Inspection on 17/10/07 for Ferguson Lodge

This inspection was carried out on 17th October 2007.

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

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

Other inspections for this house

Ferguson Lodge 22/10/08

Ferguson Lodge 26/10/06

Ferguson Lodge 21/02/06

Ferguson Lodge 07/02/05

Ferguson Lodge 23/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Ferguson Lodge Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL Lead Inspector Allan Helmrich Key Unannounced Inspection 09:30 17 and 19th October 2007 th 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 Ferguson Lodge DS0000000445.V346574.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. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferguson Lodge Address Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL 0191 241 1212 0191 2411211 philip@ewart-dilworth.co.uk 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) Ewart & Dilworth Ltd Mr Philip Lawrence Ewart Care Home 46 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (33), of places Sensory impairment (3) Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named resident may be under pensionable age. Date of last inspection 26th October 2006 Brief Description of the Service: Ferguson Lodge is a care home that was purpose built in 1999. It can accommodate forty-six older people, ten of whom suffer from dementia and three who have a sensory impairment. The home is on three floors and there is a passenger lift to all levels. All bedrooms have en-suite toilet and wash hand basin. There are five communal lounges one of which is a designated smoking lounge. There is a hair dressing room that the visiting hairdressers regularly use. The home is located in the West End of Newcastle upon Tyne and is a short walk from local shops and public houses. The area is easily accessible as it is on a bus route to other parts of Newcastle. Inspection reports and information about the home are readily available. The weekly fees are £389 £410. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 26th October 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals, where this information was available. The Visit: An unannounced visit was made on 17th October 2007 and a further visit was made on 19th October 2007 to conclude the inspection. During the visit we: • • • • • • Talked with people who use the service, staff, and a visiting health professional. No visitors were seen. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, including medication, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. What the service does well: The home is modern and reasonably well maintained. All areas of the home are easily accessible to residents with a physical disability. Senior care staff know the residents well and ensure care needs are well met. The proprietor and some staff can sign to residents with sensory impairment. Good systems are in place to ensure the home can meet the needs of new referrals. Several residents stated they enjoy the meals and that care staff are good. One resident said he enjoys going out regularly to shops in the local area. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 6 Residents’ comments about the care provided were generally positive. Staff received a lot of praise. The home has a telephone system that allows residents to make and receive calls in private in their bedrooms. Visitors comments included; they look after my mother well, I think they provide a good service, clean and happy environment, I have seen a big improvement in my mother since she arrived, meals seem good and on time. Residents have their health regularly assessed. Staff are aware of how to look after vulnerable people. What has improved since the last inspection? What they could do better: The following requirements made at the last inspection have not been addressed; • To ensure all care plans contain a recent photograph of the resident. • To review the home’s training records and ensure update training is provided. • To use the home’s quality assessment document and develop questionnaires to improve the standards of care provided. The following recommendations made at the last inspection have not been addressed; • To review the activities provided and consider a specific person designated to providing activities. • To ensure residents clothes are stored individually to limit the possibility of loss. • To ensure the home’s competent person is acceptable to the local authority’s Environmental Health department for undertaking the assessment of equipment used to hoist people and undertaking other safety checks. Staff should be instructed in writing of the correct washing programmes to use to ensure a good standard of infection control is achieved. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 7 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. Ferguson Lodge DS0000000445.V346574.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 Ferguson Lodge DS0000000445.V346574.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. People who use the service experience good quality outcomes in this area. Clear information about the home, and what it offers, is available, and the manager ensures that the needs of any prospective residents can be met. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: The home has a Resident’s Guide, which was available immediately on request. In addition the home has produced a ‘glossy’ brochure for easy reading and a periodic newsletter about the home. A person who had recently come to live in Ferguson Lodge confirmed that they had received enough information about the home. They had also visited the home and been able to see the facilities Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 10 provided. All of the respondents to a questionnaire confirmed they have a contract and that they were given sufficient information about the home to be able to make a choice. During visits, people interested in the home are encouraged to talk to current residents who can tell them what it is like. The proprietor/manager has identified a potential improvement to the admission process. He intends to survey new residents/supporters to obtain their opinions about the move into Ferguson Lodge. Four sets of care records reviewed showed that an assessment of needs had been carried out before admission and that plans of care are put in place to meet these needs. Other information from care professionals involved with any referral prior to admission was obtained and used in the admission and care planning process. This should ensure unsuitable placements are not accepted. Should a resident be taken into hospital, a further assessment in made before returning to the home to ensure any change in needs can still be met by the staff team. Residents may be admitted from home for respite but the home does not provided intermediate care to enable them to return to independent living. Ferguson Lodge DS0000000445.V346574.