Inspection on 27/07/07 for Lea House

This inspection was carried out on 27th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lea House 16/09/08

Lea House 25/05/06

Lea House 20/09/05

Lea House 19/04/05

Lea House 12/10/04

Lea House 10/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Lea House Lea House Rest Home 40 Terminus Avenue Bexhill on Sea East Sussex TN39 3LZ Lead Inspector Lucy Green Key Unannounced Inspection 10:00 27 & 31st July 2007 th 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 Lea House DS0000047969.V345828.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. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lea House Address Lea House Rest Home 40 Terminus Avenue Bexhill on Sea East Sussex TN39 3LZ 01424 220968 01424 848907 shona2@onetel.com 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) Mrs Sadna Seesarun Mr Baldeo Seesarun Mrs Sadna Seesarun Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fifteen (15). Service users must be older people aged sixty five (65) years or over on admission. 23rd October 2006 Date of last inspection Brief Description of the Service: Lea House is a detached property situated in a quiet residential area of Bexhillon-Sea. The town centre with its shops and access to bus and rail services is approximately one mile away and local amenities are a short walk away. Resident accommodation is provided in one double and thirteen single bedrooms, all of which have en-suite toilet and wash basin facilities. Communal areas include a range of lounge and dining spaces and an adapted bathroom. A shaft lift provides level access to the first floor accommodation. The home has large front and rear gardens and parking is available at the front of the home. The home is registered to provide residential care to fifteen older people. The fee range for Lea House is £315 - £400 per week. More detailed information about the services provided at Lea House can be found in the home’s Statement of Purpose and Service User Guide - copies of these documents can be obtained directly from the Provider. Latest CSCI inspection reports are kept in the home’s office. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report reflects a key inspection based on the collation of information received since the last inspection and a site visit which lasted for a total of seven hours. The inspection was conducted across two days, with the first visit being unannounced. The Registered Manager was not available on the first day of inspection and therefore the Inspector arranged to return a few days later to look at some documentation and meet with the Registered Manager. During the site visit, the Inspector toured the premises on both days and undertook an examination of some medication, care and staffing records. The Inspector met with all of the thirteen residents accommodated at the time of the inspection and had individual conversations with nine of them. Two staff were interviewed as part of the process and another staff member, a visitor and a healthcare professional were also spoken with during the course of the first visit. Comment cards were sent to the home to distribute amongst relatives and visitors. At the time of this report, five had been returned to the CSCI. What the service does well: Lea House is a family owned and run home and employs a stable and committed team of staff. The home is situated in an attractive location and offers a homely environment for residents to live in. The Registered Providers have a rolling programme of maintenance and strive to give residents a choice of comfortable communal and private spaces to spend their time. Lea House is a relaxed and friendly home where residents benefit from the provision of care in a respectful and dignified manner. Positive comments from residents were expressed throughout the inspection, including “I am well looked after” and “staff are respectful, I would definitely recommend the home to other people”. Residents benefit from a choice of freshly prepared meals each day. On the second day of the inspection the lunch was noted to be well presented and residents spoken with were complimentary about the food they had received. Residents have the opportunity to spend their time as they choose. The home encourages and supports people to be as independent as possible and to maintain contact with family, friends and the wider community. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 6 All the feedback received from relatives and visitors is extremely positive about the home. One relative commented that Lea House “provides a warm, caring and friendly service to residents and their visitors”. Similarly, another relative stated: that the home is “non-institutional; residents as treated as guests with courtesy and respect”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lea House DS0000047969.V345828.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 Lea House DS0000047969.V345828.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): 2, 3 & 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are protected by an assessment process that ensures their needs are identified and confirmed they can be met before they move into the home. Residents would further benefit from receipt of a written statement of terms and conditions that fully reflects their placement. Lea House does not provide intermediate care. EVIDENCE: The Inspector viewed the pre-admission assessments for three residents, two of which have moved into Lea House in the last six months. For all three residents, there was evidence that the Manager had conducted a thorough assessment on each individual prior to the resident moving into the home. Where appropriate, information from other relevant parties had also been Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 9 obtained, including for one resident a copy of the latest social care assessment. A review of the subsequent care plans in place for these three individuals provided evidence that the information gathered at the assessment stage is then subsequently used to develop a plan of care. Those residents spoken with as part of the inspection process confirmed that either they or their representatives had been offered the opportunity to visit the home prior to moving in. All three residents who were case tracked as part of the inspection process, confirmed that they had settled in well at Lea House and that their needs are being met by the home. Each of the three care plans viewed contained a document entitled placement contract. It was however discussed with the Registered Manager that these documents needed to be reviewed to ensure that they contain all the required information, such as cost of placement and room occupied. They should also be signed and dated by the relevant parties. This is reflected in the requirement section of this result. The Registered Manager confirmed that Lea House still does not provide intermediate care. Lea House DS0000047969.V345828.