Inspection on 31/05/07 for Lake View Residential Home

This inspection was carried out on 31st May 2007.

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

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Lakeview Residential Home 4 South Road Newton Abbot Devon TQ12 1HL Lead Inspector Stella Lindsay Key Inspection (unannounced) 31st May 2007 10:00 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 Lakeview Residential Home DS0000069115.V336037.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. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lakeview Residential Home Address 4 South Road Newton Abbot Devon TQ12 1HL 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) 01626 354181 01626 356421 South West Residential Homes Ltd Vacancy Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Learning registration, with number disability over 65 years of age (29), Old age, not of places falling within any other category (29), Physical disability over 65 years of age (29) Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one service user with a learning disability under the age of 65. This is the first inspection under the new ownership. Date of last inspection Brief Description of the Service: Lake View provides care for up to 29 elderly service users, who may also have a physical disability, dementia, or a learning disability. The home overlooks Decoy Lake and has far reaching views. It is situated within a residential area of Newton Abbot approximately 1 mile from local shops. The new owners, South West Residential Homes Ltd, registered with the CSCI on 22nd January 2007, with Mr Alan Beale as Responsible Individual for the company. The home consists of the main building and two smaller units within the home’s grounds; these are known as the Annexe and the Bungalow. The Annexe is on the lower ground floor and is accessed by its own external door. This was not inspected on this occasion, as it is currently in use as staff accommodation. The Bungalow is a separate building, some few metres from the main house. It provides accommodation for up to four elderly service users who may also use the facilities of the larger home as desired. In the main house accommodation is on two floors, which are connected by a large stairway and passenger lift. A brochure and Statement of Purpose are available for prospective residents and their representatives, and a copy of the most recent CSCI inspection report is available on request. Current fees range from £350 - £450 per week. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days. It involved a tour of the premises, and discussion with the new management team, fourteen residents, two visiting relatives, and four staff on duty. Care records, staff files, the medication system, and health and safety records were examined. Surveys were received from a random sample of staff and relatives, and their views are represented in the text. What the service does well: What has improved since the last inspection? Lakeview is under new management. The new owners have demonstrated their ability and enthusiasm to assess and deal with shortfalls in the environment, staffing and safe systems of work. These efforts are appreciated – one resident said, ‘It’s been wonderful since the new owners took over in January’. Good formats have been introduced to record residents’ care needs, including reviews, so that staff will know and be kept up to date in each resident’s particular requirements. Staff appreciated the improved support and felt that teamwork and morale had improved, which reflected in a better atmosphere for the residents. Cleaners are now employed for a total of 10 hours per day, seven days per week, which has resulted in an improved environment, and a sweet-smelling home. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 6 An improved system for secure storage and administration of medication has been provided, as well as staff training, and a very clear system for recording has been introduced. The fire precaution system and the call bell system had been serviced, and work had been commissioned to bring the electrical system up to standard. What they could do better: All residents have care plans, to ensure that staff know what is required. These would be better if they included information about the residents’ past life, occupation and interests in order that staff may develop their understanding of residents’ needs, and provide individual social activities and outings. The variety of social activities should be extended, once greater knowledge of residents’ particular interests has been gathered, to enable residents to have varied and fulfilling lives. Suitable locks should be fitted to residents’ bedroom doors, for privacy and security, and they should have secure storage for cash and valuables so that they may be encouraged to keep their own money if they so wish. Records of any concerns or complaints should be kept in the home so that management can demonstrate what action has been taken in response. The call bell system must be entirely reliable, so that residents can be sure of getting help when they need it. The kitchen floor must be repaired so that it can be kept clean and hygienic. The carer who is on ‘sleeping-in’ duty at night should be provided with a bedroom in the main house, to improve the safety and security of staff and residents through the night. In order to provide a competent and qualified service, the Manager must undertake a nationally recognised qualification known as National Vocational Qualification level 4 in Care, and further training should be provided in the care of people with Learning Disabilities. There should be a quality assurance system in order to ensure that the service is consistent and responsive to its residents and other interested people. Fire doors must not be propped open, so that residents are protected from harm in the event of a fire. Please contact the provider for advice of actions taken in response to this Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 7 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. Lakeview Residential Home DS0000069115.V336037.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 Lakeview Residential Home DS0000069115.V336037.