Inspection on 16/02/09 for Lambton House

This inspection was carried out on 16th February 2009.

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

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

Other inspections for this house

Lambton House 05/02/07

Lambton House 20/09/05

Lambton House 19/05/05

Lambton House 24/11/04

Lambton House 01/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lambton House Lambton House New Lambton Fencehouses Durham DH4 6DE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Clifford Renwick     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 31 Information about the care home Name of care home: Address: Lambton House Lambton House New Lambton Fencehouses Durham DH4 6DE 01913855768 01913852169 Noe-mail Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Richard Coltman Name of registered manager (if applicable) Marie Grant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Lambton House is a registered care home providing personal care and accommodation for up to 41 older people in the category of (OP). It is not registered to accommodate persons who require nursing care. The home was opened in April 1999 and is owned by Mr R Coltman . Lambton House is located on the outskirts of Fencehouses. Local amenities are accessible by public transport. The home is a two - storey building situated in its own well-maintained private grounds. Personal accommodation is provided on both floors. Communal space and service Care Homes for Older People Page 4 of 31 care home 38 Over 65 15 23 0 0 Brief description of the care home areas are located on the ground floor. The home also provides a day care service for up to twelve older persons per day. Separate facilities and staff are provided for this service. The current fees range from 419.50 - 437.00 per week. Care Homes for Older People Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practise when making requirements, to improve national consistency. Some requirements from previous inspections may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. The quality rating for this service is 2 stars. This means that the people who use this service experience Good quality outcomes. Care Homes for Older People Page 6 of 31 The last inspection of this service was carried out in February 2007. And an annual service review was carried out in February 2008. Before the Visit. We looked at. Information we have received since registration. How the service has dealt with any complaints or concerns. Any changes to how the service is run. The providers view of how well they care for people from information they provided in the annual quality assurance document (AQQA) that they sent to us. The Visit. An unannounced visit was made on the 16th February 2009. During the visit we. Met with the people who live in the home and who are currently receiving a service and also spoke with the staff who were providing the service. Held discussion with the manager who was present during our visits. Observed staff working practises. Looked at information about the people who are receiving support and how well their needs are met. Looked at other records which must be kept in relation to health and safety and staffing. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it was accessible, well maintained, safe and free of any hazards. We also gathered information from looking at, care records to assess how staff supports people with their assessed needs. We also focused upon looking at the records for the 3 people who are currently receiving a service we refer to this as case tracking. And this involves looking at all of the records for a named individual. We told the manager what we had found. What the care home does well: What has improved since the last inspection? There is a new manager in post who is experienced and enthusiastic and committed to making continuous improvements with the service. All lounges have been refurbished and new music and large screen televisions have been provided. All bedrooms with the exception of one have been fitted with their own en suite toilet facility. Rooms have also been refurbished. Regular changes have been made to the menus and a popular lunch has been the regular fish and chips dinner from the fish shop. The statement of purpose and service user guide have been updated. Care Homes for Older People Page 8 of 31 A wider range of community activities have been provided following discussion with the residents. Having their own mini buses has improved the ability for people with a physical disability to access community facilities. All of the homes policies and procedures have been reviewed and amended where necessary. A new kitchen has been installed and the heating system has been upgraded. What they could do better: The written care plans should contain more detail about the actions staff are taking to demonstrate how they are supporting residents with their assessed needs. As at present a number of the positive work that is being carried out by staff is not reflected in the care plans. The manager should ensure that the residents interests are recorded with particular consideration given to people with dementia and other cognitive impairments. And up to date information about activities is circulated to all residents in formats suited to their capacity. Steps should be taken to ensure that all staff have the opportunity to receive updated training in safeguarding adults. And a copy of the Local Authoritys safeguarding adults policies and procedures should be obtained to ensure that staff are kept up to date with best practise. Steps should be taken to ensure that all rooms used by the residents are fitted with an emergency call system. A And all matters as identified and discussed during the visit should be addressed. Following discussion with the manager and the owner after the inspection confirmation was received that the call system had now been extended and was available in all rooms. The manager should ensure that a receipt is obtained for all transactions carried out on behalf of residents. The receipts should be numbered and the number of each receipt should be entered onto