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use the service experience good quality outcomes in this area. The care plans are generally good, and residents usually receive the support and health care that they need. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: A selection of care records were looked at, as well as records about the specific needs of four residents. Care staff assess and review the care needs of each residents monthly to ensure their needs are being met. The care plans were generally good at describing the needs of the people concerned. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 12 Risk assessments were in place to promote residents independence. However one resident spoken to said he enjoyed domestic routines but this was discouraged in this home. Some care staff spoken to had received training in dealing with challenging behaviour, such as aggression. Training to support people with a dementia is also provided. The home is registered to provide care for older people with a sensory impairment and several staff in the home are able to sign using British Sign Language. An interpreter was arranged by the home for a resident who attended a healthcare appointment to ensure his needs were communicated. After talking with residents and some of the staff, as well as looking at records, it was confirmed that the health and wellbeing of residents is closely monitored. Residents spoken to during the inspection said that doctors were contacted if they did not feel well. One said, ‘they look after us very well’. Of the seven residents who completed a survey, five said they ‘always’ received the care and support they needed and two said they ‘usually’ did. Staff actively obtain support to ensure residents health is maintained but the record of healthcare appointments was not detailed in some files. It could not be established when two residents had last seen a dentist. Some care plans did not contain a photograph to identify the resident. This was a requirement at the last inspection. A senior carer though this was due to them not being provided by residents families. It is expected the home would provide this as the case record is produced to ensure new residents are easily identified. Each resident is assessed monthly to identify any risk of malnutrition, falls or pressure sores. A new system is in place where the key worker audits the care plan each month to identify any shortfalls. Residents were being weighed regularly and a new set of ‘sit on’ scales was purchased recently to improve the monitoring of residents unable to weight bare. Staff had sought the advice of appropriate health care professionals where a resident had difficulties with eating and a care plan was in place for another resident to encourage her to eat and to provide the meal on a small plate. Residents were well groomed and attention was paid to their personal care. Staff were seen to be caring and gave sensitive support to residents when needed. A district nurse stated she sees residents in private. The proprietor has invested in a telephone system that allows any resident to have a private phone in their bedroom for incoming or outgoing calls. Resident who commented said that staff respect their privacy. During a tour of the building I Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 13 found locks to two bathroom doors broken. These were repaired during the inspection. Locks should be regularly tested to ensure privacy when using a toilet or bathing. Medication records, storage, handling and administration were satisfactory. Appropriate policies and procedures relating to medication were available in the room designated to store medicines. The medical reference book for staff was several years old and should be replaced by a contemporary one. There was evidence on the staff records that training had been given about the medication procedures to ensure good practice is maintained. Ferguson Lodge DS0000000445.V346574.R01.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, 15. People who use the service experience good quality outcomes in this area. Residents are helped to make choices about how they spend their time. A limited range of activities is arranged. Community links are promoted. A good range of healthy meals is provided. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: Carers were seen to engage some of the residents in social activities during the course of the inspection. An activities schedule is displayed in a lounge but this does not seem to be followed. Entertainers occasionally visit the home and there has been a clothes party recently. Three carers spoken to were not sure what the days activities were. One carer stated that it is difficult to motivate residents to be involved in activities. Mixed views were received from residents. Most could not remember what activities were held, one said there wasn’t much, one said they were not Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 15 interested and one said they enjoyed dominoes. One resident was waiting for transport to take her to a day centre and another resident who had just returned from a shopping trip to the local store said he also regularly takes the dog for a walk. Of the seven residents who completed a survey, four said there were ‘always’ activities they could join in with, two said ‘usually and one ‘sometimes’. Of the eight visitors questionnaires returned only one commented on a lack of suitable activities, stating; the TV is on most of the time instead of music for people with dementia, more easy activities instead of staring into space or sleeping. A religious service is held in the home each month. Ferguson Lodge DS0000000445.V346574.