Inspection on 16/08/06 for Ernehale Lodge Care Home

This inspection was carried out on 16th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ernehale Lodge Care Home 02/12/09

Ernehale Lodge Care Home 28/11/07

Ernehale Lodge Care Home 17/02/06

Ernehale Lodge Care Home 17/03/05

Ernehale Lodge Care Home 30/03/04

Ernehale Lodge Care Home 29/01/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Ernehale Lodge Care Home 82a Furlong Street Arnold Nottingham NG5 7BP Lead Inspector Richard Ramsden Key Unannounced Inspection 16th August 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ernehale Lodge Care Home DS0000026435.V303370.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 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. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ernehale Lodge Care Home Address 82a Furlong Street Arnold Nottingham NG5 7BP 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) 0115 9670322 0115 8406763 Mr Keith Sidney Dobb Mr Gerald Hudson *** Post Vacant *** Care Home 30 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (30), of places Physical disability (2), Terminally ill (3) Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. There must be at least one dementia trained staff member on each shift 17th February 2006 Date of last inspection Brief Description of the Service: Ernehale Lodge is a purpose built home providing care with Nursing for older people. It is also registered to provide care for people with dementia. It is situated in a residential area of Arnold close to the local amenities and shops. The home is on two floors with a passenger lift between the two levels. On the ground floor there is a dining room and lounge. Leading from the lounge is a patio area with tubs and flower baskets. There are 10 single bedrooms and 10 double bedrooms split between the two floors. There are communal toilets; four on the ground floor and three on the first floor. In addition there are two bathrooms, which provide assisted bathing facilities. The home provides 24 hour registered nurse cover and has a range of specialist equipment to meet complex nursing needs. The home has access to a minibus, which is used, for service users who wish to have days out. The inspector was informed that the homes accommodation charges were between £344 and £614 per week at the time of this visit. The charges are based on the assessed needs of the individual residents. A copy of the most recent inspection report is available in the home. [Please note access to Ernehale is by James St Arnold.] Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 8 hours. It included the inspection of care and other records, a discussion with the acting manager, the administration manager and three members of the staff team. The inspector spoke with three residents and two visitors to the home. A partial tour of the building was also completed. Prior to completing this visit the inspector assess the homes previous inspection reports and the service history. Eight satisfaction questionnaires, which had been completed by the residents or their representatives, were also assessed as part of this visit. What the service does well: Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. Individual residents care plans contain sufficient information and are reviewed regularly enough to ensure that staff have up-to-date information of what assistance and support each resident requires. The residents spoken with during the inspection said that they are very satisfied with the services provided by the home. They confirm that the staff are always friendly and respectful and that they ensure that the residents privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. The residents spoken with stated that they are happy with their bedrooms and confirmed that they have been encouraged to personalise them with small items of furniture, photographs ornaments etc. The home is purpose-built and is comfortably furnished and well decorated. The residents and the visitors spoken with confirmed it is kept clean at all times. The acting manager is ensuring that the home is run in the best interests of the residents. Residents and staff confirmed that the manager seek their views about the way in which the home operates. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 6 Staff training records showed considerable amount of training has been provided since the last inspection. Many of the staff have worked at the home for some considerable time providing a consistent stable environment. The staff have worked hard to improve the level and frequency of activities and entertainment provided for residents. The visitors spoken with during the inspection said that there are always made to feel very welcome and that they believe the home has a friendly homely atmosphere. There were aspects of good practice highlighted in the main body of this report What has improved since the last inspection? The acting manager has now submitted an application form to register with the Commission for Social Care Inspection. She has also completed training in Safeguarding Adult protocols. This will help to ensure that she is aware the procedures she must follow if adult protection issues are identified with the home. The homes staff recruitment procedures have been improved and staff files now contain all the required information. The acting manager is now ensuring that the commission for Social Care Inspection is informed of any incidents or accidents to residents that occur within the home. There has been some improvement in the way in which medication is managed although some further amendments must be made to ensure the residents’ health and safety. The staff are now providing feedback to residents and relatives about the outcome of the homes Quality Assurance System. This has been produced in a user-friendly format. The residents lounge has been refurbished and other areas of the home have been redecorated. . Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 7 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. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3. The literature supplied to prospective residents contains sufficient information to enable them to make an informed choice as to whether the home will be able to meet there assessed needs. All residents have been provided with written contracts/ terms and conditions of residence. The homes staff ensure that they can meet the assessed needs of prospective residents by completing full written assessments prior to their admission to the home. Ernehale Lodge does not provide intermediate care. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. EVIDENCE: Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 10 The literature supplied to prospective residents now contains all the required information to enable them to make an informed choice as to whether the home will meet their assessed needs. All of the residents’ records viewed as part of this visit showed that Terms and Conditions of Residence documents had been provided and that people were signing to confirm that they had a read and agreed with them. (This is good practice). Three residents care plans were assessed during this visit and each contained a preadmission assessment, which had been completed by a qualified nurse. All residents are informed in writing that having regard to the assessment, the care home is suitable for the purpose of meeting their needs, in respect of health and welfare. Ernehale Lodge does not provide intermediate care. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents individual care plans contain sufficient information to ensure that staff are always aware of what support and assistance each resident requires. Residents’ health care needs are being met. There have been some improvements in the way in which the homes medication is managed however it is essential that staff always sign to confirm that the receipt of medication and to confirm that medication has been administered to the person for whom it was prescribed. Residents feel they are treated with respect and their rights to privacy is upheld. “Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: Residents individual care plans contain sufficient information to ensure that staff are aware of what support and assistance each resident requires. The Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 12 care plans viewed during this visit, had all been reviewed and where necessary updated each month. The residents and their relatives believe that the residents’ health care needs are being appropriately met. The residents records viewed during this visit confirmed that appropriate medical referrals are being made. There have been improvements in the way in which the homes medication is managed. Staff are now recording the temperature in the room where medication is stored to ensure that it does not exceed 25°C as medication can deteriorate is stored at a higher temperature. A photograph of each resident is now available adjacent to their medication administration records. There were several occasions where staff had not signed to confirm if medication had been given to the resident for whom it was prescribed. The manager stated that this was when agency staff had been employed by the home. Staff must always sign to confirm if the medication is being given. If for any reason the medication has not been administered an explanation must be provided. The use of codes is acceptable for this purpose. It was also noted that staff have not recorded to confirm that they had checked medication when it was received by the home. This made it very difficult to assess the amount and date on which medication had been received. The homes controlled medication was checked at random it had been appropriately stored and the administration records had been well maintained. The acting manager was able to demonstrate that medication, which is no longer required by the resident for whom it is prescribed, is being disposed of appropriately. All of the residents spoken with during the inspection said that the staff are always friendly and respectful and ensure their privacy and dignity is maintained at all times. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The home is now providing a good variety of activities and entertainment. People are encouraged to maintain contact with family and friends. Where possible people at encouraged to make decisions about their individual lifestyles. All the residents spoken with said that they enjoy the food provided by the home. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: The home is providing a good range of activities some of which were observed on the day of this visit. Staff have obviously worked hard to improve this area of the service. The range of activities and entertainment were prominently displayed in the main reception hall. (This is good practice). One resident said on their satisfaction questionnaire that they would like more activities to be provided and that they would like staff to ensure that the programs on the television are suitable for the residents. The senior staff stated that this issue has now been addressed in the residents of frequently asked what programs they would like to watch. There are also regular Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 14 meetings to discuss outings, entertainment and other social activities. (This is good practice). One visitor said how much he appreciated the efforts staff had made to enable his wife to participate in a recent outing. All of the residents’ spoken with, said that they can have visitors at any time and confirmed that their visitors are always made very welcome. One visitor confirmed that he had been invited to have his meals with his wife at the home, although he had chosen not to do this. Where possible people are encouraged to make decisions about their daily lives, all residents are offered the opportunity to manage their own finances, although only one resident had chosen to manage their finances at the time of this inspection. All the residents who were asked said that they were happy with the way their finances are managed. There are leaflets advising people how they can contact local advocates displayed in the main reception area. The homes Access to Records Policy was a very brief and needs to be reviewed to ensure that staff are aware of what process they should follow if a resident, or their representatives, asked to view a residents personal records. It is important that staff do not contravene the Data Protection Act 1998. The meal on the day of the inspection consisted of homemade cottage pie with potatoes fresh cabbage and carrots with ginger sponge and custard for the sweet course. The cook stated that although the lunchtime menu does not show a choice of food, alternative meals will always be provided. The residents spoken with during the inspection confirmed this. The inspector was advised that one resident chooses to replace approximately 50 of the cooked lunches with sandwiches. The inspector recommended that staff should keep a record of all alternative meals provided to provide evidence of the choices available and ensure that staff and inspectors can monitor what diets residents are actually eating. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Residents believe that their complaints will be taken seriously and that appropriate action would be taken. the homes complaints records support this view. The registered person is taking appropriate action to protect residents from abuse. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The homes complaints procedure is prominently displayed and a copy has been provided for every resident. (This is good practice). The home has only received one ‘informal’ complaint since the last inspection. The manager had accurately recorded details of the complaint including her investigation and the subsequent action taken. The residents and visitors spoken with during the inspection were confident that the acting manager would deal appropriately with any concerns or complaints they may have. The acting manager had notified social services about an ‘Adult Protection’ issue relating to one of the residents and her husband. The home had not received any formal response from social services about the action that they had decided to take. However the resident is no longer at the home. