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Inspection on 22/03/07 for Lauriston Christian Nursing Home

Also see our care home review for Lauriston Christian Nursing Home for more information

This inspection was carried out on 22nd March 2007.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents have their nursing and health needs properly met and are supported by qualified and trained staff. They have a detailed care plan in place so that staff know exactly what support they would like and need. The care plans also cover individuals` interests and hobbies and any preferences they have about their care. The activity programme that is available to residents is excellent and is based on the things that residents have said they like to do. People that want to go out into the local community are supported to do so. The Manager runs the home in the best interests of the residents and listens to their views. Relatives and friends can visit when they wish to and also have opportunities to have their say about how the home is run. Residents are protected by safe procedures for recruiting new staff and by clear policies on protecting vulnerable people from abuse. All the staff have completed the training they need to do to support residents effectively and safely. In addition to the registered nurses in the home 50% of the care staff have achieved their NVQ award.

What has improved since the last inspection?

There are now special fire safety door props in place so that residents can have their door open if they wish and still feel confident that it will close if there was ever a fire. All the staff have had training in safeguarding vulnerable adults and also in 1st aid and Moving and Handling so that they know the safest ways to support residents. Some further training is planned for this year. Some areas of the home have been redecorated and new carpets laid providing a comfortable and pleasant living environment.

What the care home could do better:

The Statement of Purpose and Service User Guide need minor amendment so that people looking to move to the home have accurate information about the fees charged. There has been an ongoing problem with the heating and this needs to be fixed urgently so that the risk of the heating breaking down again is reduced. The Manager should also draw up a plan for dealing with any unpleasant odour in the home to ensure a pleasant environment for residents. The Manager needs to update the fire risk assessment to reflect the fire officer`s advice about locking one of the fire exits; this is to ensure that residents are kept safe. The Manager must ensure that any medication that is waiting to be returned to the pharmacy is locked away and not left open to vulnerable residents. Residents` decisions about the end of life must be recorded on the care plan including a record of anyone else involved in the decision. This then needs to be regularly reviewed with the person.

