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Inspection on 10/10/05 for Lavender House Retirement Home For The Elderly

Also see our care home review for Lavender House Retirement Home For The Elderly for more information

This inspection was carried out on 10th October 2005.

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

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

Generally residents expressed their satisfaction with the care received, although one resident is very unhappy about the care and services received and the concerns are being investigated separately following this inspection. One resident said she had told the cook she liked Yorkshire puddings and the next day she was given two with her lunch. Another said "you can`t grumble about the home or the staff but sometimes you are kept waiting. The food is good and if there is something you don`t like you can always have something else." One resident specifically came to the inspector to inform her of his total satisfaction with the home and the care and services he receives. He was especially complementary about the manager. All residents said visitors are welcome at any time and they can be seen in the lounge or privately, usually in the bedroom.

What has improved since the last inspection?

The manager is continuing to make progress with staff training needs and staff appear happier and more motivated as a result. The change in staff routines is proving beneficial to residents and allows more time to be spent with the residents. Activities take place every afternoon and residents make a choice as to what is provided. Generally there has been an improvement in the cleanliness of the home and offensive odours were not apparent in the home apart from two bedrooms which, despite the best efforts of the staff, continue to be a problem.

What the care home could do better:

The procedures for the recruitment, employment and training of staff must improve to ensure the safety of residents. All complaints and concerns must be recorded, including the investigation and outcome. The procedures for administration of medications and the associated records must be tightened up. The quality and standard of cleanliness of bed linen, pillows and towelsmust be improved. The proprietor had not shared the previous inspection report with the manager or made a copy available to residents and prospective residents.

