Inspection on 19/02/07 for Home Lea House

This inspection was carried out on 19th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Home Lea House 20/12/05

Home Lea House 02/09/05

Home Lea House 05/01/05

Home Lea House 14/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Home Lea House 137 Wood Lane Rothwell Leeds LS26 0PH Lead Inspector Valerie Francis Unannounced Inspection 19th February 2007 10:15a 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 Home Lea House DS0000033272.V325045.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. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Lea House Address 137 Wood Lane Rothwell Leeds LS26 0PH 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) 0113 2823218 Leeds City Council Department of Social Services Mrs Jenny Minton Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: Home Lea House is a detached property located in Rothwell on the outskirts of Leeds. The home is in extensive grounds all of which have wheelchair access. There are parking facilities at the front of the property. There is a bus service along the main road. The home is owned and managed by Leeds City Council Social Services. Residents have access to experienced and trained care staff 24 hours a day. The accommodation is on two floors; there is a passenger lift for access to the all floors. The building consists of 29 single rooms, 24 of which have en suite facilities. There are two communal sitting areas and a conservatory. There is a large communal dining room and a central kitchen. Eight communal bathrooms/ showers wcs are located strategically throughout the building. The home has a sleepover room for relatives. Residents can meet with their visitors in private in the visitors lounge, where they can make drinks and snacks. Residents are encouraged to personalise their rooms with furniture and fitments of their choice. A quadrangle garden area offers privacy for residents to sit outdoors or undertake gardening in ease in the raised garden beds. An area to the rear of the building, which is accessible to service users from the conservatory, is enclosed by iron fencing. A boundary wall around the building separates the home from the nearby bungalows. The manager completed and returned pre inspection information including the current charges, which range from £70.85 for local authority funded people to £458.86 for privately funded residents. Additional charges are made for chiropody, hairdressing, daily papers, toiletries, some activities and transport. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered at this first Key unannounced Inspection visit to Home Lea House the 19th February 2007 by one inspector over a period of 8 hours. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk During this visit discussions were held with residents, relatives and staff, records were examined and all areas of the home were seen. Comment cards were sent out to residents and their relatives to give people an opportunity to share their views of the service provided at the home with CSCI. Twenty two residents and eighteen relatives responded, their views are included in the body of this report, and in the section that tells you what the service does well. A pre inspection questionnaire was sent to the home before this key inspection asking for information about the records, residents, staffing and the general running of the home, this was returned six weeks before the inspection. As part of this unannounced inspection the quality of information given to people about the care home was looked at. Residents were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide, statement of terms and conditions and the complaints procedure. The responses given by the residents seen during this visit were that some were aware, and others were unaware of a service user guide. A visiting relative said that she was aware of these documents. All residents knew who to talk to if they were unhappy about anything in the home Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All residents now have a Care Plan, which identifies their care needs with an action plan detailing how these needs will be met. The home Statement of Purpose and service User Guide is now in line with the home’s registration category. And is also readily available to residents and visitors. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 7 All residents have been given written copies of terms conditions (Licences agreement), a copy is now given to residents on respite care. All efforts have been made by the manager to choose sofa chairs that meet the needs of the resident group. Risk assessments are in place for the use of sofa chairs in the sitting areas. Since the last inspection a keypad lock has been fitted to the door of the room where residents information is held. Hot water temperatures are checked monthly. 98 of staff now have an NVQ qualification. The electrical ventilation in communal toilets and bathrooms has been cleaned. Appliances and equipment, PAT (Portable appliances testing) has been tested. Staff have been made aware that all windows must be closed after cleaning to prevent heat loss. What they could do better: Increase of staffing level at night must be given due consideration, to provide residents with more than two staff at nights. taking into account the care needs of residents, lay out and the size of the building. This must be risk assessed to make sure that both residents and staff are not at risk during the night. The Registered Provider must make sure that residents have access to an appropriate number of staff at all times, taking into account their dependency, needs and the number of people living at the home. A plan of action must be in place for all identified risks showing how they would be managed/ minimised. More work is needed for a plan of care on residents last wishes. The registered manager must provide residents and others with written feedback from the quality survey carried out. The hand sluicing of soiled laundry before putting it into the washing machine must cease. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 8 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. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 9 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 Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. (Standard 6 does not apply to this home). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. All prospective residents and others have access to good information about the home. Residents are assessed before moving into the home, to make sure the home can meet their needs. EVIDENCE: The home’s statement of purpose and service user guide details the services and facilities provided by the home. Since the last inspection these documents have been reviewed to provide the required information. Residents and a visiting relative confirmed that written information about the home had been provided during their introductory visits. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 11 All residents, which include people having respite care at the home, have a statement of terms and conditions (Licensing agreement), a copy of which is held on file. All new residents are assessed prior to admission. All prospective residents and families or representatives are encouraged to visit the home before moving in. This gives them an opportunity to meet the staff and fellow residents, have an assessment of their needs and to sample the daily routine in the home. However, the home must make sure that the person carrying out the assessment gathers enough information about the needs of the prospective residents, as it has been fund that the “Easy Care” assessment completed by staff in the community is not always up to date and readily available. The manager confirmed that either she or a care officer carries out the assessment when the person visits the home. Through case tracking the most recent admissions, talking to staff and observing routines it was clear there was an understanding of individual needs. There was evidence in training files that care staff have received relevant training to meet the needs of the people living at the home. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 12 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.and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are thoroughly assessed and the home has a good approach to promoting the service users health care. Residents make decisions about their lives and are fully involved in the day to day running of the home. EVIDENCE: At previous inspections it was felt that care plans (“life Style Plans”) needed to improve to make sure that the care plans gave clear information as to how these needs are to be met. Three care files (“life Style Plans”) were looked at. Information seen related to the residents care, health and social needs. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 13 Risk assessments were in place, and were reviewed on a regular basis. However there was not always a plan of action how the identified risk would be managed/ minimised. The “life style plans” care plans relating to personal care were focused on the resident. Care plans were evaluated on a monthly basis, reviewed six monthly, and were up to date. During the course of the inspection residents were asked about their care plan but only one person knew that she had a care plan. Comments were fed back to the manager who said that she would be ensuring that key workers invite residents to the monthly review of their care plan, which would enable them to have further input into their care planning. From information in the care plans seen it was clear that residents, relatives, representatives, and anyone involved in their care attend review meetings. Risk assessments in the areas of moving and handling, falls, pressure area care and nutrition were in place. In the care plans reviewed, it was evident from two of the “Life Style Plans” that the residents, if possible, or their representatives had been involved in the initial care planning process. During discussions with a relative and from the CSCI survey information, it was confirmed that the family were fully involved in the care planning and they also confirmed that the care provided was to a high standard. During discussions with staff and from the resident’s documentation seen it was clear that the health needs of residents were being met. A record is kept of all visits made by Health Care Professionals. A visiting district nurse said staff always seek their advice and support regarding the care of residents if they had any concerns. The medication records and storage were checked. A monitored dosage system (MDS) is in place. Drug trolleys are in use and taken to the dining room in order to administer medication. Policies and procedures were available in the drug room and in the office. The recording of the administration of medication was satisfactory. The disposal of unwanted medication was satisfactory. The manager said one senior care assistant and a care officer were undertaking a distance learning course on safe handling of medication. The plan is that all staff who administers medication will undertake this course. From observations during the visit, staff were seen to be caring and interaction between residents and staff was good. Residents looked well cared for and were treated with respect. It was evident that residents’ privacy was considered at all times, staff knocked before entering resident’s bedrooms, and Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 14 other doors were shut for privacy as necessary. Residents and relative confirmed that staff respected their privacy and treated them in a dignified way. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 15 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Daily routines within the home are flexible to enable the service users to follow their preferred lifestyle. EVIDENCE: The atmosphere within the home was noted to be relaxed and homely The residents live active and varied lives. Residents are encouraged to participate in the day- to -day running of the home and join in all social activities. Some said they had chosen not to take part in any group activities. Some residents take advantage of the community facilities, two residents visit a local public house independently or with some staff assistance, others use the community social and recreational activities with staff or families. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 16 Residents said that they enjoyed living at Home Lea House, one resident said “we are well looked after here, I do not want to go anywhere else, it the best place I have ever stayed” and the “the staff are great” and another “the best time of my life”. There is now a daily activities feedback form, which gives the names of the resident taking part in the activities and feedback and suggestions are recorded. There is a plan of activities for the next six months, all of which had been discussed with residents at their meeting. The home manager said that they work closely with another home in the neighbourhood for joint activities such as day trips out. Resident’s are encouraged to maintain contact with family and friends, visitors were seen to be warmly welcomed into the home, and they confirmed that this was always the case. It was evident from observation and from discussion with residents that they use the local shops and local recreational facilities & relatives can visit the home any time. Two resident visit a local public house, which they do independently or with staff escort. Before one resident went out, the manager checked to see if he had the home address and contact number for emergency. A meal survey was carried out to make sure that the dietary needs are met. The manager said the outcome was that menus would be changed. Arrangements had been made for “tester menus” to be tried by/given to residents before the menus are put in place. To make sure the meals are what they would like to have. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 17 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Resident’s personal and health care support needs are met and support is given in accordance with their wishes. An appropriate complaint’s procedure is in place. Residents are safeguarded as staff are trained in how to deal with allegations of abuse. EVIDENCE: The home’s complaint procedure was displayed in the home in an area, which could be missed, advice was given to place a copy in large print on the notice board in the entrance area of the home. The procedure is also in the newly amended Statement of Purpose and Service User guide. The manager is aware that complaints have to be recorded with a report of the action taken to address the complaint. The CSCI have received no complaints about the home in the last twelve months and the manager said none have been made to her. Some residents were able to confirm that they would speak to staff if they had any concerns. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 18 Staff confirmed that they had attended (Adult Protection training) “safeguarding adults” training. This was also evident in the staff training records. During discussions staff were able to evidence their understanding about abuse. Staff have access to Policy and procedures information which is displayed on the notice board in the staff room. CRB checks (Criminal Record Bureau) and a POVA (Protection of Vulnerable Adults) first check are carried out before employment. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 19 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. The home is safe, well maintained and provides comfortable accommodation for residents. EVIDENCE: The home is situated in a residential area of Rothwell Leeds within easy reach of the town centre. A full tour of the building was undertaken which showed that the home is well maintained throughout. All residents have single bedrooms which were seen to be well furnished and equipped, with the majority being highly personalised reflecting their occupants’ past life and family ties. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 20 . All bedroom doors are fitted with locks and a lockable facility is provided for residents to keep their belongings safe. There is a range of communal sitting areas which are spacious, comfortable, and furnished in a domestic style to suit the needs of the residents. At the last inspection the inspector was told that two seater sofa chairs were to be purchased. Since then several new sofa chairs had been bought for the sitting areas. Advice was given to the manager that risk assessment must be made to make sure that these chairs do not become restraining to some residents. A record of the risk assessment was seen. The grounds and garden contain a patio area and were well maintained. One of the sitting rooms had been designated a smoking room for residents. The home was well maintained and clean throughout and without any odour. The laundry facilities are well equipped and comply with regulations. Discussion was held with staff regarding sluicing of soiled linen, staff said that soiled linen is put into the into sluice cycle washing machine however there was some indication that hand sluicing is also carried out. The manager was advised that if this was the case this practice must cease so that infection control is not compromised. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this home. Presently the staffing level at the home during the night could compromise the health and safety of residents and staff. Residents are protected by the local authority robust recruitment practices. EVIDENCE: From records examined and following observation and discussion during the inspection, staffing arrangements are one care officer or senior care assistant and three care workers on duty, plus the manager, during day time hours and two waking night staff. From discussion with staff it was noted that residents at the home had various care needs and some needed assistance from two staff. And therefore two waking night staff are not enough for 28 residents, the size and the lay out of the building. This must be risk assessed to make sure that both residents and staff are not at risk during the night. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 22 The staff appeared to work together as a team and relationships with residents and their visitors were observed to be relaxed and friendly, without being overly friendly. Residents described the staff as “very good” and one person said “the staff are great”. Photographs of staff are displayed on the notice board at the entrance to the home to enable residents and their visitors to identify which members of staff are on duty. It was evident from the training record seen and from discussion with staff that there is a commitment to staff training in the home and all staff are committed to undertake NVQ National Vocational Qualification training. This is evidenced by over 98 of staff with an NVQ qualification. There is an induction training programme in place, and mandatory training for staff includes, fire safety awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication (for senior staff). One file was inspected for the recently recruited member of staff. The file contained CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) disclosures and an application form and proof of identity were also in place. There was no evidence that two written references, had been taken up. This information was held at the head office on the individual’s personal file. An annual training plan for 2006/07 was in place. Staff have carried out most of the training planned to be done. Further training course was also planned for named staff. From discussion with the manager and with staff it was evident that all efforts are made for staff to have training on issues relating to the people they care for. At the time of the inspection the manager was making arrangements for staff to undertaken palliative care training, which was over a period of twelve weeks. This would enable them to care for residents who choose to spend their end of life at the home. The manager said although new staff have induction training, it was felt that there was a need for induction specifically for care officers. She has put together information that would assist them in their role. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 23 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Residents live in a home that is well run and managed, their health and welfare is protected by the home’s health and safety practices. EVIDENCE: The manager is experienced and has completed NVQ IV in care, and was in the process of completing the MCI training (Management Care initiative). The manager has implemented many new working practices, which have enhanced the standard of care given to the residents. Record keeping systems have especially been strengthened. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 24 An open and positive atmosphere is prevalent in the home with residents, their relatives and staff being encouraged to contribute to the decision making process. Each resident has an individual transaction sheet for their personal money, which details deposits, and withdrawals. This is signed for by the member of staff withdrawing the money, checked regularly by the manager and weekly by the administrator. Since the last inspection the manager has introduced an audit trail for staff taking money on behalf of residents for shopping, it records the name of the staff and the resident and the amount of money. The manager said it is the home’s policy that the purchase must be made and a receipt produced within three days or the money must be returned. The manager was advised that this record must also show any money’s returned as indicated in the main transaction sheet. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place, which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. A formal quality monitoring system is in place and residents, relatives and health and social care professionals were recently consulted as to their views on the service provided. However the results of the survey have not been published, though the manager said the results were very positive. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 4 2 X 3 X X 3 Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 26 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 OP27 Regulation 18 Requirement Timescale for action 31/03/07 2. OP2 13 3. 4. OP7 OP33 12 (3) 24 Increase of staffing level at night must be given due consideration, to provide residents with more than two staff at nights taking into account the care needs of residents, lay out and the size of the building. This must be risk assessed to make sure that both residents and staff are not at risk during the night. The provider must provide the CSCI with a timescale when this matter will be resolved. A plan of action must be in place 31/03/07 for all identified risks showing how they would managed/ minimised. More information is needed for a 01/04/07 plan of care on residents last wishes. 01/04/07 The registered manager must provide residents and others with written feedback from survey carried out. A copy to be sent o the CSCI area office. Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 27 5. OP38 23(2)(k) The hand sluicing of soiled laundry before putting it into the washing machine must cease. 09/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Home Lea House DS0000033272.V325045.R01.S.doc Version 5.2 Page 29 - 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!