CARE HOMES FOR OLDER PEOPLE Lauriston Christian Nursing Home 40 The Green St Leonards On Sea East Sussex TN38 0SY Lead Inspector Jo Griffiths Unannounced Inspection 22nd March 2007 09:45 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 Lauriston Christian Nursing Home DS0000014010.V332835.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. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lauriston Christian Nursing Home Address 40 The Green St Leonards On Sea East Sussex TN38 0SY 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) 01424-447544 01424-447522 lauriston@schealthcare.co.uk Southern Cross Healthcare Lynn Carrol Carter Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (60) of places Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users must be older people aged sixty-five (65) years or over on admission The maximum number of service users to be accommodated is sixty (60) From time to time the service may admit service users, under sixtyfive (65) years of age on admission, for permanent, or respite care accommodation. To accommodate one specific service user with a learning disability. Date of last inspection 19th January 2006 Brief Description of the Service: The Lauriston Christian Nursing Home is registered to provide care with nursing for a maximum of sixty clients under the category of elderly care. It is owned by Southern Cross Healthcare Ltd. and situated in a residential area of St. Leonards-On-Sea, near to a main bus route. Lauriston is a large purpose built building with level access to the front door and accommodation set out over two floors. A lift provides access to each floor. It is surrounded by well maintained grounds that are accessible to wheelchair users. There are six comfortably furnished lounges and three dining areas to provide communal space for clients and their visitors. All the bedrooms are single rooms and all have en-suite facilities. Lauriston has a Christian ethos although clients with other faiths are welcomed. The current fees for this service range from £447 - £730 per week depending on the individuals needs. Information on fees can be obtained from the Manager of the home. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. Inspectors Jo Griffiths and Marion Weller visited the nursing home on 22nd March 2007 between 9.45am and 4.30pm. The acting Manager of the home was on duty and contributed positively to the inspection. A number of staff and residents were spoken with during this visit and some records were inspected. The inspectors had a look around the home and observed some of the activities that were going on during the day. What the service does well: What has improved since the last inspection? There are now special fire safety door props in place so that residents can have their door open if they wish and still feel confident that it will close if there was ever a fire. All the staff have had training in safeguarding vulnerable adults and also in 1st aid and Moving and Handling so that they know the safest ways to support residents. Some further training is planned for this year. Some areas of the home have been redecorated and new carpets laid providing a comfortable and pleasant living environment. Lauriston Christian Nursing Home DS0000014010.V332835.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. Lauriston Christian Nursing Home DS0000014010.V332835.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 Lauriston Christian Nursing Home DS0000014010.V332835.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): Standards 1, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with the majority of the information they need about the home. They have a full assessment of their needs and know that they home are able to meet these needs when a place is offered to them. Residents have the opportunity to visit the home to assess the service before moving in. EVIDENCE: The Statement of Purpose and Service User Guide give residents clear information about the services that the home provides. The acting Manager was advised that these documents must include information about the fees for the home and was referred to guidance documentation on our website. Both documents need to be updated to include the new address for the CSCI office so that residents know how to contact us if they need to. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 9 Residents have a comprehensive assessment of their needs. It was good to see that residents cultural needs and their own lifestyle preferences have been included in the assessment. Once the assessment has been completed the Manager writes to the prospective resident to confirm if they will be able to meet their needs and offer a place in the home. The acting Manager said that visits to the home prior to moving in are encouraged as it gives the Manager and staff a chance to build relations with the relatives and it gives the resident a chance to get to know the home. Pre admission visits are not always possible and where emergency admissions are required there is a clear policy in place. Some respite care can be provided but the home does not provide intermediate or rehabilitative care. Lauriston Christian Nursing Home DS0000014010.V332835.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): Standards 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a care plan that ensures their needs are met in a person centred way. Residents can be confident that their health needs will be fully met and that they will be safeguarded by the practices in the home for managing medication. Residents feel they are treated with respect and know that, at the time of their death, they will be treated with sensitivity and their dignity maintained. EVIDENCE: Six care plans were inspected and these were detailed and comprehensive. The care plans cover individuals’ medical and personal care needs but also include resident’s social needs and preferences. Some residents need additional support to communicate their likes and dislikes and in these situations relatives are encouraged to be involved in the assessment, care plan and reviews. The care plans are reviewed regularly and the daily records are Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 11 largely maintained appropriately. Where entries were not been made in sufficient detail, for example some records stated ‘all care given’, the Manager undertook to address this with staff. Individuals’ wishes for the end of life are recorded on the care plan. Some individuals have made a specific request about their wishes in the event of requiring resuscitation. The Manager was advised that those involved in this important decision should be documented in the care plan and the decisions kept under regular review. Risk assessments are in place for a variety of aspects of care. The use of Bed rails and bumpers has been managed well and the multi disciplinary decision whether to use them recorded for each person. Attention has been paid to prevention of falls and the moving and handling needs of residents. Health needs are responded to quickly and records indicate that advice is sought from other health care professionals when needed. Residents are weighed regularly. For those that cannot use the scales the ‘MUST’ tool is in use, however the forms have not been completed fully as