Inspection on 21/08/07 for Jenkin Lodge

This inspection was carried out on 21st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jenkin Lodge 08/06/09

Jenkin Lodge 02/06/09

Jenkin Lodge 22/07/08

Jenkin Lodge 24/08/06

Jenkin Lodge 11/01/06

Jenkin Lodge 29/06/05

Jenkin Lodge 17/11/04

Jenkin Lodge 16/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Jenkin Lodge New Road Ingleton North Yorkshire LA6 3JL Lead Inspector David White Unannounced Inspection 21st August 2007 09:30 Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jenkin Lodge Address New Road Ingleton North Yorkshire LA6 3JL 01524 241745 01524 241745 jenkinlodge@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services 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) Mrs Margaret Keith Frankland Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for five service users with learning disabilities, some or all of whom may also have physical disabilities. Date of last inspection Brief Description of the Service: Jenkin Lodge is a care home registered by St Annes Community Services to provide personal care and accommodation for up to five adults with learning disabilities. The home consists of a detached, purpose built bungalow situated on a busy road on the outskirts of the village of Ingleton, in the Yorkshire Dales. The village is within walking distance of the home and has a wide range of public amenities including shops, churches and pubs. All of the five bedrooms are for single accommodation, none of which has en-suite facilities. Shared areas consist of a kitchen, a dining room/lounge and a conservatory. It also has a separate well-equipped laundry. The home has a large, wellmaintained garden surrounding the property and there is an area of hard standing for parking to the front. There is level access to the home. At the time of the site visit on 21st August 2007 the fees for the home were £1077.23 per week and did not include costs for hairdressing, chiropody and toiletries. The home has a statement of purpose that explains the aims, objectives and philosophies of the home and this is available in alternative easy read and picture formats. The most recent inspection report is made available to anyone who wishes to see it. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an annual quality assurance assessment questionnaire. Comment cards returned from two relatives and two care professionals who have contact with the home. We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 21st August 2007. The visit lasted for 5 hours with 4 hours preparation time. People who are living at the home are unable to say what they think about it, so time was spent watching how staff interacted with them, gave them help and what activities were happening. Time was also spent talking to a member of the care staff and the manager and looking at some documents. This helped in gaining an insight into what life is like for people living in the home. The manager was available throughout the inspection and the findings were discussed with her at the end of the site visit. What the service does well: The staff team are committed to providing good quality care for people at the home so that their needs can be met in a way they prefer. A relative said that “the home is perfect for my relative who is happy and extremely well cared for”. People and their families are given lots of information about the home before they move in and can visit before making a decision about moving there. This helps them to decide if they would like to live there. People at the home are encouraged to make their own choices when making decisions and this enables them to have control over their lives. The home responds quickly if people become unwell so that people can receive proper care and treatment to get better. A care professional said “the staff team always seek advice if they need support with a situation and take action quickly to reduce any distress for people”. People are treated with respect and their privacy is maintained. A care professional said that “great care” is taken to make sure this happens. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 6 The home offers a good choice of food to suit people’s individual tastes. This helps in making sure that people are enjoying what they are eating. People living at the home and those who visit it are asked for their views about the home so that they can have a say about ways in which it might be improved. 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. The summary of this inspection report can be made available in other formats on request. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission assessment procedures are followed to make sure that people receive the information they need to make choices about moving into the home. People’s needs are fully assessed before any admission to the home so that their needs are identified and a decision can be made about the person’s suitability to live at the home. EVIDENCE: Pre-admission assessments are completed for all new admissions to the home. This is so that their care package can be planned and prepared for. People and their relatives and representatives are invited to come and look around the home beforehand to see if they think they would like it. The registered person makes sure that the necessary information about a person’s needs is collected from all available sources. From this information the home can make an assessment as to whether they have the skills and resources to meet the identified needs. The home has recently admitted one person. This person’s care records show that proper pre-admission procedures have been followed and a review is being carried out shortly to discuss how the person is settling in. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 9 The home provides a range of information explaining what care and services are on offer there and this information is available in alternative formats for people who have communication difficulties. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home are encouraged to make their own choices about how they live their lives whilst taking into account any risks from this. EVIDENCE: Each person has a care plan that is very detailed and informative about the care and support they require. The plans are person centred so focus on describing how people’s needs are to be met in a way that suits them. The care planning information includes a “choice charter” for each person that details choices that have been made by the person about aspects of their daily life. There is very clear and specific information in each person’s care records about their expressive skills providing details to staff about what each person is trying to communicate through their behaviours and expressions so that their needs can be understood. A member of staff made comments that the care plans are “easy to understand and follow” and a professional who visits the home said that “plans are delivered and sensitively written”. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 11 A range of risk assessments is in place to support people with their independence and safety. Risk assessments focus on promoting people’s strengths and needs so that they are supported in achieving their aims and objectives. Risk assessments and care plans are regularly reviewed so that information within them is kept up to date. Staff have received Intensive Interaction training and this has helped them to interact in a better way with people who have communication difficulties. One person at the home is increasingly using physical contact as a means to help them communicate their needs. A care review had been arranged to discuss the behaviour so that any risks from this could be identified and actions taken to minimise them. The day-to-day progress of each person is recorded in the daily records that are up to date and detailed so that staff are kept fully informed about what is happening with each person. