CARE HOMES FOR OLDER PEOPLE
Foxley Lodge 24 - 26 Foxley Hill Road Purley Surrey CR8 2HB Lead Inspector
Claire Taylor Unannounced 03 August 2005, 14:30 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 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. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Foxley Lodge Address Foxley Hill Road, Purley, Surrey, CR8 2HB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8668 4135 020 8668 4135 Mr Yogindrananth Abhee Mr Yogindrananth Abhee Care Home 22 Category(ies) of Dementia - over 65 (22) registration, with number of places Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Foxley Lodge may from time to time admit up to a maximum of three service users between the ages of 60 and 65 years who are suffering with dementia. Date of last inspection 16 February 2005 Brief Description of the Service: Foxley Lodge is registered to provide care and accommodation to elderly residents with a diagnosis of dementia. With the exception of a married couple, each resident has their own bedroom, and access to spacious communal areas including two lounges, dining room and large garden with both paved and lawn areas. There are adequate toilet and bathroom facilities to meet the needs of the current resident group. The building was also extended to provide two single, en-suite bedrooms and two toilets. The house is situated in Purley, and well placed for road and rail links, and access to the local supermarket. It is also within reasonably easy reach of the centre of Croydon. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This visit was unannounced and took place over one afternoon and one morning, lasting five hours. Inspection time was spent talking to the residents and staff, one visitor and the manager /owner Mr Abhee. They are all thanked for their time and assistance. Eight relatives kindly completed a questionnaire about the home and the Commission welcomes their comments as a valuable contribution to inspection. A walk round the premises took place and various records were examined. Prior to this inspection, a meeting was held under the auspices of adult protection to discuss an incident involving a male resident. Part of the inspection process therefore focused on some issues raised at the meeting. What the service does well: What has improved since the last inspection?
Three of the previous seven requirements have been met. The home has applied for a variation to its registration category and been successfully approved. I.e. To accommodate up to three service users who have dementia in a slightly younger age category, 60-65years. Healthcare monitoring has improved in that residents weight and nutritional needs are better recorded. Staff are now receiving regular supervision from the manager/ owner resulting in their job performance being monitored more carefully. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 6 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.
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4 and 5 Standard 6 is not applicable to this home as it does not provide intermediate care. Residents and their representatives are given information in advance of admission to ensure they are able to make an informed choice. Assessments are undertaken to evaluate needs prior to admission although some improvements are needed to ensure that the home will be able to fully meet the resident’s needs. EVIDENCE: There have been two new service users admitted since the last inspection in February 2005. Their files were sampled and each contained a detailed preadmission assessment, which had been carried out by the manager. The assessments include general information about the person, details of their background, medical and social history and comprehensive details of specific areas such as nutrition, skin care, medication and mobility. These clearly showed that the individual needs of each service user had been identified, and the home was confident that it could meet those needs. Visits to the home are arranged. Contact is also encouraged to ensure that relatives, who may view the home on behalf of prospective residents, are satisfied that their specific needs can be met. The assessment is usually completed with the service user,
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 9 his/her relative or representative and with the relevant professionals that have been associated with the referral. However, full information concerning one service user was not available prior to admission. I.e. although the manager had completed his own needs assessment, hospital pre-discharge assessments were not provided. The lack of full information prior to the provision of care results in both residents and the provider not being aware whether the home has the capacity and resources to meet individual needs. The manager must therefore ensure that full and satisfactory information is obtained before a prospective resident is admitted. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Service users’ health, personal and social care needs are being appropriately met and reviewed. Medication is well managed to maximise service users health. Service users are treated with respect and have their privacy respected. EVIDENCE: Samples of the residents’ case files were examined. Files demonstrate that residents have a comprehensive plan of care. There was evidence from review notes that their care needs are being regularly reviewed with amendments being made where healthcare needs have changed. One minor shortfall is that the manager must ensure a photograph of each service user is placed on file. A number of service users who kindly spoke with the inspector expressed their satisfaction with the help provided by care staff, and felt that their care needs are being well met. Residents have regular access to community based health services including General Practitioners, hospital clinics, chiropody, opticians and dentist. All residents are registered with a local GP practice and are encouraged to retain their GP where possible. Community nurses and other health care professionals visit the home when required. Risk assessments covering key areas such as fall prevention are in place and nutritional needs monitored where required. Medication practices are well managed by the home and there are adequate
