CARE HOMES FOR OLDER PEOPLE
Laxton Hall Laxton Corby Northants NN17 3AU Lead Inspector
Helen Abel Unannounced Inspection 20th November 2007 08:45 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 Laxton Hall DS0000012842.V353737.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. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Laxton Hall Address Laxton Corby Northants NN17 3AU 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) 01780 444292 01780 444574 Polish Benevolent Fund Housing Association Limited Sister Teresa Sabok Care Home 29 Category(ies) of Dementia (29), Old age, not falling within any registration, with number other category (29) of places Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories:Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 29. 3rd January 2007 2. Date of last inspection Brief Description of the Service: Laxton Hall is a care home providing personal care and accommodation for 29 older people with a special condition for 5 existing, named residents who also have mental health needs. The Home provides care for Polish people of retirement age whose main language is Polish. The Polish Benevolent Fund Housing Association Limited owns the Home. The Registered Manager is Sister Teresa Sabok. A Religious Order of Nuns provides staffing in most part. The Home is located in a rural environment within its own grounds of approximately one hundred acres near the village of Laxton in north Northamptonshire. Nearest towns are Corby, Peterborough and Stamford. The Home was opened in November 1975 and consists of a large listed building offering 27 single bedrooms and 1 double room. There are 3 large day rooms on the ground floor and additional communal space in the large entrance hall. The building has its own Chapel and residents have access to the extensive grounds. There is a passenger lift. The weekly fees range from £340 to £398 per week. There are additional costs for expenditure such as hairdressing, private chiropody, toiletries, newspapers, etc. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced visit on a Tuesday morning at 9.00 oclock accompanied by a Polish Interpreter. The visit included a selected tour of the home, inspection of records and direct and indirect observation of care practices. The Registered Manager was on duty. The Inspector spoke with seven service users and three staff members through the Polish Interpreter. Planning for the Inspection included reading the notifications of significant events sent to the Commission for Social Care Inspection, examining the home’s Annual Quality Assurance Assessment and the last Inspection Report. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. What the service does well:
Residents benefit from good admission procedures in the home. Written information is available in Polish and English. The inspection report and Statement and Purpose will soon be held in reception near the visitor’s book. Staff pay attention to meeting the health and care needs of residents, which help residents to feel well looked after. Residents told the Inspector: “ I am very happy here. Staff provide a good service.” “ It’s wonderful here” “ The sisters are very kind.” There are excellent outcomes for residents around Daily Life and Social Activities. Residents have the opportunity to lead full lifestyles and can exercise choice. The home offers a chapel in the home with daily Mass each morning with a resident Pastor who is available at all times to administer to residents spiritual and religious needs. A Polish television channel is available
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 6 in resident’s bedrooms and Polish and English newspapers are provided. An extensive library with most of the Polish classics and English is books available. There are lovely views overlooking Laxton Hall grounds of open countryside. The home offers Polish cuisine with the kind of food to which residents are accustomed. Residents confirmed they are listened to and their concerns acted upon. There is good staff awareness regarding complaints and safeguarding from harm. A copy of the complaints procedure is written in Polish and displayed in the main hallway for residents to access. The outcomes for residents around the Environment and Staffing were found to be excellent. Resident’s benefit from exceptionally high standards of hygiene and cleanliness and a comfortable and pleasing environment. There are a variety of plants and flowers placed around the home and Polish pictures and religious objects displayed. Resident’s benefit from well trained staff and positive recruitment processes. The experience of the staff team is varied, consisting of registered general nurses and very experienced carers, some with over 20 years experience in social care. During the inspection all staff were observed caring for residents gently and speaking to residents with respect and courtsey. Staff appeared to be well deployed and were active and visible around residents throughout the day. Regular residents meetings are held where residents discuss issues. There is up to date and appropriate documentation to support the health and safety and well being of the residents with risk assessments in place. What has improved since the last inspection?
