa Retirement Home

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Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eighton Lodge Low Eighton Gateshead Tyne & Wear NE9 7UB Lead Inspector Andrea Goodall Unannounced Tuesday, 5 July 2005 : 10:00 th 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 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. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eighton Lodge Address Low Eighton, Gateshead, NE9 7UB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 410 3665 0191 410 3665 Wellburn Care Homes Ltd Acting Manager - Kelly Watt Care home only 45 Category(ies) of 45 x OP; 14 x DE(E); 5 x PD(E); 2 x SI(E) registration, with number of places Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st February 2005 Brief Description of the Service: Eighton Lodge is a large home in Low Eighton set back from the road in its own extensive grounds. It is a listed building of historical interest and is directly opposite the Angel of the North, which can be seen from many of the bedrooms. The home provides personal care for up to 45 older people, some of whom may have dementia care needs and a smaller number who may have physical needs. The home does not provide nursing care. There are bedrooms on both floors of accommodation, which are served by a central passenger lift. There is level access into the home from the driveway, and around the ground floor where the communal lounges and bathrooms are sited. The home is located on a main bus route, and it is a couple of miles to the nearest local facilities. The home is currently being extended, and building work is on-going at this time. The additional premises will allow for a slight increase in number of places, shared rooms will be reduced to single occupancy and a further bathing facility will be provided. The extension building is indistinguishable from the original house and all works are being carried out externally to minimise any disruption to the running of the home. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced and carried out by 2 Inspectors over one full day in July. One Inspector spent the visit discussing the progress of the service with the Acting Manager, examining care records, staff records and health & safety records. The other Inspector spent the visit gaining the views of over half of the residents and several visitors, examining parts of the premises, and sampling a lunchtime meal. The Acting Manager has been in post for around 3 months. The Owner proposes that she will apply to be the Registered Manager. An Application Form has been forwarded to the Owner. Since the last inspection the Provider has received one formal complaint about the care service. This matter has been investigated by the Provider and included full liaison with the CSCI and the Social Services Department. The matter was dealt with appropriately. What the service does well: There is an information pack in all residents bedrooms, which they can look at whenever they wish. This includes details about menus and activities, so that residents can make informed decisions and choices without having to ask staff. There are a lot of activities and trips out for people to choose from and residents said that, there is always plenty to do. Residents also said that they are kept well informed about future events. The home has a very warm and welcoming atmosphere. Some residents like to sit in the cosy entrance hallway to watch the comings and goings of all the visitors. Several visitors said that, there is always a great atmosphere. Visitors and residents described staff as friendly and helpful. Visitors said that they feel comfortable about visiting at anytime. Some relatives described the home as excellent and 5 stars. The building is well maintained. The furnishings are of good quality and bedrooms are decorated to a good standard. The gardens are extensive and very well maintained. Residents and visitors said they are very pleased with the gardens where they can sit out in privacy and enjoy the views. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 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. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 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 standard(s) 1 & 4 (Standard 6 is not applicable as this home does not provide intermediate or rehabilitative services.) Prospective residents and their representatives are given clear information in order to make a decision about whether the home is suitable. Prospective residents do not receive written confirmation from the Provider about whether the home can meet their assessed needs. Care staff do not have sufficient training in the specific needs of people with dementia care. EVIDENCE: The home has a detailed Statement of Purpose, which is made available to prospective residents and their families when they are considering the home. The Statement of Purpose sets out the aims and objectives, services and facilities available, and the type of care the home intends to provide. This information, alongside a visit to the home, helps residents and their representatives to make an informed choice about the suitability of Eighton Lodge to meet their needs. There is a copy of the Service Users Guide (information pack) in every bedroom. In this way, when a resident moves into the home for their trial Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 9 period, they have information to hand about the home, menus, activities and complaints procedure. Assessments are carried out of the needs of all prospective residents before they can move to the