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 11 numbers of staff trained to deal with medication. Medicines are supplied in a blister pack system and are stored appropriately in a locked cabinet; administration records were seen as up to date and accurate. A pharmacist visits six monthly to audit medication storage and procedures; details of these visits were available. As good practice, the manager should consider obtaining literature about the medicines and drugs used in the home in order that staff can access information if needed. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents are provided with a range of opportunities for recreational and social activity that balances with their social, cultural and religious needs. Residents are assisted to maintain contact with family and friends although links between residents and the local community could be improved upon. The meals in this home provide choice, a balanced diet, interest and variation for the residents. EVIDENCE: Residents preferred social and leisure interests are recorded in their care plans and activity timetables are maintained. Some of the residents have a familiarisation profile which is a good way for staff to get to know each individual’s preferences. The residents are able to participate in number of activities within the home. These are usually held in the morning so that the afternoons are left free for the service users to rest. Activities available include bingo, reminiscence, music, board games, skittles and group reading of the daily paper. A hairdresser visits the home weekly and was visiting during this inspection. The manager advised that entertainers visit the home every six to eight weeks and provide musical entertainment. Residents’ religious needs and beliefs are catered for and some individuals participate in regular communion service at the home. Some residents commented that they would like to go out more into the local community and the manager should explore ways that the home could facilitate more community-based activities. Monthly meetings are held for residents to discuss issues.
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 13 Meals are cooked on the premises and residents were complimentary about the food provided. Drinks and snacks are available upon request and nutritional needs are monitored as necessary. I.e. the home keeps detailed records of foods eaten by residents on a daily basis and information is available for special diets such as diabetes. One recommendation was discussed with the manager that the menus be rewritten in a clearer format i.e. larger print for reading. Also that menus could be supplemented with photographs to promote more choice- making opportunities for the residents. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 An appropriate complaints procedure is in place to ensure that concerns raised by residents, their families and friends will be acted upon. The home’s practices generally safeguard residents from abuse although the policies must be amended to maximise protection for vulnerable adults. EVIDENCE: No complaints had been made to the home since the last inspection. Feedback from relatives comment cards indicated that some were unaware of the complaints process. It would therefore be good practice if the manager reintroduces the policy to all relatives and families. Following a recent incident involving a resident’s admission to hospital, a strategy meeting was held on the 19 July 2005 by the care management team from the placing authority under the auspices of Adult Protection. As a result of the meeting, further investigations were planned and any significant findings will be included in the next inspection report. Foxley Lodge operates systems to safeguard residents from abuse including vetting staff correctly and providing training for staff members. The home’s policy does not fully cover the local authority guidelines for protecting vulnerable adults however. The manager must ensure that Croydon multi agency guidelines on adult protection are incorporated into the policy and that staff are made fully aware of the procedures. This will ensure that all staff follow appropriate guidelines and take action promptly to ensure that the service users welfare is safeguarded. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 24,25 and 26 Generally, the home was clean, and pleasantly decorated although one hygiene issue was identified concerning carpets in a number of bedrooms. Aids and adaptations are in place around the home to ensure safety for residents although a full assessment of the premises needs to be completed by an Occupational Therapist. Some minor improvements to the environment are needed so that residents live in safe and comfortable surroundings. EVIDENCE: The communal areas were clean and free from odour however there was a noticeable odour in a number of the bedrooms. The manager acknowledged that some carpets were in need of replacement and a requirement was set for this. The bedrooms were highly personalised and reflected the individual tastes and preferences of their occupants. Residents spoken to during the inspection confirmed that they had been able to bring items with them on admission, including photographs, ornaments and, in some cases, items of furniture. These residents also confirmed that they liked their rooms. There is a large, well-kept garden to the rear although there was limited seating available for
