CARE HOMES FOR OLDER PEOPLE
Ernehale Lodge Care Home 82a Furlong Street Arnold Nottingham NG5 7BP Lead Inspector
Joanna Carrington Unannounced Inspection 28th November 2007 09:30 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.V352279.R02.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.V352279.R02.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 967 0322 0115 840 6763 ernehale@millfordcare.co.uk www.milfordcare.co.uk Mr Keith Sidney Dobb Mr Gerald Hudson Marie Sharon Va-ay 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) Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Ernehale Lodge Care Home is registered to provide accommodation and personal care for service users of both sexes whose primary care needs fall within the following categories :Dementia over 65 years DE(E) 10 Old age, not falling into any other category (OP) 10 2. 3. Physical disability (PD) 2 There must be at least one staff member on each shift who is fully trained in Dementia care The maximum number of service users to be accommodated at Ernehale Lodge Care Home is 30 16th August 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.V352279.R02.S.doc Version 5.2 Page 5 Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 28th November 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used was ‘case tracking’ which meant three residents were selected and their care was tracked through discussion with them and with staff, checking their care records and observing practice. Altogether, three staff members, three residents and two relatives were spoken with during the course of the inspection. A sample of staff records were also looked at to make sure staff get the necessary training and that checks are carried out on staff before they start working at the home. Information about a home that is collected before the inspection is also used to make judgements about a service. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. Unfortunately the registered manager had not been given enough time to fill in the AQAA prior to the inspection. Therefore, on this occasion no surveys were sent out. The AQAA was returned at the time of writing the report and has been used to support judgements made in this report. What the service does well:
The service does well at ensuring new residents do not move to the home unless their needs have been assessed and people that are interested in moving to the home have enough information to decide if the home is suitable for them. Residents and their relatives can visit the home to have a look around and to meet with the manager. The service does well at meeting the health and personal care needs of residents. There are detailed care plans and risk assessments, which residents and/or relatives are involved in developing and reviewing on a regular basis. This is important for ensuring that any changes in needs are identified or if residents are not happy with the way something is being done. The service does very well at seeking the views of residents and involving them in the running of the home. There are regular resident meetings, menu planning meetings and social activity planning meetings. Residents are provided with wholesome, nutritious meals in relaxed surroundings. There are a range of activities on offer, including occasional trips out and events in which family and friends are invited to. Residents spoken with confirmed that their
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 7 relatives are made welcome and can visit when they want. Relatives, residents and staff were observed interacting together. Staff members were observed treating residents with warmth and respect. There is a warm, friendly and relaxing atmosphere in the home. The home is well maintained and decorated and furnished pleasantly throughout. The staff team know the residents well and understand their individual needs. There is an excellent training programme, which includes all the mandatory health and safety training, as well as other courses relevant to the needs of residents. All staff members are expected to train in dementia care. Staffing numbers are flexible to the needs of residents, including staffing levels that are appropriate to maintaining the safety of residents that may wander or are prone to falls. Residents and relatives can be assured that any concerns, complaints they may have are taken very seriously and acted on using their complaints procedure. The staff team are also trained in adult abuse and are aware of their responsibilities to alert the manager of any allegations. This is vital in making sure action is taken in order to protect residents from potential abuse. Robust recruitment procedures are followed, which ensures residents are looked after by people that are suitable to work as carers. The management of the home / Organisation take the responsibility for the quality of their service very seriously. The Annual Quality Assurance Assessment provides detailed information on what they do well and recognises where they can make further improvements to the service. What has improved since the last inspection? What they could do better:
The Statement of Purpose could include more information on what the arrangements are to meet the needs of all residents, that they are registered to provide a service for. The ratio of care staff qualified with a National Vocational Qualification needs to increase, as this is currently below the target of 50 . This should benefit residents because a predominantly qualified staff team will be providing their care.
