Inspection on 16/03/07 for Kingswood Lodge

This inspection was carried out on 16th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingswood Lodge 30/01/09

Kingswood Lodge 08/09/08

Kingswood Lodge 22/11/07

Kingswood Lodge 14/02/06

Kingswood Lodge 06/09/05

Kingswood Lodge 02/04/04

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Insight - Eastchurch

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

CARE HOME ADULTS 18-65 Kingswood Lodge 25 Railway Street Gillingham Kent ME7 1XH Lead Inspector Jo Griffiths Key Unannounced Inspection 16th March 2007 11:50 Kingswood Lodge DS0000028918.V334369.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 Kingswood Lodge DS0000028918.V334369.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. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingswood Lodge Address 25 Railway Street Gillingham Kent ME7 1XH 01634 580797 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) Doson Limited Mrs Delores Celene Lee Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 16 single rooms and one double room Over 39 years, 18 people with learning disabilities Over 65 years, 18 people with learning disabilities One service user with a physical disability One service user with dementia whose date of birth is 24.02.1934. 14th February 2006 Date of last inspection Brief Description of the Service: Kingswood Lodge is located in the centre of Gillingham and is close to the main railway station and other local transport. It is a short walk from the high street and other amenities. There is car parking to the rear of the property and the garden is attractively laid out with raised flowerbeds, a lawn and seating area. The home provides accommodation on three floors with sixteen single rooms and one shared room. There is a lift to the first floor. There is a games room and a choice of sitting rooms. There is a spacious dining area with a conservatory attached. Currently the conditions of registration for this home are as detailed above. These conditions will now require review and may be updated. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The Manager was at the home and there are 18 people currently living at the home. The inspector had a look around the home and spoke with some of the service users and staff. Some records were inspected. Comment cards were received from 9 service users and 4 relatives. The feedback about the home indicated that service users and their relatives are satisfied with the service. What the service does well: What has improved since the last inspection? What they could do better: Care plans should include how people’s social needs and emotional needs will be met. This should include how they will be supporting to see their friends and meet new people if they wish to. Risk assessments that have been written to keep people safe whilst they go about their daily activities should be reviewed to make sure they are still working. The Manager must make sure that the people that live at the home are making an informed choice about where and when they would like to go on their holidays. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 6 The Manager must supervise staff regularly to make sure they are meeting the needs of the people at the home. Staff training certificates must be available in the home as evidence of the training staff have completed. The owner must complete a quality audit of the home each month and these must be given to the Manager for action. The health and safety checks that are made each month must show what action is taken to address any problems. The Manager is advised to review the policy for same gender care at night time and to ensure that all the polices for the home are reviewed. The updated fire risk assessment needs to be made available for staff to follow. It is recommended that the activities that are available to the people in the home are reviewed to make sure that people are supported to do the activities that they enjoy and benefit from. The Manager plans to use person centred planning more to help people make decisions about their lives and their futures. We think this will be very good for the people living at the home. All the people at the home should be offered a bedside lamp for their room. 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. Kingswood Lodge DS0000028918.V334369.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 Kingswood Lodge DS0000028918.V334369.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): Standard 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed before they move to the home. EVIDENCE: Service users have an assessment of their need before they move to the home. Only service users whose needs can be met are offered a place at the care home. The assessment needs to be kept under review alongside the care plan. Kingswood Lodge DS0000028918.V334369.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): Standards 6, 7, 8 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have a care plan that meets their personal care needs. They would benefit from these plans being expanded to include their social and emotional needs. They are being involved in the introduction of Person centred planning and will further benefit from this being developed to include planning for their futures. Service users are supported to make decisions about how the home is run through residents meetings. Those that cannot communicate verbally would benefit from their communication needs being addressed in detail in their care plan. Service users are supported to take reasonable risks as part of an independent lifestyle. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 10 EVIDENCE: Each service user has a care plan that addresses their daily support needs. The care plans are easy to follow and cover all areas of personal care need. Service users would benefit from the plans being reviewed as some were quite out of date. The Manager stated that this was being started. Service users would also benefit from their care plan addressing their social and emotional needs and how these needs will be met. This should include any hobbies or interests they have, meeting new people, having relationships and staying in contact with family and friends. In addition to the care/support plan the home have begun to introduce Person centred planning. Some of the staff have attended training in this area and have begun to build life portraits for service users that they are keyworker to. The portraits are written in an inclusive way and give the reader useful information about the person’s life before they came to live at Kingswood lodge. The Manager intends to develop the Person centred plans so that they can be used to help people plan for their futures. This could include hopes and dreams about their lives, where they live, having a job, going on a dream holiday or learning a new skill. It is recommended that the Manager attend training in Person centred planning to understand the range of tools that are available to help people with communication difficulties to make decisions about their futures. Service users have a 2 monthly meeting within the home where they are consulted on the running of the home and any wishes they have about the service. It is recommended that the needs of people that do not use verbal communication be addressed comprehensively within the care plan so that staff know how to support them to participate in these meetings. Some risk assessments are in place within the care plan but these need to be reviewed. Kingswood Lodge DS0000028918.V334369.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): Standards 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some service users benefit from personal development opportunities, but there are no service users in paid employment. It would benefit all service users to have a review of their social and occupational needs within their care plan to ensure they are supported to do the activities they wish to. Service users are supported to access the local community. Service users are supported to maintain contact with their family and would benefit from their care plan including how they will be supported with other relationships. Service users rights are respected and they are aware of their responsibilities. Service users enjoy a varied and balanced diet. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 12 EVIDENCE: Service users have a programme of activities available to them in the home. It is not clear that the activities are based individually on each persons need and therefore it would benefit service users to have their own social needs addressed clearly within the care plan. The care plan should state what their needs are and how these social needs will be addressed. There is an outing available to service users on a Tuesday and a trip to the pub for lunch on a Thursday. Some service users use day centres or college, but there is no one with paid employment in the home. Some service users spoken with expressed an interest in getting a job and this should be explored through Person centred planning. Some service users go to the Mencap social club on a Monday evening. All service users are going on holiday to Butlins in July. The Manager stated that they choose to go there each year and enjoy their holiday. Each year the home is redecorated whilst the service users are away. The Manager must demonstrate that service users are going away as a large group because they choose to and not because it benefits the service to plan it in this way. Person centred planning should be used to help people make clear choices about their annual holidays and they should be given the opportunity to go at a different time and to a different location from other people that they live with. There is an activity room in the home and there are activities available each day in this room. The activities include puzzles, books, games and drawing. We feel that some of these activities are not meeting the needs of the residents and are not meaningful for people. Again, it is recommended that individuals needs in relation to occupation be assessed and planned for in the care plan. One service user is studying computers at college and it is recommended that a computer be made available in the home to support this. The Manager stated that this was being considered. This would also benefit other service users who may wish to use a computer for e-mailing family and friends or using the Internet. Service users activity records state that they have been in the activities room, but do not state what they did or whether they enjoyed it. It would benefit the Manager if the records were more detailed as this would help her to monitor what is being provided and identify people’s interests for future planning of activities. Service users have access to the main lounge where there is a TV and DVD, some people also have TV’s in their own rooms. Some service users have family members to visit them. They can visit when they wish to and service users said they could take them to their rooms if they wanted to. The Manager Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 13 said that no service users had friends to visit. It is recommended that this be explored further. Service users rights within the home are respected, including their right to privacy. Those spoken with said that they could choose when to get up and go to bed. Service users are aware of their responsibilities to respect others in the home and help with some household tasks. Service users said they enjoy the meals and are able to choose what they want to eat. The menus were seen and appear to be balanced and nutritious. The quality of the meals during the inspection served was good. Kingswood Lodge DS0000028918.V334369.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): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are met, but they would benefit from a review some of the assessments relating to these areas. Service users are protected by the homes medication policy and safe procedures. EVIDENCE: Individuals’ needs relating to personal care are clearly laid out in the care plan and those that require support with mobility have an assessment of their moving and handling needs. The assessments were completed in 2004 and need to be reviewed to ensure that staff are supporting service users correctly. Service users health needs are identified in the care plan and records are kept of any visits to the GP, dentist, chiropodist or optician. Other health professionals are accessed as needed through GP referral. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 15 The requirements made at the last inspection in relation to medication have been met. There is a new medication fridge and a new medication cabinet, Staff only administer medication to service users after they have completed the certificated training course and have been assessed by the Manager. Kingswood Lodge DS0000028918.V334369.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives know how to make a complaint if they need to and know their concerns will be taken seriously. Service users are protected from abuse by the polices and procedures of the home. EVIDENCE: There is a clear complaints procedure in the home and service users spoken with said they knew who to speak with if they had a concern. There have been no complaints received in the home. Since the last inspection there has been one concern raised that was investigated under local adult protection procedures. The home cooperated positively with the investigation and the concerns were concluded to be unfounded. Record show that all staff have completed training in safeguarding vulnerable adults but certificates were not available on the day of the inspection for every member of staff. The Manager must ensure the certificates are made available and that update training sessions are booked where needed. Kingswood Lodge DS0000028918.V334369.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): Standards 24, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe and comfortable environment that meets their needs. They have bedrooms that are appropriate to their needs and access to plenty of communal and private space including bathrooms. Service users benefit from a clean and hygienic home that is well maintained. EVIDENCE: The home is well maintained and appropriate for the needs of the service users. Service users have single bedrooms with the exception of 2 people that share a room. The bedrooms were furnished and decorated to a high standard, but it is recommended that bedside lighting be offered to all service users. There are toilets and bathrooms available on each floor of the home and each bedroom has a wash hand basin. There is one shower, but this is kept locked Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 18 and generally used by staff as the water temperature is not regulated. The Manager said that service users could use it if they wish to, but they would need to ask for support to regulate the temperature, hence the door being locked. It is recommended that this shower be made safe for service users to use and unlocked for them to access if they wish to and if their risk assessment deems this as safe. The Manager is planning to decorate the upstairs hallways during June, when the service users are away on holiday. This will include replacing the hallway carpet that has become a bit worn. It is also planned that the dining room and kitchen will be decorated. There are 2 lounges on the ground floor, one of these was being kept locked as the Manager said if was for the use of a younger group of service users. However, she did state that other service users could use it if they requested to. Call bells have now been made accessible to service users in the bathrooms and items are no longer being stored on top of wardrobes. The Manager stated that window restrictors have been fitted to all windows on the first floor and above. It was required at the last inspection that the laundry flooring and the tiling to the walls be replaced as it was presenting an infection control risk. This has been done. Kingswood Lodge DS0000028918.V334369.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): Standards 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by sufficient trained staff to meet their needs and benefit from the majority of the team being qualified to at least NVQ 2. Service users would benefit from more frequent management supervision of staff to ensure they continue to support service users effectively. Service users are protected by the homes recruitment procedures for new staff. EVIDENCE: Training records show that staff have completed the training they need to safely and effectively support service users. Not all certificates were available for inspection and it is recommended that an up to date training matrix be introduced to monitor and evidence when staff have completed the mandatory training for the home. Manual handling updates are required for staff and the manual handling trainer for the home has just updated their qualification and will be planning update courses soon. Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 20 There are 4 care staff on duty per shift during the day and at night there is one carer and a sleep in carer. The Manager stated that where possible same gender care is provided and that at night the female sleep in staff member gets up to provide personal care to the female service users. It is recommended that the personal care needs of service users at night be assessed to ensure that night staff cover best meets these needs. Most of the staff have completed or are working toward their NVQ award and service users spoken with said the staff are friendly and support them with everything they need. The recruitment procedures for the home are robust ensuring that service users are protected. Some recruitment files were inspected to evidence this. The Manager supervises all staff in the home and keeps a matrix to show when supervision sessions have happened. The examples of supervisions seen were good, but the recommended frequency of formal supervision 6 times per year is not currently beaming met. The Manager must make sure that staff supervision occurs frequently and is reminded that this can include formal observation of their practice in the home. Kingswood Lodge DS0000028918.V334369.