Inspection on 12/04/06 for Laughton Croft Nursing Home

This inspection was carried out on 12th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Laughton Croft Nursing Home 05/09/07

Laughton Croft Nursing Home 06/10/05

Laughton Croft Nursing Home 08/10/04

Laughton Croft Nursing Home 05/04/04

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 Laughton Croft Nursing Home Laughton Croft Gainsborough Road Scotter Common Gainsborough Lincs DN21 3JF Lead Inspector Dawn Podmore Unannounced Inspection 12th April 2006 09:15 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 Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 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. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Laughton Croft Nursing Home Address Laughton Croft Gainsborough Road Scotter Common Gainsborough Lincs DN21 3JF 01724 762678 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) Croft Carehomes Limited Michelle Rathbone Care Home 36 Category(ies) of Dementia (0), Dementia - over 65 years of age registration, with number (0), Old age, not falling within any other of places category (0) Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users in each category is as follows:Old Age, not falling within any other category (OP) (Personal Care) - 8 Dementia - over 65 years of age DE(E) (Personal Care) - 8 OP/DE(E) (Nursing) - 18 Dementia (DE) (Nursing) under 65 years of age - 2 The category DE (Nursing) under 65 years of age applies to two named service users. The service user to which this recommendation (3/8/05) applies is aged 62 years of age. The service users in the category OP (Nursing) resides in the main home The service user in category DE (Nursing) resides in the extension The maximum number of service users to be accommodated is 36 2. 3. 4. 5. Date of last inspection 6th October 2005 Brief Description of the Service: Laughton Croft is a single storey building situated about a mile from the village of Scotter, half way between Scunthorpe and Gainsborough. Accommodation is provided in thirty-four single rooms and one double room each with en-suit facilities. The home is set in a rural location surrounded by wooded and grassy areas. There are car-parking facilities to the front of the building. The registration is for a care home with nursing for older people and for people who have dementia. Fee rates range from £335 - £519 depending on peoples assesses care needs. Croft Care Homes Limited owns the home and the Registered Manager is Michelle Rathbone. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours. The main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted, documentation examined and residents, relatives and staff, including the manager and the cook, were interviewed either formally or informally. What the service does well: What has improved since the last inspection? What they could do better: Although each resident has a care plan, which tells people about the care they need, these must be improved with regards to wound care. Information provided needs to include a detailed description of the wound, such as the size, category and treatments, as well as the use of a body map to identify all damage to the skin and the date it occurred. At the last inspection a requirement was made regarding demonstrating that service users and/or their relatives had been consulted about their planned care. Although this has not been fully addressed the manager confirmed that consultation is being carried out as part of the annual care reviews with social services. The file of one nurse contained an induction form that had not been fully completed, signed or dated by the person concerned. Therefore there was no evidence to demonstrate that they had received essential information regarding the running of the home and systems in place. The content of the Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 6 induction programme offered to the qualified nurses also needs to be improved so that they receive a comprehensive introduction to the home that will enable them to carry out their responsibilities. Seven recommendations were also made regarding the following areas. Regular activities, such as a sing-a-longs, arts and crafts, and film shows had been provided, but the home should make sure that it caters for every residents individual needs. This is especially important for people who are unable to join in organised activities for whatever reasons. Residents should also be offered the opportunity to go out into the community. Although the home offers good training opportunities but it should make sure that the programme for 2006 ensures that all staff have received essential and specialist training to meet the needs of the people living at the home. The staff appraisal documentation should be improved to include detail of how the staff member is performing inline with their job description. The home uses questionnaires to gain the views of people whose relatives live at the home but the results should be added to the Service Users Guide so that people can see how any concerns are being addressed. Although the home has an adequate system in place for the handling of residents’ monies it was recommended that two signatures be obtained for all transactions, as this would make the system more robust. 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. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 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 Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The home’s assessment procedure ensures that it can meet the needs of people admitted to the home. EVIDENCE: Care records contained assessments of peoples needs carried out by the manager and/or social services prior to people being admitted to the home. Care staff confirmed that the manager visits potential residents to assess their needs, to make sure that they can be cared for appropriately by the home. The home does not provide intermediate care. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 9 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 Shortfalls in care planning documentation means that staff may not be aware of peoples needs, which could lead to residents needs not being met. People’s health needs are being adequately met. Residents are protected by medication procedures and record keeping. Staff treat residents with dignity and respect. EVIDENCE: Each resident has an individual plan, which contains detailed information relating to his or her care needs. Files contained care plans for identified needs such as dementia, moving and handling, and nutrition, but one plan did not adequately document the resident’s wound care needs. Documentation did not identify the areas of the skin involved, current treatments or the size or grades of any damage. This information must be provided to ensure that staff are fully aware of the care needed and can evaluate any progress or deterioration in the wound. Risk assessments were seen on all files, these addressed areas such as falls, bed rail usage and moving and handling. Records to monitor how much a person eats and drinks and/or when they have had their position changed were also available. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 10 Care plan reviews had been undertaken monthly; these recorded the effectiveness of the planned care and informed staff of any progress or deterioration towards planned aims and objectives. As outlined in the last report the home should be able to demonstrate that residents or relatives have been involved in the planning of their care where possible. Some files contained this information, but others did not. The manager confirmed that this issue was being addressed as part of the annual reviews undertaken with social services. Residents’ health needs were being met. Visits by doctors, dentists, chiropodists and district nurses were appropriately recorded on files. The manager is currently introducing new assessment documents to enable staff to monitor residents health needs better. This includes topics such as oral hygiene and falls management. The home has satisfactory policies, procedures and documentation concerning the receipt, storage, administration and disposal of medications. Residents spoken with said that they were happy living at the home and with the care they received. Observation and comments from residents and staff, demonstrated that staff respected residents’ choices, privacy and dignity. They were seen knocking on people’s doors, helping them to eat their meals and speaking to them in a friendly, respectful manner. Although some residents were unable to communicate others commented: ‘I am very happy here’, ‘I am looked after well’ and ‘my mother is very happy here and we are happy with the care provided. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 11 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 benefit from a range of social and therapeutic activities, but the programme would benefit from more one to one activities and outings. Choice is given in all aspects of the lives of the residents living at the home. Meals provided offer variety and choice. EVIDENCE: The home employs an activity co-ordinator 5 days a week including alternate weekends. On the day of the visit although there was no activities taking place or a programme on display the activities coordinator showed the inspector the programme currently being used. The programme included: reminiscence therapy, hairdressing, manicures, arts and crafts, games such as skittles, and film shows. A poster advertising an Easter fete was displayed in the entrance hall, it included an Easter egg hunt, a birds of prey display and various craft stalls. Individual care plans and risk assessments, which are in line with the activities undertaken, were also available and residents participation had been recorded. The home does not have any transport to take residents on outings. Residents said that they would like to go out of the home more and one said that they would like to go out to see some horses. Staff confirmed that residents did not go out except for walks in the garden or visits to the garden centre next door. It was recommended that more one to one activities be provided for people with a short attention span or those who were too ill to participate in organised Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 12 activities, due to illness or dementia. It was further recommended that the home looks at ways it could provide outings into the community for those residents who would benefit from going out more. Residents said that staff made their relatives’ welcome and relatives interviewed said that the staff were always friendly and supportive. Regular religious services are not held, but the home takes into consideration individual residents preferences regarding this area. For example one resident’s file showed that the home had considered their religion even though they were currently none practicing. The two dining rooms were light and airy, with one containing a newly purchased fish tank, which the manager said, helped to provide a calming atmosphere. The meal on the day of the visit was well presented and nutritionally balanced. Residents had been offered choices the day before and their preferences recorded. The cook served the meal from a hot trolley on both units, while care staff assisted people who required help or encouragement to eat their food. Lunch consisted of stewed steak or beef burgers, followed by rhubarb and custard or semolina pudding. The cook said that alternatives were available if people didn’t like the main meal and one resident was seen to have ice cream rather than the puddings being offered that day. Residents appeared to enjoy the meal and comments included: ‘the food is of a good quality’, ‘it’s not as good as I cook but it’s okay’ and ‘it was lovely, I like everything I get’. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 13 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 & 18 Residents’ benefit from comprehensive complaints and adult protection procedures. EVIDENCE: There have been no complaints recorded since the last inspection. Staff said that they could take any concerns to the management team and felt that they were listened to. Residents and relatives spoken with said that they had no complaints about the care they received and complimented the home on the care it provided. The home has a satisfactory procedure regarding the protection of vulnerable adults. Staff gave examples of the different types of abuse that may occur and who to report any concern to. The manager has recently attended a training day regarding adult protection, facilitated by the P.C.T. (Primary Care Trust) and the Local Authority. The majority of staff have received training in this subject with further sessions planned. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 14 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 & 26 Residents living at the home benefit from a clean, comfortable and homely environment. EVIDENCE: A tour of the building showed that communal rooms were bright and airy. The lounge, dining room and main corridor on Cedar wing had been redecorated since the last inspection along with some bedrooms. Bedrooms had been personalised by residents or their relatives and were clean and tidy with no unpleasant odours. People commented that they were happy with the home’s general facilities and their bedrooms. Some outside windows require attention and the manager confirmed that the programme of renewing all windows in the home would recommence as soon as the weather improved. The home has a patio area to the front of the building and a small enclosed garden area to the rear of the building, where residents can sit out in warm weather. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 15 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 Staff are on duty in sufficient numbers and skill mix to ensure that the residents are cared for in a safe, caring and competent manner. Residents are safeguarded by robust recruitment practices. The home does not provide an adequate staff induction programme for qualified staff, which could lead to staff not being aware of the correct policies and procedures to follow. EVIDENCE: Staff rotas and comments from staff, residents and relatives indicated that the staffing levels were sufficient to meet the needs of people currently living at the home. Observations demonstrated that staff cared for people in a calm, relaxed manner. Residents and relatives commented: ‘the staff are nice’, ‘the staff are good and kind’ and ‘I am very happy with the way I am looked after’. The home has a satisfactory recruitment procedure. Files contained application forms, health checks, 2 satisfactory written references and C.R.B. (Criminal Records Bureau) checks. Staff receive an induction to the home, which included shadowing an experience member of the team. The induction form for one quailed nurse had not been fully completed, signed or dated by them to acknowledge that they had received this training. The form on which the induction is documented does not contain enough detail therefore it does not evidence that new nurses have been given sufficient information. The home must provided new nursing staff with comprehensive information about the day-to-day running of the home, the systems in place Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 16 and their responsibilities as the person in charge of the home, thereby ensuring the smooth running of the home. Staff training had taken place and is ongoing, with most staff attending mandatory subjects. Training covered included, essential skills in health care, dementia, fire awareness, nutrition in care homes and moving and handling. Areas needing more attention included dementia care, basic food hygiene, infection control and adult protection. The manager said that the management team is currently formulating a training plan for 2006. It was therefore recommended that that plan ensure that all staff have attended mandatory updates and specialist training to meet the needs of the residents. Nine staff have attained an N.V.Q. (National Vocational Qualification) level 2 in care and 3 are currently registered to undertake the course. The manager is currently undertaking the N.V.Q assessors course, which will enable her to assess staff in the home. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 17 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 Sufficient leadership, guidance and direction are provided to staff to ensure residents receive consistent quality care. Residents’ finances are handling appropriately. The home has health and safety policies and procedures, which help to safeguard staff and residents. EVIDENCE: The Registered Manager is a qualified nurse with management experience. She holds the Registered Managers Award, and continues to develop her management and practical skills, which include: counselling, nutritional screening, venepuncture and various management courses. She is also qualified in teaching and assessing for infection control; a dysphasia link nurse and has experience of palliative care. She is keen to promote research based care and staff and relatives said that the home had improved since she joined the team. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 18 Staff files contained evidence that supervision sessions take place, but it was recommended that improvements be made to the staff appraisal document, as it does not provide a clear overview of how the staff member is performing against their job description. The manager said that head office send out a satisfaction survey once year to gain relatives views on how the home is performing. The last survey took place in January 2005 but results were not available at the home and had not been summarised by the Company. It was recommended that the results be included in the Service Users Guide so that people can see how the home has reacted to any concerns highlighted in questionnaire responses. The manager said that resident/relatives meetings had taken place but these had not been on a regular basis. Residents’ annual reviews are currently underway with social service and relative involvement. Quarterly newsletters are also sent to relatives and in February a monthly staff newsletter was introduced. The finances of residents being case tracked were examined and found to be well documented, including receipts and signatures. It was however recommended that two signatures be obtained for all transactions, where possible one of which should be the resident or relative concerned, as this would make the system more robust. The registered provider is required to complete a monthly report detailing his findings at the home, there was no evidence that these visits had taken place in the home. These were faxed to the Commission following the visit and the Responsible Person agreed that in future a copy would be available at the home. Policies and procedures regarding health and safety are available to guide and instruct staff. Manual handling and fire training had been provided. There is a programme to service and maintain the equipment in the home on a regular basis. During the tour of the building servicing labels were checked on fire appliances and moving and handling equipment, these confirmed that regular servicing had taken place. In January 2006 Lindsey District Council introduced a star rating system with regards to the quality of kitchens and food provision in care homes. The assessment of the home included looking at the kitchen layout and equipment as well as food hygiene and practices. A letter was seen that showed that Laughton Croft has been awarded a 3 star rating. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 19 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 20 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 OP7 Regulation 15 (1) 15(2) Requirement Timescale for action 01/06/06 2. OP7 15 (1) 3. OP30 18 Care plans must be in sufficient detail to enable staff to provide comprehensive care. They must set out, in detail, a description of any skin damage, identifying the location and category of the skin damage and any treatments prescribed. 01/06/06 The responsible person must demonstrate that they developed the care plans in consultation with the residents, or where this is not practicable, with their representatives. The previous timescale of 31/01/06 was not met but the home has started the process as part of the annual reviews. Staff must receive a 01/06/06 comprehensive induction, which demonstrates that they have been adequately prepared for their responsibilities at the home. Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 21 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 OP11 Good Practice Recommendations It is recommended that personal wishes and relevant information regarding end of life arrangements be recorded in individual care files. The home has started to address this issue The home should provide more one to one activities for people with a short attention span or those who are too ill to participate in organised activities, due to illness or dementia. The home should look at ways to provide outings into the community for those residents who would benefit from going out more. The training plan for 2006 should ensure that all staff receive mandatory and specialist training to meet the needs of the residents living at the home. The results of satisfaction questionnaires should be included in the Service Users Guide so that people can see how the home has reacted to any concerns highlighted in questionnaire responses. Two signatures should be obtained for all financial transactions, where possible one being that of the resident or relative concerned, as this would make the system more robust. The documentation for recorded staff appraisals would benefit from improvements so that it provides a clear overview of how the staff member is performing against their job description. 2. OP12 3. 4. 5. OP12 OP30 OP33 6. OP35 7. OP36 Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Laughton Croft Nursing Home DS0000002541.V289140.R01.S.doc Version 5.1 Page 23 - 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!