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 8 The manager must make sure that the fire safety log is maintained and that all fire safety tests are recorded. This is to ensure all the required fire alarm testing is undertaken and to subsequently promote and protect the health and safety of residents. 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. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 9 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.V352279.R02.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good admission arrangements, which ensure the home is suitable in meeting residents’ needs and people have enough information to decide to move there. EVIDENCE: There were pre-admission assessments, completed by a qualified nurse, seen on the files of both case tracked residents. A relative recalled a nurse visiting her mum in hospital to carry out an assessment. The relative visited the home to have a look round place and explained how she met with the manager of the home, which she found very helpful and welcoming. Assessments cover health and personal care needs and also contain in-depth information about residents’ life history and family tree. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 11 Signed copies of terms and conditions of residency were also seen. There is an up to date Service User Guide for the home, which residents are given a copy of. A resident spoken with confirmed this. There is a Statement of Purpose for the home but this does not contain enough information on the training and skills of the staff team and the arrangements for caring and meeting the specific needs of residents with dementia. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements for ensuring residents’ health and personal care needs are met and medicine management is effective in promoting the safety of residents. EVIDENCE: Care plans are detailed and contain individuals’ preferences on how they want their care to be given. For example, the physical care needs plans asks ‘when would you like your bath?’ to which the care plan specifies ‘the morning prior to the district nurse visiting.’ Care plans are evaluated monthly and there are meetings every six months with residents and relatives to review how things are going. The signature of either the resident and/or their relative is included on most of the care plans and review notes. Relatives and a resident spoken with confirmed they are involved in the development and review of care plans. The records seen show prompt referrals are made to specialist healthcare professionals as a result of the regular reviewing of healthcare and risk assessments such as pressure care assessments, falls risk assessments, and
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 13 moving and handling plans. A case tracked resident that was identified as being at high risk of malnutrition through a review of the nutritional screening tool was referred to a dietician. The visual and impairment team have been involved with a case tracked resident. Staff members were observed assisting a resident to transfer from their chair to a wheelchair with a hoist in a dignifying and caring manner. The resident was spoken with and made to feel as comfortable as possible when carrying out this task. Residents spoken with confirmed that the staff team always treat them with dignity and always respect their privacy. The policy and procedures for medicine management have been revised since the last key inspection. All qualified nurses are currently doing the course ‘Safe Handling of Medicines’ and competency assessments and questionnaires are regularly undertaken, to ensure the nurses are continually aware of good and safe practice in medicine management. One case tracked resident is given medication covertly. There were clear records to show that this practice has been discussed with the GP, pharmacist and relative, and been agreed as necessary for the health of the resident. All drugs, including refrigerated and controlled drugs were seen stored correctly. Instructions on medication administration records were seen to be clear and there were no gaps. There was no audit trail for one of the boxed medicines. The nurse spoken with explained that some tablets were left over from the previous cycle but these have not been accounted for on the current medication administration record. This means it cannot be checked if the tablet has been given as prescribed because the number of tablets remaining does not tally with the quantity recorded at the start of the cycle and what has been signed as given. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Meeting residents’ recreational needs and maintaining contact with family and friends is managed well in accordance with residents’ choices and personal interests. There are excellent arrangements in place for providing wholesome appealing meals. EVIDENCE: Relatives spoken with confirmed that they are always made to feel welcome when they visit. One relative remarked how important it is for her to be able to be involved in providing some of her mum’s care and to do “partnership care”. Relatives were observed visiting their relatives-in-care and all sitting together watching the entertainment, which was a singer. There was a very warm, relaxing and friendly environment observed, with residents, relatives and staff interacting together. Residents spoken with talked about the activities they particularly enjoy. One resident said she likes talking with staff while another resident said she likes the accordion man and having a sing-a-long. There is an activities board displayed in the entrance hall and also in the dining room. The board uses
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 15 pictures and tells residents the date, what the weather is like, what are the meals and planned activities for the day. Activities provided include board games, knitting, talking books, karaoke, armchair tennis, various crafts including Christmas card making and baking sessions. Domestic, daily living tasks such as laundry are also done with residents that wish to help and be involved in these tasks. A resident talked about the visit to White Post Farm in the summer, which she enjoyed. Residents spoken with confirmed that they make their own choices and have control of their day-to-day lives, for example, when they want to get up, where and how they want to spend their time and what meals they would like. Residents are encouraged to make decisions that concern the running of the home. There are regular resident meetings and every week a different group of residents meets with the cook every Monday to plan that week’s menu. There are picture cards of meals, to enable all residents, rather than just residents that need less care, make their choices known. (Further evidence is referred to under outcome area Management and Administration.) The mealtime was a relaxed affair and the meals served looked appetizing and nutritious. One resident chose to have a bit of both the turkey casserole the minced beef. Menu records show that a good variety of healthy, wholesome meals are provided. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are assured that their concerns, complaints and allegations are listened to, taken seriously and acted on. EVIDENCE: The complaints records showed that there have been three complaints made since the last inspection, including a record of a complaint that came directly to the Commission and was then referred to Social Services. Records showed that these complaints have been taken seriously and that timely action was taken to respond to the complainants and to resolve the issue. All residents and relatives spoken with reported that if they had any concerns that they would go to the manager, and are confident that the manager would respond appropriately and deal with the problem. Staff members spoken with demonstrated an understanding of their responsibilities to alert allegations of abuse to the manager, in accordance with Safeguarding Adults procedures. There was evidence seen that all staff have training in adult protection. There has been one safeguarding adults investigation since the last inspection, which was into an allegation of financial abuse by a staff member. The police
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 17 were involved in the investigation and as a result the ex-staff member has been charged and is due to go to court. The ex-staff member has been referred on to the POVA (protection of vulnerable adults) list. As a result of this incident the Organisation is in the process of reviewing their procedures for assisting residents with their personal monies, and looking at how they can support or put safeguards in place for residents that choose to be independent in this area. Guidance published by the Commission is being used to inform the work being done. Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are afforded safe, clean and homely surroundings to live in. EVIDENCE: While walking around the home the home was seen clean and hygienic throughout. Staff members spoken with reported that they have had training in infection control and demonstrated an awareness of different types of infection and how to control the spread of them. The home is furnished and decorated pleasantly throughout. There have been some changes to the environment since the last inspection, including a new conservatory -which gives residents more communal space- new curtains and some bedrooms have been redecorated. The bedrooms seen were personalised with residents’ own belongings and pictures. There is also a new disabled shower in the home.