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): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health and personal care needs are met in a respectful and private way. Residents are protected by the systems in place to manage medication. EVIDENCE: Staff practices observed throughout the inspection demonstrated a good understanding of the residents and their needs. Discussion with the manager and staff on duty produced evidence that they have a good knowledge about the people they support. It was clear from observation, talking to residents and staff and from the written material in place, that care and support is provided in a sensitive, dignified and respectful way. All residents spoken with said that staff support them with their personal routines in an appropriate way. One resident told the Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 11 Inspector “I am well looked after” and another stated “staff are respectful, I would definitely recommend the home to other people”. During the inspection, staff were observed to be knocking on bedroom doors and talking appropriately to residents. Discussion with staff and residents highlighted that with the exception of bathing, residents at Lea House generally manage their own personal care. A sample of three care plans were viewed and there was evidence that each resident has a plan of care that provides detailed information about their health and welfare needs. Care plans are well maintained and easy to use. It was entirely evident that staff support residents in their preferred way and it is recommended that the home encourage residents to sign their care plans as evidence of their agreement to its contents. All parts of the care plans are reviewed by the Registered Manager on a monthly basis and any changes made are recorded. It was evident from the review notes that any events or incidents during the month are reflected in the appropriate section of the care plan. Care plans contain risk assessments for each of the areas identified in the plans of care and it is possible to track the level of risk and the controls in place to minimise any risk. Residents are fully supported with their health care needs and care plans contain a record of any visits or contact with professionals external to the home. There was evidence of current involvement from General Practitioners, District Nurses, Community Psychiatric Nurses and Chiropodists. Feedback received from a Community Health Nurse provided “the care staff are keen to work with me and the client to provide the most appropriate care”. Records demonstrated that residents are periodically weighed and the Registered Manager confirmed that specialist dietary monitoring is put in place where necessary. One resident is diabetic and associated needs were reflected in both care and menu planning. Medication was inspected by way of a review of the Medication Administration Records (MAR sheets) and a check of the blister packs and storage. All were found to be satisfactory. Records were found to be clear and up to date, although it has been recommended that staff record the reason for administering prescribed as required necessary (prn) medication on the reverse of the MAR sheet to provide a robust audit trail as to why medicines are administered. The Registered Manager reported only staff who have been appropriately trained and supervised handle medication. The majority of medication is handled by the Registered Manager who is a qualified nurse. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 12 It was identified that four residents administer some or all of their own medication, with one resident retaining responsible for the ordering of their own medication. It was possible to evidence that appropriate risk assessments are in place in care plans that are reviewed on a monthly basis. The Registered Manager stressed that the home supports residents to maintain their independence for as long as is safely possible. Lea House DS0000047969.V345828.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to lead their lives how they choose. Residents benefit from an inclusive environment where there are opportunities to participate in activities if they wish to. The majority of residents spoken with were complimentary about the range of varied and balanced meals they receive. EVIDENCE: The daily running of the home was observed on both days to allow residents the freedom of choice about when they get up and go to bed. During the inspection it was noticed that residents choose where and how to spend their time. Conversations with residents highlighted that they have each developed their own individual routines and wherever possible, staff facilitate this. Breakfast is served in bedrooms at a time agreed with the residents. Whilst lunch and dinner times are set, those spoken with all stated they liked to know what time to expect their meals. The serving of the lunchtime meal was observed on the second visit. The lunchtime meal was shepherd’s pie, carrots Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 14 and cabbage, followed by dessert. The meal looked appetising and well presented. An alternative meal was available for a resident who didn’t like what was on