Inspection on 12/05/05 for Ivy Lodge

This inspection was carried out on 12th May 2005.

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

Ivy Lodge 14/06/06

Ivy Lodge 11/01/06

Ivy Lodge 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ivy Lodge 212A Howeth Road Ensbury Park Bournemouth Dorset BH10 5NZ Lead Inspector Marion Hurley Unannounced 12 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ivy Lodge Address 212A Howeth Road Ensbury Park Bournemouth Dorset BH10 5NZ 01202 593593 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Acorn Lodge (Bournemouth) Ltd Mr Matthew Druce CRH PC - Care Home only 7 Category(ies) of LD Learning disability (7) registration, with number of places Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The first floor bedroom must only be occupied by an ambulant service user who is able to understand and react to emergency situations including evacuation. 2. The home may accommodate up to six (6) service users where the care home address is their permanent place of residence. 3. A seventh (7th) place is available for a service user who has a permanent place of redidence which is not that of the care home and for whom short term respite care is required Date of last inspection 5 January 2005 Brief Description of the Service: Ivy Lodge is owned by Acorn Lodge (Bournemouth) Ltd and Mrs Angela Druce is the Responsible Individual. The Registered Providers Acorn Lodge (BOURENMOUTH) Ltd also own Acorn Lodge a Registered Home for people with learning disabilities. Mr Matthew Druce is the Registered Manager with day-today responsibility for the running and management of Ivy Lodge, which is registered to provide personal care and accommodation for a maximum of seven people. Ivy Lodge is a large detached chalet style bungalow set in pleasant grounds with ample off road parking and turning spaces. The premises comprises two floors however, all the accommodation and communal living areas are on the ground floor except for one bedroom, which is on the first floor. All bedrooms are for single occupancy and all have en suite facilities. There is a separate bathroom on the ground floor. There is a large lounge/dining area and a fully fitted kitchen. The laundry room is sited in the grounds in a separate building. The property has been extensively refurbished and decorated. Access to the property and rear garden involves a small flight of steps however these do not present any difficulties for the current group of residents living at Ivy Lodge. Ivy Lodge is on a main bus route to all parts of Bournemouth and a short walk for the main bus service to Poole. Staffing is provided in the home twenty-four hours a day. Service users are encouraged to maintain their independence, and routines in the home are kept to a minimum. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Ivy Lodge was assessed according to the Care Homes for Adults (18-65), National Minimum Standards. The overall time spent to complete the inspection process was a total of eight hours, three of which were spent at Ivy lodge. In the course of the inspection both the Registered Manager and Deputy Manager were available, and one member of staff and 2 residents were “at home”. One resident was present but remained in their bedroom. All records, documents and files were easily accessible on the day and a range of these were inspected. The premises and grounds are well maintained and are suitable to meet the needs of the current group of residents. A partial tour of the premises and grounds was completed with the Registered Manager. From observations and discussion with the management team and staff member present there appears to be a positive feeling of well-being and job satisfaction. The inspection process was assisted by the openness of the management and the inspector was grateful for their time and commitment to the inspection. This was a positive inspection of a service that continues to develop and achieve high standards of practise. What the service does well: Each resident has an Essential Lifestyle Plan, which highlights their abilities and aspirations and includes all aspects of their daily living needs and the support required to achieve and maintain these. Regular reviews and monitoring ensure any changing needs are recorded and plans adjusted to reflect these changes and the support required. Each resident participates in a range of day services and leisure activities, which encourage and contribute to the resident’s personal development and confidence to achieve further interdependence. Records indicated that staff monitor the health needs of all the residents. Ivy Lodge offers a needs-led service through flexible routines and good staff relationships. The management has a commitment to staff training. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 5 • Each resident has a detailed contract combining specific terms and conditions and charges, which indicate what services and facilities, are included in the fees and what items they may be charged “extra” for. EVIDENCE: Two resident’s files were checked and each contained signed terms and conditions. The Registered Manager explained that not all the residents have signed their own contracts some have been signed on their behalf by their representative’s i.e. family members. All the current group of resident are funded by Bournemouth Borough Council and have “three way contracts” with this Authority and the Home. The documents contain all the relevant information and meet the outcome for this standard however; the style of the written documents is not easily understandable for the residents. The Registered Manager and staff are aware of this and have already started work on producing other documents in a user friendly format and will over time develop all documents in a style, which is comprehensible to the residents at Ivy Lodge. Since the last inspection there have been no new admissions. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7, 8,9, and 10. • • • • • Each resident has an Essential Lifestyle Plan, which describes the residents’ abilities and identifies their needs and how the support is provided and reviewed according to personal changes. The Plans are written with the residents and reflect their involvement in daily decision-making describing in the first person their participation. Residents are involved in the day-to-day running of Ivy Lodge both formally and informally which affords each person a level of shared responsibility for the decisions made. The Plans incorporate specific risk assessments and indicate how hazards may be minimized for each resident whilst promoting and encouraging each resident to develop confidence in their own independent skills. Staff stated residents can request (and are reminded) to get their “Plans/files out” at anytime from the locked cupboard in the communal lounge. EVIDENCE: It is a key feature of the care and support provided that residents are encouraged and enabled to make decisions about all aspects of their lives. Residents are supported to make decisions over their