the tool intends. This was discussed with the Manager who stated that there had been some difficulty establishing the height of the person in order to use the tool effectively. She said that they now have a process for overcoming this constraint. A Waterlow assessment is undertaken for identifying any risk associated with maintaining a resident’s skin integrity. Pressure relieving equipment was in evidence. Treatment plans for pressure areas were also seen and tissue viability nurses were visiting the home on the day of the inspection. The home uses other monitoring forms including seizure and falls charts and are planning to introduce pain tolerance and pain monitoring charts. Only the Registered Nurses administer medication to the residents and whilst doing this they wear a red tabard that states do not disturb on it to avoid errors during administration. The Manager carries out regular competence assessments for the nursing staff in this area. Observation of medication administration and records showed safe practice. Some residents are able to manage their own medication and this is agreed through a clear risk assessment process. Medication is stored securely within the home although it was noted that medication waiting to be returned to the pharmacy is not kept locked away. The Manager was advised that they should refer to CSCI guidance on the use and storage of oxygen in the home to ensure they are fully complying. Care plans contained information about how a resident might prefer to be addressed and whether they prefer a male or female carer. Staff were observed to be respectful when speaking to residents and good interaction was seen between staff and residents. Feedback from residents confirms that they feel that staff treat them with respect. Lauriston Christian Nursing Home DS0000014010.V332835.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): Standards 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain a lifestyle of their choice and to maintain contact with their family and friends. They are helped to exercise choice and control in their lives. Residents enjoy the meals and have plenty of choice. EVIDENCE: Residents are consulted on their social interests and needs as part of the initial assessment and their social needs are clearly addressed within the care plan. There is a programme of activities in the home lead by the activities coordinator and this is agreed with the residents each week. Residents spoken with said that they enjoyed the activities and were supported to do the things that suit them. During the inspection a cookery session was underway and this was tailored to meet the diverse needs of the group. This included providing tabletops for people in wheelchairs so that they could maximise their skills. The activities coordinator has an excellent understanding of the needs and interests of residents and works hard to ensure they are met. The needs of Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 13 those that are unable to attend the group sessions were discussed with the coordinator who said that she aims to visit these people throughout the morning in their rooms. Records show that there is a range of activities provided each week. Examples include, fellowship meeting every morning, Bingo, DVD interactive games, a visiting musician, arts and crafts, singing and coffee mornings. In addition to the regular activities residents spoke of a recent ‘Pie n Mash’ evening they had enjoyed, a ‘Chilli and Charleston’ night and a quiz night. A Mother’s day party had been held in the home the previous weekend. Residents are supported to go for regular days out and one resident, who previously enjoyed bridge club before moving to the home, was still being supported to attend in the town. Visitors are welcome at anytime and during the inspection at least 10 visitors were seen in the home. Residents’ preferences are included in the care plan and those spoken with said that staff respect the decisions they make in their lives. The menu is tailored to the needs of the individuals and offers at least 2 choices per meal. The Manager is in the process of introducing a new system for monitoring the nutritional value of the menu. Residents said they enjoyed the meals and can always have something different if they choose to. Those that require support with their meals have this need identified in the care plan. Staff were seen to support residents with their meals in a respectful and dignified manner. Lauriston Christian Nursing Home DS0000014010.V332835.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): Standards 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know any concerns they have will be taken seriously and acted upon and they are safeguarded from abuse. EVIDENCE: There have been no recent complaints received by the home. Residents spoken with said they knew how to make a complaint if they needed to and said they would feel comfortable to do so. The complaints procedure is included in the Service User Guide that is issued to each person when they move to the home. Regular meetings are held that residents can attend if they wish to raise any issues and the Manager holds an open surgery each month for relatives, staff or service users to discuss any issues. All staff have attended training in safeguarding vulnerable adults and update sessions are planed. There is a procedure for the protection of vulnerable adults in the home that staff are made aware of during their induction. The staff handbook contains a copy of the whistle blowing policy. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 15 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): Standards 19, 20, 21, 22, 23, 25, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a safe home that is generally comfortable, but their comfort has been reduced by ongoing heating problems. They have access to plenty of communal and private space, including bathrooms, to meet their needs and have the specialist equipment they need. Residents would benefit from resolution of an odour problem in the home but generally benefit from a clean and well maintained environment. EVIDENCE: The home is well maintained and is comfortable for the residents living there. There are a number of lounge and dining rooms around the home that residents can choose to access. They are fully furnished and have televisions, books and newspapers. Specialist seating is provided for those who require it. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 16 A team of domestic staff keep the home clean and tidy. There is a problem with unpleasant odour in one area of the home and the acting Manager explained the action that was being taken to resolve the issue. It is recommended that an action plan for this problem be recorded and monitored. All the bedrooms are single and have ensuite facilities, some have showers and some have sinks and toilets. There are plenty of bathrooms on each floor for residents to use that have equipment to help people with mobility difficulties. Raised nursing beds are provided in most bedrooms and the acting Manager is purchasing more to replace any Divan beds. There is a range of hoists in the home to meet peoples varying mobility needs, although the storage space for specialist equipment is somewhat limited. Some of the dining room areas are scheduled to be redecorated in April and some areas have recently been refurbished. New carpets have been fitted to the ground floor and it is planned that this will be extended to the first floor this year. The acting Manager said that bedrooms are redecorated frequently and usually before a new person moves into the home. There have been ongoing problems with the heating in the home and this has left residents without properly working radiators on a number of occasions. Residents said that the previous week they had been without heating and were reliant on portable heaters and extra blankets. The acting Manager evidenced that she is making every effort to resolve the issues but has been waiting for the maintenance company to provide a date to do the required work This must be addressed by Southern Cross as a matter of urgency to ensure that residents do not have to experience a heating failure again. Residents have the use of a very pleasant garden at the rear of the house. It has paved areas and seating and has been made accessible to people that use wheelchairs. The activities coordinator was working with residents to plant bedding flowers and pots. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 17 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): Standards 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by sufficient numbers of trained and qualified staff to meet their needs. They are protected by safe recruitment practices in the home. EVIDENCE: There are always 3 nurses on duty during the day with 11 carers and 2 nurses at night with 4 carers. There is an additional 4 hours of flexibility built into the day to allow staff to support residents to appointments or other activities without impacting on the staff numbers available in the home. In addition to care and nursing staff there is a domestic team, headed by the housekeeper, a maintenance man, an activities worker, admin staff, a kitchen team and a hairdresser. Staff have completed a number of training courses including 1st Aid, Moving and handling, fire safety, Adult protection, Health and Safety and infection control. Nursing staff have undertaken training in specialist areas such as tissue viability, medication and the Liverpool pathway. The home has access to some training courses through the Primary Care Trust. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 18 Robust recruitment procedures were seen to have been followed for new staff employed and additional staff files were sampled to support that good practice is followed. All staff undertake a comprehensive induction when they start at the home and have regular supervision with the Manager. Further training is planned for next month in care planning and 1st aid. Staff are issued with a handbook outlining their responsibilities and key polices of the home. Feedback from staff evidenced that they feel well supported in their roles and are given clear guidance as to their duties and responsibilities. Staff spoken with spoke in high regard of the acting Manager. Of the 27 care staff employed 8 have an NVQ at level 2 or above and 6 are currently studying. An additional 8 senior care staff have an overseas nursing qualification and are planning to carry out an NVQ or a conversion course. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 19 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): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are benefit from a qualified and competent Manager that runs the home in their best interest. Their health, welfare and financial interests are protected. EVIDENCE: The registered Manager has recently resigned and the acting Manager has been promoted to the full time position. She is aware of the need to apply for registration as Manager of the home. The acting Manager is a Registered General Nurse and has worked at the home for 10 years as the deputy Manager. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 20 The acting Manager carries out regular meetings with residents and relatives to gather their views about the service provided. There are formal quality visits carried out each month by a representative from Southern Cross. 6-monthly audits of the general environment are carried out and the Manager completes a weekly ‘walkabout’ health and safety checklist. Customer surveys are sent to residents at least annually. There is business plan and maintenance plan for the home. The home does not generally deal with financial issues on behalf of residents but will hold small amounts of cash securely for them if requested. A system is in place for supporting residents to pay bills for hairdressing or toiletries etc and the records relating to residents money were seen to be accurate and robust. Residents have lockable drawers in their rooms for personal belongings. ‘Dorguards’ have been fitted to some bedroom doors so that residents can have their door propped open and still be confident that it will close in the event of a fire. A fire risk assessment has been completed but one fire exit is currently being bolted at nighttime and has a keypad code that has to be entered to use the exit. The acting Manager said that the fire officer had agreed the arrangement and therefore this must be reflected in the risk assessment. Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 21 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 2 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 X 18 3 3 3 3 2 3 X 1 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 22 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 Standard OP1 Regulation 4 Requirement The Statement of Purpose and Service User Guide must provide residents with the required information about the fees charged for the service. Timescale for action 27/04/07 2 OP9 13(2) Medication that is being returned 27/04/07 to the pharmacy must be kept secure to avoid risk to vulnerable residents. The decisions made by residents with regard to resuscitation must be recorded on the care plan and include details of who else was involved in the decision to evidence that an informed decision has been made. The decision must be kept under review. The identified problems with the heating in the home must be resolved so that residents can be assured the home will be properly heated at all times. The Manager must provide evidence of how she is DS0000014010.V332835.R01.S.doc 3 OP11 12(2) 25/05/07 4 OP25 23(2)(p) 25/05/07 5 OP26 16(2)(k) 27/04/07 Lauriston Christian Nursing Home Version 5.2 Page 23 addressing the issue of unpleasant odour in the home. 6 OP38 23(4)(b) The recent decision approved by the fire officer to lock a fire exit must be included in the fire risk assessment with evidence that this meets fire safety regulations. 27/04/07 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 It is recommended that staff expand their daily care plan notes to include details of the care given to the resident and information about their wellbeing. It is recommended that the storage arrangements for wheelchairs and equipment be reviewed in the home. 2 OP22 Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Lauriston Christian Nursing Home DS0000014010.V332835.R01.S.doc Version 5.2 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. 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