the menu. A list of residents’ likes and dislikes was recorded in the kitchen. Discussion with staff and viewing of the menu, confirmed that residents also receive a choice of meals at teatime. The majority of residents spoken with were complimentary of the meals at Lea House. One resident said: “the food is nutritious and something that everyone likes”. Another resident commented; “the food is very good, nothing wrong with it at all”. Over the last twelve months, the home has begun arranging a number of inhouse activities, including music sessions, bingo, paintings and quizzes. The Registered Manager and staff reported that whilst activities are available, most of the residents prefer to do their own thing. Conversation with residents echoed this view and during both inspection visits, residents were observed reading, going out independently or spending time with visitors. Through the home’s own assessment of services, the Registered Manager has identified plans to increase resident participation in in-house activities and to arrange trips out. Several residents follow their own interests and hobbies within the local community and are able to go out independently. On both days, the Inspector observed residents to be pursuing their own activities, including going out for walks, trips into town and watching a Bowles match. Residents are encouraged and supported to maintain contact with their family and friends. Some relationships and friendships have also developed between residents and it was noted that staff support is provided in a way that respects privacy and choice. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the lounges. Visitors were observed being welcomed into the home during the inspection and the visitors’ book evidenced that there are lots of regular visitors to Lea House. Feedback received from the five relatives and visitors surveys, confirmed that all visitors felt welcome at the home. Lea House DS0000047969.V345828.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from an open culture where they are able to express their views and feel valued and protected from harm. EVIDENCE: Lea House has a complaints policy which is accessible to both residents and visitors to the home. Neither the home nor the CSCI have received any formal complaints about the provision of service at Lea House in the last twelve months. The residents spoken with all confirmed that they knew how to complain and stated that if they had any concerns they would speak to either the Registered Manager or staff member on duty. Discussion with the Registered Manager highlighted that the home has a positive approach to managing concerns and complaints and that all parties are keen to listen to suggestions for improvement. The staff spoken with were knowledgeable about the vulnerability of residents and the systems in place to protect them. All staff have now received training in the protection of vulnerable adults and prevention of abuse. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents continue to benefit from the clean, accessible and homely environment provided at Lea House. EVIDENCE: A tour of the building took place at several points during the course of the two visits. The home was presented in a clean and homely way. The home has two lounges one at the front of the house, the other a quieter lounge at the back. Both are well presented and contain comfortable furniture. The front lounge has a large television and this area and the dining table in the reception area were noted to be the ‘hub’ of the home. One resident used the Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 17 quiet lounge during the visit and she said she liked to sit there to do some reading. The Inspector was invited into some residents’ rooms during the visit and all were personalised bright and clean, with en-suite toilet and washbasin facilities. With the exception of one resident, who felt their room was a little small, residents informed the Inspector that they liked their rooms and enjoyed spending time in them. It was entirely evident that residents are encouraged to bring furniture or personal items into the home. The bathroom facilities meet the current needs of the residents and they offer assisted facilities that enable residents easy access in and out of the baths. The home has attractive front and rear gardens and the Inspector noted that residents spent time in both area. The Registered Manager informed the Inspector that there are plans to re-develop the rear garden and provide raised flowerbeds and a vegetable patch, so that residents can be involved in outdoor activities. The laundry facilities at the home are appropriate for the needs of the residents. The Registered Manager reported that each residents’ clothes are washed separately to minimise cross infection. It was noted that fire safety devices have been fitted to some fire doors around the home in line with a requirement made at the last inspection. It was however observed that the door leading from the quiet lounge to three residents’ bedrooms was frequently propped open over the course of the two visits. This was raised with the Registered Manager and is requirement of this inspection that the home review this in light of the home’s fire risk assessment and guidance from the local fire service. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being supported by an experienced and committed team of staff and are protected by the recruitment systems in place. EVIDENCE: On both inspection days, there were sufficient staff to support the needs of residents as detailed in the care plans. Rotas indicated that staffing levels provide a minimum of two care staff across the waking day (8am-8pm) with the Registered Manager working in addition. At night, the home is staffed by one waking staff member. Care staff also undertake designated cooking and domestic tasks. The Registered Manager and two staff spoken with all confirmed that these staffing levels were adequate at this time, as residents are generally self-caring and independent. The residents who spoke with the Inspector again commented how nice staff were. One resident expressed: “the staff are very good. [staff name] is very kind and understanding” and another told the Inspector: “staff are respectful, on the whole I am looked after very well”. The interaction between residents and staff was observed to be positive. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 19 Discussion with the Registered Manager and two staff, identified that the home has worked hard over the last twelve months to develop staff training. All staff have now completed training in the protection of vulnerable adults and have either completed, or are working towards National Vocational Qualifications (NVQ). Those staff who handle medication, have now undertaken appropriate training and the Cooks have completed food hygiene. The Registered Manager advised that there is always a first aider available. It was identified that whilst new staff undergo an induction programme, this is not currently in line with Skills for Care. Similarly, not all staff hold current manual handling certificates. These are areas that need to be looked at and are reflected in the requirements section of this report. The recruitment files for three care staff were inspected and the required information was in place for each individual, including satisfactory checks with the Criminal Records Bureau, two written references, completed application form and full employment history. Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the commitment of a skilled and experienced Registered Manager who ensures that the home is well managed and run in the interests of the people who live there. EVIDENCE: The Registered Owner/Manager is a skilled and experienced practitioner who is a Registered Nurse and has also recently completed the Registered Manager’s Award (RMA). She is dedicated to her position and works in the home each day and assumes on-call responsibility when not in the home. The Manager’s commitment to her work is reflected in the positive feedback gathered during Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 21 the inspection process. All residents spoken with were extremely complimentary about the Manager and comments included; “she is very nice and kind”. Similarly, staff were equally as positive about the management style; “she is very supportive and approachable”. Throughout the inspection it was observed that the Manager had a good relationship with the residents and knew and understood each of their needs. The home has developed a number of systems to self-audit and review the services provided. The Registered Manager has developed a monitoring tool that she uses to review the home against the National Minimum Standards. She is also in the process of expanding the satisfaction questionnaires that are sent out to residents and relatives, to include a formal mechanism for gaining feedback from other stakeholders, including health care professionals. The Registered Manager was also able to draw on examples of where she had listened to the views of others and make improvements to the home accordingly. The Registered Manager informed the Inspector that the home only handles money for residents where there is no other alternative. At the current time it was reported that the home is not holding money for any of the residents. There was evidence that where small purchases, such as newspapers and magazines are made on behalf of residents, then this is fully documented and receipts provided. The management style of the home is ‘hands on’ and therefore staff are encouraged to discuss any issues as they arise. In line with the standards, however, staff reported that they receive formal supervision sessions at least six times per year. Records of these sessions were found in staff files. The information submitted to the Commission by way of the Annual Quality Assurance Assessment indicates that the home has a number of systems in place to ensure the health and safety of the home is monitored and maintained. The Inspector did not therefore look at records pertaining to the maintenance of equipment and routine testing. It was however identified that any accident within the home is logged in a single book and it is recommended that the home use individual sheets in line with latest Data Protection guidance. As reflected in the Environment section of this report, the home needs to ensure that there are appropriate measures taken to ensure fire doors are not wedged open Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5(1)(c) Requirement The Registered Manager must ensure that all residents have contracts that contain all the information stipulated in the National Minimum Standards. [This must include fees and bedroom occupied] Previous timescale of 31/12/06 not met. 2. OP30 18(1)(c) The Registered Manager must 01/10/07 ensure that all staff receive training relevant to the work they perform. This should include an induction for new staff that meets Skills for Care specifications and manual handling training. 01/09/07 The Registered Manager must ensure that appropriate action is taken to ensure fire safety is maintained at all times. This should include seeking advice from the local fire authority in respect of propping open fire doors. Timescale for action 01/10/07 3. OP38 23(4) Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 24 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 That the Registered Manager encourage residents to sign their care plan, as evidence of their involvement and agreement. That the Registered Manager should ensure that information regarding the administration of prescribed as required necessary medication (prn) is adequately recorded. That the Registered Manager introduce a system of recording accidents that is in line with Data Protection legislation and guidance. 2. OP9 3. OP38 Lea House DS0000047969.V345828.R01.S.doc Version 5.2 Page 25 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 Lea House DS0000047969.V345828.R01.S.doc Version 5.2 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. 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