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People enjoy a lifestyle to suit their needs and have involvement with the local community. Improvements in the staffing levels would provide more opportunities for going out on a weekend. EVIDENCE: Each person has an activity diary that is used to keep records of the activities they have been involved in and feedback from this. There is also an activity calendar that provides information about forthcoming events in the surrounding villages so that activities can be planned in advance. Staff support people in doing the things they enjoy such as going out for walks and visiting farms and other local attractions and one person attends a local disco. Two people attend the local college to support them with their personal development. Another person supports a local football team and goes to watch them play every fortnight. Two people at the home have been on holiday Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 13 earlier this year and a holiday is being arranged for a person who has only recently been admitted to the home. Whilst the home has a vehicle to assist people with their transport needs, this is not large enough to accommodate all the people at the home and places some limitations on how often each person has the opportunity for trips out. The current shortfalls in staffing levels are also having some impact on how often people can have trips out mainly on a weekend. Since the previous inspection visit the home has developed a quiet area that is also being used as a sensory area and sensory equipment is available in other parts of the home. This enables people to have privacy and relaxation if they want to have it. Relatives and friends can visit at any time and can be seen in private. Staff support people with letter writing and sending cards so that they have other ways to maintain contact with their relatives as well as seeing them. A relative made comments that they are “always made to feel welcome”. People have a varied diet and there is always an alternative meal available if people do not like what is on offer. Although the people living at the home are unable to verbally communicate their needs, staff can determine if any of them do not like the food on offer from observations of their behaviours and body language. Two people have special diets for medical reasons and some guidance is provided to staff about this for their consideration when planning meals. Staff could be seen to be providing assistance to people who needed support with their eating in a sensitive and patient way. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and healthcare needs are well met. EVIDENCE: Each person’s care records provide good information about how each person is to receive personal support and their health care needs. At the time of the site visit personal care was being provided in a discreet and sensitive way that respected the privacy and dignity of people at the home. A care professional who visits the home said that “great care is taken in respecting and maintaining people’s dignity”. One relative made comments that “the home is perfect for my relative who is happy and extremely well cared for”. Each person has a General Practitioner (GP) and access to other health care services. A psychologist provides input to support people with their emotional and communication needs. Specialist advice had been sought from an Occupational Therapist about the suitability of a bedroom for a person who has recently been admitted to the home and this person also gives advice about aids and adaptations that are used in the home. Another person who has Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 15 behaviour that challenges the service is receiving specialist health support from the Behaviour Management Team who offer practical support and advice about ways of managing the behaviour. People are supported in attending appointments and health care information is well recorded in individual care records. A care professional stated that “the home is good at seeking advice and acts quickly to minimise any distress for people living at the home”. The manager has experienced some difficulty in arranging a hearing test for one person living at the home but this is being rectified with the support of a community nurse. The medication systems and procedures are satisfactory. Proper arrangements are in place for the administration and storage of medication and all the medication records are accurate and up to date. Staff who administer medication have received the appropriate training and have also received specialist training so that they can give medication to people who are having epileptic seizures. Each person has a medication review every six months and an annual physical review and a medication review is being arranged for a person who has recently been admitted into the home. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Clear complaints policies and procedures are in place to address people’s concerns. However, the failure of staff to report serious concerns immediately means that people at the home are not properly safeguarded from harm. EVIDENCE: The home has a comprehensive complaints procedure so that people wishing to make a complaint know how to do so and this is available in alternative formats. The home has not received any complaints since the previous inspection visit. Although the people living at the home are unable to verbally communicate their concerns, staff said that they would be aware of their dissatisfaction through observation of their behaviour and body language. Relatives made comments that they would know how to complain if they needed to do so and feel confident that concerns would be dealt with properly. Staff have attended some abuse awareness training and the home has a copy of the local authority’s policy on protecting vulnerable adults from abuse to guide staff on what to do if abuse was suspected. However there have recently been three occasions in which staff have had serious concerns about another member of staff’s poor practices but failed to report these immediately so that the poor practices continued. When these incidents were brought to the manager’s attention immediate actions were taken to protect the people in the home and the matter was referred to the correct authorities and investigations are ongoing. The manager is addressing the matter of staff Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 17 failing to immediately report serious concerns through reminding them of the whistle blowing policy, during staff meetings and supervision and she has arranged further abuse awareness training. This will help staff to have a better understanding of what constitutes abuse and the procedures to follow if it is suspected or has happened so that proper action is taken in future in response to serious concerns. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People live in a clean, comfortable and safe environment. EVIDENCE: The home is clean and well maintained. Communal areas are spacious and there are suitable aids and adaptations to support people with their independence and mobility. All accommodation is on one floor and there is level access to the home so it is suitable for people with mobility difficulties. The home has a patio area where recreational equipment has been purchased to suit the leisure needs of each person in the home. Bedrooms are personalised and decorated to suit individual tastes. A recently admitted person and their relatives were able to choose the décor for the person’s bedroom. The home has a separate bathroom and shower area that have both been adapted to meet the needs of the people living at the home. At the time of the site visit a new settee was being delivered to offer more Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 19 comfort and safety for people at the home and the standard of the furniture and fittings throughout the home is good. The home has separate laundry facilities where staff attend to people’s personal clothing and bedding. Proper procedures are followed to minimise the risk of infection and staff have received infection control training. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are receiving good care from a committed staff team who are well trained to meet their needs. The recent shortfalls in staffing levels mean that people’s needs are not always being met. EVIDENCE: In the past the home has always been well staffed. However recently due to a number of different factors the number of permanent staff members has fallen and there are currently four vacant staff posts that have been advertised. The manager states that there has been a good response to the job adverts and has arranged interviews for people who are interested in working at the home. People living at the home have complex needs and communication difficulties so it is important that the staffing deficits are quickly addressed to establish a stable staff team who have a good understanding of each person’s needs. Current staffing vacancies are covered through the existing staff team working additional hours, casual workers and agency staff. Whilst few agency staff have been used in the past, more are going to be used in the coming weeks Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 21 because of the current shortfalls until more permanent staff are appointed. A member of staff said that the staffing levels had “some effect on staff morale and consistency and limited opportunities in being able to spend individual time with people and go out with them”. One person living at the home needs two staff to assist them in getting dressed in a morning and this impacts at times on the supervision of the other two people at the home if there are only two people on duty in a morning. Two professionals who visit the home said that the home could improve by having a more consistent staff team. They also made comments that the current staffing difficulties are preventing the home from doing things they would like to do such as taking people out more. Despite the present staffing problems a member of staff said, “it is a great team to work for”. Since the previous inspection visit no new staff have been appointed to work at the home. However, in the past proper recruitment procedures have been followed to make sure that only suitable staff are employed and updated Criminal Record Bureau (CRB) checks have recently been carried out on all existing members of the staff team. A sample of training records shows that staff receive a range of training to support them in doing their jobs and in meeting people’s needs. Most staff have either completed or are doing the National Vocational Qualification (NVQ) training and attend other courses relevant to the care of people with a learning disability. A staff member made comments that the organisation provides “good training for staff”. Staff receive appraisal and supervision on a regular basis and records from these are kept. Staff meetings take place regularly to enable staff to voice their views about the home. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home benefit from a well run home that continually looks at ways of improving the care and services that are on offer there. EVIDENCE: The manager is very experienced in running the home and has completed a management qualification to enhance her leadership and management skills. The manager is currently working part-time at the home whilst undertaking other management duties in another nearby St Anne’s community home. Jenkin Lodge has a deputy manager to support the manager in providing leadership to the home. However this person is currently absent from work and a decision has been made to employ an additional deputy manager for the home. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 23 The manager provides strong leadership and staff said they feel well supported. Although the manager is currently at the home for three days a week she can be contacted at all times. A staff member said that all staff are encouraged to have a say in how the home is run and their views are valued. There are good systems in place to seek the views of people at the home, relatives and others who have involvement of the home. Regular house meetings are held involving people living at the home and reviews of their care are regularly undertaken. There is a quality document that details the home’s and individual’s achievements. Questionnaires sent out to relatives and others who have contact with the home provided positive comments about the care and services on offer. Information from various sources is used to develop a team plan that looks at the progress made by the home and areas for improvement. People living at the home and staff who work there are involved in “making it happen” and “taking part” meetings so that their views can be shared and discussed at organisational level. Health and safety checks and records are kept up to date. The manager has carried out a fire risk assessment of the premises and fire safety checks and training are regularly undertaken to maintain fire safety. Systems are in place for monitoring and recording hot water temperatures throughout the home and an environment hygiene service found the arrangements for the storage of water to be satisfactory. All staff have regular health and safety training and this is regularly updated so that staff are aware of up to date safe working practices. Jenkin Lodge DS0000007910.V343671.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 4 X X 3 X Jenkin Lodge DS0000007910.V343671.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 YA23 Regulation 13 Timescale for action Measures must be taken to make 21/09/08 sure that staff are aware of the procedures that need to be followed in response to serious concerns raised in order to safeguard people at the home. Better staffing arrangements must be put in place so that there are sufficient numbers of staff at all times to meet the needs of each person at the home. 21/10/07 Requirement 2. YA12 YA32 18 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 YA12 Good Practice Recommendations The home’s own transport arrangements need reviewing to enable each person to have more opportunities to go out on outings and trips. Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Jenkin Lodge DS0000007910.V343671.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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