Inspection on 14/07/05 for Ladydale Residential Home

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ladydale Residential Home 12/11/09

Ladydale Residential Home 09/07/09

Ladydale Residential Home 21/05/09

Ladydale Residential Home 09/05/07

Ladydale Residential Home 03/11/05

Ladydale Residential Home 06/10/04

Ladydale Residential Home 14/06/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Maple Lodge

Polesworth Group 32 Station Road

Heathlands

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Ladydale Residential Home 9 Fynney Street Leek Staffordshire ST13 5LF Lead Inspector Linda Clowes Announced 14 July 2005 9:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and 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. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ladydale Residential Home Address 9 Fynney Street Leek Staffordshire ST13 5LF 01538 386442 01538 385158 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Aegis Residential Care Homes Limited Mrs Jacqueline Walters CRH 54 Category(ies) of LD 3 registration, with number MD 2 of places MD(E) 6 OP 54 PD 4 PD(E) 20 Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 3 LD minimum age 35 years on admission 4 PD minimum age 55 years on admission 2 MD minimum age 55 years on admission Date of last inspection 6th October 2004 Brief Description of the Service: Ladydale Residential Home was situated in a quiet, mature residential area in the historic market town of Leek. It was a well-established care home for the elderly that provided accommodation for up to fifty-four service users. The main house had four floors. The majority of service user bedrooms were situated on the ground and first floors. A shaft lift and stair chair lift provided service users with easy access to various levels in the home. The new singlestorey wing that opened in November 2002 accommodated ten service users and had its own communal lounge/dining area. Ladydale also had two small annexes, The Coach House with three semi-independent units and The Lodge with two semi-independent units. Service users were able to access all areas of the home as they chose. Ladydale was attractively decorated and furnished throughout to a high standard. Fifty of the bedrooms were single, two were double and 45 had ensuite facilities. There were also four assisted bathrooms and two shower facilities. The home had ample communal lounge and dining space. There were off-road parking facilities and attractive mature gardens surrounding the property with a very pleasant patio area with seating. Fencing had been erected to separate the patio from the car park to promote safety and privacy for service users. There was a comprehensive activities programme for service users to access as and when they wished. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ladydale Residential Home was a large home that had achieved a welcoming, “homely” feel. The home was well-organised and well-managed and had a calm ambience. The routines and lifestyles of all service users were accommodated both in relation to the main home and in the semi-independent units. The quality of care was good and service users expressed satisfaction with the services they received and the staff who delivered it. What the service does well: The home had a current Statement of Purpose and Service Users Guide to enable service users to make informed choices regarding the services provided. Service users were issued with contracts/statement of terms and conditions of residence. Service users health, personal and social care were promoted in the home with all who responded to questionnaires indicating that they felt safe living there. Service users lifestyles and routines were upheld. There was a relaxed atmosphere with good communications and interaction observed at all levels on the day of the inspection. There was an eight-week rotational menu offering a wide variety of food with alternative choices provided. Meals were a pleasant experience at Ladydale served in pleasant surroundings with opportunities for service users to chat and exchange news. Three service users with learning disabilities were accommodated in semiindependent accommodation in the home. Two were on holiday with a staff member on the day of the inspection and one had just returned from holiday with their family. There was a dedicated worker to this unit and improvements had been made to the personal care plans with the involvement of service users. The service user seen on the day stated that they were very happy in the home. The home had robust recruitment procedures that included the taking up of references and CRB checks. The use of agency staff was minimal. The home benefited from an experienced and dedication management and staff team that ensured service users needs and aspirations were high on the agenda and took pride in offering a good service. The home co-operates fully with the CSCI to improve services for its service users. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 and 5. Standard 6 was not applicable to this home. It was established that the home had a current Statement of Purpose and Service Users Guide that would provide prospective service users with the information they needed to make a choice about the care home. All service users were subject to a pre-admission assessment by the home to establish whether their needs could be met by the home. Contracts outlined the terms and conditions of residency. The home encouraged short-stay and/or trial visits prior to decisions being made regarding permanent admission. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 9 EVIDENCE: The vast majority of service users in Ladydale were elderly people. Three individuals with learning disabilities lived in The Coach House a semiindependent unit located at the rear of the main care home. The last inspection concentrated on the Coach House and the vast majority of requirements from the last inspection related to this unit. This inspection monitored implementation of the requirements and looked at services in the main home in more detail. The Statement of Purpose now included the services provided to service users with a learning disability. The registered manager confirmed that contracts/statement terms of conditions now included the name/number of room to be occupied as recommended in the last inspection report. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11. It was clear that the health, personal and social care needs of service users were promoted by the home. All service users and relatives who took part in the inspection were satisfied with their overall care and all considered they were treated with respect and dignity. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 11 EVIDENCE: The home had introduced a more comprehensive personal care plan (PCP) relative to the needs of service users with learning disabilities. There was a designated worker for this unit who had previous experience of working with people with learning disabilities. The PCPs were drawn up with individual service users and regularly reviewed. The PCPs were now held in The Coach House, together with Daily Diary documents and were good working documents that maintained a record of individual changing needs and aspirations. There was good liaison and involvement with the local social work team. Medical staff were observed in the home on the day of the inspection and they confirmed satisfaction with the services provided by the care home. The Community Nurse stated that individuals were appropriately referred and in a timely manner. The home had appropriate policies and procedures for the receipt, recording, storage, handling and administration and disposal of medication. It was confirmed that the person administering medication to the individuals in the Coach House was now the person who signed the record, as required by the last inspection report. Without exception, service users considered they were treated with respect and dignity throughout their daily lives in the home. The home promoted a “home for life” philosophy and cared for service users, often supported by community medical teams, to maintain service users in the home as long as their needs could be met. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15. The daily routines in the home were relaxed, flexible and varied to meet service users preferred lifestyles within a risk assessment framework. Contact with family and friends was encouraged and community work links were maintained for younger adults. The eightweek rotational menu showed that a balanced diet was provided, that service users had choice of alternatives and that special diets were catered for. Service users in the main expressed satisfaction with the food served. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 13 EVIDENCE: The normal routine of the care home was for service users to be served breakfast in their rooms and to take their own time to get up and dressed, with assistance from staff where required. Service users who wished to take breakfast in the dining room were accommodated. The majority took lunch and tea in the communal dining areas, either in the main house or in the lounge/dining area in the new wing. The home provided meals in service users own rooms should they so choose. Service users in The Coach House prepared their own breakfast (and some other meals/snacks) or visited the main dining room. On a number of days each week they attended other establishments to carry out work or training activities where meals were provided. The key worker maintained a record of food eaten whilst outside the home in order to promote a wholesome and nutritious diet. A recommendation has been made as part of this report for the key worker and service users to liaise with the cook of the home in relation to menu planning, in view of the health care needs of the service users in this unit, to ensure that appropriate nutritious diets are encouraged. Service users confirmed that they were able to have visitors at any reasonable time and visitors were observed visiting the home throughout the day of the inspection. Two of the residents in The Coach House were on holiday with a member of staff of the home and one resident from the unit had just returned from a holiday with family. Community links were maintained in relation to residents of The Coach House within a risk assessment framework taking into account their abilities and vulnerabilities. The home offered an eight-week rotational menu. The menus showed that a varied and nutritional diet was provided. The majority of service users expressed satisfaction with the quality of food serviced. One service users stated that they thought there was too much pastry for the main course at lunch times, but a inspection of the menus and food served found that only one pastry main meal (usually chicken, meat and potato or steak and kidney pie) was served each week and that alternative food choices were available. An Activities Co-ordinator had recently been appointed. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18. The home had a complaints procedure that was included in its promotional documentation and displayed in the main entrance hall. Policies and procedures were in place to protect vulnerable service users. Staff were informed of the procedures in relation to the protection of vulnerable adults from abuse as part of their induction and on-going training. EVIDENCE: The home had a clear and effective complaints procedure. The CSCI had received no complaints about the home since the last inspection. The manager indicated that the care home had received no complaints since the last inspection. The registered person confirmed that the home was not involved in the financial management of service users monies preferring relatives/friends/solicitors to maintain responsibility. The financial affairs of the service users who lived in The Coach House were managed by the local social work team. All staff were informed of adult protection procedures and the Public Interest Disclosure Act 1998 (Whistleblowing) as part of their induction training. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26. The location and layout of the home was suitable for the needs of its service users. The home was wellmaintained, attractively decorated, clean and hygienic throughout. There were sufficient communal lavatories and washing facilities with a high proportion of rooms having their own en-suite facilities. There were aids to daily living fitted throughout the home for the benefit of service users. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 16 EVIDENCE: Ladydale Residential Home was a large home with a “homely” ambience. It was loosely divided into separate living units although all service users had access to all communal parts of the home. The home was well maintained and decorated to a high standard. There was a programme of routine maintenance and redecoration. A maintenance person was employed for twenty-five hours each week. There were attractive communal areas throughout the home. The grounds were well maintained and there were attractive patio areas around the home with garden furniture where service users could sit outside and enjoy the good weather should they so choose. Of the 50 single rooms 45 had en-suite facilities and both double bedrooms also had en-suite facilities. There were plans to put showers into some ensuites where possible and to create en-suite facilities in rooms where there were none at the present time. There were also four assisted bathrooms and seven separate toilets situated conveniently throughout the home. It was noted that the communal bathrooms were in need of refurbishment and decoration in order to provide a pleasant and relaxing environment and ambience for bathers to enjoy and a recommendation was made in relation to this issue. All communal areas of the home were fitted with aids to daily living to maximise service users independence. Individual bedrooms were personalised by residents with many containing possessions brought from home and were very attractive personal spaces. Following requirements made in the last inspection report radiators in The Coach House have been guarded to protect service users. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30. The home carried out robust recruitment procedures that included the taking up of references and Criminal Record Bureau Enhanced Disclosure checks. There were suffificient staff with the skills mix to meet the needs of service users. The Aegis Organisation had recently employed a full-time training officer to cover mandatory training for the group. Thorough induction training was carried out in-house for all new recruits. EVIDENCE: The dependency needs of service users were stated to be 45 with low needs and 8 with medium needs. The rotas showed that there were sufficient staff to meet the needs of service users and that one agency staff member had to be used on one occasion in the period since the last inspection. There were 12 staff who had attained National Vocational Qualification (NVQ) level 2 in Care with 14 undertaking the award. This represented 30 of the workforce. The registered manager was aware of the need to ensure that 50 of the workforce were trained to NVQ level 2 in care at any one time. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 18 However, it was acknowledged that such training was on-going and that when attaining this award staff often moved on to other caring situations, including nursing. The home carried out robust recruitment procedures that including the taking up of references and CRB (police checks) for all new recruits. It was recommended that the home should ensure that all applicants record their full employment history with explanations for any gaps and to ensure that all Job Application Forms are signed and dated by the applicant. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,37 and 38. The care home was managed by an and experienced and competent manager. There were clear lines of accountability in the home and good leadership promoted professional relationships throughout the home. Service users safety and best interests were promoted by staff at all levels. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 20 EVIDENCE: The home had addressed issues from the last report in relation to ensuring that a record is maintained of the daily temperatures of the refrigerator in The Coach House; ensuring that records regarding locations of fire equipment included those in the semi-independent units and ensuring that cupboards that hold COSHH substances remain locked at all times. The home benefited from the leadership and management approach of the registered manager. There was a co-operative and confident staff team who worked well together for the benefit of service users. The views of service users were sought by the organisation and this was carried out in an annual Quality Audit by the Aegis Organisation. The home did not receive a full account of the audit but received an outline showing degrees of satisfaction of residents in relation to questions asked. The manager was reminded of the need for outcomes of Quality Audits to be included in the Statement of Purpose when it is reviewed annually. It was the homes policy not to become involved in the financial affairs of its service users preferring relatives or other professionals to take on this responsibility. Regular staff supervision was taking place carried out by the registered manager and her deputy. General risk assessments and individual risk assessments had been carried out. Fire training had been undertaken by staff. Fire alarms had been tested. Maintenance of gas boilers/fittings in the home had been carried out. The record of refrigerators and freezers temperatures was maintained as was the cleaning regime for the kitchen and the home. Portable Electrical equipment was being tested on the day of the inspection. Shower head sterilization was carried out. The shaft lift, stair chair lift and hoists throughout the home had been routinely maintained. It was noted that due to the cancellation of a moving and handling session last week two care staff were not up to date with moving and handling training which they should have undertaken in February 2005. A requirement was made as part of this report to address this important issue. Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 4 4 3 5 4 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 4 4 3 3 3 3 4 3 Score Standard No 7 8 9 10 11 Score 4 4 3 4 4 Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 4 33 3 34 x 35 x 36 3 37 3 38 2 Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 38 Regulation 19(4)(a) Requirement The registered person shall ensure that all care staff received annual updates for moving and handling training. Timescale for action An ongoing requiremen t 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 15 Good Practice Recommendations It was strongly recommended that the care homes cook is involved in menu planning for service users in The Coach House (semi-independent unit). This recommendation is made in view of service users medical conditions and the fact that they plan and prepare some of their own meals. It was strongly recommended that the home should ensure that all applicants record their full employment history with explanations for any gaps and to ensure that all Job Application Forms are signed and dated by the applicant. It was recommended that consideration be given to the upgrading and redecoration of communal bathrooms in the main house in order to provide a pleasant and relaxing ambiance for service users when they take a bath. 2. 29 3. 21 Ladydale Residential Home E51-E09 s.4967 Ladydale Announced 14.07.05 v.234610 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. 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