Statutory staff checks are in place including Criminal Records Bureau Checks prior to employment commencing. Care plans are in Polish and the home’s policies and procedures are currently being prepared for translation into Polish. This would ensure staff read and understand them. Additional signs have been provided around the home to assist residents who have dementia in that they can identify facilities clearly. Activities have been developed around providing activities for residents with dementia including staff training. Staff contracts have been revised in line with employment legislation and are now being issued to staff. Ornate radiator covers have designed and fitted where required around the home. This will protect residents from potential burns from hot radiators. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 7 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. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from good admission procedures in the home. EVIDENCE: Residents have the information they need to make an informed decision about living in the home. There is a leaflet with photographs written in Polish promoting the features of the home. A comprehensive Statement of Purpose has been produced in English and will be translated into Polish in February 2008. Following on the inspection the Registered Manager confirmed the current inspection report and Statement and Purpose would be held in reception near the visitors book. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 10 A resident told the Inspector she had visited the home before admission to get an idea what services the home offered. An assessment for a new resident case tracked included key information to draw up a care plan. Contracts are written in Polish and explain the statement of terms and conditions and fees payable. A new resident told the Inspector “I like my room it’s big, I have a new carpet and it has been newly decorated and I was able to bring my own furniture”. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff pay attention to meeting the health and care needs of residents, which help residents to feel well looked after. EVIDENCE: Residents needs are detailed in their care plans and all residents case tracked have a plan of care in place and monthly reviews written in Polish and translated into English. Some care plans and reviews were signed by residents. A new residents care plan did not contain a photograph. The Registered Manager confirmed she was due to obtain one. Risk assessments and daily records were recorded in Polish and translated into English for the Inspector by the Interpreter whilst on inspection. Staff speak Polish and therefore record all care records in Polish. All the homes policies and procedures are due to be translated from English to Polish in February 2008 so that all staff can understand them.
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 12 The ethos of Laxton Hall is towards person centred planning but current care plan formats do not provide for this and stick to traditional styles of planning and assessment. Person Centred Planning will create a comprehensive picture of who the person is and what they want to do with their life and brings together all of the people who are important to the person including family and friends. It is recommended person centred planning be developed to fully benefit individuals all round care. The Inspector noted a resident case tracked did not want to use footplates on a wheel chair. The Inspector suggested where residents decline equipment / support around their care, these aspects should be recorded on their care records. Residents told the Inspector: “ I am very happy here. Staff provide a good service.” “ It’s wonderful here.” “ The sisters are very kind.” “ Sister Teresa Sabok (Registered Manager) is very approachable.” “It’s excellent here.” Medication and medication records for resident’s case tracked were examined. One resident case tracked was self-medicating. Some information was recorded for monitoring risks around medicines in their care plan. It is recommended for residents who are able to take responsibility for their own medication do so, within a Risk Management Framework. This will ensure residents responsible for their own medication are protected. Residents have a secure metal box in their rooms for holding medicines (when self medicating) and any valuables. The dedicated medicine trolley is new and a safety chain is due to be purchased this week to affix the trolley to the wall when stationary. Currently the medication area is always kept locked and only senior sisters are key holders. Overall medication management was found to be well organised, clean and tidy. Senior sisters are responsible for administering medication and receive regular training. More general medication awareness training is available to other sisters. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to lead full lifestyles and can exercise choice. EVIDENCE: Records are kept of activities that residents take part in. Regular trips out to shops places of interest are provided and included in the weekly fee. The home has three vehicles and will meet all transport needs for residents to hospital and clinic appointments. The home offers a chapel in the home with daily Mass at 7 am with a resident Pastor who is available at all times to administer to residents spiritual and religious needs. A second chapel and private cemetery is in the grounds of Laxton Hall in a woodland setting. Two residents case tracked told the Inspector they went to Mass on Sundays only. Residents have the freedom to decide whether or not to follow a particular religion.
