Inspection on 28/08/08 for Greenwood Lodge Care Home

This inspection was carried out on 28th August 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Greenwood Lodge Care Home 27/03/08

Greenwood Lodge Care Home 10/09/07

Greenwood Lodge Care Home 28/02/06

Greenwood Lodge Care Home 08/09/05

Greenwood Lodge Care Home 11/02/05

Greenwood Lodge Care Home 22/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Greenwood Lodge Care Home 49-55 Gotham Lane Bunny Nottingham NG11 6QJ Lead Inspector Meryl Bailey Unannounced Inspection 28th August 2008 10:30 Greenwood Lodge Care Home DS0000026441.V370764.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 Greenwood Lodge Care Home DS0000026441.V370764.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. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenwood Lodge Care Home Address 49-55 Gotham Lane Bunny Nottingham NG11 6QJ 0115 984 7575 0115 921 3672 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) MGB Care Services Limited Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th March 2008 Brief Description of the Service: Greenwood Lodge is a home for people with learning disabilities, some of whom have additional physical disabilities. Trained nurses and care assistants are provided. The accommodation is provided on two floors in the main building for sixteen people in single rooms. The main area of the ground floor is accessible to wheelchair users, but there is no lift to the upper floor. There is a two bedroomed ground floor flat next door which accommodates two people and this is accessible by wheelchair users. The home is situated south of Nottingham in the village of Bunny. There are secured gardens at the home and car parking to the front and side of the building. The fees for the service range from £379.65 - £1267 per week depending on dependency needs. Further information about the home is available from the acting manager and a copy of the last inspection report is available in the office. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection involved one inspector. The site visit was unannounced and took place during 28 August 2008. We were able to see most of the people who currently live there. Inspections focus on outcomes for people that use the service and in order to do this, the main method of inspection used at the site visit was ‘case tracking’. This meant four people were selected and their support was tracked through some discussion with them, supported by gestures and observing behaviour. Also, we checked their care records and observed their interactions with staff. Seven staff members were seen and three spoken with in detail. A sample of staff records were looked at to make sure staff members are checked before commencing employment and are trained to meet people’s needs. The new acting manager and another manager employed by the company were both available during the inspection for discussion and feedback. Information about a home that is collected before the site visit is also used as evidence to make judgements. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well and what they need to improve. We received a completed AQAA form in July 2008. This has been useful in planning the visit and the information has been taken into consideration within this report. What the service does well: There are systems in place to assess any new person when a vacancy occurs. Care staff understand the basic needs of people who use the service and there are some action plans for staff to follow. People who live at Greenwood Lodge have opportunities to take part in a range of activities within the home and at a day centre. A minibus is provided and driver employed. People are able to go out for day trips, join in or watch fivea-side football and they watch professional football at the Forest ground. People were excited about holidays they had planned. People told us they enjoyed their meals. Sufficient staff are provided and training is given to staff. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: All action plans relating to care needs must be regularly reviewed and updated. This is to ensure directions are given to meet changing needs. Within care planning they need to write down regular reviews of risk assessments with and for all people to ensure appropriate action is taken to keep people safe. They should also give detail in care plans about how people prefer to be assisted with their personal care. Medicine Administration Records must be consistently completed for “as required” medication (PRN) and changes of equipment. This is to ensure people’s health is promoted and that they are given their medication as and when needed and prescribed by a doctor. To assist people’s understanding they should display the complaints procedure in signs and symbols. They should redecorate communal areas to maintain a comfortable, homely environment and complete refurbishment of bathrooms so that people have a choice of bath or shower and have appropriate equipment to meet their assessed needs. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 7 The new acting manager must submit an application to the Commission to be assessed as fit to manage the home. This is to ensure people benefit from a consistently well run home. They should assess the need for reparation work in the outside area where the surface is uneven and keep the cleaner’s cupboard locked when not in use. This would further promote health and safety for people living at the home. 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. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 8 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 Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 9 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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to assess and reassess the needs of people at the home. EVIDENCE: Records showed and staff confirmed the fact that there has not been any new admission to the home since the last inspection or for three years prior to that. 16 people live in the main building and two people are accommodated in the ground floor flat next door. There are no current vacancies as a double room is now used as single. We found assessments and reassessments contained in the files of people we case tracked. A wide range of needs were assessed and a section on specific needs relating to visual impairment has been added since the last inspection. We saw that this section was completed on the files we looked at, but for one person who has visual impairment the extent of the visual impairment and the effect on daily living was not sufficiently detailed in the assessment to form a plan of what specific support was needed. Greenwood Lodge Care Home DS0000026441.V370764.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 adequate This judgement has been made using available evidence including a visit to this service. Care is generally planned and risks are assessed for people who use the service, but existing plans and assessments may not be sufficient to meet people’s changing needs. EVIDENCE: We looked at a sample of four care plans. There was some clear guidance as to what actions staff should take in some areas, but the plans had not all been regularly reviewed. One of the four was very clear and had been thoroughly reviewed in July 2008. The acting manager said she would use the same new format for other plans. Staff told us that they had read some of the plans, but not all. They said that other staff told them what to do with people and that they had become aware of needs by working with them. In discussion with staff they were able to state how they met the main needs of the sample of people selected. No one had full information about the visual impairment of one person, but they were Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 11 aware that the person could not see clearly. We did not observe the person using any aids or equipment designed to assist people with visual impairment and there were no specific activities to meet his particular needs. There were detailed risk assessments seen in care plans including daily activities: taking a shower, making a drink, going swimming and fire safety. However, some of these had not been reviewed during the last year. Greenwood Lodge Care Home DS0000026441.V370764.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, 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. People who live at Greenwood Lodge have opportunities to take part in a range of activities and enjoy their meals. EVIDENCE: The company that owns Greenwood Lodge, MGB Care Services, have told us that they also provide a day service at Unity House in Lenton, Nottingham. This centre has an appointed activities coordinator and activities include painting, singing, dancing, cake decorating, visits to the local shops and cafés as well as a variety of other activities. Many of the people at Greenwood Lodge usually attend Unity House Day Centre, but it was closed on the day of this inspection. There is an activity room and multi-sensory room on the premises and use was made of these facilities during the day. There was an activity diary, but this was not always completed. Staff told us that there had been trips out for some people to Rufford and Clumber Park during the last few days. People told us about attending the social club held in Bunny Community Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 13 Hall on Tuesday evenings, where they meet people who live in other care homes. One person told us he had been out to watch the five-a-side football match during the day we visited. Staff told us that the company have a box at the forest ground for eight people at a time to go and watch professional football matches. Two people had been on holiday to Ingoldmells during the previous week and another person had been to Spain in May. We were told that others were going to Blackpool in October and some in November. Lunch and evening meals were served during the inspection. Choices had been made using photographs. People made positive comments about their meals and we observed various alternatives prepared to encourage people to eat. Staff sat with people and assisted some with their eating. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People receive individual support with personal care, but this is not planned in detail. Medication administration and recording practices have generally improved, but some inconsistencies in recording means it is not always clear if some medication has been given or equipment changed. EVIDENCE: We spoke with one person, who had received 1:1 support to have a shower during the morning. She told us that she enjoys her showers and was very happy with the help she received. Care plans did not all give detail of how personal care needs should be met, but identified that assistance was needed. A trained nurse is always on duty and there were records referring to appointments with other medical staff. A specialist consultant visited during the inspection in order to review the progress of two people. Medication was previously stored in two different places, but has been moved to one suitable room. Existing cupboards in the room were not of appropriate Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 15 size and new metal cupboards had been ordered. During the last key inspection in March 2008 and a random inspection carried out in