Inspection on 07/07/08 for Lake View Rest Home

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Good service.

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

Lake View Rest Home 22/08/06

Lake View Rest Home 23/02/06

Lake View Rest Home 11/08/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Lake View Rest Home 10/12 Lake Road Fairhaven Lytham Lancashire FY8 1BE Lead Inspector Phil McConnell Unannounced Inspection 7th July 2008 09:00 X10015.doc Version 1.40 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 Lake View Rest Home DS0000064226.V368298.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 Older People. 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. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lake View Rest Home Address 10/12 Lake Road Fairhaven Lytham Lancashire FY8 1BE 01253 735915 F/P 01253 735915 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) Lakeview Rest Homes Ltd Miss Sarah Williams Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered for a maximum of 29 OP (Older People 65 and over) service users 22nd August 2006. Date of last inspection Brief Description of the Service: Lake View is registered to accommodate 29 service users aged 65 yrs and above of both sexes. The home provides excellent environmental standards, all rooms are single and all have bathroom en suites facilities. The home provides personal care and consults with GP’s and district nurses regarding the medical needs of the service users. The facilities within the home are good. A passenger lift is in place that allows for independent movement between floors. Access in and out of the home can also be achieved independently as there are no steps to negotiate. A programme of activities is in place and the management and staff encourages, social stimulation, both in and outside the home. Transport is always available for outings and trips either for group events or for individual shopping trips or to keep appointments. The hairdresser visits weekly and arrangements are made for the chiropodist, dentist and optician to visit the home if the service users are unable or do not wish to access community resources. The present rate of charging is between £364 50 - £432 00. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for Care Homes for Older People including: the Annual Quality Assurance Assessment (AQAA) which had been completed by the registered manager, an unannounced inspection visit to the service on the 7th July 2008. A large number of surveys have been received by the Commission for Social Care Inspection (CSCI) within the last six months, including surveys from service users, relatives and staff members. All of the surveys were positive about the service being delivered at Lake View. An annual service review (ASR) was carried out in February 2008 and some of the findings from that will be included in this key inspection report. The registered manager (Sarah Williams) was available for most of the inspection visit. Four service users’ files were examined and all relevant documentation was in place. Four staff files were examined and they contained all of the necessary information that is needed for inspection purposes, including recruitment documentation. (See staffing section) There was the opportunity to observe the support and care being provided to people who were using the service during the visit. There was also the opportunity to speak to some of the service users and to some of the staff who were on duty during the day. All of the discussions were very positive. The home’s policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: There is a dedicated and committed staff team, helping to give the service users confidence and trust in the people who are supporting and caring for them. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 6 The home is satisfactorily maintained, generally a good standard of décor, it is comfortable and it is a pleasant environment to live and work in. The management of infection control within the home is well maintained, with good facilities in place to maintain hygiene. Staff training is of a good standard, with relevant and appropriate courses being regularly provided. The comments received from service users about the quality of care being provided were all positive and especially some good comments about the staff. The home is well managed, with some very complimentary comments from the staff about the overall management structure. What has improved since the last inspection? What they could do better: Although the initial assessment document contains detailed information, it could be improved by including a section on a persons background / history. Although an alternative menu is available if people ask, it would be an improvement if people were actually offered an alternative. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 7 It would be better if the complaints form was more readily available, in order to promote a more transparent and accessible complaints procedure. (See complaints section). The electric sockets in some areas of the home, especially in some of the bedrooms are in need of being re-located. For example in one bedroom a cable was trailing above the sink. The relocation of sockets would create a less hazardous, safer and tidier environment. (Environment section). The decoration throughout the home is generally of a good standard, however some of the bedrooms are looking a little tired. The administration of medicines are satisfactorily carried out, however it would benefit the service users if medication could be given either before or after meal times. This would help promote peoples dignity and have ‘protected mealtimes’. All of the above were discussed with the registered manager during the inspection visit and an assurance was given that each item will be addressed. 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. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 N/A. Quality in this outcome area is good. There is a good admission assessment process in place, helping the assessor to determine if a persons’ needs can be satisfactorily provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four service users’ files were examined, including the last person to move to Lake View or to receive a respite service. All of the files contained individual photographs of the person, helping to personalise files and avoid any potential confusion. There were Social Services and Lake Views own ‘new’ pre admission assessments in place and they contained relevant, appropriate and good information to determine a person’s individual needs. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 10 Lake Views internal assessment form was very detailed and thorough, however it could be improved by including a section on a persons history/background. The AQAA states that assessment documentation has improved since the last inspection, “We have reviewed our assessment documents and we are now looking more now at a more ‘person centred’ approach to care”. The pre admission assessments are completed either by the manager or senior staff, who are trained and sufficiently skilled to undertake this important process. Service users when possible are invited to spend some time at Lake View prior to being offered accommodation. This gradual introduction (when possible) helps the person going to live at the home and their family make this important decision. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Peoples’ care plans are thorough, giving detailed information and guidance, helping to ensure that individuals’ assessed needs are being provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four of the service users’ care plans were examined and they were well detailed, containing thorough and relevant information, each with a photograph of the person. The detailed plans give the carers clear and concise guidance in how to appropriately provide peoples’ needs. It is apparent that care plans are formulated/developed from the initial assessment documents. Care plans are reviewed on a monthly basis and more frequently if needed it was also observed that service users or their representative sign the reviewed Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 12 care plan. In the event of either the service user or their representative not being able or available to sign, then it is customary for two senior members of staff to sign the document. Some of the comments from staff were, “we are given really good information when a person moves in” and “regular care plan meetings are held and we are kept informed”. Other comments were, “we have good handovers at each shift change” “all daily notes are regarded as private and confidential” and “all paperwork is thoroughly completed”. Information was available with regard to peoples’ specific health care needs and there was evidence that, hospital appointments, GP’s appointments, monthly chiropodists visits and other treatments and consultations with other health professionals had been carried out. These appointments and treatments are recorded in individuals’ notes. Some of the people living at Lake View use wheelchairs and walking frames. It was noticed that there are no lifting hoists in any areas of the home. The manager was asked about this and it was stated that, “We don’t use any hoists here”. Therefore people who are assessed as having need of a hoist ‘would not be offered accommodation’ at Lake View. The manager was informed that this information must be included in the statement of purpose and in the service user guide. Also it would be appropriate to initially inform a prospective service user and their relatives that in the future event of an individual needing the use of a hoist, the home would not be able to provide this service and potentially they would need to relocate. The manager is the representative on the local PCT as the infection control link nurse for the organisations four homes. It is apparent that infection control processes are taken seriously within the home and managed effectively. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines, with only appropriately trained members of staff permitted to administer medication. The medicine administration records (MAR) were observed and found to be accurately recorded. Medicines were securely stored in a transportable medication trolley. It was suggested to the manager to approach the pharmacist to see if as much of the medication as possible could be put into blister packs. This would eliminate the present large amount of individual boxes and packages in the trolley and help to prevent any potential error or mistake with the administration. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 13 It was observed during the inspection that individuals are given their medication whilst having their lunch, it was suggested to the manager and the deputy manager, that it would be beneficial to service users if they could receive their medication either before or after their meals. This would help promote dignity, whilst allowing people to have ‘protected mealtimes’. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Some of the comments received from service users were “All of the staff are very kind” and “The staff are very good and good workers”. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. People are encouraged and empowered to participate in meaningful recreational activities and pursuits of their choice, that are of interest to the individual. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence to demonstrate that a number of activities are provided within the home. These included, bingo, skittles, various board games, quizzes, regular entertainers coming into the home, armchair exercises, art & crafts and yoga, which appears to be very popular. There are ‘regular walks around the nearby lake’. During the previous week there had been two social evenings organised, a jazz evening and a 4th of July party, feedback from people about both of the events was very positive, with people saying how much they ‘enjoyed them’. Themed days are also a regular feature in the home for example, Valentines Day and Halloween and there is a garden party planned for August, with relatives and members of the public being invited to attend. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 15 Weekly trips to a cinema in Blackpool is a regular event and the home now has frequent use of the organisations mini-bus, which enables people to go for trips out. The manager commented, “We are pleased to say that our activities don’t exclude anybody” and “We are fortunate to have a willing and enthusiastic bunch of staff who will even do things in their own time”. Photographs were observed of people enjoying various activities and outings. Some of the comments from service users were, “I love the doing the yoga” “I really enjoy playing bingo”, people playing bingo in the afternoon of the visit was observed and a TV was used to show the numbers with amplified sound for the person calling the numbers out, demonstrating that everything possible is done to include everyone. Some comments from the staff were, “we provide excellent activities” and “the trips out are really good”. The AQAA states, “we have purchased a mini-bus and our activity programme is even more varied and meaningful”. It was evident that all residents are encouraged to take part in the activities that are available. Helping to show that stimulation and motivation is actively promoted. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. It was observed that some of the service users had their own telephones in their bedrooms; helping to demonstrate that people’s independence is promoted. Overall it was evident that people are encouraged and enabled to maintain contact with friends and relatives. There was the opportunity to have a brief discussion with the homes cook and she was very positive about the newly refurbished kitchen saying, “The stainless steel tops are excellent” It was apparent that the kitchen is very well organised with peoples’ dietary needs being paramount. The menu for the day is prominently displayed in the home. There was the opportunity to have lunch with the service users, which was very good. It was noted that an alternative menu is available, however only if you ask. It was suggested to the homes cook and the manager that some people may be reluctant to ask for an alternative meal and it would be good practice to actually offer an alternative menu. An assurance was given that it would not be a problem to offer this service and it would be addressed. Some of the comments from service users regarding the meals were, “the food is usually very good” and “It’s good home cooked food”. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 16 Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The safeguarding adults training that is provided, helps to demonstrate that people are protected from harm or abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A comprehensive complaints policy and procedure is in place. The statement of purpose and the service users guide, both contained guidance on how to make a complaint. The manager maintains a complaints file and it was observed that no complaints have been received since the last inspection carried out by the Commission for Social Care Inspection (CSCI). It was noted that if an individual wishes to make a make a complaint they would need to request a form from the manager. It was recommended to the manager that the complaints form should be made more readily available to service users and to relatives, this would give people the confidence to raise any concerns or complaints and to remain anonymous if they wish to. In discussion it was agreed that the form would be strategically placed in the home, enabling people to access it more easily. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 18 There was a thorough policy in place to deal with a suspicion or allegation of abuse. The staff records showed that people have received safeguarding adults training. This is provided as part of their induction training and a more in depth external training course is provided. It was evident that members of staff are aware of the abuse issues that can affect vulnerable people and would know the correct procedures to follow in the event of a safeguarding adults issue. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. The home is clean, hygienic and well furnished, helping to provide a good pleasant environment for people to live and work in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely and fresh smelling. Generally the homes décor is of a good standard, with good quality carpets throughout. All of the bedrooms have ensuite facilities and bedrooms were seen to contain peoples own personal belongings, helping to demonstrate that people are Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 20 encouraged to bring in these items, in order to promote familiarity and comfort. It was noted that some of the décor in the bedrooms is looking a little old fashioned and tired and would benefit from redecoration. This was discussed with the manager and it was stated that it is already planned to redecorate these particular bedrooms. The maintenance programme evidenced this. The organisation has three maintenance men covering the organisations four homes. In relation to the bedrooms, some of the electric sockets are placed approximately five foot off the floor, consequently this means that cables in some rooms are trailing across parts of the room. This could potentially cause a safety hazard. Again the manager was informed of these findings and an assurance was given that this issue will be addressed. It was also advised that some particular electrical items needed to be immediately unplugged. The newly refurbished kitchen was clean, hygienic and well equipped, with stainless steel worktops. This helps with hygiene management, making it easier to maintain a good level of cleanliness. A new relaxation/private room has been built at the home, giving service users and their relatives a comfortable room to meet in quietness and privacy. The homes laundry was neat and tidy with adequate equipment to cater for the needs of the people who live at Lake View. The outside grounds are maintained to a very good standard. The comments received regarding the environment were all very positive including, “we have lovely surroundings” “it’s a really good working environment” and “it’s a beautiful home, I have no complaints at all”. Overall since the last inspection visit a number of positive changes have taken place, making the homes environment much more hygienic, comfortable, pleasant and enjoyable for the people who live and work at Lake View. It is envisaged that the provider will continue to make further improvements to the home. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. Good quality training is provided, which helps give the assurance that people are cared for and supported by an adequately trained and skilled staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels for Lake View were examined and they were found to be satisfactory, with a consistent, skilled and committed staff team. Staff files contained information with regards to the experience and training that staff have received with a full and thorough mandatory-induction programme being in place. Four staff files were examined and they contained all of the necessary recruitment information including, application forms, two written references, contracts of employment, and job descriptions. Demonstrating that a correct recruitment process is in place. Criminal records bureau checks (CRB) and POVA checks had also been carried out, prior to the commencement of employment. The recruitment procedure is robust and thorough, helping to give the assurance that people are protected and safeguarded from harm or abuse. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 22 As previously mentioned people were observed to be treated with respect and dignity and it was apparent that good and trusting relationships existed between the staff and the service users. Comments from service users regarding the staff team were all positive including, “The staff are all very kind” and “everyone is so good, we are looked after very well”. The training matrix was observed and it is evident that people receive regular good quality training and it is evident that people are positively encouraged to attend training courses. The manager said, “we provide a lot of training and we provide support, we respect the staff, we are accommodating and we provide flexibility and we say thank you” and a member of staff wrote, “The manager regularly attends training courses and then cascades the information down to us”. Other comments from members of staff were, “We have regular staff meetings, supervisions and appraisals” “I am very happy working here and we provide an excellent standard of care” and “we have good training and receive good pay”. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff, with over 80 of staff having achieved this award, this is an increase of 30 since the last inspection. Overall there is a committed and dedicated staff team, helping to give the assurance that people living at the home will receive a good level of care and support. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. The home is well managed and organised, helping to give service users and their relatives assurance that the care and support provided, will be of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has many years of experience in social care and she has been the registered manager at Lake View for over four years. She has a degree in management and more recently has successfully completed the registered managers award (RMA) (March 2007). Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 24 Some of the comments from the staff regarding the management were, “The company is very well run. They are very supportive and they are a nice family to work for” “the management are very supportive” and “The manager is always available to talk to, watches and gives guidance and advice”. The home’s policies and procedures were examined and they were found to be up to date and of a good quality. Lake View continues to maintain the Investors in People award, which is an external quality-monitoring organisation. The provider also sends out their own questionnaires to obtain peoples views of the service they are providing at Lake View. These questionnaires are sent to health professionals, GP’s, District Nurses, Dentists, and Chiropodists. The views of suppliers to the home are also sought including, the Chemist, the butcher and the greengrocer. This happens twice annually to ascertain how friendly the staff at Lake View are? Quality of care observed? The ambience within the home? The décor and the overall impression of the home? This demonstrates that the provider is actively seeking the opinions from others, in order to promote and provide a good quality service. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments in place. All health and safety inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher and alarm checks, PAT (portable appliance testing), emergency lighting certificate, legionella water check and a lift certificate. There was sufficient evidence to demonstrate that the health and safety of people who live and work at Lake View is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. (See environment section regarding electric sockets). There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 25 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 3 X 3 X 3 Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NONE 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The service users guide and the statement of purpose should make reference to: 1) That if a person has need of a lifting hoist, then their needs could not be provided by Lake View. 2) This information should be pointed out to a prospective service user or their representative, prior to admission to Lake View. It would be beneficial to include a person’s brief history or some background information on the initial assessment document. To offer people an alternative menu, rather than have people ask, would be more appropriate and acceptable. The complaints form should be made more accessible in a convenient place, where people would have the confidence to take a form without being ‘on show’. Consideration should be given to relocating some of the electric sockets in service users’ bedrooms. (Environment) DS0000064226.V368298.R01.S.doc Version 5.2 Page 27 2 3 4 5 OP3 OP15 OP16 OP38 Lake View Rest Home Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Lake View Rest Home DS0000064226.V368298.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!