Inspection on 11/06/07 for Langdale Lodge

This inspection was carried out on 11th June 2007.

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

Langdale Lodge 12/06/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Langdale Lodge Selhurst Road Newbold Chesterfield Derbyshire S41 7HR Lead Inspector Rose Veale Unannounced Inspection 11th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langdale Lodge Address Selhurst Road Newbold Chesterfield Derbyshire S41 7HR 01246 550204 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) Miss Neemat Kassam Mrs Yasmin Nazir Kassam Vacant Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2006 Brief Description of the Service: Langdale Lodge is located in a quiet residential area of Chesterfield, approximately a mile from the town centre. Personal care and accommodation is provided for up to 23 residents aged 65 years or over. The home is modern and purpose built with accommodation and communal areas on two floors. There is a mature garden accessible to residents. Information about the home, including CSCI inspection reports is available at the home or from the manager or provider. The fees range from £340 to £360 per week. The acting manager provided this information on 11th June 2006. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and took place over 6 hours. The inspection visit focused on assessing compliance to requirements made at the previous inspection and on assessing all the key standards. There were 22 residents accommodated in the home on the day of the inspection. 4 residents, 3 visitors and 2 staff were spoken with during the visit. The acting manager was available and helpful throughout the inspection visit. Some residents were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. Records were examined, including care records, staff records, maintenance, and health and safety records. Most areas of the building were seen. There was a random, unannounced inspection of the home in July 2006. The purpose of the random inspection was to assess compliance with some of the requirements made at the inspection in June 2006. The findings of the random inspection are referred to in the body of this report. What the service does well: What has improved since the last inspection? The acting manager and provider had worked together to review policies and procedures, expand and improve care plans, develop a quality assurance system, and to improve organisation within the home. Staffing levels had improved and were more consistent. The acting manager had started working towards NVQ Level 4. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 6 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. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There was an inconsistent approach to obtaining assessment information, and a lack of information for residents / their representatives to make an informed choice about living at the home. EVIDENCE: At the last key inspection in June 2006, the Statement of Purpose and Service User Guide were not available as the home had recently changed ownership and they were being reviewed and updated. At this inspection the updated Statement of Purpose was seen and included nearly all of the information required. There was no separate Service User Guide – the acting manager said that information from the Statement of Purpose was copied to provide an information pack for new residents / their representatives. It was not clear that the content of the information pack included all the required elements of a Service User Guide. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 9 2 residents said they had received an information pack. 1 visitor spoken with said that they or their relative had not received the information pack. The records of 3 residents were examined. 1 resident had been admitted as an emergency and there was no pre-admission assessment information in the records. The other 2 residents had assessment information from Social Services and hospital staff. Residents spoken with said their needs were met at the home. Standard 6 does not apply to this service. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although improvements had been made, care plans lacked detail of how residents preferred care and support to be provided. EVIDENCE: The 3 records seen each included an individual care plan. Since the last inspection, the care plan format had been reviewed and expanded to ensure all areas of assessed needs were included. The care plans did not have sufficient detail of how residents preferred care and support to be provided, and of how staff should ensure privacy and dignity. For 1 resident, there was an assessment of the risk of developing pressure sores indicating that the resident was at high risk. The assessment had been reviewed monthly, but there was no care plan detailing the action staff should take to reduce the risk of the resident developing pressure sores. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 11 All the care plans seen had been reviewed monthly to date. None of the care plans seen had evidence that the resident / their representative was involved in care planning. There were records of the input of other healthcare professionals, such as GP, District Nurse and optician. There was evidence in the records that residents were referred promptly and appropriately for medical support and treatment. Residents spoken with confirmed that they had access to healthcare services, such as their GP, chiropodist and dentist. Residents and relatives spoken with were generally satisfied that the residents’ care needs were met at the home. 1 visitor commented that staff make an effort to get to know residents and their families well. Staff spoken with were knowledgeable about the care needs and preferences of residents. It was observed that staff were respectful in their approach to residents, and residents and visitors spoken with confirmed that this was usual. Residents and visitors commented that staff were “friendly”, “patient” and “kind”. Most of the medication was stored in locked cupboards and a drug trolley in a locked storage room. Some medication was stored in a locked filing cabinet in the office. The acting manager said that this had been reviewed and that it was planned to provide another cupboard in the storage room. The Medication Administration Records (MARs) seen were correctly completed and included a photograph of the resident. There was evidence of good practice, such as all handwritten entries signed by 2 people to ensure they were correct, and an audit check every 2 weeks by the acting manager to ensure appropriate stock levels and to ensure MARs were completed correctly. All staff that administered medication had received appropriate training. There were records of quarterly audit checks by the visiting pharmacist. The morning dose of medication for 1 resident had been removed from the blister pack and left in a small pot on top of the drug trolley. The acting manager said the resident was usually too sleepy to take the medication at breakfast time and that it was usually given at lunchtime. The acting manager said she would ask the resident’s GP to review the medication. At the random inspection in July 2006, the medication policy had been reviewed and updated as required at the key inspection in June 2006. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle at the home generally met the expectations and preferences of residents, although there was a limited range of activities that did not meet the needs of all residents. EVIDENCE: Residents and visitors spoken with said that there were some activities offered in the home, such as games and bingo. It was commented that there was not enough range of activities, and that activities were not always carried out as planned because staff were busy. Staff spoken with said they tried to provide activities during quieter periods of the day. The acting manager said it was planned to take residents out on local trips in the summer. There was a regular church service held at the home. More equipment and resources for activities had been provided since the last inspection. Residents said they were able to see their visitors in private if they wanted to. Visitors spoken with said they were always made welcome. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 13 Residents were encouraged to have their personal possessions in their rooms. 1 resident was particularly pleased with their bedroom and had brought in their own furniture, soft furnishings and ornaments. Residents spoken with were pleased with the meals at the home. Visitors spoken with said the meals were of a good standard and were enjoyed by their relatives. The lunch served on the day of the inspection visit appeared appetising and well presented. Residents ate in the dining room on the ground floor and this was pleasant and welcoming. The cook was experienced and knowledgeable about the nutritional needs and preferences of residents. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The complaints system was not sufficiently robust to ensure that all residents’ complaints were taken seriously. Residents were put at risk by gaps in recruitment procedures. EVIDENCE: Following the last inspection the complaints procedure was reviewed and updated to include appropriate timescales for response to complaints. No complaints about the home had been received by CSCI. There were no records of complaints made at the home, although it was found that a formal complaint had been made to the provider. Less formal concerns raised by residents / their representatives were not recorded in the complaints records. The acting manager said that concerns raised were noted in the communication book between senior care assistants and would be passed on to the acting manager or provider. Residents and visitors spoken with were aware of the complaints procedure and said they would be able to go to staff or the acting manager with any concerns. 1 person who had made a complaint was satisfied with the eventual outcome. There was a policy and procedures in place for safeguarding vulnerable adults. This was the Derbyshire County Council Social Services multi-agency Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 15 procedures and was not specific to the home. Staff spoken with had received some training in safeguarding vulnerable adults as part of their induction. They were aware of the procedures to follow if abuse was suspected. The acting manager said that training for all staff was planned for July 2007. There were gaps in the recruitment procedures that placed residents at risk, (see staffing section of this report). Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was generally well maintained and clean providing a safe and pleasant environment for residents. EVIDENCE: Since the last inspection, the ground floor dining room had been redecorated and new furniture provided, new chairs had been provided in the ground floor lounge, and some bedrooms had been redecorated. Carpet had been delivered ready to be fitted to the first floor corridors. As at previous inspections, it was observed that the first floor lounge/dining room was rarely used as most residents sat in the ground floor lounge and in the entrance hall. It was commented that the ground floor lounge could feel overfull, particularly during the winter when residents could not sit outside in the garden. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 17 Residents and visitors spoken with said the home was always clean and free from offensive odours. Residents were pleased with their bedrooms. The ground floor bathroom was effectively out of use as the bath had been removed and the separate shower was used for storage. The shower was not suitable for people with mobility problems and the acting manager said there were no residents who would be able to use that shower. The first floor bathroom had a fixed hoist and was said to be the only bathroom used at present. The panel to the side of the bath had not been repaired or replaced as required at the last inspection. The first floor shower room was suitable for use by people with mobility problems. The acting manager said it was rarely used. There were cracks in the plaster on the ceiling and top of the walls and one of the lights was not working. Residents and staff spoken with said that although it would be useful to have an accessible bathroom on the ground floor, it was not inconvenient to use the first floor bathroom. The acting manager said that plans for the laundry room included a new washing machine and dryer and replacing the current flooring with an easyclean, non-slip surface. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels and staff training were adequate to meet the basic needs of residents. There were gaps in the recruitment procedures that put residents at risk. EVIDENCE: At the key inspection in June 2006 it was found that staffing levels were not sufficient to meet residents’ needs and a requirement was made for the provider to address this. At the random inspection in July 2006, the provider had complied with this requirement and staffing levels had improved. At this inspection the improved staffing levels had been maintained. The staffing rota showed that there were 3 care assistants on duty for the morning up to 2pm, then 2 staff until 4pm and 3 from 4pm to 8pm. There were 2 waking care assistants for the night shift. In addition, there was a cook and a domestic assistant. Residents and visitors spoken with felt that staffing levels were adequate, although there were times when staff were very busy. Staff spoken with said the staffing levels were adequate to meet residents’ needs. It was commented that there had been a few times when staff were off sick and the shift could not be covered, leaving 2 staff on duty during the day. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 19 Staff records were not available at the inspection in June 2006 and were seen at the random inspection in July 2006. At that inspection, 2 records seen had all the required information, 1 had only 1 written reference and no Criminal Records Bureau (CRB) disclosure. The CRB disclosure had been applied for and a POVA First check was in place. The member of staff was working under supervision. At this inspection the records of 3 members of staff were seen. 2 had CRB and POVA First checks in place, 1 of these had no written references and the other had no full employment history. The third record had a CRB check from a previous employer but not from the current employer, no written references and no full employment history. An Immediate Requirement was made to ensure the safety of residents. The acting manager took appropriate action within the timescale to comply with the Immediate Requirement. Of 20 care staff, 6 had already achieved a National Vocational Qualification (NVQ) at level 2 or above, and 14 staff were working towards NVQ. The staff induction programme at the home was in line with Skills for Care guidance. There were individual records of training completed by staff and these showed that most staff had received fire safety, first aid, and manual handling training. There was no overall training plan for the home. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management of the home was satisfactory so that residents received a well organised service. However, there were gaps in records so that the safety and welfare of residents was not always effectively promoted. EVIDENCE: The acting manager had been in post for approximately 8 months. She had previously worked at the home as a senior care assistant and had recently started working towards NVQ Level 4. Residents, visitors and staff spoken with all said that the acting manager was approachable. It was commented that the acting manager had improved organisation in the home. The acting manager had not made an application for registration with CSCI. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 21 A quality assurance system was being developed that included surveys sent out to residents / their representatives and residents meetings. The acting manager said that the provider made regular visits to the home and produced reports as required, but these were not available for inspection. The records were seen of residents’ personal money kept at the home. The records were well kept and up to date. Access to the money was restricted to the acting manager and the provider. The provider carried out regular audit checks of the money. Health and safety records sampled were mostly up to date, including weekly checks of fire safety equipment and maintenance of the lifting hoists and passenger lift. The Landlord’s Gas Safety Certificate had expired by 4 months. There were gaps in recruitment records that put residents at risk, (see Staffing section of this report). Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 5(1) Requirement There must be a Service User Guide, available to all residents that includes all the required information. This will ensure that residents / their representatives have sufficient information to make an informed choice about living at the home. Accommodation must not be offered to residents until a suitably qualified or trained person has assessed their needs and the provider has obtained a copy of the assessment. This will ensure that the home is able to meet residents’ needs. Original timescale 30/06/06 Each resident must have a care plan that includes all their assessed needs. This will ensure that staff are clear about the action required to fully meet residents’ needs. Original timescale 14/07/06 There must be a record of all complaints made about the home with details of the action taken. This will ensure that residents’ complaints are taken DS0000067637.V338406.R01.S.doc Timescale for action 31/07/07 2. OP3 14(1) 31/07/07 3. OP7 15(1) 31/07/07 4. OP16 17(2) Schedule 4 11/07/07 Langdale Lodge Version 5.2 Page 24 5. OP18 13(6) 6. OP19 23(2)(b) (d) 7. OP19 23(2)(c) 8. OP29 19(1) 9. OP33 26(1)(3) (4)(5) 10. OP38 13(4)(c) seriously. Staff must have training in the protection of vulnerable adults. This will protect residents. Original timescale 30/09/06 Action must be taken to ensure the first floor shower room is reasonably decorated and well lit. This will ensure a safe and pleasant facility for residents to use. The side panel to the bath in the first floor bathroom must be repaired or replaced. This will reduce the risk of harm to residents. Original timescale 14/07/06 Staff at the home must have in place all the required documents and information. This will ensure that residents are protected. The registered provider must make an unannounced monthly inspection visit to the home, prepare a report and supply a copy to CSCI. This will help to ensure that residents’ views are taken seriously. Original timescale 31/07/06 A copy of the current Landlord’s Gas Safety certificate must be sent to CSCI. This will help to ensure the safety of residents and staff. 31/07/07 31/08/07 31/07/07 11/07/07 31/07/07 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Care plans should be devised in consultation with residents / their representatives to ensure that residents needs are DS0000067637.V338406.R01.S.doc Version 5.2 Page 25 Langdale Lodge 2. 3. 4. OP12 OP18 OP19 5. 6. OP30 OP33 7. OP36 met in the way they prefer. A more wider range of activities should be developed in consultation with residents so that there are activities offered to meet the needs of all residents. The policy and procedures for safeguarding vulnerable adults should be made specific to the home. This will ensure clarity of procedures and help to protect residents. The use of the ground floor bathroom should be reviewed and consideration given to the provision of an accessible bath and / or shower. This would provide residents with a choice of bathing / showering facilities. There should be an annual training plan in place for the home to ensure that all staff receive the training required to meet the needs of residents. The quality assurance system should be further developed to include an annual report to residents / their representatives of the findings of surveys and the action taken to address any issues raised. This will help to ensure that the home is run in the best interests of residents. Staff should have supervision sessions 6 times per year. This would ensure residents are assisted by competent and well supported staff. Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Langdale Lodge DS0000067637.V338406.R01.S.doc Version 5.2 Page 27 - 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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