Inspection on 06/09/07 for Ernest Luff Home

This inspection was carried out on 6th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ernest Luff Home 08/09/08

Ernest Luff Home 23/11/05

Ernest Luff Home 22/07/05

Ernest Luff Home 02/06/04

Ernest Luff Home 18/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Ernest Luff Home 2-4 Luff Way Garden Road Walton On Naze Essex CO14 8SW Lead Inspector Ray Burwood Key Unannounced Inspection 6th September 2007 09:00 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 Ernest Luff Home DS0000017812.V351787.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. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ernest Luff Home Address 2-4 Luff Way Garden Road Walton On Naze Essex CO14 8SW 01255 679212 01255 674414 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) The Ernest Luff Homes Limited Mr Derek William Carpenter Care Home 64 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (53) of places Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2006 Brief Description of the Service: The Ernest Luff Home is situated in Walton-on-Naze, Essex and provides accommodation in two buildings. The home was originally established to run along Christian principles and still has a strong Christian ethos. The Ernest Luff House provides accommodation for 37 people over the age of 65 on two floors, all rooms providing en-suite facilities; there is a range of communal areas on each floor. A passenger lift or stairs with seated stair lifts, serve the first floor. Olive Luff House provides accommodation for 17 people over the age of 65 on the first floor and 11 people over the age of 65 who have dementia on the ground floor. Both floors are independent of each other and are staffed separately. A lift and stairs provide access to the first floor. Surrounding both houses are gardens and lawned areas that provide people with comfortable facilities to sit and relax. The gardens surrounding Olive Luff House provide an additional area where residents can grow flowers and vegetables. Next door to the home is a sheltered housing scheme run by the same charitable foundation. Close to both houses are shops; a church and public transport is close by. There are ample parking areas to the front of the main house. Current charges made by the home for accommodation are between £337.50 and £525.00. Information about services provided by Ernest Luff Homes Ltd can be found in the home’s Statement of Purpose; Service User Guide; leaflets and brochures are available on request. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 6th September 2007 with the assistance of Senior staff employed in Ernest Luff House and Olive Luff House, administrative staff, people who live at the home, care staff, and visitors, my thanks to them all. The registered manager was on leave during this site visit that was conducted between the hours of 10:00am and 3:00pm. The inspection involved a tour of both the houses, looking at records, documents, and talking to people who live at the homes, staff, including the cook, and visitors. Additional feedback was received from surveys completed by staff, residents and relatives. Feedback was positive about the standard of care, support, and the commitment of the management team. The presentation of the Annual Quality Assurance Assessment was good, well laid out and contributed positively to the overall inspection visit report. A total of twenty-three standards were inspected with twenty being met. Three of the standards were partially met. Two of the standards relating to the homes environment exceeded national minimum standards. At the end of the site visit feedback was given to staff and telephone contact made with the registered manager before the draft report was sent out. What the service does well: The home provides an excellent standard of accommodation that is comfortable, clean, regularly maintained and refurbished when required. Communal areas are furnished and decorated to a high standard and are set out for the comfort of all people living at the home. The home’s staff are well qualified to meet the diverse needs of residents currently accommodated. Training and development opportunities for staff are provided, and ensure that all residents’ assessed needs are professionally met. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3, and 6. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ needs are comprehensively assessed prior to moving into the home, and a plan of visits available to enable individuals to make an informed choice about moving into the home. EVIDENCE: The home’s Statement of Purpose reflected the aims, objectives and the philosophy of the service provision whilst relating specifically to the care and support of individuals with dementia. The Service Users Guide provided a summary of arrangements and contractual issues. The files of people living in both Ernest Luff House and Olive Luff House were inspected and found to contain comprehensive pre-admission information in which to generate a good care plan. Documentation was evident in relation to individuals referred through care management arrangements and for those Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 9 that are self-funding. Application forms for those individuals self-funding contained a page for self-assessment. Documentation found in residents’ files inspected included: • • • • • Activities assessments and records of participation. Individual residents profiles, including, daily routines and personal care needs. Manual handling and mobilisation assessments. Risk awareness/assessment and planning. Reviews of care plans. The admission procedure is well managed to guide staff on the actions to be taken to ensure that all new residents needs are properly assessed and planned for. Visits to the home prior to admission are encouraged. One resident spoken with said they were happy with the way in which they were admitted to the home and staff were very supportive. The home does not offer intermediate care. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 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. 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. The home ensures that the diverse health care needs and support of residents are identified and met but not reviewed regularly. Medication systems are well managed, promoting the good health and well being of residents. EVIDENCE: All prospective new residents care needs are identified through the preadmission process and the initial assessment on the day of admission. From this information an individual care plan is generated to meet their individual needs. Care plans inspected included moving and handling risk assessments and mobilisation assessment. They also included 24 hour care plan highlighting the residents normal routine throughout a 24 hour period . Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 11 The information included in the assessment highlighted where the resident is and where they would need assistance in activities of daily living. As far as possible residents are involved in drawing up their plan of care and sign in agreement where possible to the care that is being provided. Residents’ care plans examined in both houses had not been reviewed on a regular basis. All staff undertake training regarding pressure area points and the high risk of this in the elderly. Any potential problems are reported to the district nurse who advises as necessary. With residents who are prone to pressure area problems, the district nurse would provide the necessary treatment and suggest what equipment that may be needed. The home’s senior staff are in contact with the NHS continence advisor who following any referrals, would assess the individual and give advice. Staff spoken with said the advisor is also available for staff training when needed. Pre-admission assessments looks at residents’ dietary needs and any specific requirements are dealt with through the individual care plan. A well-balanced menu is provided with choices made available. Records showed that residents are weighed on admission and 3 monthly thereafter, any changes in weight is noted and dealt with accordingly. Records were seen in care plans to support these actions. People living at the home have access to specialist medical services with all residents registered with a General Practitioner of their choice where possible. The Home provides transport to the local hospital for the purpose of appointments etc. Chiropodist’s, dentist’s and community nurse’s support the home following referrals. Access to sight tests by a local optician is made available to residents who require the service. Both houses have a comprehensive medication policy that is adhered to by all staff responsible for the administration of medication (senior staff and above). One resident who self-medicates is supported by staff and has appropriate risk assessments in place. The Home is responsible for the ordering of their medication, which is kept in a locked drawer in their own room. All medication is stored appropriately, including controlled drugs when used. The privacy and dignity of people living at the home is respected at all times, residents spoken with in both houses and observations made during the visit confirmed this. Respect, equality and diversity issues are discussed during the Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 12 induction of all new staff and reinforced during supervision sessions. Ernest Luff Home DS0000017812.V351787.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Social activities and meals are well managed, creative, and provide a daily variation and interest for people living in the home. EVIDENCE: During visits to both houses, it was noted that the more able residents were either going out independently or being taken out by friends and relatives. One resident told the inspector that they were on their way out to do a bit of shopping and have a walk. The Home employs three Activities Co-ordinators (totally 74 hrs per week) and provide a full and varied activity programme which include individual and group activities, both in-house and outdoors. At the time of the inspection visit two Activities Co-ordinators were working with people who live in the dementia home. One group was making carrot soup for their lunch and appeared to be coping with the different stages well. The gardens surrounding the home has an allotment for growing flowers and vegetables. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 14 As providers of care for elderly christians, religious observance is maintained via a weekly service in the Home with visitor speakers, also, many residents attend the local church on Sunday mornings. Residents have freedom within the framework of the home and participation in social activities is encouraged, although personal choice, expectations and preferences are respected. One resident surveyed said activities are made available, but they prefer not to be involved. Residents are encouraged to exercise through weekly armchair exercises, taking into account their individual risk assessment risk assessment in relation to falls. Additional exercise is offered through walks and activities (i.e. ball games etc). Mealtimes are flexible with breakfast served between 8am-9am, whereas dinner and tea begin at set times but are flexible when necessary. Staff spoken