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, 18. People who use the service experience good quality outcomes in this area. Residents are listened to and protected by a caring staff team to ensure they are safe. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: A copy of the home’s complaints procedure is given to each new resident. Residents spoken to during the inspection said they would readily tell the staff if they had any concerns. Of the fifteen who completed a survey, twelve said they knew how to make a complaint. No complaints were recorded since the last inspection. Following criticism in previous reports, the manager is introducing a system of recording any dissatisfaction brought to his attention together with any action taken. This demonstrates a commitment to improving care for the individual. The staff are aware of the policies and procedures for safeguarding people living in the home from abuse. Two carers spoken to demonstrated their Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 17 awareness of how to deal with any issues. They also confirmed they have received training to support vulnerable adults. The manager has demonstrated previously, his commitment to ensuring residents in the home are safe from abusive practices Ferguson Lodge DS0000000445.V346574.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, 26. People who use the service experience good quality outcomes in this area. The building provides suitable accommodation for older people in a safe and clean environment. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: The home was purpose built in 1999. There are three floors with a passenger lift between them. All areas of the home are accessible to residents with a physical disability. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 19 All bedrooms are single and have en-suite toilets, they were personalised with residents’ belongings. Some residents use keys to lock their bedroom doors. The home has a programme of decoration and replacement of furniture. On a tour of the building it was found to be reasonably well maintained and clean. The locks to two bathroom doors were broken. These were repaired during the inspection to promote the privacy and dignity of residents. Two bathrooms also contained bars of soap left by previous users. These were disposed of by the senior carer to promote infection control. The laundry contains a good standard of equipment. The laundry floor was clean and storage space was good. There was no information provided to staff regarding washing programmes and both washing machines were using 30°c washes for towels and other items that should be washed at higher temperatures. Following criticism of the home’s system for laundering clothes, a recommendation was made to provide each resident with their own clothesbasket. A good system for storing clothes is still not in place and again a visitor has commented that ‘the mix up with clothing after being washed needs to be sorted out’. The home has systems for infection control and a sluicing facility. However as stated previously clothes should be washed at appropriate temperatures to ensure they are clean. Ferguson Lodge DS0000000445.V346574.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, 30. People who use the service experience good quality outcomes in this area. There are enough competent and experienced staff to meet the health and care needs of the people living in the home. Some staff training requires updating. Recruitment procedures are thorough, which helps to protect residents. We have made this judgment using a range of evidence, including a visit to this service’ EVIDENCE: At the time of inspection, there were 36 residents staying in the home and another three were in hospital. The rota and talks with senior staff confirmed that the numbers of care staff are as follows: 8 am to 8 pm 6 8 pm to 8 am 3 Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 21 The above includes a senior member of staff and falls within the guidance given to care homes. The manager’s hours are not included in the above nor staff employed for other tasks, such as administration, food preparation, cleaning and maintenance. Three staff had left their posts in the past 12 months, which is a turnover of about 15 . A number of staff that have worked in the home for several years, including the manager, this provides consistency. A male carer is employed. This gives residents some choice about the gender of the carers who provide personal care. Staff were seen to be caring and attentive to residents. Residents who made comment during the inspection said they were treated well by the staff. Comments were received from residents who completed a survey as follows:In answer to the question, ‘Do the staff listen and act on what you say?’ all respondents stated ‘yes’. Two individual comments were; ‘staff are very helpful’ and ‘staff are always very helpful and friendly’. The records of two recently recruited members of staff were looked at. The manager uses an audit sheet to ensure that anyone employed is most suitable to work with vulnerable people. The files contained appropriate references, checks of the Protection of Vulnerable Adults List and the Criminal Records Bureau (CRB). Also any gaps in employment are identified and issues from CRB checks are followed up. There were details of induction training on the staff records and staff confirmed that they had received this. One to one supervision with management takes place although this is not as frequent with night staff. The manager stated that 55 of the care staff have now achieved a National Vocational Qualification (NVQ) in care and that other members of staff are expected to obtain this within a reasonable period of time. The system for identifying outstanding training needs is week. Several staff are due refresher training in several areas of care. Two staff spoken to could not remember if their training was up to date. A matrix system of identifying training done would highlight any deficient areas and better support residents’ needs. A requirement was made at the last inspection to review the home’s training records and ensure update training is provided. Ferguson Lodge DS0000000445.V346574.