Inspection on 21/12/05 for Lampton Court

This inspection was carried out on 21st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lampton Court 05/03/09

Lampton Court 25/01/08

Lampton Court 12/09/07

Lampton Court 07/06/06

Lampton Court 16/02/06

Lampton Court 08/03/05

Lampton Court 23/07/04

Lampton Court 05/01/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Lampton Court Lampton Court Littleham Bideford North Devon EX39 5HT Lead Inspector Susan Taylor Unannounced Inspection 11:00 21 December 2005 st Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lampton Court Address Lampton Court Littleham Bideford North Devon EX39 5HT 01237 470280 01237 425040 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) Health & Care Partnership Limited Vacancy Care Home 19 Category(ies) of Past or present alcohol dependence (19), Past or registration, with number present drug dependence (19) of places Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2005 Brief Description of the Service: Lampton Court provides 24-hour care for 19 younger adults aged 18 to 65 years with past or present alcohol and/or drug dependencies. The home is registered as a care home. The program provides group work, and an activity program. External to the registered home, the program also provides an experience of community living and day program. There are 5 single bedrooms and 5 are shared. The grounds are extensive and are landscaped. There is a swimming pool on site. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission investigated one complaint earlier in the year, which resulted in an additional inspection being made on 1st August 2005 and was reported upon to the Registered Person. The complaint was substantiated and related to health and safety matters. Immediate requirements were made at the time, which were followed up in writing and involved other agencies such as Devon & Fire Rescue Service and Environmental Services – Torridge District Council. The Commission is satisfied that appropriate action was taken to rectify these issues. This inspection took six hours over one day. The purpose for the inspection was to follow up those issues and covered the majority of key standards. Two inspectors looked at records, policies and procedures. A tour of the building took place. Nine residents gave their views of the home to the inspectors. Three staff and a Director of the company that owns Lampton Court were spoken to during the day. The people staying at Lampton Court told the inspector that they preferred to be referred to as ‘residents’. This term is used throughout the report. What the service does well: Resident’s needs are well known and form the basis of each person’s rehabilitation. Prospective residents receive comprehensive information about the service at Lampton Court that prepares them well for their stay there. The philosophy of care at Lampton Court is inclusive, encouraging residents to fully engage in planning and reviewing their own care. Risks and quality of life issues are carefully managed so as to ensure that residents have few restrictions in the lives except those that are accepted in this type of care setting. The rehabilitation programme at Lampton Court enables residents to develop personally through education, leisure pursuits and daily routines. Some restrictions are in place with regard to relationships and freedom of movement outside of the home. These are acceptable restrictions, which are designed to prevent residents returning to behaviours associated with substance addiction. Residents fully participate in the preparation and choice of appetising and wellbalanced meals at Lampton Court. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 6 Opportunities to promote individual responsibility for personal healthcare are available to residents at Lampton Court. Resident’s personal and social care needs are generally well met. Residents are able to voice concerns about the service safe in the knowledge that their views will be respected. Lampton Court provides an environment suitable to the needs of those who reside there. The home has an effective staff team. Whilst management arrangements need to be formalised, in the absence of a registered manager and the responsible individual, the home was well run. Quality assurance systems of the home ensure that residents participate fully in a formal process to bring about improvements to the service. 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. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 8 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 Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 Resident’s needs are well known and form the basis of each person’s rehabilitation. Prospective residents receive comprehensive information about the service at Lampton Court that prepares them well for their stay there. EVIDENCE: The home has a broad admission procedure that requires placing authorities and service users to complete a referral form. The inspector looked at four residents files and saw that comprehensive assessments had been completed, and had been reviewed regularly with the individual concerned. The depth of information identified was excellent and exceeded the criteria within standard 2. In addition to the in-house assessment, a copy of the care management assessment for all of the residents, which included a care plan. The inspectors met a prospective resident who was visiting the home for the day as part of the assessment process prior to agreeing an admission date. This gave the visitor an opportunity to meet clients undergoing the programme of rehabilitation. A resident told the inspector “I got a really good brochure with a lovely photo of Lampton Court – it prepared me well for what was available here”. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The philosophy of care at Lampton Court is inclusive, encouraging residents to fully engage in planning and reviewing their own care. Risks and quality of life issues are carefully managed so as to ensure that residents have few restrictions in the lives except those that are accepted in this type of care setting. EVIDENCE: Four care files were inspected. Care plans seen reflected the assessed needs and risks of each individual and had been regularly reviewed. Plans of care generally gave sufficient detail about the needs each service user had. These covered: mental, physical, medication, social, personal care, and activities of daily living. Residents verified that they were fully involved in the process. One person’s comments were typical of the rest “We discussed my needs and goals when I first came, we keep reviewing it as time goes on.” Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 11 The philosophy at Lampton Court is resident led. Decision making in the home is on two levels – individual and group based. One of the inspector’s took the opportunity to discuss this with a group of nine clients before they went out for a horse riding session. Residents verified that the management of the home was open and transparent. The inspector was told that an important part of the process of rehabilitation was to learn how to be more responsible and accountable for one’s own actions. Residents wholeheartedly felt that the programme enabled them to achieve this. Examples of how this was achieved were shared with the inspector, and included the concept of having a ‘Head Resident’ who was democratically elected each week. The role of the Head Resident involved delegating ‘therapeutic duties’ each week, and being the chairperson of the community meeting held every evening. Contractual restrictions on choice and freedom are part of the programme at Lampton Court. Residents verified that these restrictions were clearly outlined in the service brochure and had been discussed with them during the assessment and admission period. With exception of one file, comprehensive risk assessments were seen, which clearly identified strategies for minimising the risks highlighted. The individual concerned whose file did not contain a risk assessment verified that one had been completed with them, but could not be located at the inspection. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 The rehabilitation programme at Lampton Court enables residents to develop personally through education, leisure pursuits and daily routines. Some restrictions are in place with regard to relationships and freedom of movement outside of the home. These are acceptable restrictions, which are designed to prevent residents returning to behaviours associated with substance addiction. Residents fully participate in the preparation and choice of appetising and wellbalanced meals at Lampton Court. EVIDENCE: In discussion with a group of nine residents the inspector was told that a wide range of activities had been provided for them during their stay. These included sessions of art therapy, physical pursuits such as cycling, walking, kayaking and a weeklong boat trip. The Head of Treatment told inspectors that appropriately trained staff, external to the organisation, run the majority of activities that are organised as part of the programme of rehabilitation. Following this discussion the entire group went off for a horse riding session for the afternoon. The weekly program was displayed on the notice board, showing a wide range of activities available. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 13 The program of rehabilitation is short term, so involvement and participation in the local community is limited and typical in this type of setting. Similarly, residents verified that they had retained their right to vote at their home address. Residents told the inspector that the home has a minibus that it used daily for trips to Bideford, and surrounding areas. Additional staff had been rostered to work at peak times during the day, when group therapy, one to one sessions and activities were underway. In common with other homes in this category, Lampton Court initially precludes residents from having contact with family and friends and has strict restrictions in place in terms of independence, choice and freedom of movement. The rationale behind this is to prevent a return to behaviours associated with substance addiction. Residents verified that they had been made aware of this restriction prior to, and again on admission to Lampton Court. The entire group felt that these are important restrictions, given the vulnerable state that most people are experiencing when they first arrive at the home. The kitchen was clean and well organised. Residents told inspectors that the meals were appetising, balanced and provided them with a good choice. A buffet lunch was served that catered for individual preferences and dietary needs. A four-weekly rolling menu and record of meals provided was seen. The ‘Head Resident’ told inspectors that meal preparation, serving and clearing up after meals formed an important part of the therapeutic duties that all of the residents were expected to perform during their stay. A kitchenette off the dining room enabled residents to help themselves to tea, coffee and soft drinks. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Opportunities to promote individual responsibility for personal healthcare are available to residents at Lampton Court. Resident’s personal and social care needs are generally well met. However, the home’s policies and procedures in respect of administration and recording of medicines are not implemented in practice. Therefore, resident’s healthcare needs are not fully met. EVIDENCE: Residents at Lampton Court are completely independent with regard to personal care matters. Individuality is encouraged as part of the rehabilitation process for service users. NHS legislation precludes the residents who reside at the home on a short-term basis from registering with a GP during their stay. However, the organisation has a contract with a local GP who holds a weekly surgery at the home. The inspector saw GP records for residents, which were kept secure. Residents told the inspector that they found this a very useful service. Two accidents were listed in the pre-inspection questionnaire received by the Commission prior to this inspection. Records demonstrated that appropriate and timely action had been taken following both accidents. The resident’s concerned had received First Aid, and in the case of one person had resulted in treatment at the local Accident and Emergency department. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 15 After the last inspection on 8th March 2005, the Commission received a satisfactory action plan demonstrating that measures had been taken to improve the practices in relation to medication administration. An additional inspection of the home on 1st August 2005 concluded that this matter had been addressed. However, it was evident that these measures had not continued to be audited internally when this inspection was conducted. The administration and recording of medicines administered was inadequate. Three-service users medication had not been administered as prescribed and there were gaps in records where medication had been administered. A requirement is made in respect of this matter. The pharmacist inspector has been asked to follow up this matter and carry out a comprehensive audit of the management systems for medicines in the home within the next two months. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Residents are able to voice concerns about the service safe in the knowledge that their views will be respected. Although policies and procedures are in place to protect residents from abuse, there has been a turnover of staff and elapse of time since the last training on the subject, which must be addressed. EVIDENCE: The Commission investigated one complaint earlier in the year, which resulted in an additional inspection being made on 1st August 2005. The complaint was substantiated and related to health and safety matters. Immediate requirements were made at the time, which were followed up in writing and involved other agencies such as Devon & Fire Rescue Service and Environmental Services – Torridge District Council. The Commission is satisfied that appropriate action was taken to rectify these issues. During this inspection residents made positive comments about the home to the inspector, which included: “This place has really helped me put things into perspective and grow as a person”. The inspector was shown the complaints procedure, which is clearly displayed on the residents notice board. In a group discussion with nine residents the inspector was told that the procedure was also outlined in the brochure, which everyone had received a copy of prior to admission to the home. No other complaints had been made to the home. Records showed that staff had last received training on the subject of the protection of vulnerable adults in November 2003. As there has been a turnover of staff since that date and also an elapse of time it was considered appropriate that further training in this subject should be made available. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 17 Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Lampton Court provides an environment suitable to the needs of those who reside there, however, their safety could be further promoted if either window restraints are installed or risk assessments carried out relating to them. EVIDENCE: Lampton Court is a detached, older style property standing in its own grounds. It is situated in a rural location but the facilities of Bideford are within a couple of miles. Whilst most residents are in single occupancy rooms, some are shared occupancy. Bedrooms were seen to have been personalised by their occupants, often by the use of posters, pictures or items of sentimental value. Bedroom doors were seen to be lockable and residents have their privacy assured by the issue of bedroom door keys. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 19 It was seen that some bedroom windows were not fitted with restraints and neither did files contain risk assessments relating to this. The home has an appropriate number of wcs and bath/shower rooms. These are suitable to the needs of residents and to ensure their privacy, are lockable. The home has a functional kitchen where main meals are prepared by the cook, but there is also a smaller, separate kitchenette where residents promote their independence and exercise choice by preparing snacks and drinks and wash utensils. The laundry area is situated across the courtyard and can be accessed without going through areas where food is prepared or eaten. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 The home has an effective staff team, however to fully ensure the safety of residents staff files should show that all appropriate references have been obtained and staff receive updated training regarding the protection of vulnerable adults. EVIDENCE: Copies of the rotas were provided. These showed that there is a support worker on duty at all times during the day. In addition to this there are three salaried staff who work between 9am and 5pm on Monday to Friday. In addition, there is an administrative officer a director who works the same hours as the salaried staff. At weekends there is a support worker on duty with other staff being available on an on call rota. The low staffing levels at weekends allow for residents to live more independently and structure their own weekends. The Head of Care said that should more staff be necessary this will be provided either by the on call officer coming on duty or in the long term, additional staff being provided. This had however never proved necessary. The staffing level has decreased since the last inspection but there has also been a reduction in the number of residents. Staffing levels are increased in accordance with the number and needs of residents accommodated. Minutes of staff meetings showed that these are held regularly and in discussion it was shown that there is communication between shifts in the form Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 21 of a handover meeting. Although the latter meeting, like staff