June 2008, we found that medication administration and recording practices were putting people at risk. At this inspection we found some improvements had been made and a system of regular checks was in place. An examination of the current Medicine Administration Record sheets showed there were no gaps in recording regular prescribed medication. However, there were two different methods for recording medicines and creams that were used when required (termed PRN). Some nurses used a code to show they had considered, but not given a medication and others had left the record blank. On one occasion the code had been put in and then crossed out. There was no explanation recorded in the space provided on the reverse of this form. One piece of prescribed medical equipment that is normally replaced on a weekly basis was not recorded as changed until almost a week later when it had become damaged. We checked the dates of all opened creams and found none out of date, which is an improvement since the previous inspections. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Procedures about complaints and protection are in place and people can be assured their concerns would be dealt with. However, as most people living at the home cannot read the complaints procedure, they are not fully enabled to make their views known. EVIDENCE: As at the last inspection, there was a complaints procedure on the wall in the entrance hall. This was typed in full English and gave appropriate information for anyone who wanted to complain about their care. However, the majority of the people living in the home are not able to access the format given. The copy in the flat was at the front entrance, which is rarely used, as the flat is accessed via the rear of the main building. We had previously been informed by the provider company that two other formats were being prepared, one on paper in signs and symbols, which some people understand and an audio version for people to listen to. Neither of these was available. There was an appropriate file and forms for complaints to be written down. There were some appropriate records of discussions with complainants. Staff told us of training they had received about Safeguarding Adults since the last inspection and there were records of this training. In discussion staff described action they would take in reporting any suspicions or allegations. No allegations have been received at the Commission. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 17 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, 25, 27 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Refurbishment, decorating, and repairs are ongoing and improving the quality of the environment for people living in the home. EVIDENCE: Since the last inspection new floorboards had been fitted in the entrance hall and other repairs had been completed. The conservatory, main lounge and dining room were adequately furnished, but generally in need of redecorating. The activity and sensory rooms are in a separate building. They were well equipped, though there were no curtains or blinds for the windows in this building. Two bedrooms have had new flooring fitted. At the last inspection at least half of the bedrooms had drawer fronts or handles missing from chests of drawers and wardrobes. At this inspection we found that bedroom furniture had either been replaced or adequately repaired. New chairs had been provided where Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 18 appropriate. Some bedrooms had been decorated during the last six months and others were in need of decorating. People told us that they had chosen the colours for their rooms. Most of the window openings of bedrooms and bathrooms had been restricted for safety and security, but there were still some that were not restricted and we found that one restrictor was broken. We saw that a level access shower room was fully operational, but in some other bathrooms the baths were not all available to use and staff explained that there was a plan to re fit these with showers and appropriate equipment. Toilets were available within bathrooms. One bathroom had no extractor fan. All areas of the home were found clean with the exception of dust left where some maintenance work had been carried out. The laundry room was appropriately equipped and kept locked. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 19 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. Sufficient fit and competent staff are provided to meet people’s support needs. EVIDENCE: The staff rota showed that there was 1 nurse and 6 care staff during the morning, 1 nurse and 4 care staff during the and 1 nurse and 2 care staff at night. In addition, the service employs a cook and housekeeper. We spoke with a nurse and two carers, who each felt there were enough staff on duty. We were told that when up to eight people attend the day centre two care staff go with them and this leaves the nurse and four care staff caring for the remaining ten people within the home. We looked at the staff files of all three people on duty and found that there were two references for each and there was evidence of Criminal Records Bureau checks having been carried out. However, written confirmation that these checks were found satisfactory before staff commenced work at the home should also be held on file. The acting manager stated that such evidence is held at the company’s Head Office. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 20 There were records of various training that staff had done. This included Infection Control, Care of Medicines, Fire training, Moving and Handling, First Aid, and Safeguarding Adults. A representative of the company informed us through the Annual Quality Assurance Assessment form (AQAA) that all staff at the home to receive training in the principles of Strategies for Crisis Intervention & Prevention and utilise these principles in their everyday work practice. Two staff we spoke with confirmed this training had been given in the induction period when they first started work at the home. We observed staff responding appropriately to people within the home. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 21 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 and 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although the manager has not yet registered with the Commission there are management arrangements in place to maintain the running of the home, but further action could be taken to promote and increase people’s safety. EVIDENCE: There was a new Acting Manager who had been the manager for the 2 weeks and had not yet applied to be registered with the Commission. During the inspection we reminded her of her legal obligation to apply to register as soon as possible. The acting manager was the nurse on duty for several shifts, but told us that she had at least 14 hours management time per week. Another manager within the company visits on most days to monitor the running of the home. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 22 The Annual Quality Assurance Assessment (AQAA) form was fully completed and submitted to the Commission in July. This gave us information that included how the company ensures the views of people living at the home are sought and listened to. They have told us: “Service Users are given the opportunity to make choices and express their views in the day to day running of the Home. These take place through general chats and one-to-one interaction with staff. A key worker system is in place which also enables residents views to be incorporated in the decision making process.” People had requested to go on specific day trips and these had been arranged. Staff were also finding appropriate holidays to meet people’s needs and choices. Staffing records included evidence of recent training in safe working practices. As reported in the Environment Section of this report, some openings of windows still needed attention to ensure they were sufficiently restricted for safety and security. We found the cleaner’s cupboard was left unlocked and a new lock was needed. There were records of regular checks made of water temperatures. Records also showed that the fire alarm is tested weekly and the fridge and freezer temperatures are checked daily. The fire evacuation procedure was displayed using signs and symbols. There was a secure external area for people to walk around, with a high fence and locked gate. Some outside surface areas were uneven. We saw some accident records held on individual people’s files. One had resulted in treatment at hospital but staff had not notified the Commission under Regulation 37 of the Care Homes Regulations 2001. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 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 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 2 X 3 X X 2 X Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15(2) Requirement All action plans relating to care needs must be regularly reviewed and updated. This includes how to meet needs in relation to sensory impairment. This is to ensure directions are given to meet changing needs. Regularly review risk assessments with and for all people to ensure appropriate action is taken to keep people safe. Medicine Administration Records must be consistently completed for “as required” medication (PRN) and changes of equipment. This is to ensure people’s health is promoted and that they are given their medication as and when needed and prescribed by a doctor. The new acting manager must submit an application to the Commission to register to manage the home. This is to ensure people benefit from a consistently well run home. To ensure the health and safety of people living in the home, all windows must be assessed and DS0000026441.V370764.R01.S.doc Timescale for action 30/09/08 2. YA9 13(4) 30/09/08 3. YA20 13(2) 30/09/08 4. YA37 9 21/11/08 5. YA42 13 (4) 30/09/08 Greenwood Lodge Care Home Version 5.2 Page 25 6. YA42 37 openings sufficiently restricted to prevent entry or exit via windows. This requirement had a previous timescale of 31/05/08. We are extending the timescale as action has been taken with most windows, but three rooms had been missed. Notice must be given to the Commission, without delay, of any accident in the home resulting in injury requiring medical attention and of other events that adversely effect people’s health and welfare. This is so that the Commission can monitor the action taken to respond and to prevent recurrence where possible to keep people safe. 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA18 YA22 YA24 YA27 YA42 YA42 Good Practice Recommendations Give detail in care plans about how people prefer to be assisted with their personal care. To assist people’s understanding display the complaints procedure in signs and symbols. Redecorate communal areas to maintain a comfortable, homely environment. Complete refurbishment of bathrooms so that people have a choice of bath or shower and have appropriate equipment to meet their assessed needs. Assess the need for reparation work in the outside area where the surface is uneven. Keep the cleaner’s cupboard locked when not in use. Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Greenwood Lodge Care Home DS0000026441.V370764.R01.S.doc Version 5.2 Page 27 - 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. 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