home. However the Provider does not write formally to prospective residents stating whether or not the home can meet their needs. The home is registered to provide up to 14 older people with dementia care needs. At this time those places are full and there are also a small number of people with confusion whose future needs may increase, so the home cannot admit anymore people with dementia at this time. Most care staff are experienced and have attended a brief training course on Dementia Awareness and another days training in Managing Challenging Behaviour. However these are only introductory courses and staff have not had specific training in how to support people with the different aspects of their dementia needs. Therefore, this may impact on the type of care received by people who have dementia and the level of understanding staff currently have in this field. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 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 standard(s) 7 & 10. The care planning system is improving but care plan records are not detailed enough to provide staff with the exact information they need to meet individual resident’s needs. The home aims to treat residents with respect, and their privacy is upheld. EVIDENCE: There have been improvements to the care planning system since the last inspection. There are care plans in place for each of the residents, which show all the areas of care that people need support with. There are also night care plans so that night staff know how to support residents in the correct way during the night. The current care plans provide a basic framework of information but they are not sufficiently detailed to show staff exactly how to support people with their individual needs. Phrases such as toilet regular do not guide staff in the specific times, equipment, facilities and type of support that is needed. It was clear from other records and from discussions with staff, visitors and residents that the staff carry out appropriate interventions and therapeutic activities to support residents physical and mental health needs. However these good practices are not reflected in residents care plans. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 11 The care plans are evaluated on a monthly basis. Most care plans examined have a record of a 6 monthly review which included the signature of the resident and/or their relative to show their involvement in their own care planning. However where residents are unable to sign and have no representation there was no demonstration of how they are involved or included in their own care planning. Residents and their visitors described staff as courteous and helpful. All bedroom doors are lockable so that residents can retain their privacy. Staff stated that some people have been assessed as unable to manage a key, and that the bedrooms are kept locked on their behalf. However there were no risk assessments in their care files to reflect this decision. The home has dedicated laundry staff who manage the washing of clothes. Clean clothes are returned to rooms by night staff. There have been occasions where the wrong items are returned to the wrong rooms, and there have been some problems with damage to underwear. The Acting Manager confirmed that individual laundry bags are to be provided for washing individual peoples underwear. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12 & 15. Residents can follow their own lifestyles and there is a good range of social and leisure activities for the people who live here. Residents receive a wholesome, balanced diet in pleasant surroundings, but don’t have enough room to sit with residents to sensitively support them at mealtimes. EVIDENCE: Residents and visiting relatives confirmed that the home provides the people living there with a range of activities. On the day of the inspection the planned activity was “keep fit”. The majority of the residents were observed to take part in this activity, and they said they very much enjoyed these sessions. The person leading the activity also engaged the residents in memory games providing the opportunity for mental stimulation. An activities programme is on display in the entrance foyer of the home as well as being available to each of the residents in their bedrooms. The activities provided include daily in-house activities, such as clothes shows and art sessions, and also trips out to the swimming baths, Whitworth Hall and Sunderland’s winter gardens. There is a photograph album with pictures of residents enjoying these activities in the entrance foyer of the home. The majority of the residents spoken to said that the meals provided in the home were very good. Lunch was taken with residents. Two choices were Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 13 available as well as an alternative. The meal was well presented, piping hot, sufficient in quantity and very tasty. However, there were some practise issues observed which limit the residents’ independence, choice and dignity. For example, in the smaller of the two dining rooms there are only six seats available at the dining table. This meant that staff were not able to sit next to the residents, but had to stand over them when offering assistance to those people who needed it. Also the tea was served from a communal teapot with milk already added which is institutional practice and meant that residents were not able to choose the quantity of milk they wanted. One resident requested a cup of tea prior to their meal. Their cup felt hot to the touch, as it had just come from the dishwasher. The resident has a visual disability and clearly became agitated as they thought there should be a drink in their cup. Consequently they refused their meal when this was later served to them. Discussion was held with the Acting Manager as to how the mealtime arrangements could be improved in order to address the needs of the residents. Visitors spoken to said that they were able and encouraged by the staff to help themselves to refreshments from the kitchen when visiting their family member, which was observed during the inspection. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16. Residents and relatives have information about how to make a complaint, and that these will be listened to and acted upon. EVIDENCE: Residents have information about how to make a complaint in the Service Users Guide. These packs are in every bedroom so residents and their visitors can look at it in the privacy of their own bedroom. One formal complaint has been received and dealt with by representatives of the Owner. The investigation included the CSCI, Social Services Department, and Age Concern. An action plan was drawn up needed to be put right, and these have now been addressed. The visitors on this day indicated that they would feel confident about approaching the Acting Manager if they had any issues or concerns about the service they receive. The home also keeps a record of informal suggestions, and the outcomes, to demonstrate that all comments are acted upon. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 21, 25 & 26. Residents live in a comfortable, well maintained environment. There are not sufficient usable bathing facilities for the number of places at the home. The safety of some residents is not protected due to high water temperatures. EVIDENCE: Building work to create a two-storey extension continues. This will provide a small number of new bedrooms, a shower room and a hairdresser room. It will also enable 3 shared rooms to be converted to single occupancy rooms. Observations during the inspection concluded that the works are being managed well with little impact upon the people living in the home. On completion the home will still retain one shared room. The Owner and Acting Manager confirmed that this would not be offered as a shared room unless at the specific request of residents and that they would also be provided with another room for their own use (as is the case with a married couple who live here). Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 16 Residents and visitors felt that the homes decoration is of a good standard and said that fresh flowers are delivered to the home each day. Residents benefit from a spacious garden which can be accessed from the main lounge. This was very well maintained and enhanced with hanging baskets, green house, and patio area with table and chairs where the residents can sit when the weather is fine. Access to the gardens from one lounge involves external steps. The Acting Manager stated that these are to be ramped as part of the improvement plan, so that people with mobility needs can easily access the gardens. There are currently 3 bathrooms in the home. However, one bathroom (on the first floor) cannot be used by the people who live here because it does not have lifting equipment. The Acting Manager stated that this bathroom will be provided with a new suite and the required equipment as part of the extension works. On completion the home will have 3 bathrooms and 1 shower room. In the meantime there are only 2 bathrooms for use by up to 45 residents and this is not sufficient to meet their bathing needs or preferred bathing routine. The temperature of hot water to baths and washbasins is currently tested on a monthly basis and recorded. However the records do not indicate what adjustments, if any, have been made so that the temperature is correct for the residents safety. Water temperatures of the bath water were tested and measured in one instance to be 47.9 degrees centigrade, which is too high. Records also indicate that hot water to some washbasins in bedrooms is too low at 36°C, and some do not issue water at sufficient pressure. An Immediate Requirement Form was issued to the Acting Manager for the Owner to put these matters right immediately. (The following day the Acting Manager confirmed that a plumber had visited the home and addressed these matters.) All areas of the home were clean and free from offensive odours. Visitors spoken to said that there are never any “smells” when they visit the home. During the inspection staff were observed to use suitable protective gloves and aprons when assisting residents with their personal care needs. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 29. Residents needs are currently met by the number and skill mix of staff. Residents are protected by the homes recruitment practices. EVIDENCE: The homes staffing rota ensures that there are at least 5 members of care staff on duty from 8am-5pm. There are 4 care staff on duty from 5pm-9pm and 3 night staff on waking duty over night. On each duty there is at least one senior member of staff who takes responsibility for leading and supervising the care staff team. These levels meet residents general support needs but will not meet increased dependency levels and increased number of places on the completion of the extension. The Acting Managers hours are spent addressing the many management, supervisory and administrative tasks involved in running a home. The homes rota also includes sufficient domestic, catering, maintenance and gardening staff to ensure that the homes premises and catering services meets the needs of the people who live here. The home has a relatively low staff turnover, and this means that residents get to know the staff and benefit from continuity of care. There are 4 vacant posts for care staff at this time. The Owner uses application forms, interview, references and all necessary Criminal Records Bureau checks and clearances Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 18 before employing any new staff. This helps to ensure that only suitable staff are employed to support the people who live here. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 & 38. The home is well managed by the Provider and there are clear lines of accountability within the organisation. Staff training and the homes policies aim to protect the residents’ welfare, however some of the practices do not fully support the health and safety of the people who live here. EVIDENCE: Since the last inspection the previous Manager has been promoted to Area Manager on behalf of the organisation that operates Eighton Lodge. The former Deputy Manager has been appointed to Acting Manager (subject to successful registration) and she is to make an application to CSCI for registration. The Acting Manager has many years experience at a senior level within the home. She has attained a number of care and management qualifications, including NVQ 4 in Management. She is currently undertaking NVQ 4 in Care. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 20 In this way she demonstrates her capability and commitment to professional development. All staff have had statutory training in health & safety matters, including Infection Control, Fire Safety, and Emergency First Aid. As well as their training in Moving & Assisting, staff have also had specific instruction in the use of the lifting equipment within the home so that they all know exactly how to operate the hoists. There is maintenance staff to carry out routine maintenance checks and address any minor repairs. A health & safety audit is carried out to the premises each month to check that the home remains a safe environment for the people who live here. Radiators throughout the home have been fitted with guards. However, the bars of these are wide and it is possible for a person’s hand to fit through and touch the radiator, which could burn them. A number of staff were wearing open-toe sandals, which are not appropriate for this type of work and could present a potential health and safety risk to both the staff and the residents. Some of the residents in wheelchairs were assisted around the home by staff without the use of foot plates, and this could cause an injury to the residents feet. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 3 x 2 x x x 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x x x x x x 2 Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 22 Yes 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 1 Regulation 14 Requirement Following an assessment of needs, the Provider must write to the prospective resident confirming whether or not the home can meet their needs. Arrangments must be made for staff to receive specific training in the dementia care. Care plan goals/needs must be sufficiently detailed to show staff exactly how to support people with their individual needs. Care plans must demonstrate the involvement of residents and/or representative or record why this not possible. Timescale for action 1.9.05 2. 1 Reg 18(1)c(i) 15 1.9.05 3. 7 1.10.05 4. 7 15 1.11.05 5. 21 23(2)j 6. 25 Reg 13(4) & 23(2)j The home must provide 1.11.05 sufficient bathing facilities to meet the needs and choices of the number of people who live here. Hot water temperatures of baths Immediate must be tested on a weekly basis to ensure a safe temperature of around 43°C. Any necessary adjustments must be carried out immediately and recorded. Version 1.40 Page 23 Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc 7. 25 23(2)j The temperature of hot water to Immediate washbasins must be controlled to a safe temperature of about 43°C. Any necessary adjustments must be made immediately and recorded. 8. 38 13(4) Advice must be sought from the Environmental Health Department in relation to the suitability of the current radiator guards. Staff must ensure that they wear footwear appropriate to their work. Foot plates must be used when assisting residents around the home in their wheelchairs. 1.9.05 9. 38 13(4)c 10.8.05 10. 38 13(4)c 10.8.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 1 Good Practice Recommendations A copy of the Statement of Purpose and the most recent inspection report should be made available in the home for access by residents, staff and visitors. . Care plan evaluation records should include the full date. Where residents have been assessed as unable to manage a key to their own bedroom, this should be recorded with a written risk assessment in their care files. A review of mealtime arrangements in the smaller lounge/ dining room should be carried out to ensure that staff have sufficent room to assist residents in a dignified and unhurried manner Tea should not be served with milk already added so that B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 24 2. 3. 4. 7 10 15 5. 15 Eighton Lodge residents can choose their preferred amount. Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Baltic House Port of Tyne South Shields NE34 9PT 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 Eighton Lodge B52-B02 S7380 Eighton Lodge V217666 5 Jul 05 Stage 4.doc Version 1.40 Page 26 - 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!