CARE HOMES FOR OLDER PEOPLE Lavender House Retirement Home For The Elderly 69 Welton Road Brough Hull East Yorkshire HU15 1BJ Lead Inspector Pam Dimishky Unannounced Inspection 10th October 2005 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 Lavender House Retirement Home For The Elderly DS0000019688.V256614.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. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lavender House Retirement Home For The Elderly 69 Welton Road Brough Hull East Yorkshire HU15 1BJ 01482 666013 01482 666013 Address 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) Quality Care UK Limited Undergoing Registration Process Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (32) of places Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one service user under 65 years Date of last inspection 10th May 2005 Brief Description of the Service: Lavender House is a Georgian style care home on two floors, set in the heart of the village of Brough. There are seventeen single bedrooms, seven of which have en-suite facilities, and four shared rooms; one has en-suite facilities. There are flower beds and parking to the front with a small garden to the side of the building. Local amenities are close by including shops, pubs, rail and bus services. The home is registered to provide care and accommodation for 32 older people, some of whom may have dementia. A variation to the registration has been made to accommodate one resident who is under 65 years of age. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8.50 hours (including preparation). Progress has been made on all but five of the previous inspection’s requirements. The inspector looked round most parts of the home and a number of records were inspected. Nine of the twenty-six residents, and two of the staff were spoken to. What the service does well: What has improved since the last inspection? What they could do better: The procedures for the recruitment, employment and training of staff must improve to ensure the safety of residents. All complaints and concerns must be recorded, including the investigation and outcome. The procedures for administration of medications and the associated records must be tightened up. The quality and standard of cleanliness of bed linen, pillows and towels Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 6 must be improved. The proprietor had not shared the previous inspection report with the manager or made a copy available to residents and prospective residents. 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. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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): 1,3,4 and 6 Prospective residents have the information they need to make a decision as to whether to come into the home. The admission procedure includes a proper assessment being made of residents moving into the service to ensure the home can meet their needs. However the registered person has not provided confirmation in writing that the resident’s needs, in respect of health and welfare, can be met. EVIDENCE: Information about the home in the form of the statement of purpose and service user guide is made available to residents and to anyone considering living in the home; a copy is also kept in the reception area. The manager and/or proprietor assess prospective residents before being admitted to the home to ensure their needs can be met. Written confirmation the home can meet the resident’s needs has not been given. All residents who have been placed through social services have a care management assessment and care plan. One resident has care needs which are becoming problematical and may not be fully met by the home. Staff have not received the specific training to Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 9 meet the care needs of this resident and the manager is following up a request to the surgery for support and advice. The manager was advised that national minimum standard 6 must be met if residents are referred solely for intermediate care. Referrals have been previously accepted in the home, but the occupational therapist and physiotherapist have made assessments in the residents own home as to their capabilities and safety for returning there. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Residents care plans have sufficient detail to provide staff with the information they need to satisfactorily met residents assessed needs. The health needs of residents are generally met with evidence of good multi-disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place. However, these are not always being used correctly which may have the potential to place residents at risk. Whilst staff interviewed were able to demonstrate their knowledge of maintaining residents privacy and dignity, in practice this was not always being followed. EVIDENCE: Four care plans were examined and daily records are being made of the care given, usually from staff on each shift. Care plans are comprehensive and there is evidence of the plan being reviewed monthly, although it appeared no changes to the care plan had been found to be necessary; risk assessments are being made when needed. Daily records did not reflect one residents concerns and unhappiness, expressed to the inspector, although staff were clearly aware. The local surgery hold a weekly clinic in the home; extra help Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 11 and support has been requested from the community psychiatric nurse for one resident and this is still awaited. The district nurse attends the home daily, the continence nurse visits twice a year, a physiotherapist, dietitian, optician and both a private chiropodist and the NHS chiropodist also attend. Medications and records were examined for four residents and these were generally in order. However, the manager was advised regarding being able to account for tablets which were not in a blister pack. Four loose tablets, all different, were found on the floor at the entrance to the medications room. Two appeared to have been partially dissolved possibly indicating the resident had removed them after being administered. The manager stated she would investigate how the tablets came to be on the floor and to impress on staff the need to ensure medication is taken. The medications returns book had pages not signed and the pharmacist’s copy was also remaining in the book for some pages. The controlled drugs register could not be found although tablets had been recorded as given on the medicine administration record (MAR) sheet. A lock has been installed on the downstairs bathroom door ensuing both the bath and toilet can be used in private. Staff interviewed were able to demonstrate how they maintain residents respect and dignity. However, one lady was observed not having her legs covered although staff were in the area at the time. Another resident said the call bell is not always answered and the morning before had been left sat on the toilet for a considerable period. (These allegations are to be investigated separately following this inspection). Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Daily life and social activities meet the expectations and choice of the residents living in the home. The lives of residents are enriched by family and friends being able to visit the home and maintain telephone contact. Residents are able to exercise choice and control over their lives therefore maintaining their independence. The meals in the home are good offering both choice and variety according to the wishes of the residents. EVIDENCE: Music was being played during the morning of this inspection and residents in the lounge were watching television, reading morning papers or just listening to the music; during the afternoon five residents were enjoying a game of bingo. Daily activities include quizzes, bingo, dominoes and board games; one resident enjoys doing jigsaws each day. The church visits the home weekly and provide communion and an entertainer visits monthly. A showing of “Pictures of Days Gone By” is being arranged which is designed to help older people recall their experiences of days gone by. An organ is now in the lounge and is played occasionally. Residents confirmed their family and friends can visit at any reasonable time and they are able to be seen in private. A cordless telephone is available for residents to make and receive calls and three have their own telephone installed in their room. Two relatives live abroad and the home helps the residents to keep in contact by e-mail. One resident takes Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 13 walks into the village, one lady visits the Womens Institute once a month and others, with assistance, are able to visit local shops and the local pub for lunch and a drink. The sister of one resident takes him shopping in the local supermarket to choose his favourite food which the home then prepares for him. Care plans indicate preferred waking and going to bed times, time and frequency for bathing and having hair shampooed. The menu board in the lounge was not showing what was being offered for lunch which was meat pie, green beans, leeks and potatoes followed by gooseberry crumble and custard. Residents were observed having lunch and appeared to be enjoying their meal; the food looked attractive and plentiful. All the residents expressed their satisfaction with the food provided and some of the comments made were “I told the cook I liked Yorkshire puddings and I got two the next day”, “the food is good and if there is something you don’t like you can have something else”. A dietitian checks the menu and offers advice. Residents needing special diets and/or supplements are all catered for by the home. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has a satisfactory complaints procedure available to residents and their families. Not all staff have had awareness training for the protection of vulnerable adults which leaves residents potentially at risk. EVIDENCE: The home has a complaints procedure which has been given to all residents. A comments book, available next to the visitors book, includes entries expressing grateful thanks to the home, the most recent being July 2005. No complaints have been recorded by the home since the last inspection although it was clear that one resident had raised a number of concerns which do not appear to have been satisfactorily resolved. The daughter of one resident who is no longer living in the home, had brought some concerns to the attention of the Commission for Social Care Inspection which she stated the home were investigating. However, the manager was unaware of her dissatisfaction with the home and she was therefore asked to contact the daughter for the details, investigate the concerns, and send a copy of the outcome to the daughter and the Commission. Two members of staff said they have not had awareness training for the protection of vulnerable adults and had not read the Hull and East Riding multi-disciplinary guidelines, two copies of which are available in the home. Concerns raised with the inspector by one resident are to be investigated separately following this inspection. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22,24, and 26 Whilst there is evidence of ongoing maintenance and redecoration in the home, there is a need for further improvements particularly with regard to cleaning and quality of bed linen and towels, to provide residents with an attractive, homely and safe place to live. EVIDENCE: Although the home’s handyman left two months ago this position has now been filled and there continues to be evidence of ongoing maintenance and redecoration taking place. The home has sufficient lavatories and washing facilities, although in practice only one bathroom is used for washing. (This bathroom was in use at the time of this inspection and therefore was not inspected). One toilet on the first floor was not working at the time of this inspection and the water to the cistern had to be turned off as it was leaking through the ceiling of the lounge below. The home has a passenger lift two mobile hoists and a bath hoist; the manager stated the district nurse has confirmed the equipment is adequate for current needs of the residents. A call alarm is installed in all areas of the home used by residents, but the lead in the Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 16 en suite facility of room 21 needs extending. To ensure the safety of residents trip hazards must be eliminated; those identified were a hole in the carpet outside room 4 and the carpet door-strip in room 9 needed attention. Some bed linen, the carpet in one en suite and the wall alongside one bed were noted to be soiled. Much of the bed linen, towels and pillows are no longer considered to be of good quality and a programme for replacement should be initiated. Both linen cupboards on the first floor had the doors open although there is a notice saying keep locked shut; one of these notices has been almost totally removed. No unpleasant odours were found throughout the home apart from two bedrooms which, despite the best efforts of the home, continue to be a problem. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 Sufficient staff are deployed at all times to meet the current needs of the residents. The home cannot be sure residents are in safe hands at all times until training is completed and the home’s recruitment practices improve. EVIDENCE: Twenty-six residents were living in the home and are being cared for by three staff during the daytime shifts and two on night duty; in addition there are kitchen staff, a cleaner and the manager who, on occasions, also works alongside the staff. Of the sixteen staff employed in the home, Criminal Records Bureau (CRB) checks have been outstanding for seven staff for over a year which is totally unacceptable and must be addressed by the home without delay. Evidence has been seen at a previous inspection that applications have been sent to the umbrella body for forwarding to the CRB. Disciplinary action has been taken against two members of the care staff and the situation is being closely monitored by the proprietor and the manager. The manager now has her own training budget and quality training is being accessed for staff through Hull College. Four care staff have attended a medication course and are awaiting their certificate, one member of staff has attended dementia awareness and arrangements are being made for moving and handling training. A range of videos have been obtained for the purpose of in-house staff training and these include moving and handling, food hygiene, medications, continence, first aid and adult abuse. The manager is qualified in Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 18 first aid and staff have received video training. Six members of staff have either qualified or are taking NVQ level II and/or level III. Three members of the kitchen and domestic staff are taking NVQ level I which includes control of infection and health and safety; the qualification also leads into NVQ level II. Staff expressed how much the training they are now receiving is helping them with their tasks. However, it is clear from information staff gave when interviewed that further improvements in staff training is needed eg fire training, awareness of adult abuse, first aid, infection control. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 37 and 38 The management of the home continues to improve which, in turn, is enhancing the residents’ quality of life and staff morale. Further improvements need to be made in regard to the health, safety and welfare of residents. EVIDENCE: The manager has been in post for eighteen months having previously worked as a manager of another home. She has completed NVQ IV in management and has commenced NVQ IV in care. Application has been made to the Commission for Social Care Inspection for registration as the manager and this is being processed. The manager had not seen the last inspection report and a copy had not been made available to residents or prospective residents. The local authority are currently reviewing the renewal of their quality development scheme, parts I and II. A health and safety poster is displayed in the office and can be seen by staff. However, mandatory training for staff needs Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 20 improving ie fire training, moving and handling, food hygiene, first aid. The manager stated the fire brigade are arranging to visit to provide training. Fire alarm tests, emergency lighting and operation of fire doors are being checked weekly and fire extinguishers were checked during June 2005. The six monthly thorough examination for the passenger lift, mobile hoist and bath hoist were last completed on 21st July 2005. Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 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 3 x 3 1 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 1 10 1 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 1 17 x 18 1 1 x 1 3 x 1 x 1 STAFFING Standard No Score 27 3 28 x 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x x x 3 1 Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 22 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 OP4 Regulation 14 Requirement The registered person must always confirm in writing to the resident that having regard to the assessment the home is suitable for meeting the residents needs in respect of their health and welfare The assessment of residents needs must be kept under review and revised at any time when it is necessary to do so having regard to any change of circumstances. (Outstanding since the previous inspection 10/05/05 Ensure at all times records for the disposal of medications are up-to-date, the controlled drugs register is available and that staff are sure medications are actually taken Ensure residents dignity is maintained at all times Ensure all complaints are recorded, fully investigated and a record kept of the action taken Ensure all staff receive awareness training in the protection of vulnerable adults DS0000019688.V256614.R01.S.doc Timescale for action 10/10/05 2 OP4 12,14 10/10/05 3 OP9 13,19 10/10/05 4 5 6 OP10 OP16 OP18 12 22 19 10/10/05 10/10/05 31/12/05 Lavender House Retirement Home For The Elderly Version 5.0 Page 23 7 8 9 OP19 OP19 OP19 23 23 23 10 OP24 16 11 OP26 13,16,23 12 OP29 19 13 OP38OP30 13,19 The toilet on the first floor must be repaired and brought back into use Ensure floor coverings are maintained in good repair to prevent trip hazards Ensure the linen cupboard doors are kept locked shut at all times and the broken “keep locked shut” notice on one is replaced Undertake an audit of all bed linen, pillows and towels and replace as necessary. (Outstanding requirement) The home must be kept free of offensive odours, clean and satisfactory standards of hygiene maintained at all times. (Outstanding requirement) Ensure residents are protected by the home’s recruitment policy and practice, including up-todate Criminal Records Bureau checks. (Outstanding from two previous inspections) Ensure the progress made so far with staff training continues to guarantee they are competent to do their job. Mandatory training for all staff must now be completed 31/10/05 31/10/05 31/10/05 30/11/05 10/10/05 30/11/05 31/12/05 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 Refer to Standard OP8 OP19 OP28 Good Practice Recommendations Daily records must be a true reflection of the care delivered to meet the care plan The call lead in the en suite facility of room 21 should be extended to be more accessible in emergency situations A minimum of 50 trained members of care staff (NVQ II DS0000019688.V256614.R01.S.doc Version 5.0 Page 24 Lavender House Retirement Home For The Elderly 4 5 OP31 OP31 or equivalent) should be achieved by 31/12/05 The registered manager should have NVQ IV in care (or equivalent) by 31/12/05 The manager should pursue the outstanding reference to complete her application for registration as manager of the home Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Lavender House Retirement Home For The Elderly DS0000019688.V256614.R01.S.doc Version 5.0 Page 26 - 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!