Inspection on 14/02/07 for Lambton Grange

This inspection was carried out on 14th February 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lambton Grange 20/09/05

Lambton Grange 20/04/05

Lambton Grange 13/12/04

Lambton Grange 15/04/04

Lambton Grange 31/01/04

Lambton Grange 27/10/03

Lambton Grange 03/10/02

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

CARE HOME ADULTS 18-65 Lambton Grange Lambton Grange New Lambton Village Fencehouses Houghton le Spring Durham DH4 6DE Lead Inspector Lesley-Anne Moore Unannounced Inspection 14th February 2007 09:30 Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lambton Grange Address 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) Lambton Grange New Lambton Village Fencehouses Houghton le Spring Durham DH4 6DE 0191 385 2206 Mr Richard Coltman Mr Jason James Thompson Sheila Allison Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: Lambton Grange is a registered care home, formerly a family home that was extended to provide personal care and accommodation for up to 8 adults with a learning disability. Some service users may have an additional physical disability. Personal accommodation is located on 2 floors providing 8 bedrooms all with ensuite facilities. 5 bedrooms are accessible for wheelchair users. A quiet room, games room, communal space and kitchen facilities are located on the ground floor. The home is located in private, well-maintained grounds next to a larger care home for older people and is situated on the edge of the village of Fencehouses in County Durham. Both homes are owned by Mr R Coltman and Mr J J Thompson and operate within the private sector. The homes operate independently of each other. The current fees charged are £515 per week. There are additional charges for chiropody, hairdressing, and personal items. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 14 February and lasted for approximately 5.5 hours. The Registered Manager supplied some information on the pre-inspection questionnaire and 8 service user surveys were completed and returned. The inspection focussed on key standard outcomes for service users. No requirements or recommendations had been made at the previous inspection visit. During the inspection time was spent talking to service users and staff, the home’s policies and procedures and a number of individual records were looked at, and the Inspector was given a tour of the home. There were 3 service users at the time, the remaining 5 were out for the day involved in their regular activities. On entering the home there was a relaxed and homely atmosphere. Service users appeared happy, were carrying out their normal daily activities and interacting well with the 2 staff members on duty. What the service does well: Service users are encouraged to make choices about their lifestyle and are given the opportunity to develop their social, educational and life skills. Service users are also encouraged to take part in group activities on a weekly basis. The owners of Lambton Grange fund 1 holiday per year for all service users. Staff and service users spoke enthusiastically of a recent holiday to Blackpool, ‘I enjoy my holiday with the residents and staff, we go away every year’. The home employs a committed staff team several of whom have been in post since the home opened. 3 relatives commented using the home’s own quality audit, ‘It is very clear that it is the residents’ home and the staff feel that they are there to assist people in their own home’, ‘It’s like a family atmosphere where everyone is friendly and informative’, and ‘I am very aware, and grateful for the degree of professionalism displayed by the whole staff in encouraging the service user to settle so easily into his new environment’. There is a strong commitment to staff training and development that is supported by a comprehensive training programme. 95 of staff hold the National Vocational Qualification (NVQ) Level 2 in Care. 1 new member of staff is due to commence this training. The home has recently been refurbished to a high standard providing personal and communal accommodation that is homely and relaxing. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives receive appropriate information about the home including an assessment of the service users needs prior to admission. EVIDENCE: The home is seen to provide adequate information within the Statement of Purpose and Service User Guide, the later being available in pictorial format, to prospective service users including a visit to the home where possible. However, the recently revised Statement of Purpose does not include details of the dimensions of individual service user rooms. This must be amended to include this information. Overnight stays are arranged where requested to help the prospective service user decide whether they wish to come and live in the home. The home accepts applications for admission from private individuals or the local Social Services Department. The home’s admission policies and procedures are in place and were seen to be satisfactory. The Inspector looked at the records of 3 service users. For those service users admitted through continuing care arrangements, copies of the care needs and care plans Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 9 were available upon which the service users suitability for the home had been assessed. The pre-admission assessment carried out by the home’s own staff includes health, personal and social care needs to confirm that the home can meet individual needs. Copies of these assessments were available and were seen to have been completed and filed. Individual contracts were available in the 3 service user files looked at. Those contracts seen did not include details of the fees to be paid and who has responsibility for meeting those fees where the service user had been admitted through continuing care arrangements. Also, only 1 contract had been signed by the service user or their representative. The Manager should ensure that each service user is provided with a contract that clearly sets out the total fees payable, details any contribution for which the service user is responsible, and is signed and dated to confirm agreement. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in decisions about their lives and play an active role in planning the care and support they need. EVIDENCE: Each service user is allocated a key worker based on their individual needs’ who is responsible for their overall care. The key worker writes a care plan for the service user following person centred planning principles which is easy to understand and considers the health, personal and social care needs of the individual. The care plan includes comprehensive risk assessments for each activity with evidence of regular reviews that take into account the needs of the service user balanced against their rights to choice and independence. Staff have the skills and ability to support and encourage service users to be involved in all aspects of life at the home. 1 service user commented on the Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 11 pre-inspection survey ‘I have been encouraged to be independent and think for myself and have been given some responsibility for tasks in the house’. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home understands the importance of enabling the service user to achieve their goals, follow personal interests and leisure activities, and be integrated into community life. EVIDENCE: The Manager discussed the various activities that service users are engaged in to include educational, social and employment. At the time of the inspection 4 service users were out for the day at local day centres. A social care plan is developed with each service user that looks at hobbies, leisure interests and previous life experiences. An activities programme is drawn up to meet the service users needs and includes a range of in-house and external opportunities. Each service user has an activities log in their file where staff are able to record the activities that service users have been engaged in. A programme of weekly group activities is prominently displayed in the Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 13 communal area. The service aims to provide a minimum of 15 hours of activities per week spread over evenings and weekends. Activities include outings to places of interest, local pubs, cinema, shopping centres and local beaches for which the homes own mini bus is used. The range of in house activities include pamper sessions such as aromatherapy and massage, clothes and toiletry parties, in-house disco, and music and sing along sessions when outside entertainers visit the home. A resident’s fund is in operation to support the funding of the activities programme. Any proceeds from the annual summer fete held with the neighbouring care home are put towards outings for the service users. 1 relative suggested that the service may benefit from training more staff to drive the minibus so that restrictions on using the vehicle when an approved driver is on duty might be reduced. The owners of Lambton Grange fund a holiday each year for the service users, the most recent trip being to Blackpool. Staff encourage a good relationship with the local community and neighbours. Friends and relatives are warmly welcomed into the home and given the opportunity to be involved in the service users life as far as possible. Individual rooms are designed as ‘bed sits’ with separate seating areas to allow space and privacy for service users to spend time with their visitors. The Manager described how relatives were invited for Christmas last year with dinner being served in individual rooms to allow the service users to spend the day with their relatives in a relaxed and personal way. Relatives themselves speak very positively of their experiences at the home, ‘It’s like a family atmosphere where everyone is friendly and informative. We are encouraged to visit anytime’, and ‘We always feel welcome no matter how busy the staff may be. It’s a pleasant atmosphere, I feel like one of the family’. The aims and objectives of the home reinforce the importance of treating service users with respect and dignity in all aspects of their life. 1 service user commented on the pre-inspection questionnaire ‘I am always treated with respect and any problems I may have are talked over and solved’. Another commented ‘I have the freedom of the house to enjoy my free time. I can mix with the other clients if I want to or stay in my own room. My privacy is always respected’. There is a varied menu on offer and service users are given a choice if they have particular likes or dislikes. During the visit 1 service user was helping to make the evening meal with a member of staff. Service users are encouraged to prepare their own drinks and snacks with assistance. The staff support those service users who have difficulty with eating and give assistance where appropriate. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff understand the key principles of giving personal support and are responsive to the varied and individual needs of each service user. EVIDENCE: Individual care plans are written in consultation with the service user and describe the personal care that is required and individual preferences. Service users are supported where possible to be independent and responsible for their own personal hygiene and personal care. Where this is not possible the staff acknowledge that the delivery of personal care is highly individual and the staff work hard to preserve the service users’ privacy and dignity. This includes giving the service user choice about who delivers their personal care. If the service user requests staff arrange for care to be delivered by a staff member of the same sex. Service users have access to local healthcare and are encouraged to be independent and attend regular appointments. Where this is not possible home visits are arranged to meet the needs of the individual service user. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 15 The home has a medication policy in place in which medicines are generally received, stored, administered and disposed of safely. There are currently no service users who self-medicate. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to express their concerns and have access to an effective complaints procedure that is up to date, clearly written and accessible. The policies and procedures regarding protection of individuals are of a high quality and are regularly reviewed and updated. EVIDENCE: There is a clear and accessible complaints procedure available to anyone associated with the service to raise a concern. Each service user is given a copy of Complaints Procedure Information for Residents and Relatives that tells them how to complain. The home encourages service users and their relatives to voice any concerns they may have and supports them through this process. Any complaints are seen as an opportunity to make improvements to the service. The Inspector looked at the Complaints File during the visit. The service has received no complaints in the past 12 months. 1 service user commented on the pre-inspection questionnaire ‘Any problems are listened to and acted upon, it may include ringing my parents’. There was evidence to support the training that staff members have received in relation to the protection of vulnerable adults both during the induction programme and on an on-going basis. . The Manager spoke of the procedures in place to investigate the cause of any injury to service users and was clear at what stage incidents require external input and which agency to refer to. The service has reported a number of incidents to the CSCI in which an individual Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 17 service user has sustained minor injuries through recurrent falls. The staff have identified a problem with the service users unstable balance and have asked for the help of an occupational therapist who is working with both staff and the service user to improve mobility and further reduce any risks. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe and homely environment that encourages independence. EVIDENCE: The home has recently been refurbished to a high standard and appears to be a safe, well-maintained environment with the provision of pleasant communal areas both inside and outside for dining and relaxation. Within the home there is a sense of homeliness and community where service users can enjoy maximum independence in a non-institutional environment. The service has installed an automatic water sprinkler system on the first floor. In the event of a fire, this would provide significant protection to the service users, staff and property. The investment required to do this is acknowledged. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 19 The Inspector was able to see evidence that all mandatory health and safety checks have been conducted and are up to date. However, it was noted that the weekly check of water temperatures has to date not included all water taps in the building but a sample is selected and temperatures recorded. Of those temperatures recorded 3 areas showed water temperatures in excess of safe limits to which staff and service users have regular access, namely taps in the kitchen, office, staff toilet and a bathroom on the first floor. Although there are risk assessments in place to support service users in independent bathing, excessively high temperatures may place them at risk of injury. This was discussed with the provider at the end of the inspection who made immediate arrangements for the temperatures to be adjusted in the bathroom and toilet. The Manager since reports that he has installed a mixer device to lower the water temperature in the kitchen and has also installed a dishwasher. The Manager must ensure that weekly water checks record the water temperatures from all taps in the building and are recorded on the appropriate record for inspection. Service users bedrooms are individualised giving the opportunity for choice to be exercised in the colour of décor. There is also the opportunity for personal possessions and furnishings to be brought in. Each room has been designed along the lines of a bed-sit with separate seating and sleeping areas to allow the service user more independence and privacy should they need it. Service users have access to a large lounge overlooking the garden where activities generally take place. There is also a separate fully equipped smaller games room. Service users have access to a range of specialist lifting and handling equipment to suit their individual needs. A lift has been installed in the property to allow wheelchair access to the first floor. The home is clean, tidy and generally free from odours. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed to support the care needs of the individual service users. EVIDENCE: Discussion with the Manager, examination of the duty roster and observation during the inspection visit demonstrates that sufficient numbers of staff and skill mix are on duty at all times to meet the needs of the service users. Relatives report that staff are very skilled in their roles and are able to meet the needs of the service users, ‘I am happy with the care provided’, ‘The staff are excellent, always caring and attentive to the service users needs’, and ‘The staff at Lambton Grange are an excellent team’. There is a comprehensive staff training programme in place that is targeted and focused on improving outcomes for service users. Training sessions are specific to the client group; however, where possible some training is held jointly with the neighbouring care home, Lambton House. Documentation within the home gives evidence of the training that staff are currently Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 21 receiving, e.g. first aid, medication, moving and handling, fire training, death and dying, Protection of Vulnerable Adults and dementia. The service, along with its neighbour Lambton House, is also involved with and has received training from the Durham Employers Care and Health Alliance. The records of 3 staff were looked at during the inspection. 2 staff were noted as being in post prior to the mandatory Criminal Records Bureau checks were required of employers. For the remaining staff member the CRB check was not available at the time. Also, there was no evidence of a Protection of Vulnerable Adults 1st check having been obtained. As part of the recruitment process the Manager must ensure that she has carried out all mandatory checks on new employees prior to their commencing work. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has the required qualifications and experience to effectively manage the home. She provides sound leadership in supporting the staff to deliver a high quality of care for the service users. EVIDENCE: The current Manager has been with the home a number of years having first joined the service as a care worker. Discussion with the Manager and comments received from staff and relatives suggest that she is a good leader, is committed to providing a high quality of service and supports her staff to deliver the best possible care to service users. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 23 The Manager spoke of the importance of involving and keeping the service users up to date with new developments in the home and planned changes. She explained that the service does hold regular residents meetings to which relatives are invited to obtain service users views. The home also carries out periodic review of the quality of its service through questionnaires that relatives are asked to complete. The feeling amongst service users and relatives is that they are always consulted and involved in any decisions concerning the running of the home. 1 relative commented ‘I am always invited to meetings. If I have anything to say I am listened to and we try to resolve any issues there and then. I am always kept abreast of things and events in the home’. Another relative commented ‘I have only been to one review meeting. This went well and gave everyone a chance to voice opinions’. Detailed health and safety policies safeguard the interests of service users, staff and visitors to the home. These were available for inspection and included evidence of regular servicing of fire equipment and gas and electrical appliances. The Inspector had received notification of incidents relating to events affecting the health and well being of service users, e.g. falls in the home, service users admitted to hospital, but the Manager was able to confirm the procedures in place to safeguard individuals from harm or risk to themselves. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 X 27 X 28 4 29 3 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 (1)(c) Requirement Timescale for action 30/04/07 2. YA5 5 3. YA24 YA42 13 (4)(a), (b) and (c) 19 (1)(a) and (b), and Schedule 2 4. YA34 The Manager must arrange for the Statement of Purpose to be amended to include details of the dimensions of individual rooms. The Manager must ensure that 31/07/07 each service user has a written contract that clearly sets out the fees, who has responsibility for meeting those fees and is signed by the service user or their representative. The Manager must ensure that 31/03/07 weekly water temperatures are recorded of all taps to which staff and service users have access. The Manager must not employ a 31/03/07 person to work at the care home until he has completed all the necessary checks and is satisfied that the person is fit to work in the care home. Evidence of this must be documented in the staff member’s personal file. Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lambton Grange DS0000007483.V329015.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!