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, 38. People who use the service experience adequate quality outcomes in this area. The manager provides clear leadership and direction and the staff team are fully aware of their roles and responsibilities. However a system to monitor quality is not being used and requirements and recommendations made at previous inspections to improve standards for residents have not been addressed. We have made this judgment using a range of evidence, including a visit to this service’ Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager was registered in April 2004. At this time he was enrolled with Newcastle College with the intention of obtaining the Registered Managers Award. He has recently changed the support organisation and intends to work towards obtaining this award that demonstrates the abilities of the recipient to manage a care home for vulnerable people. A quality monitoring system was purchased some time ago for use in the home. To date no action has been taken to implement the process to assess the standards of care provided to residents or how these could be improved. The manager has completed an annual quality assessment prior to the inspection but none of the staff on duty during the inspection could identify where these ideas had come from. So far no action plans have been produced and the home has not yet developed specific questionnaires to find out what residents and visitors think about the standard of care. A system is in place to encourage residents and their families to control their own finances. The home sends invoices for any monies they spend on behalf of residents. Any monies that are held for residents are recorded and each transaction has two signatures. Systems are in place to ensure the home is safe for residents. Certificates were seen to demonstrate maintenance tasks carried out by external contractors were done. Water temperatures are checked and a risk assessment is in place to show the water system is free from Legionella. A recommendation was made at the last inspection that this assessment should be amended to include showerheads to ensure a safe environment. This has not been addressed. The home carries out many of its own assessments that require a person assessed as competent under the Health and Safety Regulations. The person charged with these duties has not been assessed as competent by the manager or anyone else. A recommendation made at the last inspection to contact the Health and Safety Department of the local authority regarding the practice of employing untrained people to carry out checks on equipment used in lifting and transporting people has not been addressed. One comment from a visitor to the home stated ‘the maintenance of wheelchairs in the home needs to be improved. No evidence was found during the inspection that wheelchairs and lifting equipment was anything other than well maintained. Accidents in the home are recorded and all issues are followed up by senior staff. A fire risk assessment has been produced and regular fire checks are recorded. Staff training in fire safety is carried out. Ferguson Lodge DS0000000445.V346574.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 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement The manager must ensure all care plans contain a recent photo of the resident. This is an outstanding requirement from the previous inspection of 26/10/06. The manager must ensure all residents have access to regular healthcare appointments including dentists and these appointments are recorded. The manager must ensure that staff working in the laundry are aware of the correct temperatures for various washes. Written details should be available to staff in the laundry. The manager must review the homes training records and ensure update training is provided. This is an outstanding requirement from the previous inspection of 26/10/06. The manager must review the care provided using the home’s DS0000000445.V346574.R01.S.doc Timescale for action 30/11/07 2. OP8 12(1)(a) 31/12/07 3. OP26 13(4)(c) 30/11/07 4. OP30 18(1)(c) (i) 30/11/07 5. OP33 24 30/04/08 Ferguson Lodge Version 5.2 Page 26 quality assessment document and produce plans of improvement for those areas identified. Questionnaires should be developed to obtain the opinion of residents, relatives and visitors to the home. This is an outstanding requirement from the previous inspection of 26/10/06. 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 OP12 Good Practice Recommendations The manager should review the activities provided by the home and decide whether a specific person designated to provide activities would improve this standard. Use the homes quality monitoring system to assess the standard of activities and involve residents and their families in any discussion. Ensure staff are aware of the need to promote privacy and dignity by ensuring maintenance is aware of broken locks to bathroom and toilet doors. Staff should also be instructed to remove personal soap bars from bathrooms to promote good infection control. Ensure residents’ clothes are stored individually in the laundry to limit the possibility of loss. The manager should obtain the Registered Managers Award to demonstrate his competence in running a care home for vulnerable people. Add testing the showerheads to the Legionella risk assessment already produced. Contact the local authority environmental health department to determine the requirements associated with a person employed in the home checking hoisting equipment and any other safety checks. Ferguson Lodge DS0000000445.V346574.R01.S.doc Version 5.2 Page 27 2. OP26 3. 4. 5. OP26 OP31 OP38 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Ferguson Lodge DS0000000445.V346574.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. 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