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 14 A Polish television channel is avaible in resident’s bedrooms and Polish and English newspapers are provided and were observed being read by many residents. An extensive library with most of the Polish classics and English is books avaible. This area is made comfortable with a variety of easy chairs for reading and overlooks Laxton Hall grounds of open countryside. Numerous Polish religious and cultural festivities are celebrated every month. Photographs are taken of these occasions and used as part of reminiscent sessions. The sister’s spoke of getting residents involved and would decorate rooms and make the occasions meaningful and enjoyable for residents. One resident had a computer but needed some assistance with this. The Inspector suggested to the Registered Manager to contact VISTA a charitable agency for the visually impaired to advise around the computer equipment. Following on their guidance this would provide the resident with the opportunity to exercise choice and pursue leisure activities. Residents case tracked spoke of taking walks in the extensive Laxton Hall grounds, sitting outside on the terrace, having barbecues, reading Polish newspapers, going to Peterborough shopping, reading books, bingo sessions, taking part in Art work. Sisters played various ball games with a group of residents in the main hallway whilst they remained seated. The home offers Polish cuisine with the kind of food to which residents are accustomed. Upon the Inspector arriving residents were finishing breakfast. A resident told the Inspector, “ You can have cornflakes, porridge, bread or toast butter, jam, yoghurt tea and coffee. You can have what you want. On Sunday you can have a cooked breakfast” Other residents told the Inspector: “ The meals are good. I like yoghurt and bananas and the Polish diet.” “The food is tasty, plenty of it. You never go hungry.” “ The meals are okay I have put on some weight” “ I miss English food and would like gravy.” The Registered Manager later confirmed this request is already in place and this resident is made gravy with some meals, which is served in a separate gravy boat. Ay lunchtime the Inspector briefly observed this mealtime. It was noticed that staff did not hurry residents. Attentive support was being given to residents whom needed assistance with feeding. The atmosphere was relaxed and some of the Laxton Hall grounds staff sat with residents to have their meals. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents confirmed they are listened to and their concerns acted upon. There is good staff awareness regarding complaints and safeguarding from harm. EVIDENCE: Reference is made to dealing with complaints in the Statement of Purpose but should be developed further to include- the arrangments for dealing with complaints with the stages and timescales for the processes; and that complaints are dealt with promptly and effectively. A copy of the complaints procedure is written in Polish and displayed in the main hallway for residents to access. All staff have received POVA training and discuss POVA and complaint management in superisvion. The on site Pastor regularly visits all residents and is open to any issue of concerns with all individuals. There are currently no complaints ongoing in the home. Monthly visits by the Registered Provider take place and always include discussions with residents. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 16 At a recent residents meeting confirmed some residents had some concerns around new residents coming into the home. These issues were immediately dealt with by the Registered Manager. There have been no complaints regarding Laxton Hall since the Commission for Social Care Inspection was set up. This situation is commended. All seven residents spoken with confirmed being satisfied with the care. One resident said, “If I don’t like something I will tell them and they will do something about it.” Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from exceptionally high standards of hygiene and cleanliness and a comfortable and pleasing environment. EVIDENCE: The home is well maintained and is comfortable and homely. There are a variety of plants and flowers placed around the home and Polish pictures and religious objects displayed. The environment is kept exceptionally clean and in good decorative order. Resident’s rooms have their names and a room number. Residents spoke about their rooms, “ Very nice and clean” “ My room is wonderful I have a big room to put all my furniture in.”