with in the dementia unit said meal times are probably more flexible there to fit in with some of the residents needs. Snacks were observed to be taken throughout the day, facilities are available where these can be made. Information regarding activities are circulated via notice boards, newsletters and verbal announcements. Friends and family are free to visit both houses at any time. Visitors spoken with paid compliment to the new dementia unit and were encouraged to find a range of activities and facilities to meet residents’ different needs. Staff spoken with said residents from both houses maintain strong links with the community, with church groups visiting the home and/or residents attending the local church, or nearby community centre. As reported in previous reports the residence agreement states that service users or their representatives will deal with their finance. Discussions with the home’s administrator confirmed that the home holds small amounts of residents’ personal money with appropriate records being in place. Residents with no family or representative are encouraged to contact an external advocate where necessary. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 15 A varied menu provides a wide choice of meals with three main dishes (including one vegetarian), four desserts. During the evening there is a choice of main meal, a sandwich or a salad, also a choice of cakes or desserts. The Home caters for various dietary needs and currently have 9 diabetics and cater for gluten free diets. Some residents are on soft diets. Kitchen staff spoken with confirmed that liquidised diets would only be provided as a last resort and on the advice of a GP. If residents’ care plans advise that they need to be fed to maintain an adequate diet this is maintained. Staff were seen to meet these needs during mealtimes in a discreet and sensitive way. Ernest Luff Home DS0000017812.V351787.R01.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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Arrangements for the protection of residents are good, ensuring that they protected from harm and abuse. EVIDENCE: The home’s complaints policies and procedures met the standard and is made available in the home. A comprehensive complaints procedure is included in the Homes policy and procedures, also, the complaints procedure is included in the service users agreement of residency, including the address and telephone number of the Commission for Social Care Inspection (CSCI). One person spoken with said they are aware of the policies and procedures and would know who to contact if they had a complaint. Since the home’s last inspection a total of three complaints had been received, responded to and resolved within twenty eight days. All three complaints had been upheld and the complainants notified with the outcomes. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 17 Policies and procedures are in place regarding the Protection of Vulnerable Adults (POVA) including Whisle Blowing. Information is made available to individuals through the home’s policy and procedures file. Staff spoken with said they had undertaken Adult Protection training during their induction and NVQ training, but not all staff spoken with had completed external training. There are no current POVA issues relating to this home. Ernest Luff Home DS0000017812.V351787.R01.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 excellent. This judgement has been made using available evidence, including a visit to this service. The home provides a well-maintained environment through the renewal of equipment and facilities that ensures the comfort and safety of people living and working there. EVIDENCE: Both houses provide a good standard of accommodation with most bedrooms having en-suite facilities. The dementia unit based in Olive Luff House provided residents with high quality accommodation and facilities. All premises are maintained to a high standard of safety and cleanliness by a team of dedicated domestic and maintenance people. Two relatives spoken with said they were very pleased with the facilities and activities provided in the dementia unit. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 19 Garden areas surrounding both houses are safe accessible and provide comfortable seating. Gardens surrounding Olive Luff House have been designed for people with dementia and provide facilities for growing flowers and vegetables. Secure perimeter fencing is in place for the safety of residents. One resident spoken who lived in the dementia unit said they spent most days enjoying the garden walk. Laundry facilities are sighted away from areas where food is prepared and do not intrude on people living at the home. Laundry equipment is on a lease arrangement and are regualarly serviced and maintained by specialist engineers. New staff undergo infection control guidance during their induction with some of the staff team having undertaken a distance learning course in relation to infection control. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence, including a visit to this service. The home generally provides sufficient permanent staff to meet the needs of people living there but should consider how they meet shortages, to ensure that staffing levels are not compromised. Recruitment practices are not robust and place residents at risk by not ensuring that all checks are completed before new staff commences employment. People living at the home can feel confident that staff are suitably trained to meet their needs. EVIDENCE: Staffing arrangements for both houses were noted on the day of the site visit to be sufficient to meet the needs of individuals accommodated. Staff rotas inspected provided the evidence that dependency levels had been calculated using the Department of Health guidance ‘Residential Forum’ with some cover was being provided by agency staff due to sickness and annual leave. Three members of staff spoken with said the staffing situation was not good during these periods and sometimes they had to work short handed. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 21 Staff spoken with in the dementia unit said there was no problem with staffing because staffing numbers had been increased to meet the needs of people living there. The homes continues to support staff who are undertaking NVQ Level 2 and 3 qualifications and provide above the required 50 of care staff who are qualified. The registered manager is a qualified nurse and has completed the NVQ Level 4 in Management. From information received and contained in the Annual Quality Assurance Assessment (AQAA) all staff are POVA first and CRB checked prior to appointment, however, the three staff files inspected on the day of the site visit found that two members of staff had been employed with CRB’s from previous employers and one member of staff did not have a second reference. From discussions with the home’s administrator it was explained that the home was contracted to an employment consultancy who deals with the home’s employment needs and issues. Advice was given that CRB Disclosures are not portable and new staff do not commence employment until such checks, or others, have been completed. Staff training and development profiles was inspected and found to contain statutory and specialist training undertaken both in-house and externally. The following training was noted: • • • • • Manual Handling. Health & Safety. Food Hygiene. Infection Control. Control of Substances Hazardous to Health. Specialist training that has been delivered since the last inspection included: • • • Dementia Awareness and Managing Dementia. The Protection of Vulnerable Adults. NVQ training. All staff spoken with said they had received the appropriate training to meet the needs of people living at the home, and support from management. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 22 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. There is leadership; guidance and direction to staff to ensure that people living at the home receive a good quality of care. Residents’ personal wellbeing and safety is promoted through staff training, comprehensive policies, procedures, and regular health and safety checks. EVIDENCE: The registered Manager has NVQ 4 qualification and is accountable to the Chief Executive and ultimately the Committee that run the Ernest Luff Homes. The manegement structure comprises of Chief Executive, Homes Manager,and two Care Officers. The registered manager was taking leave on the day of the site visit. Senior Carers in both houses assisted with the inspection process. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 23 The home recognise the importance and diverse needs of people living at the home, and the responsibilities in meeting their individual needs, respect and human rights. Recognising that each individual and their relatives have opinions, the home listens to what they have to say about the service and to act where appropriate. In order to improve the service, quality asssurance questionnaires are distributed regularly to residents/relatives/friends,the results of these questionnaires are published in the home’s newsletter. People living at the home are made aware of their financial responsibilities via section 8 of the individual agreement of residency which is issued prior to admission.This states that the only responsibility that the home will have regarding residents finances, is to hold small amounts of personal spending money in a secure area in the administration office. Money taken from this deposit is signed for by the residents, and records kept. As previously reported, residents who do not have relatives or a representative, are advised to seek assistance through advocacy services. The home ensures that the health, safety and welfare of residents and staff is not compromised by ensuring that safe working practices are in place and that relevent leglislation is adhered to. Consultants are employed to undertake Health & Safety Risk assessments and produce the home’s Health & Safety Manual.They also undertake Fire Risk Assessments. Records relating to the health and safety of individuals living and working in the home were well maintained with appropriate training undertaken by staff in safe working practices. The testing of equipment and servicing records seen were all up to date. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 24 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 (2)(b) Requirement Residents’ care plans must be regularly kept under review to ensure that all staff are aware of any changes that may occur. Suitably qualified, competent and experienced staff must be employed in the home in such numbers that are appropriate for the health and welfare of people living and working in the home. This relates to appropriate cover during staff sickness and annual leave. To ensure the safety of people living at the home is not compromised, new staff offered employment must not commence work until such time as all checks have been completed. Timescale for action 30/11/07 2 OP27 18 (a)(b) 30/11/07 3 OP29 19 (a)(c) Schedule 1-6 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 26 No. Refer to Standard Good Practice Recommendations Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ernest Luff Home DS0000017812.V351787.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!