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): 1,3 Quality in this outcome area is good. A full assessment of care needs has been carried out before a service has been offered, and information about the service is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new Statement of Purpose has been produced, which is concise and informative. The home may wish to consider adding photographs and making the service user guide available on audio-tape in addition to the written version. Visits from prospective residents and their families are welcomed. The home has a pre-admission assessment form that is designed to ensure that enough information is gathered to base a judgement. A Nursing referral from the hospital had also been received. A resident who recently was admitted from a local hospital, had not visited prior to admission, but trusted a relative’s judgement, and was not disappointed. One of the management team had visited them in hospital. Lakeview Residential Home DS0000069115.V336037.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. A good system of care planning and review had been introduced, enabling staff to provide good care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: New care plans were being drawn up for all residents. They provided a summary of the residents’ daily routine, so that staff know what support is required throughout the day, which is good practice. It would be improved if the resident or their representative had an opportunity to sign to say that they had read and agreed that this is their preferred routine. A Team Leader has started to carry out monthly reviews of care plans, using a format that ensures that changes in medication, contact with health and social service professionals, family and friends, and activities and outings are all recorded. Assessments of residents’ social needs were not detailed. It would help staff understanding of the resident as a whole person and of specific interests they might have if information about their past life was recorded. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 11 Staff were seen supporting residents with mobility, using aids appropriately. Suitable cushions and mattresses were provided for the avoidance of pressure sores. Moving and handling assessments were recorded, showing that safety was assessed. Residents said that staff encouraged them to be mobile – ‘they inspired me and got me walking again.’ A resident who was working towards returning home had a programme of exercises, on the advice of a physiotherapist, and said that staff gave help and encouragement. Another said that they no longer have discomfort from their in-growing toenail since being treated by the chiropodist who visits Lakeview. There was evidence in care records that medical assistance was obtained as necessary, and residents were enabled to attend appointments. One was accompanied to a hospital appointment during this inspection. The home has a suitable policy and procedure for the safe receipt, administration, recording and storage of medication, and staff were seen to be carrying it out with care. The Medication Administration Record sheets were arranged with commendable clarity, with good photographs to aid correct identification, as well as GP details. Controlled drugs were dealt with correctly, and there was a secure fridge, though not currently needed. All Night care staff and Team Leaders had received certificated training in administering medication, to ensure that a competent person is on duty at all times. There is no care office. Phone calls for the home are taken in the entrance hall, though the handset can be taken elsewhere for sensitive calls. A relative said that they frequently phone the office, who take the handset to the resident’s bedroom. There are no locks on bedroom doors, for privacy or security. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is adequate. Residents are content, but the social activities in the home would benefit from greater variety and attention to individual requirements. The quality and variety of meals is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents said they were happy with the times that they get up and go to bed, and the times when they have their baths. At present ten residents habitually come to the dining room for breakfast, the others have trays taken to their rooms. Some residents attend regular activities outside of the home. One expressed an interest in attending a local social club. Residents are encouraged to be sociable together; one resident said, ‘I was surprised when I found there were so many people here, all friendly. This person also said, ‘We can do what we like here, but we have nothing to dress up for.’ The home does not have a vehicle. Some staff are able to carry residents in their own cars, or taxis are called at the expense of the resident. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 13 One resident was seen to be engaged in doing a jigsaw on both days of this inspection. Another was ‘tatting’, and one other knitting squares. Another was pleased to show the inspector paintings that he had done, some of which were framed and displayed on walls. Some had friends that they particularly liked to be with. One said they are ‘taken out for a smoke when I like.’ The Manager will review the home’s smoking policy to ensure that residents have a suitable and safe place to smoke. One of the residents of the bungalow was choosing to spend most of their time in the main home. The other two said they were not interested in having meals over there, though they were disappointed that their bath and shower were not in working order. (The fourth bedroom was vacant.) One of these residents had prized photos of a holiday in Spain, and expressed interest in having another. None was currently planned. All residents said that they enjoy their meals. During this inspection there was a choice of chicken casserole or chicken curry, and a vegetarian portion was provided. The meal was blended for two residents who had difficulty swallowing. For supper that evening there was tomato soup, a choice of sausage rolls or beef and chutney sandwiches, and a pudding. Menus available in the dining room showed that this level of variety is maintained through the week. Most residents came to the dining room. Suitable crockery was provided that would enable residents to feed themselves independently if their sight or dexterity was poor. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is good. Policies and procedures are in place to protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Complaints procedure was displayed in the entrance hall, and given to residents in the Service Users’ Guide. The Group Quality Manager said that she records all concerns as they reach her, however minor. Residents said that they would tell family or staff if they had a problem – ‘if you find anything wrong, any of them are very helpful’. One complaint had been received by the home. It was from the relative of a resident, and concerned unprofessional treatment provided following a fall, which resulted in bruising to arms and a lack of consultation with the family. The cause was that a member of staff who was neither trained nor competent had been asked by a previous manager to undertake care duties. The management team have made arrangements to prevent this from occurring again. A resident had complained in the week prior to this inspection because a night care worker had not come to her aid for approximately two hours. The Manager interviewed the staff member responsible. The resident had not been able to hear the bell for over an hour. It was thought that the staff member may have turned off the whole system, but this is not possible – carers can only turn bells off by going to the room. In spite of remedial works having Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 15 been carried out on 09/05/07, the system may have failed, thus putting residents at risk. No complaints had been received by the CSCI. The policy for the Protection of Vulnerable Adults was reviewed in May 2007, and it was seen to be thorough. Some unacceptable practices had been uncovered by the new management team, which led to staff changes. Training in abuse awareness had been arranged for staff. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 16 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): 19,20,22,26 Quality in this outcome area is good. Work to bring the building up to a good standard is being professionally assessed and properly resourced. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new owners had engaged a professional firm to assess environmental requirements. They were due to return in the week following this inspection to determine priorities in terms of safety, and draw up an action plan. Work on the roof and windows is due to be tackled first. A firm had been engaged to deal with necessary work to the electrical system. The lounge is light and elegant. It has a section which can be separated by sliding doors. This was being used by the chiropodist during this inspection. Together the lounges and dining area, including the bungalow, meet the National Minimum Standard for 23 residents. The home owner said that he is planning to build a conservatory. The entrance hall was being used as a care office. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 17 Sturdy garden furniture had been provided on the lawn at the front of the house. This is a real asset to the home as the view down to the lake and across the valley is stunning. Mature trees provide shady areas. The call bell system had been serviced. However, it is not robust. During the week prior to this inspection a resident had called for help during the night, could not hear a bell and the carer did not come for over an hour. As the worker is unable to turn off the call bell system, there must have been a fault in the system, which puts residents at risk. Work was needed on an en suite toilet that had been locked rather than mended, and the bath in the bungalow which was unfinished. These were added to the list of work to be done. In the main house there were two bathrooms, both with hoists. The provision of a shower would provide choice for residents. Of the 20 bedrooms in the main house, three are considered large enough to be double, though all are currently in single occupation. Some had been redecorated and were looking smart. Some had fine windows and views. Some were asymmetrical, having been part of a larger room that had been divided. They did not have a lock fitted for privacy and security. Aids to independence such as backrests and bed leavers were provided. The laundry floor and walls were solid but not entirely smooth, and therefore would benefit from better surfaces in order that they could be easily cleaned. Clean clothes are kept in open baskets just outside the laundry. A solid barrier would provide better protection from the soiled clothes being carried past these shelves. A more urgent problem was the kitchen floor which was in a poor state, constituting a potential hazard as it was not possible to keep it clean. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area is good. Staffing arrangements had been reorganised to meet the needs of residents, the recruitment system was sound, and a full training plan was being implemented. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each day between 7.30am and 9.30pm there are a Team Leader and two care staff on duty. A third carer is on duty from 7.30 – 10am, to help residents get up and dressed, though this may be withdrawn if residents’ are found to be less dependent and not needing this help. This shows and improvement in the organisation of care staff and an extension of daytime carers from 8pm to 9.30, as residents are not all expecting to go to bed early, and wish for evening activities in and out of the house. The Manager is additional, and the Deputy Manager is supernumerary one day per week. This is for her own development, but could also be useful in developing services for the residents. Provision of domestic staff has been increased, which has resulted in a clean and sweet smelling house. There are now two cleaners at work, five hours per day, seven days per week. At night there is one carer awake, and one on duty sleeping-in. At the time of this inspection there were four staff living in the flat in the basement. One of these was identified each night as being on-call. The