the transaction sheet. This will assist the manager with the auditing of the system. Care Homes for Older People Page 9 of 31 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No one is admitted to the home without a full assessment of needs being completed. This ensures that only those persons whose needs can be met are offered a place in the home. Evidence: Part of this visit focused upon looking at information in respect of people who had recently moved into the home. In looking at the care file for one person this confirmed that the home had carried out a pre admission assessment and a social assessment prior to offering the person a place in the home. The assessment document was still in the process of being added to as staff got to know the person. Care Homes for Older People Page 12 of 31 Evidence: This person was currently trying out the home before deciding that they would remain there and it was good that they had the opportunity to do this. Though no risk assessments for this person had been completed this was something that was in the process of being addressed by the staff. Discussion with the manager confirmed that on completion of the assessment the home would prepare an individual plan of care that would identify what support was required and how staff would provide this. Intermediate care is not offered so this standard was not assessed. Care Homes for Older People Page 13 of 31 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Though individual plans of care require further development staff takes appropriate action to ensure that each residents receives the care they need. Evidence: During this visit we carried out an exercise known as case tracking and this involved us looking at all records for three people currently living in the home. Each person has an individual written plan of care and these varied in the level of information that was held. For some parts of the care plan the information was detailed and demonstrated what support staff should be offering. However they do not show how the support is to be given. For example some of the objectives that state encourage social activities,mobility and daily routines did not show how this was to be achieved. Care Homes for Older People Page 14 of 31 Evidence: Though in practise staff are supporting this person in a positive manner which is also assisting the person to maintain as much independence as possible. This good work is not reflected in the care plan. For another person the care plan is detailed when relating to the support that is needed with personal hygiene but not as clear about a particular health need. Again though the staff are supporting this person positively with their health needs but the level of detail is not fully recorded in the care plan. The care plans are evaluated on a monthly basis so that staff can take note of any changes and adjust the care plan accordingly. The manager explained that for one person who moved from another care home there were some difficulties in obtaining information as part of the assessment process as the manager of the previous home would release any information. The staff in this home have compiled a range of information as part of the ongoing assessment process and from this have implemented a care plan. Records are available that confirmed all residents have access to health professionals when required and good links have been made with local G.P practises. Staff monitor individual residents health needs and take appropriate actions as well as keeping residents families informed if there are any changes with peoples health. In addition to the care plans the staff have carried out risk assessments and other assessments to ensure that people are supported safely. And also to enable to residents to take acceptable risks as part of living an independent lifestyle. Discussion with individual residents confirmed that they are able to make choices about how they spend their day. The home have developed a social history/pen picture document that is being used to build up information of each individual and will assist staff in the care process. Once these are developed staff will have a good range of information that will also assist them in knowing more about a persons previous lifestyle and will help them in Care Homes for Older People Page 15 of 31 Evidence: developing activities and interests that suit the individual. The daily records otherwise referred to as the key carers report contain information about how people spend their day though not in any detail. However the day and night reports that are completed each day contain a range of more detailed information and these help in monitoring how people spend their time and whether their are any changes in peoples needs. Staff are aware of people like to be supported and have a good understanding of residents needs. Observations made confirmed that personal and intimate tasks are carried out in the privacy of residents rooms. Senior staff are responsible for administering prescribed medicines and all of them have completed safe handling of medicines training. Generally the records used to record the administration of medicines are satisfactory but for 2 people there were 2 gaps on the administration sheet. Therefore it could not be determined whether medicines had been administered on these days as staff had not entered any information on the sheet. The procedures for ordering medicines,storage and disposal are satisfactory. Care Homes for Older People Page 16 of 31 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are supported to exercise choice and control over the lives and maintain contact with relatives and friends. A well balanced and wholesome diet ensures that the residents receive food that is both nutritious and which they enjoy. Evidence: Discussion with the manager confirmed that the home organise a range of activities that residents can take part in. An activities file was seen and this listed the activities that have taken place and who took part. However it does not record how long the activity lasted or whether people enjoyed the activity. The home though they organise activities do not circulate