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): Standards 37, 39, 41 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users are supported by a qualified Manager who consults with them about their views of the home. Service users would further benefit from regular quality visits from the provider. Service Users health and welfare are protected by the polices and procedure of the home, but they would be further protected by staff being made aware of the new fire risk assessment. EVIDENCE: The Manager of the home holds the Registered Managers Award Qualification and the NVQ 5 in management. She is also a registered nurse. The Manager is in day-to-day charge of the home and is supported by the owner whom she Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 22 says visits the home approximately every 6 weeks. The Manager keeps up to date with developments in learning disability through networking in the local area. It is recommended that the Manager undertake some training in Person centred planning to further assist her with implementing this way of working in the home. The owner has not been carrying out regular regulation 26 quality visits to the home and needs to ensure these are done and sent to the Manager on a monthly basis so that she can action any points raised. Quality assurance surveys are sent to service users and their relatives annually and the owner produces a report for the home of the findings of this exercise. The report was available for 2005, but the Manager said that the 2006 report had not yet been received. Service users have meetings in the home every 2 months and staff meetings are also held every 2 months. The policies and procedures for the running of the home are clear and staff have been made aware of these through their induction. The majority of the policies were last reviewed in December 2004 and the Manager is advised to update these to ensure they are effectively meeting the needs of the service users. All equipment in the home has been safety checked and fire drills and tests are carried out regularly. The fire risk assessment for the home was dated August 2003, but the Manager said a new one had been completed since then. This was not available in the home at the time of the inspection and must be made available for staff to follow. There are individual risk assessments for service users for the event of a fire and these were detailed and clear. There is a monthly Health and Safety audit in the home and it is recommended that any issues found are clearly recorded on the audit and the action taken to address the issue recorded underneath. Kingswood Lodge DS0000028918.V334369.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 1 2 3 4 5 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 2 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 2 X X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 3 2 X LIFESTYLES Standard No Score 11 3 12 2 13 3 14 2 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 2 X 2 2 X Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 24 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 YA6 YA12 Regulation 15(1) 16 (2m) Requirement Each service users care plan must cover their social and emotional needs. The areas of need must be identified and how the need will be met must be clearly stated. Consideration should be given to how the person wishes to occupy their time and if they wish to gain employment. The Manager should also consult with the service user about the support they require to maintain or make new friendships or build relationships. 2 YA9 13(4b) Service users risk assessments must be regularly reviewed to ensure that risks to service users in the activities they do are minimised. The Manager must be able to evidence that service users are supported to make an informed choice about where and when they go on their annual holiday. 04/05/07 Timescale for action 04/05/07 3 YA14 12(2) 04/05/07 Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 25 4 YA18 13(5) The Manager must ensure that service users moving and handling risk assessments are kept up to date. The Manager must ensure that staff are regularly supervised. The Manager must ensure that all training completed by staff can be evidenced through certificates in the home. The registered provider must carry out monthly visits to the home under regulation 26 and these visits must be recorded. A copy of the report must be sent to the Manager of the home for action. The registered provider must ensure an up to date fire risk assessment is available in the home for staff to follow. 04/05/07 5 6 YA36 18(2a) 18 (1)(c) (i) 04/05/07 04/05/07 YA35 7 YA39 26 04/05/07 8 YA42 23(4)(a) 04/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA2 YA7 Good Practice Recommendations Assessments of service users needs should be kept under review. It is recommended that Person centred planning be further developed to include supporting service users to plan for their futures. It is recommended that the Manager attend training in Person centred planning. It is recommended that the activities available in the home be reviewed. It is recommended that the person that uses a computer be offered the use of one at home. DS0000028918.V334369.R01.S.doc Version 5.2 Page 26 3 YA12 Kingswood Lodge 4 5 6 7 8 YA26 YA27 YA33 YA41 YA42 Service users should be offered a bedside light for their rooms. It is recommended that the shower be made safe for service users to use if they wish to. It is recommended that the arrangements for personal care at night be reviewed. It is recommended that all policies for the home be reviewed. It is recommended that The health and safety audit clearly state the issues found and what action has been taken to rectify them. The 2006 quality audit report for the home should be provided to the Manager. 9 YA39 Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Kingswood Lodge DS0000028918.V334369.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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