day time activities and to this end one person has recently decided they no longer wish to attend formal Day Services. Two residents were present throughout this inspection visit and Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 10 were observed enjoying the company of the staff or spending quiet time in their rooms. Staff involve residents with some of the day-to-day tasks such as unpacking the shopping which is particularly enjoyed. The Essential Lifestyle Plans paint an excellent holistic picture of the resident’s needs and aspirations and each is written in the first person and describe “ things that make me happy/unhappy, things that are important”. The daily notes, which are written with the residents, demonstrate how they have been supported and involved in making daily decisions. Risk assessments are used positively and are developed for each resident and include support requirements i.e. one assessment identified that the resident is “ very willing to please and very vulnerable (with reference to personal money). The assessment identified the need to increase the persons comprehension of money but also in the short term to ensure they were safe by encouraging them to only take small or the right amount of change with them on outings etc. Another plan identified a person’s enthusiasm to save and in their words “ put this silver in my bank”. All residents are supported to manage their own finances. All information is securely stored and residents have access to all their personal files when they wish. The Registered Manager and staff need to encourage residents to use their own files and take “ ownership of the files”. Those files checked were correctly reviewed and dated. The two residents at home during this inspection did not join in the discussions with staff to verify these standards. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13 and 14 • • • Residents attend a variety of Day Services and College classes which provide stimulating and age appropriate activities with their peers Residents have joined in local community events and have participated in funding raising events, which have given them a real sense of belonging to the local community in which they live. Ivy Lodge enables residents to participate in a wide range of activities reflecting the different interests and developmental needs of each person living at the home. The completed diary showed the range of events and activities enjoyed by residents of Ivy Lodge and those pending. EVIDENCE: All residents appear to have full and varied weekly routines that include many activities away from the home encompassing attendance at Day Services, and at Poole College in addition to a wide range of leisure activities. One of the residents at home during the inspection visit indicated how much they enjoyed living at Ivy Lodge and all the different activities they joined in especially in the varied trips. Recent events have included a trip to Cardiff, Poole Park, Day Cruise to Jersey and a visit to Monkey World. Locally residents have joined in various charity events and thoroughly enjoyed a local donkey derby. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 12 All residents have the opportunity of an annual holiday and this has recently been discussed at a house meeting. Minutes of this meeting were available. At this meeting staff explained and discussed the arrangements and residents have chosen to pay for their own holidays however, Ivy Lodge will fund the regular day trips and other leisure activities pursued by everyone throughout the year. The holiday has been booked and residents will be going to Bognor in October. Records and discussion with staff confirmed these details. One of the residents at home during this inspection visit was encouraged by staff to describe a coach trip to Cardiff. With prompts it was evident the trip had been thoroughly enjoyed and the resident benefited from the one to one attention. The staff rota showed where extra staff were on duty to ensure that all residents benefited from time in a one to one situation. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,and 19 • All residents receive personal, flexible support according to their individual and changing needs. The details of the support and the resident’s preferences are all recorded to ensure that all staff provide a consistent approach when working with the residents. Staff ensure all residents access the full range of health care services and each resident has an annual health check. All appointments and outcomes are recorded in the individual health care Plans. • EVIDENCE: All personal care and support required by residents is recorded in their files and each resident has a Health Care Plan. There are no assessed needs for physical adaptations or equipment at present. Residents are supported to access specialist services and one resident receives six monthly visits from a physiotherapist. Weight charts are kept if appropriate and individual daily routines/timetables are all recorded. However, the staff on duty at the time of this inspection emphasised that there is always a flexible approach taken to these routines and if the resident indicates the need or desire for change this is always accommodated where practical. At the time of this visit one resident was enjoying an “extended lie in” and it was good to see this very flexible and caring approach taken by staff on duty. An aromatherapist visits the home monthly. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 14 The recommendation form the previous inspection has been fully implemented and all medication is dated on the date of first use, this ensures a thorough audit trail can now be easily achieved. (this standard will be fully assessed at the next inspection) Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 • • The Registered Manager and staff team ensure that all residents are protected from any form of neglect or abuse and represent their interests at multi-agency meetings. Polices and procedures relating to the recruitment of staff are thorough and in line with the Regulations and Standards and no member of staff can/will commence employment until all the checks and references have been successfully obtained. EVIDENCE: Since the last inspection there has been one compliant. This has been sensitively dealt with and the records and discussions demonstrated that the Registered Manager and staff have excellent working relationships with other agencies and are capable of working as part of a multi disciplinary team. The CSCI was informed at each stage of this investigation. The residents available at the time of this inspection were not able to confirm their understanding of the concept of a complaint however one person when asked if they could speak to staff about any “complaints/grumbles” indicated they would “tell staff”. From discussion with staff on duty it was evident they are sensitive to the various methods residents use for communicating their likes and dislikes, concerns/complaints. The Registered Manager and staff need to formalise some of the different methods they use to identify this information and to ensure that all residents irrespective of their style of communication try and achieve some understanding of the principles of raising concerns/complaints. Ivy Lodge has recruitment polices and procedures that ensure all necessary checks are in place and have been completed before staff can commence employment. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,28,29 and 30. • • • • Ivy Lodge is well maintained and decorated throughout and provides spacious homely and comfortable accommodation for all the residents. There is ample communal space for all the residents to use and share allowing sufficient space for residents to enjoy the shared facilities or find a quiet spot if they so wish.. No specialist equipment is required by any of the residents at this time. On the day of this inspection visit Ivy Lodge was clean and hygienic providing a safe environment for residents and staff. EVIDENCE: All fixtures and fittings are of good quality and the home has a private and reasonable sized garden and patio area to the rear. There is ample car parking to the front of the property. The house is attractive and in keeping with all the other properties in the vicinity. All residents have single en suite bedrooms. All meet the new space requirements and all are personalised and appear to meet the resident’s needs. All residents who have personal items in their bedrooms have inventories of these in their files. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 17 At this stage no aids or adaptations are required by any of the residents. The home has good size communal areas starting with a light and open hallway, which leads into the communal lounge/dining room. There is a separate kitchen. The lists previously hanging on the outside of the kitchen cupboards indicating residents preferences for their pack lunches have been discreetly hung inside the cupboards making the kitchen look more “ homely”. Since the last inspection work has been completed on the laundry, which now has new washable surfaces on both the walls and floor, and an additional large storage cupboard and hanging rail have been fitted. All the improvements are very positive and have improved this working area. On the day of this inspection visit the home was cleaned to a high standard throughout providing a pleasant and comfortable environment. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35 and 36 • • Thorough recruitment and training procedures ensure sufficient staff are recruited and maintained to undertake the tasks of running Ivy Lodge and meeting the needs of all the residents. Both the management and staff have a commitment to professional development and training and staff are presently undertaking a range of courses including National Vocational Qualifications and Learning Disability Award Framework.(NVQ & LDAF) At the time of this inspection it was considered that the staff were competent to meet the needs of the residents and the staff files examined indicated regular supervision sessions are conducted to ensure the quality of work by all staff is maintained. • EVIDENCE: The records of the most recently recruited member of staff were checked and found to contain all the relevant information to meet the standards and the elements required in Schedule 2 of the Care Homes Regulations, 2000. Discussions with the two staff on duty indicated they were sensitive to the needs of the residents and that the management monitored their attitudes and practise. Ivy Lodge is well staffed by day and night with two staff working each night. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 19 Regular meetings are held and the notes were available. The home provides all staff with an induction and foundation course accredited to the LDAF and two staff are currently completing these courses. Both the Registered Manager and Deputy Manager are studying for NVQ level 4 in Care. The Registered Manager stated that all staff have job descriptions and their files contain signed terms and conditions/contracts, a flow chart of roles and responsibilities/accountability and copies of the Statement of Purpose/Service User Guide and all procedures relating to disciplinary issues. These documents were noted in the staff file checked on the day of the inspection. All staff receive regular supervision. It is recommended the notes from these sessions could provide more depth and detail of the topics and issues discussed. The Registered Manager needs to consider whether signed supervision contracts would be useful with standing agenda items. The member of staff on duty stated they felt well supported by the management team and other members of staff and said there were always opportunities for informal supervision. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 . • • The Registered Manager is competent to manage the home and this is reflected by the positive comments received from both staff and residents. Residents benefit from the Registered manager’s experience and ability to run a relaxed but efficient home. Staff on duty at the time of this inspection confirmed his skills and both staff and the resident were observed to be are happy and confident in his company during this inspection visit. All records checked at this inspection reflected safe working practises for the benefit of residents and staff. • EVIDENCE: Observations and discussions with staff and the resident throughout this inspection demonstrated that there is an open, inclusive and positive atmosphere at Ivy Lodge. All staff and management are interested in improving practise and providing a service that continues to meet the changing needs of the residents. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 21 All records seen during this inspection were up to date and correctly stored. The home has a system for monitoring health and safety that involves regular checks. All fire safety testing has been correctly completed and recorded and equipment serviced. Fire prevention records included details of the following: training February 2005,servicing of fire prevention equipment 4:04:05, full evacuation 09:03:05. Records indicated this involved 6 residents and 2 staff and the premises were evacuated within 1.45 minutes. All electrical testing has been completed and the central heating tested and serviced in April 2005. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ivy Lodge Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 6 40 Good Practice Recommendations The Registered manager needs to develop opportunities with residents to encourage them to develop a sense of ownership of their own files and records. The Registered Manager should continue to develop all relevant documents in a format which is user friendly and acessible for all the residents. Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ivy Lodge D55 S62109 Ivy Lodge V223202 120505 Stage 4.doc Version 1.30 Page 25 - 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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