Inspection on 24/04/07 for Kacee Lodge

This inspection was carried out on 24th April 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kacee Lodge 15/04/08

Kacee Lodge 27/04/06

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

CARE HOME ADULTS 18-65 Kacee Lodge Ivy Lodge Road Great Horkesley Colchester Essex CO6 4EN Lead Inspector Jane Greaves Key Unannounced Inspection 24th April 2007 10:00 Kacee Lodge DS0000066717.V337569.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 Kacee Lodge DS0000066717.V337569.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. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kacee Lodge Address Ivy Lodge Road Great Horkesley Colchester Essex CO6 4EN 01206 272108 01206 273867 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) Clearwater Care (Hackney) Ltd Craig Lee Williamson Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Physical disability (8), of places Physical disability over 65 years of age (1) Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability and who may also have a physical disability (not to exceed 8 persons) The total number of service users accommodated in the home must not exceed 8 persons 27th April 2006 2. Date of last inspection Brief Description of the Service: Kacee Lodge is a care home for adults with physical and learning disabilities. The property is situated in the Essex village of Great Horkesley, approximately 2 miles from Colchester Town Centre. The home is a detached bungalow with parking to the front. There is a bus route close by. All service users access local community amenities and activities, with the home providing transport and escorts. Bedrooms comprise of six single rooms and one shared double room. There is one assisted bath, one walk in shower room and two toilets. Communal accommodation is comprised of a lounge/ dining room, a sensory room and an activity room. The kitchen and laundry are comparable with those found in a normal household. Information about the service may be obtained by contacting the manager. The home charges between £979 and £1,430 a week for the service they provide. This information was given to the Commission in April 2007. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection visit took place on 24th April 2007. There were no visitors to the home on this day; after this site visit survey questionnaires were sent to the residents and their families to obtain their confidential views of the care and facilities provided for the people living at the home. A sample of staff and residents’ records and important paperwork was looked at together with direct and indirect observation. This report has been written using evidence gathered prior to and during the inspection. 24 of the 43 National Minimum Standards and the intended outcomes of these were assessed at this visit: • • • 14 standards were judged as being the things the home does well for people living there. 9 standards were judged to as the things that need a little improvement. 1 Standard was judged as being something that the home needs to improve greatly to keep the residents safe and make their lives happier. What the service does well: What has improved since the last inspection? The manager has made sure that the staff receive the training needed to meet the needs of people living at the home. Relatives of people living at Kacee Lodge have been given details of how complaints may be made to the home. Records had been made to show that personal money belonging to people living at the home is safely looked after. Some redecoration and refurbishment has taken place to make the home a safer and nicer place for people to live. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 6 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. Kacee Lodge DS0000066717.V337569.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 Kacee Lodge DS0000066717.V337569.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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their families/representatives have access to sufficient information to make positive choices about the home they move into. EVIDENCE: The Service User Guide and Statement of Purpose had been updated to reflect the current provider. There had not been any new admissions to this home since the previous inspection site visit. The policies and procedures for admitting new service users to the home were in place. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service and their families/representatives could be confident that their assessed and changing needs were reflected in their individual plans. EVIDENCE: Support plans for two people living at Kacee Lodge were sampled as part of the inspection process. These contained clear detail of the actions staff needed to take to support individuals according to their assessed needs. The staff team had been involved with designing a new format for the care plans. The complex needs of the people living at the home meant that they were not able to be actively involved in developing their own care plans however there was evidence of family involvement. There were support plans for all areas of daily life with clearly detailed individualised procedures for bathing, brushing teeth, hair care, continence, getting dressed and other such personal care tasks. Risk assessments were present for activities including accessing the home’s minibus, wheelchair use, trampolining, using the sensory room, moving and handling and falling from bed amongst others. Each person’s care plan was reported to be reviewed in it’s entirely every 3 months however there was no Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 10 documentary evidence to confirm this. The previous inspection report identified that risk assessments were not subject to review. A discussion took place with the registered manager around developing a system to evidence reviews. One care plan sampled contained evidence confirming that advocacy services were involved within the home. The registered manager reported that in instances where advocates were required the social worker was asked to arrange this to ensure that the service users had access to totally impartial support. Complex difficulties and needs around communication mean that no people living at the home were able to communicate their experiences of Kacee Lodge, the registered manager described various methods used to offer choices regarding food, activities and daily life. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at Kacee Lodge are supported to make choices and actively encouraged to maintain close family relationships. EVIDENCE: The people living at Kacee Lodge were not able to enjoy employment opportunities due to their complex needs. The home employed an activities coordinator; on the day of this inspection site visit three service users were being supported to attend a trampolining session. The home had a sensory room and a dedicated activities room containing a spa pool. The registered manager reported that the spa pool had not been used for some time as there had been a shortfall in staff training to ensure the health, safety and welfare of service users whilst doing this activity. This training had now been delivered to the staff team and necessary chemicals and safety equipment had been ordered ready for the spa pool to be re-commissioned. The activities room contained an old fridge-freezer that was waiting to be thrown away and a shortage of storage facilities resulted in the room appearing untidy and disorganised. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 12 Documentary evidence was available to confirm what activities were offered to individuals and how they responded to them. This was one method used by the home to identify individuals’ choices of activities. It was reported that a negative response was not enough to discount the activity completely as the person may just be having an ‘off’ day, the response was recorded and the activity would be tried again in the future. If the service user still did not demonstrate a positive reaction to the activity then it could be assumed they did not enjoy it. Activities offered included trampolining, personal shopping, going to the pub, farms, the zoo and in-house musical activities. Family members/representatives were consulted about the care and support their loved ones experienced at Kacee Lodge subsequent to the inspection site visit. Comments received were generally positive however it was reported that service users were not supported to go out into the garden during periods of fine weather and that they were often left sitting unoccupied for long periods of time. The home’s minibus was made available to assist families to maintain relationships with the service users both inside and outside the home. The registered manager described instances where staff accompanied individuals to meet their families for days out, where family members were collected and brought to the home by the minibus and where service users were taken to their family homes for visits. The registered manager reported that routines within the home were flexible and arranged around individuals’ needs. It was reported that staff members knocked on service users’ doors before entering their rooms, however it was observed that this practice was not always followed. A discussion was held with the registered manager that whilst the individuals were not able to respond and give permission for someone to enter their room it was good practice to knock and wait a moment before entering. Personal mail such as cards and family letters were opened by the key worker in the presence of the service user and read to them. Letters relating to individuals’ healthcare appointments were read to the service user and family/representatives were informed giving them the opportunity to attend. Menus showed that a variety of nutritious food was provided and choices were offered to the people living at Kacee Lodge. The staff team had designed the menu using a book recommended by a dietician. There was a recording procedure to assess individuals’ enjoyment of the meals provided using a process of elimination. One menu looked during this inspection included feedback that none of the service users had enjoyed a stir-fry meal that had been provided for them. It was reported that this was an area that was constantly evolving. On the day of this site visit the service users enjoyed fish Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 13 and chips from the chip shop. It was noted that records of individuals’ dietary intake were not always completed. Kacee Lodge DS0000066717.V337569.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home could not be confidant that their privacy and dignity would be protected or that their health safety and welfare was adequately protected by the home’s procedures for the handling and administration of medications. EVIDENCE: Each person living at Kacee Lodge had a detailed care plan providing good information enabling support staff to deliver individualised personal care that was constant, reliable and person centred. On the day of this visit there were two occasions observed where staff failed to treat the residents in a way that respected their privacy and dignity. One instance where a member of staff entered a bedroom without knocking to give notice and another where a resident was receiving personal care in a bathroom with the door left wide open. Evidence was available to confirm that the people living at Kacee Lodge received additional specialist support to meet their assessed needs such as occupational therapy and support from a diabetic nurse. Care plans contained Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 15 records to show where external healthcare support had been secured and where routine health checks had taken place. The registered manager and the organisations’ operations director (RGN) had concluded that the pharmacy led medication training delivered to the staff team did not adequately cater for the needs of the service. ‘In house’ workshops were being developed to design medication training for the staff team. Discussion took place with the registered manager around how the effectiveness of this training provision was to be measured and demonstrated in order to protect the health, safety and welfare of the people living at Kacee Lodge. The senior on duty dispensed the medications and the support staff administered the medications to the service user. It was reported that both members of staff responsible for the medication procedures signed to confirm that medications had been administered appropriately however gaps were evident on the Medication Administration Records providing evidence that the procedures were not always followed. Kacee Lodge DS0000066717.V337569.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Kacee Lodge could be confident that their views would be listened to and that they were protected by the home’s policies and procedures for safeguarding vulnerable adults. EVIDENCE: The service had a clearly written complaints procedure available in the office and the registered manager reported that a copy had been sent to the families of the people living at the home. One family member reported “reasonable communication between the home and us. Nothing to complain about as far as I am aware”. Policies and procedures for the safeguarding of vulnerable adults were available in the office at the home and 15 out of 16 staff members employed to work at the home had relevant received training. Since the previous inspection site visit the service had further developed the procedures for the safe keeping of personal monies of people living at the home. Individuals’ funds were kept within a locked safe in the registered manager’s office in separate wallets with cross-referenced receipts to provide an audit trail. Discussions took place with the registered manager around ways that the system could be simplified. Personal monies for 3 people living at the home were checked at this site visit and all were found to be correct. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there however domestic cleaning arrangements are not adequate to protect their health and well being. EVIDENCE: A random inspection visit took place in July 2006 to assess progress made with areas of the home that urgently required redecoration and refurbishment. At this time new kitchen equipment had been installed, the shower room had been re-tiled and an extractor fan had been fitted and the lounge/diner was being re-decorated. Since the July visit the communal hallways had been re-decorated however these were already showing signs of wheelchair damage. The bathroom urgently requires attention as there is mould on the window frame and the floor, walls and suite were shabby. The registered manager reported that a total refurbishment of this facility had been arranged for ten weeks after this site visit. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 18 It was reported that the staff toilet facilities and service users’ bedrooms were to be scheduled for re-decoration next. The registered manager reported that some people living at the home had their rooms decorated for them by family members. A physical tour of the home confirmed this, however it was noted that some window frames had mould, this could pose a potential risk to the health and well being of residents and staff. Overall during a tour of the premises, the home was found to be free from offensive odours however there was room for improvement in the standard of cleanliness throughout the communal areas of the home. One family member reported “The environment is gradually improving, mould on the window frames is bad especially when there are people living there with breathing problems. Hygiene is appalling. Laundry goes missing despite being clearly labelled. Cleanliness in the home is not good”. Staff training records showed that 14 out of 16 staff members had received training/refresher training in the control of infection. Lack of storage facilities within the home had the result of a feeling of chaos and untidiness in some areas such as the activities/spa pool room and the home’s office. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had a recruitment policy however procedures did not always promote the safety and well being of people living there. People using the service could be confident that staff had been provided with training appropriate to meet their needs. EVIDENCE: There had been some changes within the staff team since the previous site visit. Five support staff had achieved NVQ level 2 or above and four were on the verge of completing this qualification at this visit. Once this has been achieved the recommended ratio of 50 of support staff team with this qualification will be met. Two recruitment files for staff employed since the previous visit were sampled, one file contained documents to indicate that references had been applied for however no response had been received and this staff member had commenced work at the home. One file sampled was for a person recruited via an employment agency. The registered manager had conducted an interview via the telephone as opposed to face to face, there was no application form Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 20 completed and the references obtained by the agency had not been verified by the registered manager prior to the applicant starting work at the home. A discussion was held with the registered manager around his responsibilities to promote the safety and well being of the people living at the home. Recruitment records did include satisfactory Criminal Record Bureau checks and applicants’ job histories. The registered manager recognised the importance of training and the service delivered a programme that met the needs of the people living at the home. There had been some service specific training provided to meet identified needs of the people living at the home such as epilepsy awareness, communication skills, and safety whilst using the spa pool. It was reported that training addressing the needs of people with autism was “in the pipeline”. There was evidence to confirm that some staff supervision sessions had taken place however this was not a consistent practice. The staff team had been subject to considerable change and upheaval resulting in the registered manager and deputy working more support shifts and less hours being dedicated to effective management of the service. The registered manager reported that a recent recruitment drive had been successful and there was now more stability within the staff team. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at Kacee Lodge could be confident that the home protected their interests however the manager needed to maintain development of his skills and knowledge in order to do this effectively. EVIDENCE: The manager is currently undertaking the Registered Manager’ Award and NVQ 4, it was reported that these qualifications should be completed by summer 2007. Observation of the home’s training records identified that the registered manager has not undertaken routine refresher training to update his knowledge base and skills despite being actively involved with providing support for the people living at the home. Some family members surveyed as part of this inspection process reported that the leadership style in the home was not strong and that this had resulted in standards slipping from time to time. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 22 The organisation operated a system of monthly ‘person in control’ visits that involved a report being made that outlined areas of improvement needed to drive forward the quality of service provision and develop outcomes for the people living at the home. It was noted that areas requiring attention were frequently carried forward from month to month with no action having been taken. These regular reports submitted to the commission provided evidence that quality assessment questionnaires had been sent to families and that some responses had been received. It was reported that external stakeholders such as District Nurses, GPs, Occupational therapists and Physiotherapists were to be surveyed as part of this assessment process. The registered manager reported that the results of these surveys were to be collated and a summary produced and forwarded to the commission. The results of this quality assessment process would be used to identify shortfalls in the service provision and drive the quality forward. The home worked to a clear Health and Safety Policy; regular checks were made to ensure that all staff were working to the policy. There was a record of the home meeting relevant health and safety requirements and legislation and monitoring it’s own practice. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X there any outstanding requirements from the last Kacee Lodge 2 X 2 X X 3 X DS0000066717.V337569.R01.S.doc Version 5.2 Page 24 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 YA9 Regulation 14(2) Requirement Risk assessments must be reviewed regularly in line with the changing needs of the people living at the home. This is a repeat requirement with an original unmet timescale of 30/06/06. The home must be conducted in a way that respects the privacy and dignity of the people living there. When medication is administered to people living at the home it must be clearly recorded to ensure that people receive the correct levels of medication. Timescale for action 30/06/07 2. YA18 12(4)(a) 30/04/07 3. YA20 13(2) 31/07/07 4. 5. YA24 YA30 YA34 13(3) 23(2)(d) 9 Schedule 2 Staff must receive training to safely administer medications to the people living at the home. All parts of the care home must 31/07/07 be kept clean and reasonably decorated and free from mould. No person must be allowed to 30/04/07 start work at the care home unless all the documents needed to ensure the safety of the people living there have been received. Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 25 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 Kacee Lodge DS0000066717.V337569.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Kacee Lodge DS0000066717.V337569.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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