Inspection on 12/09/06 for Lakelands

This inspection was carried out on 12th September 2006.

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

Lakelands 21/11/05

Lakelands 26/04/05

Lakelands 30/11/04

Lakelands 19/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Lakelands Grizedale Drive Higher Ince Wigan Greater Manchester WN2 2LX Lead Inspector Judith Stanley Unannounced Inspection 12th September 2006 08:30 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 Lakelands DS0000005775.V304972.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. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lakelands Address Grizedale Drive Higher Ince Wigan Greater Manchester WN2 2LX 01942 323154 01942 826199 margaret.bennett@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Margaret Bennett Care Home 40 Category(ies) of Dementia - over 65 years of age (1), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (40), Physical disability over 65 years of age (8) Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include:up to 40 service users in the category of OP (Older People) up to 8 service users in the category of PD(E) (Physical Disabilities over 65) up to one female service user in the category of DE(E) (Dementia over 65) up to 2 service users in the category of MD(E) (Mental Disorder over 65) The service should employ a suitably qualified and experienced manager who is registered with the CSCI. One named service user (GH) may be accommodated in the category of DE(E) (Dementia over 65 years of age). Two named service users (LG and HS) may be accommodated in the category of MD(E) (Mental Disorder over 65). 21st November 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Lakelands Care Home is part of the CLS group of Homes. Lakelands is a purpose built two storeys home, which offers care for up to 40 residents with a variety of needs. The home is situated on a housing estate set in its own grounds and is close to a local bus route and local shops. The home has attractive gardens to the front and rear with ample parking at the front of the home. All rooms are single, there are no rooms with en suite facilities, however all rooms are fitted with a hand basin and bathrooms and toilets are close by. There is a passenger lift to the first floor. Lounges and dining areas are available on both floors. At the time of the inspection the current scale of fees ranges from £285.00 to £370.00 per week. Additional charges are made for hairdressing, newspapers, toiletries, holidays, trips and transport. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on CSCI records and information provided by the people who use the service, their relatives, and other visitors to the home. A site visit to Lakelands on the 12 September 2006 took place over 7½ hours. The home had not been told on what day the Inspector would visit. The Inspector looked around the home and inspected paperwork to ensure the home is being run properly. To find out more about the home the Inspector spoke at length to seven residents and 4 care staff, the care team leaders, the manager and five visitors. Comment cards asking what residents, relatives and professional visitors to the home, for example GPs, think about the care at Lakelands had been given out a few weeks before the inspection. Six residents, five relatives, two GPs and one District Nurse filled in the cards and returned them to the CSCI. Residents comment card did not contain any added information, however, in the main they were happy living at Lakelands and no concerns were highlighted regarding the quality of food, the cleanliness of the home and all said they received care and supported needed. One relative said, “ I find Lakelands wonderful, the manager and staff treat my father with respect and courtesy. I know he is well cared for and he loves the food”. Another said, “ I have no complaints about the home or staff, but the big drawback is the quality and preparation of the food”. Another relative made a negative comment about the food, stating, ‘the management and the staff are very helpful and nice, but the food is not very good or healthy and there is not a lot of it, very small portions. I suppose when the Inspectors are in they will be getting good meals and lots of it.’ Two more relatives were happy with the overall care their relatives received and had no concerns. The District Nurse who visits the home was satisfied with overall care and stated the staff communicate clearly and work in partnership with her and that staff have a clear understanding of the care needs of the residents and that if any specialist advice is given it is incorporated into the residents care plan. Both responses from the GPs were positive and they had no concerns about the home and the care their patients receive. What the service does well: Residents felt comfortable living at Lakalands and enjoyed positive relationships with staff. There is a homely atmosphere which residents and relatives appreciated. The home has a low turnover of staff which helps provide consistent and reliable care for people living at the home. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 6 A healthy well-balanced and nutritional diet was provided for residents offering variety and choice. 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. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 7 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 Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a satisfactory pre admission assessment procedure to ensure that the home can meet the needs of the residents. EVIDENCE: Four care plans were inspected and were seen to contain pre admission assessments. Assessments are completed by the homes manager at the most convenient place for the prospective resident either at their own home or in hospital. A full assessment is carried out that covers areas of personal care and physical well - being, diet, sight and communication, mobility, past and present medical health care, social interests and risk. The assessment is the initial base line to developing the care plan and helps provide staff with the details they need to assist them in providing the right care for each individual resident. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 9 Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans were detailed and reflected the care needed to ensure that the resident’s needs were met. The health needs of the residents are well met with evidence of good multidisciplinary working taking place. Systems are in place for the safe storage and administration of medication, however, four errors in the recording of two residents medication was noted, which could be detrimental to the residents well being. Personal support is offered in such a way as to promote resident’s privacy, dignity and independence. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four care plans were chosen for inspection and on examination all aspects of resident’s health, personal and social care needs were planned for. All care plans had been updated monthly or more frequently if required. From discussion with the manager and from hearing her speaking with residents and relatives it was evident that all parties are involved in the drawing up and the in maintaining of information in the care planning and reviewing, however, the care plan must be agreed and signed by the resident whenever capable and/or their representative. There was clear evidence of access to community services such as residents GPs, two of who were seen attending the home on the day of the inspection. The chiropodist visits on a regular basis and the home has good support from the District Nurse team and advice and ongoing treatment and access to aids and adaptations that maintains the quality of life for residents. A personal life profile was seen in the care plan, this provided staff with information about the residents they are caring for, what needs and support each resident needed help or assistance with, family history, friends, likes and dislikes and interests and hobbies. This information is useful and provides staff with an overall picture of the residents needs and expectations and can also generate areas for topics of conversation. There was evidence of risks assessments in the care plans in relation to falls, skin tact, waterlow charts and nutrition. Systems are in place for the storage and administration of medication. On examination of two residents MAR sheets (drug sheets) errors were noted. On four separate occasions the sheets had not been completed, therefore it was not possible to ascertain whether the medication had been given at the correct time and if the residents had actually taken it. The Inspector discussed this with the senior on duty and the Inspector required that all the homes medication was checked against the drug sheets to ensure that all medication had been appropriately dispensed and recorded and that the correct amount of medication remained. Information provided to CSCI prior to the inspection confirmed that staff who administer medication had received training in this area. The manager must reiterate to staff the importance of recording medication as and when it is given in order to safeguard the residents. Staff have a good awareness of how to protect residents dignity, privacy and independence. It was noted that good relationships between staff and residents had been formed and there was a friendly, but respectful rapport between them. Staff were observed knocking on bedroom and bathroom doors before and waiting for a response before entering. Staff were seen assisting residents in a supportive manner, for example doing things with them and not for them. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 12 Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home provides a wide range of activities that takes account of individual expectations and preferences and provides good opportunities for social inclusion. Residents are encouraged to maintain good links with their family and friends and with the local community. Residents are able to exercise as much personal freedom and choice as possible with a risk assessed framework. The meals at the home are well - balanced and offer choice and variety, and cater for any dietary requirements. EVIDENCE: The home has an activities coordinator, who with the help of the residents plans a wide range of indoor activities and trips out of the home. Activities for Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 14 the month of September were displayed and included Quiz afternoons, dominoes, music and movement, bingo, a chance to buy from the homes shopping trolley and a range of movies. On the 19 September 2006 some residents are going out to Rivington Barn and forthcoming celebrations were being planned for Halloween and Bonfire night. The home has regular visits from entertainers. One resident spoken with said that she preferred not to join in the activities; she said she was quite happy ‘doing her own thing’. There are no restrictions on visiting times and visitors confirmed they were always made welcome and could help themselves to refreshments if they wanted. With the introduction of the new arrangements at mealtimes, visitors have been asked to try and avoid visiting at mealtimes. The staff appreciate that