meetings, promotes good communication between staff and is necessary for the service to be effective, it is not provided for in the rota. The files of three recently appointed staff were inspected. One file was incomplete and for the others, whilst police checks had been carried out and letters requesting references had been forwarded, both files contained only one written reference rather than the two required. The files did contain other required information such as copies of birth certificates and passports. At the time of the inspection four of the staff at Lampton Court were participating on either NVQ level 2 or NVQ level 3 courses and two other staff had either a registered nurse or registered mental nurse qualifications. All staff commence an induction programme on the first day of their employment. This equips them for their work by including an introduction to the service, information on Health and Safety issues and quality procedures, complemented by a copy of the Employee Handbook. Completed ‘New Employee Induction Forms’, signed by the employee, confirmed that new employees had received training on issues such as fire safety, managing violence and aggressive behaviour, and physical restraint Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Whilst management arrangements need to be formalised, in the absence of a registered manager and the responsible individual, the home was well run. Quality assurance systems of the home ensure that residents participate fully in a formal process to bring about improvements to the service. EVIDENCE: Since the last inspection, the registered manager had left the employment of Health & Care Partnership Ltd. The Commission was notified of this in writing in July 2005. In addition to this, inspectors were told that the Responsible Individual is on long-term sick leave and that one of the Director’s of the company visited daily to support senior staff who were ‘acting up’. Inspectors discussed these issues with the Head of Treatment and the Director, who said that interviews were underway and that the company hoped to appoint a manager by the end of January 2006. The Commission has since written to the Secretary of Health & Care Partnership Ltd. for clarification on this matter and a requirement is made in this report. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 23 Lampton Court has produced feasibility study, which presents an overview of market research regarding substance abuse and treatment centres. Using this as a baseline, the proprietor has formulated a business plan for the centre with various options for future development. The study does include discussion on the subject of staff turnover, which has been an issue at the centre. Within the home the Head of Treatment has sought the views of residents by way of a questionnaire survey. This raised questions about whether the residents had considered that the programme met their expectations, were their needs met, what was the value of the therapeutic models and was the environment, including food and accommodation, suitable to their needs. The residents’ responses to this survey were very positive, showing that they appreciated the ‘open door’ policy of the manager and therapists and would recommend the establishment to others. Standard 42 was partially inspected as a matter of follow up, and will be covered at the next inspection. The Commission investigated one complaint earlier in the year, which resulted in an additional inspection being made on 1st August 2005 and was reported upon to the Registered Persons. The complaint was substantiated and related to health and safety matters. Immediate requirements were made at the time, which were followed up in writing and involved other agencies such as Devon & Fire Rescue Service and Environmental Services – Torridge District Council. The Commission is satisfied that appropriate action was taken to rectify these issues. Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x 3 x Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lampton Court Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score 1 x 3 x x 3 x DS0000026736.V253066.R01.S.doc Version 5.0 Page 25 YES 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 20 Regulation 13(2) Timescale for action The registered person shall make 20/01/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This is repeated from the report of the inspection carried out on 18/3/05. The registered person shall make 31/03/06 arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. The registered person shall 31/01/06 ensure that— unnecessary risks to the health or safety of service users are identified and so far as possible eliminated, The registered person shall 31/01/06 maintain in the care home the records specified in Schedule 4. A record of all persons employed at the care home, including in respect of each person so employed (a) his full name, address, date of birth, qualifications and Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 26 Requirement 2 23 13(6) 3 26 13(4)c 4 34 17(2) sch 4(6) experience; (b) . . . (c) a copy of each reference obtained in respect of him; (d) the dates on which he commences and ceases to be so employed; (e) the position he holds at the care home, the work that he performs and the number of hours for which he is employed each week; (f) correspondence, reports, records of disciplinary action and any other records in relation to his employment; (g) a record of all training undertaken, including induction training. 5 37 CSA 2000 S9(1) Care Standards Act 2000, S11(1) Any person who carries on or manages an establishment or agency of any description without being registered under this Part in respect of it (as an establishment or, as the case may be, agency of that description) shall be guilty of an offence. The Care Homes Regulations 2001 – SI 3965 A person shall not manage a care home unless he is fit to do so. 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lampton Court DS0000026736.V253066.R01.S.doc Version 5.0 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!