Inspection on 08/05/07 for Fern Lodge Nursing Home

This inspection was carried out on 8th May 2007.

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

The inspector 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

Fern Lodge Nursing Home 06/02/06

Fern Lodge Nursing Home 19/08/05

Fern Lodge Nursing Home 01/02/05

Fern Lodge Nursing Home 19/07/04

Fern Lodge Nursing Home 05/02/04

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

CARE HOME ADULTS 18-65 Fern Lodge Nursing Home 5 Eversley Park Chester Cheshire CH2 2AJ Lead Inspector June Shimmin Unannounced Inspection 8 May 2007 09:30 Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 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 Fern Lodge Nursing Home DS0000018746.V330750.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 Adults 18-65. 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. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fern Lodge Nursing Home Address 5 Eversley Park Chester Cheshire CH2 2AJ 01244 372288 01244 374425 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) Fairhome Care Group (Fern Lodge) Limited Mr Marcus Fluegge Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Fern Lodge is a Victorian, three storey semi-detached house near Chester city centre. The home is close to a main bus route and ten minutes walk from the nearest shops. It is also within walking distance of the Countess of Chester Health Park. There are bedrooms on all three floors. As there is no passenger lift, access to all floors is by a staircase. There are thirteen single rooms and four twin rooms; one of the single rooms has en suite facilities. People living in the home are there because they have mental health problems and as it is a nursing home, nurses are on duty at all times. The weekly fees are £473 to £559. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 8 May 2007 and lasted six and a half hours. It was carried out by one inspector. The visit was just one part of the inspection. Other information received about the home was also looked at. Before the visit the home manager completed a questionnaire to provide up to date information about Fern Lodge. CSCI questionnaires were also given to the manager to circulate to residents, families, health and social care professionals, such as doctors, nurses and social workers, to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were spoken with and they gave their views about Fern Lodge. What the service does well: Residents and relatives are given written information about the home so they can make an informed decision about living there. People who live in Fern Lodge have their care needs thoroughly assessed before they move into the home so that they know their needs will be met. Staff and managers at Fern Lodge are highly regarded by residents, relatives and people such as nurses who visit the home. One resident said, “they’re very good here” and another “everything’s perfect.” People who live at the home have choices about what they do and as much independence as possible so they enjoy a good quality of life. A relative wrote, “make them still feel like independent people.” There are a number of activities offered, particularly in the community, so the people living there stay active and get out and about. Thorough checks are done when new staff are recruited and they undertake training so that residents are protected from possible harm and receive good care. The home is well maintained so that people live in safe and comfortable surroundings where their visitors are welcome. Fern Lodge Nursing Home DS0000018746.V330750.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. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given information, and have their needs assessed before deciding to move into the home so they know that their needs can be met. EVIDENCE: Only one person has moved into Fern Lodge since the last inspection but has since moved to a different care environment. However, it was possible to look at documents about this person to check whether a full assessment had been carried out to make sure that his needs could be met at the home. The assessment process used at the home includes a self assessment so that people can say what they think about their care needs. The manager of the home or one of the other registered mental health nurses (RMN) also assess the person wishing to live at the home. In the case of people with mental health needs there has to be an assessment (Care Programme Approach) from an appropriately qualified person such as a community psychiatric nurse or social worker. All the documents seen showed that a full assessment had been carried out so that staff at the home knew what care needs the person had. The assessment also included details about the person’s spiritual needs, hobbies and interests. The deputy manager said that the home had an information pack (statement of purpose/service user guide), which is given to people when they move into the Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 9 home. This gives them information about the facilities the home has, staffing arrangements and what they can expect to receive in terms of care. People moving into the home are offered a choice of bedroom whenever possible but this might be restricted if there are few vacant rooms. There are several shared rooms in the home and people who share rooms are asked before they move into the home if they are happy to share a room. Both people meet to get to know each other and to make sure they both want to share the room. People come into the home initially for a trial period so this is another way in which they can find out if their needs can be met at the home. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know that their care needs are clearly set out in their care plans. They are encouraged to make decisions about their daily lives and any risks are monitored. This means that residents are supported to live as independent a lifestyle as possible. EVIDENCE: People who live at Fern Lodge are involved in drawing up their care plan when they first come to live at the home so that they know what care the staff will provide for them. Each person has a keyworker; this worker has responsibility for ensuring that the care plan reflects the person’s care needs and for talking to them about care provided. Two care plans were seen during the site visit. The care plan is individualised for each person so that it reflects the their hopes, and wishes. Care staff help people to take decisions about how they would like to live their lives. For instance, one person was hoping to move back to live more independently in the community. Staff often talked about this possibility with the person so that the person felt supported and fully involved. There was also information from Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 11 residents’ families and social and health care professionals involved in their care. Care plans needed to describe more about the person’s preferences in relation to leisure and social care needs so that staff could show that those needs were identified and being met. Care staff advise people about what to do if an activity is considered to involve risk. The care plans and risk assessments are looked at least every six months to make sure that they reflect any changes that may have occurred. This means that people living in the home feel safe and know where to go to if they need support. The moving and handling risk assessment of one resident had not been reviewed to show that changes had occurred. However, the care plan for mobility did reflect this change. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in activities that suit their lifestyles and are able to make choices so they stay as active and independent as possible in their daily lives. EVIDENCE: Fern Lodge is within walking distance of a number of amenities including the Countess of Chester Health Park, that people do not need to use transport to get to them. There is also a bus route near to the home and the nearest shops are a ten minute walk away. During the site visit a number of residents were taking part in activities outside the home. Where possible, people who live at the home are encouraged to follow these leisure interests independently. Most of the people who live at the home are able to go out independently but several older people need more support from staff to do this. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 13 Staff from the home find out if people who live at the home follow any particular faith. A lay preacher visits Fern Lodge once a week and anyone who wishes to can join in a service. One resident goes to church on Sundays. A staff member said that only one of the people who lives at the home currently has any paid work. Where possible, people who live at the home are given help to apply for a job so that they can earn money and feel a sense of achievement and independence. Staff help the people living in the home to manage their own money so that again they can remain independent. A few of the people who live at Fern Lodge do jobs around the home such as emptying bins and laying tables. They are given extra money for doing this. Relatives and friends are welcome at the home although the deputy manager said that few people visited as most people who live at the home do not have relatives. Several people enjoy going back to their own home and often stay overnight. Other residents attend centres in the Chester area where there are organised activities during weekdays for people with mental health problems. The people who live at Fern Lodge are asked whether they would want to go to one of these centres but many choose not to. At least one person who lives at the home uses a local gym. Care staff encourage other people who live at the home to take exercise so that they are leading a healthy lifestyle. Most of the people living at the home speak with staff each day about life in the home. However, more formal monthly meetings are held when people can put forward their views and discuss issues affecting their life in the home. The range of activities provided is discussed with residents at these meetings. The home has a guide activity plan for each week but this is not individualised to each resident. For instance, one activity on offer was a film, which residents could choose to watch. On other evenings there was sport on TV or darts. It was noted that there were more leisure activities suited to younger people but maybe not as many for the older people living in the home. There was not much noted in people’s care plans about their interests to help in planning a programme that would meet their leisure and social needs. The dining room at the home can seat twelve people at one sitting. If everyone is in the home and wants to eat in the dining room there are sometimes two sittings. There is a cook employed as none of the residents take part in preparing food. The staff said that people who live at the home couldn’t go into the kitchen for health and safety reasons. Many of the people who live at the home choose to eat out for different meals and on the day of the site visit, four had gone out for lunch. The main meal is served in the evening so that most of the people who live at Fern Lodge will have returned to the home and can eat together. Menus are decided at resident meetings and are changed according to the season. The deputy manager said that each month there is a theme night when the people who live at the home choose a country and food typical of that country is prepared. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 14 Lunch is at 12 midday and tea is at 4 45pm. Although this seems early, none of the people who live at the home or their relatives made any comment about it. Staff assist people who live at the home with daily living skills such as laundry, room cleaning, shopping and budgeting. People living in the home are unable to participate in food preparation within the main kitchen area due to health and safety restrictions. Some people have an outreach worker, provided by the local health service, to work with them on specific skills such as food preparation. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The way in which people’s needs are met means they receive all the care they need in a way that respects their dignity. EVIDENCE: Care plans for the people who live at the home include details about how their personal and health care needs are to be met. Health and other care needs are reviewed at least every six months and sooner if necessary. Staff at the home keep in contact with a range of health care services so that any identified health care needs are met promptly. For instance one person was due to visit the dentist on the day of the site visit. The health care needs of one of the people living at the home were being checked regularly as care staff thought that the person’s health care needs were increasing. Another person had gained weight over a period of time. One reason for this was a physical problem that had just been identified but the care plan should have reflected that the person needed support and guidance on healthy eating so that the weight gain could be prevented. However, another person who lived at the home and who had a similar problem said that this had been discussed with them. A suitable diet had been suggested with a record of this made in the care plan. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 16 Medication is managed well at Fern Lodge. There is a suitably equipped medication room. Records relating to the receipt, administration and disposal of medicines were generally of a good standard. A new system for the administration of medicine had recently been introduced at the home. This makes it easier for staff to identify individual tablets. Five of the people who live at the home were able to take care of their own medication, which is another way in which people can maintain their own independence. Risk assessments and storage facilities for this were seen and were satisfactory. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to raise any concerns and there is policy on adult protection so that people living in the home are protected from possible abuse. EVIDENCE: There is a complaints procedure and people who live at the home said that they would know who to speak to if they had any concerns. The complaints procedure is also included within the statement of purpose/service user guide. No complaints had been received at the home. There are comprehensive policies and procedures on the protection of vulnerable adults available at the home. The policy details what is meant by abuse and describes ways of identifying whether abuse has taken place. Care staff read policies and procedures as part of their induction and posters with information about protection are displayed in the home. Three older people who live at the home do not have an independent advocate other than their keyworker or an associate worker outside the home. The Mental Capacity Act, which will be implemented during 2007, provides a legal framework to empower and protect people who may not be able to make some decisions for themselves. This may affect a number of residents at Fern Lodge. The deputy manager said that none of the staff had received training about this new law so that decisions might be made for some people living at the home without a full consultation on what their wishes might be. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 18 The majority of people living at Fern Lodge manage their own finances. The care home staff manage small amounts of money for a few residents and these are checked every day. The balance held by the home was checked for two people and found to be correct. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and tidy so that people live in safe and comfortable surroundings. EVIDENCE: Fern Lodge is clean, safe and well maintained. The property has a homely atmosphere and people said they enjoyed living there. One person said, “It’s the best home I’ve been in.” There were no offensive smells noticed during a tour of the building and appropriate measures were in place to control any infection. The home is on three floors and a staircase connects each floor. There is no passenger lift and one person with a mobility problem is living on the ground floor. There are adequate toilets and bathing facilities on each floor. The bath on the ground floor has a hoist for helping people with mobility problems to get into the bath. There are also rails along corridors to help people who have problems with moving around. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 20 The furnishings in the home are of a satisfactory standard. There is a programme of refurbishment for the home and a staff member said that maintenance is dealt with fairly promptly. Some parts of the home were looking a little shabby, particularly the garden and chairs in the smoking room. However, this did not seem to adversely affect the quality of life of the people living in the home. The manager provided information before the inspection about improvements to the environment. These included a sink in the toilet on the first floor, renewal of sink units in room 6 and a new toilet. The cellar had been upgraded and decoration was ongoing. People who live at the home are able to personalise their own rooms with pictures, ornaments and so on, and there was privacy in shared rooms. There are emergency call bells in all rooms and staff test these every weekend to make sure they are working properly. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have had training to make sure they develop their skills and provide safe care. Recruitment procedures are thorough enough to ensure that residents are protected from possible poor practice and harm. EVIDENCE: The recruitment records of two new staff were seen. All necessary documentation relating to their employment were seen and found to be satisfactory. The copy of the security check (enhanced disclosure) sent to the home from the Criminal Records Bureau had been destroyed as required by the CRB after six months employment. The deputy manager said that they had kept the identifying number of the security check and that all the disclosures had been seen by senior management to make sure they were satisfactory. The new staff had been supervised through a six week induction programme within the home. The deputy manager said staff had to familiarise themselves with the operational policies and guidelines of the home and sign to acknowledge that they had done this. Although the induction standards were Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 22 detailed in format they were not linked to the national Skills for Care foundation standards so that adult protection was not included. Staffing levels at the home are sufficient to make sure that all the needs of the residents are met. There is a manager and a deputy manager. There is always at least one registered mental health nurse on duty at any time and senior staff are supported by a number of care and domestic staff. Student nurses from a general and mental health background come on placement to the home from Chester College. Each student is allocated a mentor from the RMNs working at the home. Two care staff held an NVQ level 2 in care qualification and two staff were working towards this qualification. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run so that the best interests of the service users, including their health and safety, are promoted. EVIDENCE: The manager has managed the home for seventeen years. He is qualified as a registered mental health nurse and completed the Registered Managers Award in 2004. There is a deputy manager to supports the manager so that there is strong leadership of the home. A number of methods are used to find out if Fern Lodge is providing a good service. On an informal basis, the managers speak each day to most of the people who live at the home. People who live at the home are able to say what they think at the monthly meetings. Where possible they set the agenda Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 24 for the meeting. Management act on any decisions made at these meetings. Every year the registered manager sends out questionnaires to anyone who has an involvement in the home such as the people who live there, relatives, social workers and doctors. This was last done in July 2006 and the results were worked out “in rough.” However, the deputy manager said that the overall results were good and verbal feedback had been given to the people who live at the home at their meeting in July 2006. There are clear policies and procedures at the home on health and safety and these are discussed with staff during their induction. The deputy manager said that all staff had undertaken first aid training and that refresher training in moving and handling was taking place at the nearby head office. The manager sent information to CSCI before the site visit and this showed that equipment and services at Fern Lodge were serviced at least annually and checked by home staff regularly during the year. The gas supply was last serviced in February 2007. The deputy manager said that staff test emergency call bells every weekend and water temperatures every week. The manager is a fire safety trainer and carries out regular fire safety training sessions with staff. Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Fern Lodge Nursing Home DS0000018746.V330750.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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. 2. 3. Refer to Standard YA6 YA14 YA19 Good Practice Recommendations Care plans should include enough detail so that the individual leisure and social needs of people who live at the home will be met. The range of leisure activities that take place in the home should be reviewed to make sure that suitable activities are available for all of the people who live there. Dietary advice should be sought for the resident who has gained weight over the last year and this advice should be incorporated on the care plan to make sure there is up to date information about the person’s dietary needs. Steps should be taken to make sure that senior staff are familiar with the content of the Mental Capacity Act and how it might affect residents. 50 of care staff should achieve NVQ level 2 in care so that staff are suitably qualified. Induction standards should be linked to the Skills for Care foundation standards so that all new staff undertake training about adult protection when they start work. DS0000018746.V330750.R01.S.doc Version 5.2 Page 27 4. 5. 6. YA23 YA32 YA35 Fern Lodge Nursing Home Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Fern Lodge Nursing Home DS0000018746.V330750.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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