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 18 “ No smells here. The sisters do a lot of cleaning.” “ I would like to be able to open and close my window myself but can’t due to my health condition” The Registered Manager agreed to immediately take action around this. The Inspector visited seven bedrooms they were all different and personalised with residents belongings. Bathrooms were clean and odour free. All bedrooms, bathrooms and wet rooms have ceiling hoists fitted and have mobile hoists for use. Some bathrooms have hi lo baths for resident’s easy access. Work on the lift being replaced has been ongoing since September 2007. Arrangements have been made to change the way of working with some residents. Actions have been taken within a risk assessment framework to ensure minimal disruption to residents care. The Commission for Social Care Inspection has been formally notified of these changes. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from well trained staff and positive recruitment processes. EVIDENCE: The staff team reports to be built upon a shared set of values based on the principles of independence, choice, rights and inclusion together with positive Polish and religious backgrounds. The experience of the staff team is varied, consisting of registered general nurses and very experienced carers, some with over 20 years experience in social care. During the inspection all staff were observed caring for residents gently and speaking to residents with respect and courtsey. Staff appeared to be well deployed and were active and visible around residents throughout the day. Recent staff training has been for – Dementia care, Infection Control, Manual Handling, POVA, First Aid, Food Hygiene, Medication Administration, Fire Safety, Pressure Sore Management, and Diabetes Awareness. The Registered Manager reported ongoing review of staff management process, and to train
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 20 identified staff members to become accreditted trainers for manual handling. Recruitment procedures for staff were sampled and recruitment records contained all the required information including POVA checks and Criminal Records Bureau checks. This process is overseen by the home’s links with the Catholic Church. Residents reported, “There is enough staff to assist us” “ I know who is the sister and domestic to help me” “ Wonderful staff” “ Caring domestic staff” Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 38, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to protect the health and safety of residents. EVIDENCE: The Registered Manager is a qualified Nurse with a National Vocational Qualification (NVQ) Level 4 qualification and is also a qualified NVQ assessor. She has twenty-seven years experience in nursing and social care of which 5 have been at management level. Throughout the inspection the Registered Manager was knowledgeable about resident’s care and practises and has
Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 22 undertaken regular training to update her skills and competence. Upon observing the Registered Manger she showed leadership to her staff group and is fit to be in charge. Regular residents meetings are held where together residents discuss issues. Recently poetry reading took place, and planning of summer outings was also decided. It is recommended the names of residents and staff attended be included in these minutes. This will ensure the home is run in the best interests of the residents. Residents case tracked finances were sampled, and records and money held, were found to be in good order. Where residents cannot manage their own finances an appointee from the Polish Benevolent Fund Housing Association Ltd will be made available to manage their finances. There is up to date and appropriate documentation to support the health and safety and well being of the residents with risk assessments in place. Staff receive mandatory training to ensure safe working practices and a better understanding of their responsibilities and accountability. The home has an identified staff lead on health and safety. A ramp has been purchased for use in the main entrance. All lifting equipment is serviced twice yearly to meet the requirements. Health and Safety and Fire Risk Assessments are in place. The on site call system has been refurbished. The Organisation provides the service with a list of approved contractors to support the home maintain the general up keep. An additional on site labourer has been employed. Monthly Health and Safety checks occur alongside regular testing of fire alarms and water temperatures. Competent people were undergoing a check of all large electrical systems on the day of inspection. This is to ensure the health, safety and welfare of residents and staff are promoted. Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 23 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 3 3 x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 x 4 4 3 4 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 Develop Person Centered Planning recording systems to mirror the Person Centred Planning ethos of the service provided. This will include creating a comprehensive picture of who the person is and what they want to do with their life and brings together all of the people who are important to the person including family and friends. This will further benefit individuals all round care. Ensure residents who are able to take responsibility for their own medication do so within a Risk Management Framework to be produced by the Registered Manager. This will ensure residents responsible for their own medication are protected. To seek guidance from Vista (The Blind and Visually Impaired a charitable organisation) around using computer equipment. Following on their guidance this would provide the identified resident with the opportunity to exercise some choice and independence around pursing leisure
DS0000012842.V353737.R01.S.doc Version 5.2 Page 25 2. OP9 3. OP12 Laxton Hall 4. OP16 activities. Reference is made to dealing with complaints in the Statement of Purpose but should be developed further to include:- the arrangments for dealing with complaints including the stages and timescales for the processes; and that complaints are dealt with promptly and effectively. Regular residents meetings are held to discuss resident’s issues. Ensure resident’s meetings minutes include the names of residents and staff attended. This will ensure the home is run in the best interests of the residents. 5. OP33 Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Laxton Hall DS0000012842.V353737.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