information to the residents about the activities that are being planned. Neither is there information available in a range of formats about the activities and in particular activities that have been organised for those people who may have dementia. Care Homes for Older People Page 17 of 31 Evidence: In discussion with the manager it was confirmed that there is a person currently working as a bank staff member who spends 1 to 2 hours per week organising activities to fit in with anything else that the home have organised. Discussion with 2 individual residents confirmed that they can choose to visit the adjacent day centre and take part in activities that are being carried out there. As well as meeting with people who are coming in for the day from the local community. The home have 2 mini buses and these can be used for outside excursions and Day trips by the residents. It was good to see some of the photographs of activities that have been carried out in the home. One of which consisted of incubating hens eggs and whereby residents were able to see young chickens hatching. In discussion with staff it was stated that this had been an enjoyable experience and the residents were sad to see the chickens being returned to their owner once hatched. Another activity or event that staff organise is arranging for the ice cream man to visit the home on a Sunday and sound his chimes. This is used as a reminiscence session and residents enjoy t is especially as they obtain an ice cream from the ice cream man. Menus are in place and these run over a 4 week period and are changed 6 monthly. Discussion with the cook and the manager confirmed that fresh fruit and seasonal vegetables are Incorporated into the menus and all cakes are home made. At the time of our visit the dining room was temporarily out of use due to repair work to a leak. Staff made arrangements for all residents to have fish and chips in a newspaper and that could be eaten in the lounge. This was an enjoyable event and the inspector joined the residents for lunch. Discussion with the residents confirmed that they often have fish and chip days like this and they said that it made a pleasant change. The residents went on to say that the food in the home is very nice with what they described as good old fashioned home made meals. Care Homes for Older People Page 18 of 31 Evidence: They said that there are always 2 choices for each meal and there is always plenty to eat. They went to say the food is very nice and staff go out of their way to make sure meal times are enjoyable. Routines within the home are flexible and residents can choose how they spend their day and where with some people preferring to spend time in their room until mealtimes. For those residents who have requested it daily papers are delivered. Some of the residents go out with their families and this is encouraged and supported by staff. There are no restrictions on visiting the home and residents confirmed that they are able to maintain contact with their relatives and friends. Care Homes for Older People Page 19 of 31 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust policies and procedures are in place that ensure residents are protected from abuse and an effective complaints procedure ensures that their legal rights are protected. Evidence: The home have an appropriate complaints policy and procedure and a copy of the complaint procedure is on display. In addition to this a copy of the complaints procedure is given out to all residents with a copy of the service user guide. There have been no recorded complaints within the home and no referrals have been made to the commission. Discussion with the manager confirmed that if any issues are raised by residents or their families they deal with them immediately and this results in being able to resolve matters before they become a formal complaint. In discussion with the residents they confirmed that they had nothing to complain about. Care Homes for Older People Page 20 of 31 Evidence: Everyone with whom we spoke was complimentary about the home and stated that if they did have a concern they would feel comfortable raising it with any member of staff knowing that it would be dealt with to their satisfaction. The home have policies and procedures in place that deal with safeguarding adults and how to protect the residents from potential abuse. Some staff have received training in safeguarding adults and this training needs to be extended to all staff. The home do not have a copy of the Local Authoritys policies and procedures on safeguarding adults and this was discussed with the manager who was advised of the need to obtain a copy. Care Homes for Older People Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a safe and homely environment that has been improved with the provision of en suite toilet facilities. Evidence: During this visit we looked at all communal areas of the home and also a representative number of bedrooms. At the time of the visit construction work was being completed in the home to create a bigger office and this was part of the refurbishment plan that has been taking place over the last 12 months. Part of this involved fitting all bedrooms with their own en suite toilet facility. A number of the en suite toilets had not been fitted with an emergency call system and in some bathrooms there were two call cords but staff were unclear as to which one was functioning. In one bedroom due to the bed having been relocated the call cord was not accessible and needed extending. Care Homes for Older People Page 22 of 31 Evidence: The manager confirmed that some work had been carried out with the emergency call system which is wireless free as the signal needed to be boosted. Following the visit discussion was held with the owner who confirmed that the call system had now been rectified and extended to all en suite toilets. There were some minor repairs needed such as cracked ceiling tiles, signs needed on bathroom/shower doors and also some outstanding works to be completed in the kitchen as part of the refurbishment. The manager confirmed that all of these would be addressed as part of the