Inspection on 17/09/05 for Lanrick House

This inspection was carried out on 17th September 2005.

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

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

Other inspections for this house

Lanrick House 11/05/09

Lanrick House 25/06/08

Lanrick House 24/10/06

Lanrick House 23/01/06

Lanrick House 27/01/05

Lanrick House 04/06/04

Lanrick House 15/10/03

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

CARE HOMES FOR OLDER PEOPLE Lanrick House 11 Wolseley Road Rugeley Staffordshire WS15 2QJ Lead Inspector Mr David Cowser Announced Inspection 17th September 2005 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 Lanrick House DS0000004970.V250854.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 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. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lanrick House Address 11 Wolseley Road Rugeley Staffordshire WS15 2QJ 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) 01889 577505 01889 577505 Mr Barry Price Mr Richard Charles Britten, Mrs Diane Isobel Britten, Mrs Hazel Mary Elizabeth Price Mrs Geraldine Mary Reid Care Home 32 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (32), of places Physical disability (1), Physical disability over 65 years of age (6) Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Physical Disability (PD) - Minimum age 62 years on admission. Date of last inspection Brief Description of the Service: Lanrick House is a care home that can accommodate thirty-two older people with needs associated with old age and dementia realted conditions. The home is located in a residential area of Rugeley, and is close to amenities and served by public transport. The premises, a large victorian house which has been extended, is pleasantly situated with lawns and external sitting areas. Adequate car parking, external roadways and pathways are provided. Accommodation is provided on three levels, the first and second floors are served with stairs and a shaft lift. There are 12 single occupancy bedrooms and 10 doubles, and no bedrooms have an en-suite facility. There are adequate bathroom and toilet facilities on each floor of the home. There are two separate lounges, and two separate dining rooms, located on the ground floor. Services and facilities including laundry, catering and hotel services, are adequate with upgrading work taking place. There are no separate smoking or hairdressing areas. The registered care manager, her deputy, and teams of care assistants provide care. Health service professionals such as district nurse, community psychiatric nurse, and physiotherapist are accessed when required, and local GP’s and a pharmacist service the home. Activities, hobbies and entertainment all take place and transport is provided when required. Families and friends are encouraged to take part, and have an involvment in the home. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 17 September 2005 @ 10.00hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 6hrs. The registered care manager was in charge of the home, accompanied by the deputy care manager and three care assistants. The ancillary staff on duty included a cook and a domestic worker. These staffing levels were adequate to meet the needs of the current 30 residents in the home. The total of 30 elderly residents, aged between 64 and 87 years of age, included residents with a dementia related condition and people receiving personal care for needs associate with old age. The inspection included the following elements; a tour of the building, observation and inspection of records relating to provision of care, discussions with five residents, discussions with all the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, quality assurance and health & safety. Since the last inspection on 27 January 2005; there had been no changes to the management of the home, no complaints had been received by CSCI and no additional visits had been necessitated. It was evident that aspects of care had been addressed well, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. No complaints, incidents or reports of abuse of any kind had been received by CSCI since the last inspection, and policies and procedures seen covered these issues. No residents had attended an A&E department due to an accident, and no resident had a pressure area (one in hospital). There had been only 3 deaths in the home since the last inspection. The home was fit for purpose and provided a safe environment for the residents and staff, with one exception. A very homely atmosphere had been created, and the premised were clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. No separate areas were provided for smoking or hairdressing. Services and facilities, including catering and laundry, were provided and are currently being upgraded. Health and safety Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 6 aspects had been addressed with the exception of hot water temperature control at baths. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Additional hours are recommended to cover afternoon teas. Recruitment and retention of staff aspects were good with little staff turnover since the care manager had been in post. However members of staff had been allowed to start before a POVA first check was obtained. Staff training had been given a high priority, with induction training being followed by NVQ training (66 level 2), and staff had received regular supervision. The home appeared to be managed well by a competent care manager. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Assurances were given, on behalf of the director, regarding the positive financial viability of the home, and that suitable accounting/business procedures were adopted. Requirements and recommendations made during this inspection are described at the end of this report, and these include the following topics; • Continuation of upgrading work to kitchen/dining/laundry areas. • Consideration of a separate smoking area in the home • Installation of hot water failsafe valves to baths • POVA first checks before staff start work • Medication training, for 2 remaining senior care assistants. • Additional staff time for evening meal provision is recommended • It is understood that the above items are currently in progress and will be checked during the next routine inspection. What the service does well: The home provides a very good standard of residential care, for people with needs associate with old age and dementia, in a very homely atmosphere. Staff interaction with residents was very good and there was a high level of satisfaction from the residents. To support the above, very positive comments were made to the inspector by five residents. Positive feedback forms were received from relatives. The inspector observed the care being delivered and the excellent interaction between staff and residents. A discussion took place with all staff on duty, who gave a good account of how they were meeting the needs of the residents. Their documentation of care delivery was seen as good and meaningful. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The statement of purpose and user guide was well written and available, and also all residents/representatives understood the contractual obligations. All had been given the opportunity to visit the home prior to admission, which had been part of the assessment process. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. The wellwritten documentation, and the very good assessment process had ensured that the home was well able to meet the assessed needs of residents. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 10 EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had visited the home prior to choosing to stay, and this formed part of the assessment process. Residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. A full assessment of each residents needs had taken place and this was seen documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments. The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. A service user guide was issued and the statement of purpose for the home was seen, both were comprehensive. No intermediate care is undertaken in this home. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The assessed health and personal care needs of residents had been well documented and were being met. The documentation seen was well written, up to date and reflected the current status of residents. There was a safe system for the receipt, storage, administration and disposal of medicines. Residents were treated with respect, privacy and dignity, during the caring process. NHS health care facilities and professionals had been accessed when required. All of the above had contributed in the delivery of high standards of care, to meet the service users assessed health, personal and social care needs. EVIDENCE: Five service users spoken to all commented positively about the care being provided. The reply cards received from relatives also made positive comments. The service user plans and associated documentation was very well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 12 NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A local GP practice and a local pharmacist service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only senior care staff administered medicines. Certificated training had been completed for the senior staff involved, with two exceptions (being arranged). No resident was ‘self medicating’, but locked facilities were available. No resident was on a controlled drug, and Tamazepam was being stored and recorded correctly. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Four residents told the inspector that they were treated with respect, and that the staff were very good. The records evidenced that there had been only 3 deaths in the home since the last inspection. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Residents were satisfied with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Catering aspects were very good with balanced nutritious meals being served, along with resident consultation and choice. All the above had contributed to resident’s expectations being met and their satisfaction with their stay in the home. EVIDENCE: From talking to residents and staff the inspector established that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus, beverage facilities for visitors. These comments had been documented along with the feed back from the resident/relatives, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Visitors had attended the home during previous inspections, and told the inspector of the good links and communication with them. Trips out to the community had been well organised and transport provided. The care manager showed the inspector the activities folder, which evidenced the activities both inside and outside the home. Residents spoke of Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 14 the places visited and also the entertainment within the home. The activities were organised by staff members and residents commented positively. The residents spoken to confirmed that information had been circulated regarding future events and activities and they could choose about participation. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that residents’ needs with diabetes, and special diets, had been met. The cook when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The mid day meal seen was well presented and met all nutritional requirements. The cook spoke to each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. The inspector sampled the mid day meal and it was very good, meeting all requirements. Several residents were unable to make a decision at times regarding choice of meal, due to their current condition, and the inspector saw them being assisted by staff who were knowledgeable of their likes and dislikes. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Complaints or grumbles are listened to and resolved. The home policies, procedures and staff training, protected residents from aspects of abuse. Service users legal rights were protected. EVIDENCE: An examination of the complaints book, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with in the correct manner. Since the last inspection no complaints had been recorded or brought to the attention of this commission. One compliant had been recorded within the home from a visitor but this had not been upheld. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. No incidents of neglect or abuse of any kind has been reported. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. A discussion with the staff and residents evidenced that all residents had been afforded the opportunity to exercise their vote in past elections. The manager confirmed that an advocate would be facilitated if required by a resident. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 The home is fit for purpose and provides a safe environment for residents, with the exception of hot water temperature control in bathrooms. The home was clean, warm and tidy, and had a very comfortable atmosphere. Hand washing facilities and laundry equipment, along with the infection control policies and procedures, all contributed to the hygiene and cleanliness aspects. The home currently provides single room accommodation for 12 out of the 32 residents (38 ). The buildings and grounds and gardens were well maintained, and provided a comfortable area for residents/visitors. The recently commenced upgrading work in the kitchen, dining room and laundry areas should be completed, as planned. Consideration should be given to provide an area other than the dining room for residents to smoke, and staff should be discouraged from smoking in the dining room. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 17 EVIDENCE: A tour of the building, and a check on the maintenance documentation, verified that the premises were fit for purpose, with one exception, and clean warm and tidy. Staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities were available throughout the home. The laundry equipment was seen to be fully compliant. The records evidence that maintenance of the premises was being addressed. On going painting and re-decorating was planned, including the laundry room. The upgrading work had commenced in the kitchen, dining room and laundry areas. This work should be completed as programmed. The grounds and gardens had been well maintained, and residents, visitors and staff had appreciated this. Hot water temperature checks, and emergency lighting/fire alarm tests were seen. Three bathrooms checked did not have failsafe thermostatic valves fitted, and water temperatures were in excess of 43degC. There are no outstanding issues known from the Fire Prevention or Environmental health departments. Both residents and staff were seen smoking in one of the two dining areas, and the smell of cigarette smoke was evident. Consideration should be given to providing a separate smoking area, or installing a suitable air extract/movement system, to enable the three existing residents to continue smoking. Staff should be discouraged from smoking in the resident’s dining room. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The assessed needs of service users had been met by an adequate number of suitably trained staff. However additional staff time for evening meal provision is recommended. Recruitment procedures, which contribute to the protection of service users, had not been correctly addressed. Staff training had been given a high priority. A high percentage of the care assistants employed had obtained level 2 NVQ qualifications. All the above had contributed to the high standards of care being delivered. EVIDENCE: The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. However at the present time a member of care staff is taken off the floor to undertake catering duties at teatime each day. It was agreed at the last inspection that additional hours would be provided to negate the need for care assistants to be taken off the floor and direct resident care duties. Following a discussion with the manager and her staff it was agreed that the shift cover was adequate for the existing residents needs. Staffing rosters were checked and were in order. An examination of the rosters evidenced that the following care staff had been maintained or exceeded: Daytime 1 senior carer 3 care assistants Night time 1 senior carer 1 care assistant awake (additional on call) Adequate ancillary staff had been provided each week. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 19 Two residents asked stated that staff were available when they wanted them, and that the staff were capable. The records seen evidenced that in addition to the manager the home employed 24 care assistants, of which 18 (66 ) were trained to NVQ level 2 or above. The homes recruitment policy, procedures and documentation were examined and recruitment issues had not always been handled correctly. Seven members of staff had started work in the home before a POVA first check had been obtained. The care manager was reminded that the CRB documentation must be sent off and the POVA first check obtained before any member of staff commence work. Documentation seen for other members of staff evidenced that correct procedure had been adopted, with references and comprehensive CRB checks done, before staff had commenced. Staff asked stated that they had job descriptions and contracts of employment. Training had been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client group. Staff told the inspector that they had been afforded the time off and encouraged to study. Training had been provided for staff in the awareness and management of dementia related conditions, and staff outlined this to the inspector. Two remaining senior care assistants were due to commence training in administration of medicines. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 The home appeared to be well managed and quality assurance was in place. Financial aspects were correctly addressed and recorded, with safeguards to residents. Health and safety issues had been given a high priority and managed well, with one exception (referred to earlier). Staff supervision had taken place and been documented. The above had contributed to the home being run in the best interests of service users, and provide the necessary safeguards. EVIDENCE: The care manager portrayed good leadership qualities and was both experienced and qualified. Staff told the inspector that she was very approachable and fair. Staff supervision had been carried out and documented. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 21 From observations made, and discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and all residents and families had chosen to do so. Day to day monies of residents were checked and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home, with the exception of the hot water temperature control referred to earlier in this report. The documentation seen for checks and examination of plant and equipment was not checked on this occasion, and will be checked during the next routine inspection. The staff spoken to confirmed that health and safety issues are given a high priority. Policy documentation seen covered these aspects. Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 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 4 4 4 4 4 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 2 x x x x 2 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 3 3 3 3 Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP20 OP25 Regulation 19(1)(a,b, c) 13(4)(a) Requirement Care Staff must not commence work until a POVA first check has been obtained, as agreed. Thermostatic failsafe valves must be fitted to hot water outlets at baths, showers or hairdressing, to ensure 43deg C is not exceeded. Timescale for action 17/09/05 17/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP19 OP19 OP27 OP30 Good Practice Recommendations The upgrading work recently commenced should be completed in the kitchen, dining and laundry areas. Consideration should be given to alleviating the smell of tobacco smoke from the dining room. Additional staff time should be provided for evening meal provision, as previously agreed. The two remaining senior care assistants should complete a medicines administration course (being arranged). Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Lanrick House DS0000004970.V250854.R01.S.doc Version 5.0 Page 25 - 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!