Ernehale Lodge Care Home DS0000026435.V352279.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are excellent staffing arrangements, to ensure that residents are in safe hands at all times. EVIDENCE: Residents spoken with reported there are always staff available to provide assistance when needed and one resident said they enjoyed spending time talking with staff. It was evident from observing that this is regarded as an important part of the caring role. Staff members spoken with also confirmed that staffing levels are appropriate to the needs of residents. A staff member explained that there is a policy to make sure there is always a staff member in each communal area, in order to observe residents that may wander and to reduce the risk of falls. There is an excellent training programme provided by the Organisation. The policy of the home is that all staff members are required to have training in Dementia care. Staff members spoken with talked about what they have learnt from this training, and demonstrated they have the knowledge and skills to work with and understand the needs of people with dementia. Staff spoken with and the records seen confirm that staff members have mandatory and regular refresher training in Fire Safety, Food Hygiene, Moving and Handling, Infection Control and First Aid. Other courses accessed, to enable staff to meet the needs of residents, are Pressure Area and Wound Care, Nutrition and
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 20 Special Diets, Continence Care, Catheter Care, End of Life Care, Customer Care and Equality and Diversity. Four of the fifteen care staff are trained to at least the National Vocational Qualification (NVQ) in Social Care at Level 2. Three older staff members, due for retirement have chosen not to undertaken the qualification. The manager reported that the Organisation is setting up its own NVQ provision, in order to get other staff members working towards this qualification. The target of getting fifty percent of the care staff team qualified to at least this level is now overdue. Recruitment records were examined for two staff members and showed that both of these staff did not commence employment until the return of two written references and a criminal record bureau check / POVA First Check. Pictures in the quality assurance file show that residents are involved in the interviewing stages of the recruitment and selection of new staff. Ernehale Lodge Care Home DS0000026435.V352279.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the home is managed well and effective, robust quality monitoring based on seeking the views of residents ensures the home is run in their best interests. EVIDENCE: The registered manager is in the process of doing the National Vocational Qualification (NVQ) Registered Managers Award. The registered manager has also recently been on training on the Mental Capacity Act. A staff member reported management as being very approachable and helpful. A relative described the registered manager as “very compassionate” and described the care and overall approach of the home as “absolutely transparent”, “here is open and marvellous.”
Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 22 There is an excellent and extensive system in place for monitoring quality in the home, with a number of ways to seek the views of residents and other stakeholders. There are ‘resident involvement groups’ for Social Planning, Health and Safety, Home Design and regular resident meetings. There are photos contained in the Quality Assurance file showing residents being involved in selecting new carpets, planning activities and interviewing staff. Residents have signed a form consenting to being photographed doing these activities. The Organisational line manger undertakes regular audits and monitoring visits at the home. All of the information collated is reviewed and informs the home’s ‘action plan’ on how to develop the service. For example, carpets were replaced in the lounge because people said they looked poor and the lounge is being kept tidier because people commented about this too. The manager also reported that they are looking at ways to keep food warmer for longer when it is being served because this was also raised as an issue. Records show that gas safety certificate and the servicing of the lift and hoists are all up to date. Both the registered manager and staff spoken with said that fire alarm tests are carried out weekly however there were some gaps in the fire safety records in October this year. The fire risk assessment is dated July 2006, and therefore is due for review. Ernehale Lodge Care Home DS0000026435.V352279.R02.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 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 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 2 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 2 Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no 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 OP38 Regulation 23(4A) Requirement In consultation with the fire and rescue authority, the fire risk assessment must be kept under review and all fire safety records must be kept maintained. This is to promote and protect the health, safetly and welfare of service users. Timescale for action 01/02/08 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 OP1 Good Practice Recommendations Add to the Statement of Purpose the arrangements in place for making sure the needs of people with dementia are met. Continue with pursuing the target of 50 of the care staff qualified with at least National Vocational Qualification (NVQ) in Social Care level 2. 2 OP28 Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ernehale Lodge Care Home DS0000026435.V352279.R02.S.doc Version 5.2 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!