Manager said that she Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 19 would arrange for the sleeper to be in the main house, as some sole waking staff did not feel secure. Some newly recruited staff are from overseas, and not fully fluent in the English language. Lakeview is providing language training, leading to a certificate. The files of two recently recruited staff were examined, and found to contain the checks needed to protect residents from potential harm. The home has its own induction list, to complete with all staff on arrival, and this had been done. There was a Skills for Care Induction programme available, not yet used but in place for the next new carer. Most current care staff had qualifications equivalent to the nationally recognised qualification known as National Vocational Qualification level 2 in Care. The new management team had put in place a training programme for the entire staff, to ensure that all would be brought up to date with the mandatory training, including Moving and Handling, Control of Infection and Protection of Vulnerable adults. Also included in the programme are training sessions on care of people with dementia, communication, and supervision skills. Specific training in the needs of older people with Learning Disabilities should be provided. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 Quality in this outcome area is good. Good support is being given to the newly appointed Manager. Systems for consultation with residents need to be developed. Work on assuring safety throughout the building is in progress, and safe systems of work have been introduced. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new Manager had been appointed, who was experienced and enthusiastic in her work but had not achieved the nationally recognised qualification known as National Vocational Qualification level 4 in Care, the Registered Managers’ Award or training with regard to clients with Learning Disabilities. Support systems had been put in place to ensure sound management while she develops within this role, including weekly visits from the Group Manager and the recruitment of more team leaders. A Relief Manager for the company is based at Lakeview. She had achieved NVQ3 and was working towards NVQ4. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 21 Mr Alan Beale is the Responsible Individual for South West Residential Homes Ltd. He has demonstrated his ability to provide the knowledge and resources to bring about the improvements required to provide a good and safe service at Lakeview. He has appointed a Group Quality Manager to support Lakeview and the other homes in his control. She is providing support and supervision to the Manager with regard to care practices in the home, including the care and social requirements of older people with Learning Disabilities. There is a quality assurance procedure, but it has yet to be put into practice at Lakeview. The home has a safe system for looking after residents’ cash, but could be more proactive in encouraging people to look after their own. A lockable box was seen fixed inside a wardrobe in the bungalow, but not every resident has one of these, or a lock to their door. Many residents have cash kept in the home’s safe. Good clear records are kept, which were checked and found to be accurate. Mr Beale had engaged professional firms to bring the house to a good standard, with safety as the priority. The fire precaution system and emergency lights were tested on 3rd May. Hold-open devices had been fitted to doors to communal rooms, to enable easy access. Several bedroom doors were seen propped open. The resident who was being nursed in her room had her door propped open with a wheelchair. This is not acceptable, and hold-open devices must be fitted, with the agreement of the fire safety officer, where residents wish or need to keep their door open. Professional fire training had been booked for later in the month of this inspection. Night staff are given monthly awareness sessions in fire safety. Safety with regard to fire exits needed to be considered, as there were no alarms to alert staff if a resident ventured onto the fire escape, and a fire door that was in a resident’s private room was fitted with a bolt which would be out of reach of the resident. Accidents are recorded, and reviewed each month to observe any patterns emerging or other areas of concern. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 2 X X X 2 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 2 X 3 X X 2 Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 23 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 OP22 Regulation 23(2)c Requirement The home must have a reliable call bell system, so that residents are not neglected and at risk. The kitchen floor must be easily cleanable to maintain hygienic conditions. Fire doors must not be propped open, so that residents are not put at risk in the event of a fire. Timescale for action 20/07/07 2. 3. OP26 OP38 13(3) 23(4)c(1) 20/07/07 20/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP10 OP24 OP14 Good Practice Recommendations Care plans would benefit from including residents’ social history, and evidence that they and/or their representative had been involved in producing the document. Suitable locks should be fitted to residents’ bedroom doors, to provide privacy and security, and they should have safe storage for money and valuables in their own room. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 24 3. 4. 5. 6. OP12 OP13 OP27 OP31 OP33 The variety of social activities should be extended, following assessment of individual needs and interests. There should be sleeping accommodation within the main home for the night carer on sleeping-in duty. The Manager should achieve NVQ4 in care, and obtain training for herself and staff with respect to clients with Learning Disabilities. A quality assurance programme should be implemented. Lakeview Residential Home DS0000069115.V336037.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Lakeview Residential Home DS0000069115.V336037.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. 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. 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