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 16 residents and their visitors and this should be addressed. The general maintenance of the premises appeared in good order and furniture and fittings suitable for the needs of the current residents. A programme of maintenance and refurbishment should be put in place however to demonstrate that repairs and upkeep of the building are undertaken. It was previously required that the home be assessed by a suitably qualified person, with specialist knowledge, to ensure that residents are provided with any necessary aids and adaptations to enhance independence. To date this has not been achieved, although it is acknowledged that the manager has made, and continues to make, efforts to engage the services of an occupational therapist. The home has up to date reports on the premises from the local fire authority and environmental health department. Although the fire safety visit was satisfactory, one requirement remains outstanding from environmental health. The provider must therefore provide suitable fly screens in the kitchen as governed by the report. In bedroom no.8, pipe work below the hand washbasin was exposed and this must be covered to further minimise the risk of scalding. One resident said that he was unable to adjust the temperature control on the radiator as the control was missing. This must also be addressed. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 The home employs sufficient skill mix and number of staff to meet the needs of the current residents. Although there is a comprehensive induction schedule as well as ongoing training offered to staff, service user safety and care could be compromised, as some staff are not up to date with training in key areas. Aside from the policy on abuse needing revision, recruitment practices are securely managed to maximise protection for the residents. EVIDENCE: The rota provided indicated that there were usually 3 care staff on duty, plus the manager or deputy manager during the day, with two carers on at night. Ancillary staff are employed including a cook and a cleaner. These levels are at present satisfactory for the current resident group. All new staff who commence work in the home undergo a thorough vetting procedure. This includes a police check (CRB) and a check against the Protection of Vulnerable Adults register. Records confirmed that all staff have undergone appropriate checks. Files sampled showed that references have been obtained appropriately and other records including proof of identity and recent photograph. The manager must evidence however that staff are physically and mentally fit to work by obtaining proof of health clearance. A blank copy of a health questionnaire was available and must be provided to staff. Terms and conditions of employment are given to staff. The manager has developed a training programme that provides a comprehensive induction schedule as well as ongoing training for staff. Staff files were randomly sampled and showed that some members had received limited training. For two staff there was no evidence that they had received training associated with meeting the specific needs of some residents i.e. in
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 18 diabetes and dementia. Staff must attend relevant courses in order that residents needs can be fully met. Training has also been further discussed under standard 38. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33,36,37 and 38 The manager/ owner has good experience, relevant professional qualifications and fosters an air of openness within the home. Residents are therefore valued, and cared for by a competent staff team. Only limited progress has been made with regards to the home implementing a quality assurance system and an annual development plan, with both involving service users. Overall, health and safety practices are well observed to ensure that residents live in a safe environment but some staff need to attend training in key health and safety topics. Record keeping could be improved in some areas to ensure that residents’ rights and best interests are safeguarded. EVIDENCE: The registered manager / provider has completed a management qualification and has valuable experience in residential care. It was clear that Mr Abhee has acquired significant experience in caring for older people and gained appropriate skills and knowledge to manage a care home effectively. Staff
Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 20 have six weekly supervision and meetings are held regularly to encourage and enable staff to contribute to the running of the home. Members of the staff team were spoken to and commented that they enjoyed working in the home, and they felt supported by the manager. Residents are therefore benefiting from a well-supported staff team who receive regular supervision and guidance from their manager. Accidents and incidents are recorded appropriately although the home must ensure that the Commission is notified of any events that affect the service users well being e.g. concerning falls and/ or admissions to hospital. Regulation 37 of the Care Standards Act was discussed with the manager. The maintenance of the gas and electrical systems were up to date, as was the maintenance of the fire detection system and fire fighting equipment. Fire alarms were being checked weekly and fire drills held at appropriate intervals but the evacuation procedure needs revising, as it does not make clear reference on when to alert the fire brigade. The water system has been checked for risk of Legionella and found to be satisfactory. Risk assessments for the premises are in place as well as comprehensive health and safety procedures. Staff records showed that most staff have trained in key health and safety areas such as First Aid, Fire, Food Hygiene, infection control and Manual Handling Records for one night staff however evidenced that they had only attended food hygiene, infection control and first aid. For another staff, only first aid and medication training had been achieved. The manager must ensure that all staff are fully up to date with their training in key topics to ensure that residents needs can be fully met and health and safety practices are adhered to. Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 x x 2 x 3 2 2 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 3 2 x x 3 2 2 Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 22 YES Are there any outstanding requirements from the last inspection? 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 26 Regulation Requirement Timescale for action 30.11.05 2. 33 3. 18 4. 22 5. 7 6. 4 16(2)(c)(k There was a noticeable odour in ) some of the bedrooms. This must be rectified.(Outstanding from inspection April 2004) 24 QA system must be in place to assess whether the aims and objectives of the home have been met. (Outstanding from inspection April 2004) 13(6) The homes policies and procedures concerning protection from abuse must be updated as outlined in this report.(Outstanding from inspection April 2004) . 23(2)(n) The premises must be assessed by a suitably qualified person, with specialist knowledge of this client group, so that any necessary aids/adaptations can be identified and supplied/fitted.(Outstanding from inspection April 2004) . 17(1a) The manager must ensure that there is a photograph of each service user on file.(Outstanding from inspection April 2004) 14(1) The manager must ensure that full and satisfactory information is obtained before a prospective resident is admitted.
G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc 30.11.05 31.10.05 30.11.05 31.10.05 from receipt of this report and
Page 23 Foxley Lodge Version 1.40 henceforth 7. 19 23(2)(a) (o) 23(2)(ad) The manager must ensure that adequate seating is provided for residents and visitors in the garden area. A programme of maintenance and refurbishment should be put in place to demonstrate that repairs and upkeep of the building are undertaken. Suitable fly screens must be provided in the kitchen as governed by the environmental health department (report dated 18.10.04) In bedroom no.8, pipe work below the hand washbasin was exposed and this must be covered to further minimise the risk of scalding. The manger must replace the temperature control valve on the radiator in bedroom 1. The manager must evidence that staff are physically and mentally fit to work by obtaining proof of health clearance. All staff must attend relevant courses on diabetes and dementia in order that residents needs can be fully met. 31.12.05 8. 19 31.10.05 9. 19 16(2)(j) 30.11.05 10. 19 13(4) 31.10.05 11. 12. 19 29 12(3) 13(4)(a) 18(1) sch. 2 & 4(6) 17(2) sch.4(6a) 18(1)(a) (c)(i) 19(5)(b) 17(2) sch.4(6)1 9(1)(b,c)S ch.2 (6 & 7)37 17(2) sch.4 1523 (4)(a)(c)(i i)(iii)(v) 17(2) sch.4(6a) 18(1)(a) (c)(i) 19(5)(b) 31.10.05 30.11.05 13. 30 31.12.05 14. 37 15. 38 16. 38 The Commission must be notified From of all significant incidents in line receipt of with the requirements of this report Regulation 37. and henceforth The fire evacuation procedure for From the home must be revised to receipt of clarify at what point the fire this report brigade must be alerted. and henceforth All staff must be fully up to date with their training in key health and safety topics to ensure that residents needs can be fully met and health and safety practices
Version 1.40 Page 24 Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc are adhered to. 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 9 13 15 Good Practice Recommendations The manager should consider obtaining literature about the medicines and drugs used in the home in order that staff can access information if needed. The manager should explore ways that the home could facilitate more community based activities. The menus be rewritten in a clearer format i.e. larger print for reading. Also that menus could be supplemented with photographs to promote more choice- making opportunities for the residents. The manager reintroduces the complaints policy to all relatives and families. 4. 5. 22 Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 8th Floor, Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Foxley Lodge G53 G53 S25783 foxleylodge V178253 030805 stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