this can not always be the case as some GPs will have to visit after surgery finishes and that it maybe the only time that relatives can visit. There are several areas of the home where residents can entertain visitors, in any of the lounges, dining rooms or in the privacy of their own rooms. Four visitors spoken with said that the care staff were very good, caring and helpful. One relative described staff as ‘marvellous’. Residents spoken with confirmed they get up when they wanted to and went to bed when they are ready. As breakfast is served until 10.00 there is no rush to get up. Residents were seen to be nicely dressed and when asked they said they selected what clothes they wanted to wear that day. On inspection of some resident’s bedrooms, they were found to be warm, comfortable, clean and tidy and most residents had personalised their rooms with possessions brought from home. One resident spoken with does not sleep in the bed provided but prefers to sleep in her reclining chair, this is totally her choice and the home has complied with her requests. The resident told the Inspector that she was warm and comfortable and would like the bed removed from her room to give her more space. Another resident prefers her own hairdresser to visit the home and cut her hair, this arrangement has carried on from when she was in her own home. The menus set for the home are corporate menus set by the company. The menus were available for inspection and can be varied as and when required to suit resident’s requests and preferences. The meals offered are well - balanced and offer a variety of choices. A lengthy discussion about the food took place between the Inspector and one relative who thought the food was poor, and highlighted one incident where she witnessed her mother was served an omelette that was so burnt that her mother could not possibly eat it. When she approached a member of staff the carers response was, ‘ I have scrapped most of the black off’. Senior staff confirmed this had happened. This was discussed with the manager who was unaware of this. She spoke to the carer concerned and to the cook who sent out food that was inedible. Other areas were raised regarding the same cook who sent out quiche for tea with no salad to accompany it as stated on the menu. The cook concerned must be Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 15 reminded that menus should be adhered to or any changes should go through the manager or the senior on duty. Another comment made by a relative with regard to some of the meals not being healthy has perhaps been mislead with regard to the nutritional value of some of the snack lunches provided and with regard to the size of the portions served. In particular reference was made to jacket potatoes and beans or beans on toast not being healthy, this would be disputed by dieticians and would be seen as a well- balanced snack meal. The manager may wish to discuss these issues again at the next residents/ relatives meetings. Four residents spoken with were very happy with the quality and quantity of the food served and staff are also now eating the same meals and no concerns were raised. Breakfast was observed and is served on a flexible basis, one resident was seen coming down for breakfast just before 10.00 am. A good choice of breakfast dishes is available. A lighter snack lunch is served and on the day of the inspection most residents had egg and chips with bread and butter, followed by dessert. Alternatives are available for example soup and sandwiches. A hot dinner and dessert is served about 5.00pm and suppers are available before residents retire. Hot and cold drinks and snacks are available throughout the day. There were several dining areas and most residents dine in the dining rooms, however, one resident comes to collect her food, takes it back to her room and return the dishes when she has finished. The dining tables were nicely set with matching crockery and suitable cutlery and condiments. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their supporters can be assured their complaints and concerns will be listened to and appropriate action taken. The home has an adult protection policy ensuring that residents are protected from abuse in any of its forms. EVIDENCE: There has been one complaint made by a relative regarding the food served at the home. The manager has dealt with this complaint and has spoken at length to the family. Information regarding the complaint and the outcome was suitably recorded. No complaints made to the CSCI since the last inspection. Staff were clear about their obligation in protecting residents from abuse. Up to date policies and procedures are available at the home and staff confirmed they had received training in the Protection of Vulnerable Adults. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgment was made using available evidence including a visit to the service. The standard of the environment is good providing residents with a comfortable, homely and pleasant place to live. Infection control procedures were in place, making this a clean environment for residents. EVIDENCE: From a tour of the premises, it was evident that some refurbishment had taken place. The upstairs corridors have been redecorated and painted. Residents were pleased with the decorating and one resident said how much cleaner and brighter the home looked. The home has several lounges and dining areas on both floors, these were seen to be comfortable and in the main well furnished. The manager informed the Inspector that some new chairs and occasional tables had been ordered for the main upstairs lounge. There are areas on both Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 18 floors where relatives can make themselves a drink when visiting their relatives. Several resident’s bedrooms were inspected and were found to be warm, comfortable, clean and tidy. Residents had personalised their rooms with personal possessions and mementoes brought from home. The outside area of the home is well maintained. The approach at the front of the home is very attractive with colourful flowerpots and tubs. The garden at the rear of the home is accessible to residents and had appropriate seating. Systems were in place to control the risk of infection. Staff were seen wearing protective clothing for different tasks. The laundry is sited away from food storage and food preparation areas and does not intrude on the residents. All equipment in the laundry was seen to be in working order. Resident’s clothes were seen to be clean and nicely washed and ironed. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. In the main staffing levels at the home and the skill mix of the staff is good and appropriate to the needs of the residents. The standard of recruitment and selection practices were good ensuring the safety and protection of residents living at the home. EVIDENCE: On the day of the inspection there were an adequate number of staff on duty. Staff rotas were available for inspection. Consideration needs to given to the staffing levels at weekend when the senior care is in charge of the home and is still counted in the numbers of staff as caring for the residents. There are two waking staff on duty throughout the night. The manager should regularly review the night staffing arrangements to ensure that any changing needs of the residents will be met. Staff training is ongoing with 84 of care staff having achieved NVQ level 2 or above. Information obtained prior to the inspection indicates that thirteen staff hold a current first aid certificate and in the last twelve months staff have completed training in moving and handling, fire training, infection control, Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 20 palliative care, first aid and appraisals. Further training is booked and includes continence awareness and eye care (no dates submitted). Two staff files were looked at. Both files contained a written application form, two written references, Criminal Records Bureau checks, job descriptions, other forms of identification were available for example passports, birth certificates and driving licences. Staff training certificates were available for inspection. Throughout the inspection it was evident that staff were trained and competent to do their jobs. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home is well managed resulting in consistent and reliable care for the people living at the home. Quality assurance systems are in place to ensure the home is run in the best interest of the residents. The home has a satisfactory accounting system in place to safeguard resident’s finances. Procedures and practices within the home promote and protect thet health, safety and welfare of the people living and working at the home. Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has the necessary skills and knowledge to manage the home. It was evident from observation and from listening to the manager speaking with residents that she knows the residents well and there was a respectful and friendly rapport between the manager and the residents. Systems were in place for auditing and monitoring the quality of the service. This is done through residents and staff meetings, the homes satisfaction questionnaires and annual audit. The results of the homes annual survey were available for residents and visitors to read. A member of the external management team visits the home on a monthly basis and completes a written report of their findings. Copies of the reports are forwarded to the CSCI. The home holds personal allowances for some residents. These were seen to be securely stored and in individual wallets. In some cases the family deals with the resident’s money, however, two residents monies were checked against the balance sheets and no discrepancies were noted. Information obtained prior to inspection indicated that maintenance checks had been carried out for the gas, lift, fire equipment and alarms, the homes service manager could produce certificates to verify this information as correct. Accidents, injuries and illness were suitably reported and recorded and the CSCI informed as required. During the course of the inspection safe working practices were observed within the home. Lakelands DS0000005775.V304972.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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Lakelands DS0000005775.V304972.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 OP9 Regulation 13 Requirement Medication must be recorded on the individual’s drug sheet immediately it has been administered or if it has been refused. Timescale for action 12/09/06 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 OP27 Good Practice Recommendations Consideration should be given to the number of staff on duty at weekends. The senior on duty is counted in the staff numbers as well as being in charge of the running of the home in the absence of the manager. The manager should regularly review the numbers of night staff on duty to ensure the changing needs of the residents can be met. 2. OP27 Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Lakelands DS0000005775.V304972.R01.S.doc Version 5.2 Page 26 - 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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