ongoing programme of refurbishment. The home was in good decorative order, clean and tidy and free of any unpleasant odours. Hot water temperatures were tested at bathing points and this confirmed that hot water was being provided at the safe recommended bathing temperature. A number of the residents have personalised their bedrooms with their own items of furniture and personal effects and this makes the rooms individual as well as looking nice. Some residents have their own telephones and a range of other electrical equipment such as televisions and DVD players. In discussion with residents they said the home is always spotless and the staff work hard to keep it that way. Good facilities are in place for dealing with the laundering of residents clothes. Care Homes for Older People Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient trained and experienced staff are available in appropriate numbers to meet the needs of the residents. Evidence: Since the last inspection four new staff have been employed in the home and records held by the manager confirmed that robust recruitment practises are in place when employing staff. In discussion with the manager it was stated that staff rarely cease working in the home and it is normally only due to retirement that they have to recruit people. Any new staff who are employed in the home undergo a Skills for Care Induction process as well as enrolling on the appropriate NVQ training course. Most of the staff who work in the home have co completed NVQ Level 2 training and 2 people are currently doing this training. Individual training records are held in staff files and in discussion with the manager it was confirmed that the training file is now under review to see what additional training staff require. Care Homes for Older People Page 24 of 31 Evidence: The manager is also looking at updated/refresher mandatory health and safety training for all staff. Staffing rosters were looked at and this confirmed that sufficient numbers of staff were on duty to meet the needs of the residents. Care Homes for Older People Page 25 of 31 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced and qualified person who ensures that appropriate systems are in place to ensure the health and safety of the people who live and work in the home. Evidence: The manager has worked in the home for 18 years and previously held the position of senior care manager before taking the managers role on in 2008. The manager is in receipt of the Registered Managers Award and has also completed NVQ Level 4 training in care. The manager has been reviewing and amending some of the homes policies and procedures as part of the quality assurance programme and to ensure that they are current and updated. Care Homes for Older People Page 26 of 31 Evidence: The home currently hold small amounts of monies on behalf of residents and appropriate records systems are in place for any transactions carried out on their behalf. Receipts are obtained for most purchases with the exception of hairdressing. Though receipts are obtained for other purchases/expenditure the receipt numbers are not entered onto the transaction sheet. And this could potentially make auditing difficult. This was discussed with the manager who was advised as to how the sheets could be developed to make the system more robust and also to assist with future auditing. The manager has good systems in place for ensuring that staff receive formal supervision and it was confirmed that senior care staff will also take responsibility for supervising staff now that they have received their annual appraisal. There are good procedures in place to ensure that the health and safety of residents and staff are promoted. The home employ their own health and safety representative who takes responsibility for ensuring that hot water temperatures are tested, fire alarms are checked and any repairs are noted and actioned. This person also carries out fire instruction training and fire drills with staff. In addition to this the home engage specialist external contractors to visit the service annually to test areas such as electrics. the lift, fire alarm panels and emergency call systems and issue the necessary certification. Records are kept of any accidents in the home and these confirmed that staff takes the necessary action in the event of an accident occurring. Overall good management systems are in place and the staff described the management style in the home as being inclusive in that you were encouraged to contribute your views and ideas as to how the service could be developed Care Homes for Older People Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 28 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The written care plans should contain more detail about the actions staff are taking to demonstrate how they are supporting residents with their assessed needs. The manager should ensure that the residents interests are recorded with particular consideration given to people with dementia and other cognitive impairments. And up to date information about activities is circulated to all residents in formats suited to their capacity. Steps should be taken to ensure that all staff have the opportunity to receive updated training in safeguarding adults. And a copy of the Local Authoritys safeguarding adults policies and procedures should be obtained to ensure that staff are kept up to date with best practise. Steps should be taken to ensure that all rooms used by the residents are fitted with an emergency call system. And all matters as identified and discussed during the visit should be addressed. The manager should ensure that a receipt is obtained for all transactions carried out on behalf of residents. The receipts should be numbered and the number of each receipt should be entered onto the transaction sheet. This will assist the manager with the auditing of the system. Page 29 of 31 2 12 3 18 4 19 5 35 Care Homes for Older People Care Homes for Older People Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 31 of 31 - 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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