Inspection on 18/01/07 for Herrick Lodge

This inspection was carried out on 18th January 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

Herrick Lodge 15/01/09

Herrick Lodge 01/11/05

Herrick Lodge 07/10/04

Herrick Lodge 23/06/04

Herrick Lodge 11/11/03

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Herrick Lodge 28 Orchardson Avenue Leicester Leicestershire LE4 6DP Lead Inspector Richard Ramsden Key Unannounced Inspection 18th January 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Herrick Lodge Address 28 Orchardson Avenue Leicester Leicestershire LE4 6DP 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) 0116 2531304 0116 2629169 socis217@leicester.gov.uk socis209@leicester.gov.uk Leicester City Council Mr Ramesh Bhawsar Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (10) Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. To be able to admit the named person of category DE named in variation application dated 28th November 2002. No one falling within the category PD(E) may be admitted into Herrick Lodge where there are 10 persons of category PD(E) already accommodated within the home. No one falling within the category SI(E) may be admitted into Herrick Lodge where there are 10 persons of category SI(E) already accommodated within the home No one falling within category DE(E) or MD(E) may be admitted into Herrick Lodge when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the home 1st November 2005 Date of last inspection Brief Description of the Service: Herrick Lodge Residential Home is a care home providing care for up to forty older people. The home is owned and managed by Social Services, Leicester City Council. Herrick Lodge is a large purpose built property, set in a residential setting close to the centre of Leicester. Accommodation is on the ground and first floor and accessible by the stairs or the passenger lift. The home consists of several small and large lounges on the ground and first floor, dining room, designated smoking lounge, prayer room and temple room. Bedrooms are located on both floors with sufficient numbers of bathrooms/shower and toilets facilities. All areas of the home and the garden area are accessible for people using walking aids and wheelchairs. The home is within walking distance to public transport and five minutes to the city centre. The home is close to a number of places of worship, community facilities, shops and amenities. The weekly accommodation charges for those residents who are self funding are £359.00. A copy of the most recent inspection report is available in the home. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one-day it took approximately 10 hours. It included the inspection of care and other records, a discussion with the registered manager, the assistant manager, one member of care staff and both cooks. The inspector spoke with four residents and one visitor to the home. A partial tour of the building was also completed. Prior to completing the visit, the inspector assessed the homes previous inspection reports, the service history and a pre-inspection questionnaire completed by the registered manager. What the service does well: People living at Herrick Lodge are generally very satisfied with the services provided by the home. Residents said that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. The way in which care was being provided appeared to be culturally appropriate. A visitor confirmed that he can visit his mother at any time and that the staff are always friendly and welcoming. Most residents said that they are very satisfied with their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture photographs etc. One person said that they find their bedroom to be slightly too small. People said that they could use their bedrooms at any time. The home has separate kitchen facilities for staff preparing English and Asian style meals. All but one resident stated that they enjoyed the meals, that there is always a choice of food available and alternatives will be provided if they do not want the food suggested on the menu. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 6 The homes registered manager is well qualified and experienced. Residents and staff confirm that the manager seeks their views about the way in which the home operates. There were aspects of good practice highlighted in the main body of this report. What has improved since the last inspection? What they could do better: All residents care plans must contain sufficient information to ensure that staff are always aware of what support and assistance in each resident requires. A recommendation was made that the homes terms and conditions of residence document be amended to include a section that residents or their representatives can signed to confirm that they have read in agreed the information provided. The homes quality assurance system could also be developed further to help staff monitor and develop the services provided. The complaints records and the records detailing when residents have a bath or showers should be recorded in a format that can be viewed confidentially, to protect residents privacy. Residents have stated that they would like the home to provide more activities and entertainment. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,6. It was not possible to confirm whether or not all residents have been provided with written contracts/terms and conditions of residence documents. The homes staff ensure they can meet the assessed needs of prospective residents by obtaining full written assessments prior to the residents admission to the home. Herrick Lodge does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home has a document, which informs residents what they will be charged to live in the home, what is covered by the fees and the period of notice that is required to terminate this agreement. The manager stated that all residents are provided with a copy of this document. However the documents was not available in any of the residents records viewed as part of this inspection and none of the residents spoken with could remember being given a copy of this document. It is recommended that the Terms and Conditions of Residence document be amended to include a section that residents or their representatives can sign to confirm that they have read and agree with the information provided. A copy of this information could then be kept in each resident’s personal file. The care plans viewed during this visit each contained a preadmission assessment, which had been completed by a social worker. The senior staff stated that preadmission assessments are used to ensure that the home will be able to meet the prospective residents assessed needs. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Although there has been a significant improvement in the individual residents care plans, some still do not contain sufficient information to ensure that staff are always aware, of what support and assistance, each resident requires. Residents’ health care needs are being appropriately met. The homes medication systems are generally well maintained. Residents are treated with respect and their rights to privacy are upheld. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents care plans were viewed as part of this inspection. The inspector noted that there have been significant improvements to the care plans since the last inspection. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 12 However some sections still did not contain enough information to ensure that staff are always aware of what support and assistance each resident requires. Some sections stated that residents required assistance from one member of staff to complete personal tasks but did not give details of what support is actually needed. The care being provided appeared to be culturally appropriate. It was also noted that one residents assessment identified that she was a risk of falling but no appropriate risk assessment could be located. The homes manager and the staff spoken with stated that the risk assessment had been completed but that it must have been misplaced. A new risk assessment was completed and placed on this residents file during the inspection. Care plans are being reviewed and where necessary updated in a monthly basis. The reviews also contain a monthly summary of the residents’ health and welfare. (This is good practice). Residents bathing records were kept on a central record, this is somewhat institutional, as the records cannot be viewed in a confidential format. The manager stated that staff were expected to transfer this information into individual residents care plans, however this was clearly not being done regularly at the time of this inspection. The residents spoken with during the inspection said that they believe that their health care needs are being appropriately met. The records viewed as part of the visit confirmed this. The homes medication systems were generally very well maintained and photographs of each resident are attached to their individual medication administration records. This is good practice as it will help to ensure that staff administers medication to the correct residents. The safe storage and records of receipt and disposal of medication were well maintained. At the time of inspection none of the current residents had been assessed as safe to administer their own medication. The home does have appropriate procedures and risk assessments available should residents wish to administer their own medication. It was noted that staff were failing to record the temperature in the refrigerator in which some medication was stored. It is important that this Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 13 temperature is recorded twice a day as medication can deteriorate and become less effective if stored at the wrong temperature. Refrigerator temperature records were commenced on the day of this inspection and the inspector has received written evidence that the temperature tests are now being recorded appropriately. The administration of controlled medication was being recorded on the general medication administration records. After careful assessment the inspector concluded that the records were accurate. Due to the shortage of space on the medication administration records it was difficult to assess what medication should be remaining in stock and almost impossible to recognise the signatures of the staff that administered or witnessed the medication being given to the resident. It would be beneficial if this information were recorded in a separate Controlled Medication and Register. All of the residents spoken with during the inspection said that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. Staff were observed knocking on residents bedroom doors and waiting for a reply, before entering the rooms. The observed interaction between residents and staff was of a very good standard. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Due to poor record keeping it was not possible to assess the variety and frequency of activities and entertainment provided for residents. People are encouraged to maintain contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. All but one of the residents spoken with said that they enjoy the food provided by the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has an activities record book, however these records showed that there had been no activities between the 10th of December 2006 and the 11th of January 2007. The manager stated that there had been a number of activities and some entertainment had been provided over the Christmas period. Some of these activities were recorded in the homes diary and one resident confirmed that she had enjoyed the entertainment provided over the Christmas period. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 15 All of the residents spoken with said that they would like more stimulation to be provided in the home. One person said that they would like games of bingo and “more professional entertainers”. The manager was advised to plan a programme of activities in consultation with the residents. It would also be helpful if the programme of activities to be provided were prominently displayed in the home so that residents can decide if they wish to participate. One visitor to the home confirmed that he could see his mother at any time and that he is always made to feel welcome. One of the residents spoken with said that staff always offers their visitors refreshments. The manager stated that the home has leaflets informing residents or their representatives of the process they must follow if they wish to view residents’ personal records. However these could not be located at the time of inspection as the main reception area where the documents are kept was being refurbished. The members of staff spoken with were all able to demonstrate a clear understanding of Leicestershire City Councils Access to Records Policy. Residents are asked as part of the admission process if they wish to manage their own finances. This issue is also discussed as part of the review process. One of the residents spoken with said that she had chosen that her son deal with all her finances. The home has two separate kitchens one of which prepares a vegetarian Asian diet. Both of the meals on the day of this inspection appeared wholesome and nutritious. The inspector was informed that where possible food is sweetened with artificial sweeteners so that people who have diabetes can eat the same diet as the other residents. (This is good practice) All but one of the residents spoken with during the inspection stated that the food provided is of a very good standard, there is always a choice of food and alternatives will be provided if they do not want the food suggested on the menu. One resident said that she finds the food bland and artificial as she had previously made all her own bread and grow in her own vegetables. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Residents believe that their complaints would be taken seriously and that appropriate action would be taken. The homes complaints records support this view. The registered person is taking appropriate action to protect residents from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Complaints leaflets are available in various languages to reflect the multicultural resident population within the home. (This is good practice). This information is included in the literature supplied to all prospective residents. The home has received a number of informal complaints, which had all been dealt with promptly and appropriately. The informal complaints were being recorded in a book however as several complaints had been written on the same page of the book it was not possible to view the information in a confidential format. The home has a copy of the local vulnerable adults procedure and a whistle blowing policy is displayed in the home. The policy gives details of an Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 17 independent organisation that people can contact for advice and support. (This is good practice). The inspector was informed that there have been no incidents of abuse in the home in the last 12 months. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. The accommodation is maintained to a good standard. At the time of inspection the home was appropriately clean and there were no offensive odours. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises was completed as part of this visit,the accommodation is comfortably furnished and reasonably decorated. There was good natural light throughout the building. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 19 Two residents said that they liked their bedrooms and confirm that they could use them at any time they said that they had been encouraged to personalise their rooms with small items of furniture photographs and ornaments. One person said that they find their bedroom rather small. All of the residents spoken with confirmed that the home is always kept appropriately clean. The communal areas located throughout the home are culturally appropriate and include dining rooms, a designated smoking lounge, a prayer room and a temple room. Since the last inspection new assisted bathing facilities and showers have been provided throughout the home. New double glazed windows have been fitted throughout and many areas of the home have been redecorated. (This is good practice). The manager stated that there have been no further problems with the home shaft lift since it was repaired in December 2005. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Staff rotas provided prior to the inspection and those viewed for the week of this inspection showed that increased staffing levels are being provided to ensure the safety and welfare of the residents. The homes recruitment policies and practices are supporting and protecting residents. The manager was able to demonstrate the homes commitment to staff training and development. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rota provided for the week of this inspection showed that increased staffing levels are being provided to ensure the safety and welfare of the residents. Residents stated that although the staff always appear busy they respond quickly when assistance is required. One resident said that staff do find time for social interaction. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 21 Due to difficulties in recruiting new members of staff the home is employing a considerable amount of temporary agency staff. The manager stated that many of the agency staff have worked in the home for some considerable time and consequently are aware of the assistance and support the residents require. The previous Inspector confirmed that the homes recruitment procedure is robust and in accordance with the local authorities procedures based on equal opportunities. Staff personnel files containing the application forms and pre employment checks are held at the Central Human Resource Office. It is recommended that the registered person formalise, with the Commission for Social Care Inspection, the agreement to keep some staff records at the Central Human Resource Office. An example of a pro forma detailing the records to be kept in the home has been forwarded to the Registered Manager. The home has a relatively large staff group and 52 of the care staff have completed NVQ level 2 or above training. The member of staff spoken with stated that she has been encouraged and supported to attend regular training courses. The staff training records show that a considerable amount of training has been provided since the last inspection. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The homes manager is well qualified and experienced. The homes quality assurance system should be developed to ensure that the home is run in the best interests of the residents. Residents’ financial interests are safeguarded. Where checked the health and safety of residents and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager is well qualified and experienced. The residents and staff said that the manager is very approachable and that he seeks their views about the way in which the home is run. The manager stated that he frequently seeks the views of residents but that this is generally not recorded. In previous years residents’ satisfaction questionnaires have been completed to formally assess the residents views of the services provided by the home. These questionnaires were not completed in 2006. The homes line manager visits the home and prepares to report at least once each month and there are some residents meetings. It is recommended that the registered person ensure that the views of the residents, visitors and stakeholders in the community are obtained each year and that the information gathered is used to produce an annual development plan for the home. The records of residents finances were checked at random and had been well maintained. All staff have recently been reminded about Leicestershire City Councils policy on accepting gifts from residents or their representatives. All aspects of health and safety, which were assessed as part of this visit, had been satisfactorily maintained. Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Requirement It is required that all residents care plans contain sufficient detailed information to ensure that staff are always aware of what support and assistance every resident requires. Timescale for action 09/04/07 Herrick Lodge DS0000038397.V325379.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP2 Good Practice Recommendations It is recommended that the homes Terms and Conditions of Residence Document be amended to include a section that residents or their representatives can sign to confirm that they have read and agree with the information provided. A copy of the signed document could then be kept on each resident’s personal file. It is recommended that residents bathing records be kept on an individual forms for each resident. The information can then be viewed in a confidential format and can be transferred to the care plans as required. It is recommended that the home keep a separate register to record the receipt, administration and disposal of controlled medication. This will be easier for staff to complete and for anyone inspecting the records to judge if they have been appropriately maintained. It is recommended that the registered person plans a program of social activities in consultation with the residents. The programme of activities should be prominently displayed in the home so that residents can choose if they wish to participate. It is recommended all complaints be recorded in a format, which can be viewed confidentially. It is recommended that the registered person formalise, with the Commission for Social Care Inspection, the agreement to keep some staff records at the Central Human Resource Office. An example of a pro forma detailing the records to be kept in the home has been forwarded to the Registered Manager. It is recommended that the registered person ensure that the views of the residents, visitors and stakeholders in the community are obtained each year and that the information gathered is used to produce an annual development plan for the home. DS0000038397.V325379.R01.S.doc Version 5.2 Page 27 2. OP7 3. OP9 4. OP12 5. 6. OP16 OP29 7. OP33 Herrick Lodge Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Herrick Lodge DS0000038397.V325379.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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