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 16 This resident social worker was in the home on the day of this inspection. He confirmed that the issue had been discussed with his line manager who had decided not to pursue the issues under the Protecting Vulnerable Adults process. He confirmed that he would send written confirmation of this decision to the home so that it could be forwarded to the Commission for Social Care Inspection. Policies were in place for Adult Protection and Whistle Blowing. The acting manager has attended training in relation to Safeguarding Adults reporting and referral protocols. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. The accommodation is purpose built and maintained to a good standard. At the time of inspection the home was clean and there were no offensive odours. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service” EVIDENCE: A partial tour of the premises was completed as part of this visit. The purpose-built accommodation is comfortably furnished and well decorated. The inspector was advised that the resident’s lounge has been refurbished since the last inspection. The toilets and bathrooms have also been redecorated to provide a more ‘homely’ environment. All of the residents spoken with during the inspection said that they liked their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture photographs and ornaments. One visitor said that Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 18 although his wife’s accommodation is very comfortable he hopes that she will be able to have a single bedroom as soon as one becomes available. Privacy screens are provided in all of the twin bedded rooms. The residents and visitors confirmed that the home is always kept very clean and odour free. The laundry is large and well equipped with washable wall and floor coverings. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. The staff rota are provided, shows an adequate staffing levels are being maintained. The homes recruitment policies and practices are supporting and protecting the residents. The acting manager was able to demonstrate the homes commitment to staff training and development. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: The staff rota provided prior to the inspection and those viewed on the day of the inspection, showed that sufficient staff are being provided, to comply with previously agreed staffing levels. The residents spoken with confirmed that although the staff always appear busy they still find time for social interaction. The home employes eight first level registered nurses many of whom have worked at the home for some considerable time helping to provide consistency and stability. Of the 16 care staff 32 have completed NVQ level 2 or above, three members of staff are currently completing the training and three more hope to commence the training in the near future. The personal records of two members of staff were assessed as part of the visit. Both sets of records contained all the required information. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 20 All new members of staff receive in-house induction training. It is important that the manager ensures that this training meets National Training Organisation training targets to ensure that staff can fulfil the aims of the home and meet the changing needs of the residents. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The homes acting manager has applied to be registered with the Commission for Social Care Inspection. The home is run in the best interests of the residents. Resident’s financial interests are safeguarded. Where checked the health and safety of residents and staff are promoted and protected. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: The acting manager has submitted an application form to be registered by the Commission for Social Care Inspection. It is anticipated that the registration process will be completed in the very near future. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 22 The residents’ staff and visitors stated that the acting manager is a very approachable and that she seeks their views about the way in which the home is run. The staff records viewed during this visit showed that most members of staff are receiving supervision six times a year. (This is good practice). However one member of staff who had been employed at the home for approximately 4 months had not received any supervision other than that provided as part of his initial induction. It is important that all staff receive regular supervision to help monitor and support them in the way in which they perform their duties. Quality monitoring systems are in place, which show that the residents and the stakeholders in the community are being encouraged to express their views about the services provided by the home. The registered person has produced a development plan for the home. (This is good practice). The home only manages small amounts of personal allowance for five residents. For the majority of residents the home will purchase items or services on their behalf and then issue invoices to recoup the money. Where items are purchased on behalf of a resident receipts are maintained, however these were at the Central office and were not available in the home for inspection. The inspector was advised that these receipts could be made available. All aspects of health and safety, assessed as part of this visit, had been satisfactorily maintained. The information supplied prior to this inspection shows that equipment is being regularly serviced and appropriately maintained. Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 12,13,17 Requirement Ensure the Safe Management of Medicines in relation to-: Where mediation is not given the reason must be appropriately documented on the medication record sheet. (Previous timescale of 17/03/06 not met) Ensure the safe Management of medication in relation to-: Staff must always sign to confirm that medication has been checked & is correct when it is received by the home. Timescale for action 16/08/06 2. OP9 12,13,17 16/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP14 Good Practice Recommendations It is recommended that the homes Access to Records DS0000026435.V303370.R01.S.doc Version 5.2 Page 25 Ernehale Lodge Care Home 2. OP15 Policy is developed to ensure that it complies with the Data Protection Act 1998. Staff should have a working knowledge of this procedure. It is recommended that staff record the meals provided for residents in sufficient detail for anyone inspecting the records to judge whether the diet is satisfactory. The records should include details of special diets/alternative meals provided. It is recommended that the Registered person ensures that the staff induction and foundation training meets National Training Organisation training targets. 3. OP30 Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Ernehale Lodge Care Home DS0000026435.V303370.R01.S.doc Version 5.2 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. 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