Inspection on 31/05/05 for Lincoln Lodge

This inspection was carried out on 31st May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Lincoln Lodge 06/08/07

Lincoln Lodge 27/11/06

Lincoln Lodge 10/01/06

Lincoln Lodge 28/03/05

Lincoln Lodge 29/12/04

Lincoln Lodge 09/12/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Lincoln Lodge 2 Lincoln Square Hunstanton Norfolk PE36 6DL Lead Inspector Chris Handley Announced 31 May 2005 9.30am 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 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. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lincoln Lodge Address 2 Lincoln Square Hunstanton Norfolk PE36 6DL 01485 534570 01485 535163 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Brian James Poore Mrs Susan MacGovern Care Home 25 Category(ies) of Old Age (25) registration, with number of places Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28 February 2005 Brief Description of the Service: Lincoln Lodge is a large home situated on the seafront at Hunstanton. This home, which was originally a hotel is spread over four floors with the majority of rooms having a sea view. The home has a small passenger lift to all floors. Some of the bedrooms have en-suite facilities. There are two lounges and a dining room on the ground floor with a sun lounge on the first floor. The home provides care for up to 25 older people. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and was carried out as part of the annual inspection programme. The inspection commenced at 9.30 AM and took place over 6 hours. On the day of the inspection there were 24 residents in the home. Preparatory work had been undertaken before hand, and 13 comment cards had been received in the CSCI office. The Inspector carried out a full tour of the home accompanied by the Manager, Mrs Mc Govern, and a wide range of records, polices, and care plans were examined during this inspection. During the inspection 6 residents, 3 members of staff, one visitor and two relatives of residents were interviewed, as was the manager, Mrs MacGovern, and the owner, Mr Poore. A total of 27 Standards were inspected during the process of this inspection. What the service does well: What has improved since the last inspection? The temperature of the hot water in bathrooms has been has been regulated thus enhancing the safety of residents. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 standard(s) 1,2,3, & 5 Prospective residents and their relatives are provided with a good range and quality of information about the home. Pre-admission assessments are carried out on all prospective residents. Prospective residents and relatives are welcome to visit the home. EVIDENCE: All residents are provided with a copy of the home’s Statement of Purpose and Services Users Guide. Copies of these documents were seen. They contain all the information required, and they are clearly set out and easy to read. Some residents confirmed that thy had received this documentation, and that their relatives had found it helpful. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 9 All residents are provided with Terms and Conditions, a copy of which was seen. This agreement between the Proprietor and residents, is clearly set out, in a readable print size. This documents is read through with the resident/ relative by the Manager, to ensure that the content is understood, if needed. It is often the relative who signs this document. The residents/relative retains one copy, in some cases this document is held by relatives, and the home retains a signed copy in the office. Pre-admission assessments are carried out on all prospective residents to ensure that the home can meet their needs. When completed this document provides a clear picture of the residents needs. It is recommended that this document be marked Confidential Information, because of the information it will contain when completed. It is also recommended that the person carrying out the assessment carries identification with them, so as to provided additional assurance to the prospective resident. Pre-admission visits to the home are welcomed. These consist of a tour of the home, visit the prospective room to be used, and meet residents and staff. If required a question and answer session will follow. Both the Proprietor and Manager are aware of the big change that the prospective resident faces at these times, and any worries or concerns are dealt with. Some of the residents interviewed confirmed that they had visited the home prior to admission. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,&10 All residents have an individual care plan, but these need to be further developed and include contributions from the service users. The home is required to have a written policy for the medicines in the home. The home needs to update the knowledge and skills of staff in regard to medicines in the home. The health needs of residents are met. Residents privacy is respected and protected. EVIDENCE: All residents have an individual care plan, three of which were read by the Inspector. The documents are clearly marked Private. There is an assessment of physical, mental and social needs. There is a General Risk assessment and a Falls Risk Assessment. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 11 The Manager is currently reviewing the care plans and is recommended to ensure that the planning, implementation and review elements of these documents are more clearly defined. In the documents seen there was no reference to the residents being involved in reviews of their care and it is recommended that there should be. It is also recommended that dividers be put into the care plan folders so as to make the documents easier to manage. Because of the content of these documents it is recommended that they are kept in a locked container, but accessible to care staff. All residents are registered with a local G.P. who if needed would refer residents to a consultant or any other health care professional for any additional service. Any nursing care required is provided by the local District Nursing Team, with whom the home has a good relationship. The Inspector briefly interviewed a member of this team who spoke highly of the staff and the care provided. Arrangements for sight, hearing, or dental services are arranged locally. One resident had a fall and was taken to the Local hospital for observations for two nights, and has since been returned to the home as there were no complications. At present there are no residents who have pressure sores. The home does not have a policy on the prevention of pressures sores and it is recommended that they should. The Inspector was shown the medicine storage cupboard. This was locked, the keys are held by a member of staff who has been trained to administer medicines. The home uses a Monitored Dosage System. Records of administration are neatly initialled. There is a Controlled Drug cabinet and there were drugs in it. The home does not record the administration of these drugs in a register, and the Inspector requires that the home should record the administration of these drugs in a dedicated Controlled Register. At present there is one resident who self medicates, and caries out this effectively. The home does not have any guidelines for self medicating, and it is recommended that it should have. The home does not have a policy which describes the procedures that staff must adhere to for the receipt, recording, storage, handling, administration, and disposal of medicines and the Inspector requires that it should have one and that this should be known and used by staff who administer medicines. Though staff have received training in medicines this is some time ago the Manager still intends to arrange to update this. This requirement for the updating of knowledge was made in the inspection dated 29/12/04 and has not yet been fulfilled. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 12 The cupboard in which the medicines are kept is located at one end of the kitchen and it is not ideal, but due to the layout and structure of the building it would be difficult to relocate it. The Proprietor who has previously considered this, has undertaken to give the matter further consideration. The provision of privacy, and maintaining the dignity of residents’ forms part of the induction of staff the Manager said. Six resident were interviewed during the process of this inspection, they all spoke very positively about the quality of the care which staff provided to them. “They always knock on the door “ was said several times, and the inspector saw this practice taking place during the process of the inspection. “They respect our privacy” was another remark, and “They treat us with dignity” was yet another. During the process of the inspection the Inspector frequently observed staff dealing with residents in a quiet courteous manner. There are 12 phones in residents’ rooms, and a public phone in the reception area. Residents wear their own clothes at all times. Medical examination would be carried out in the privacy of the resident’s room the Manager said. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 &15 Residents have an active lifestyle in this home. The residents have frequent contacts with services and friends in the community. The home provides varied, nutritious and interesting meals. EVIDENCE: Most residents in this home lead an active and full life. There are numerous visitors to the home. The Inspector spoke to one who informed him how impressed she was with the staff and the services that which the home provides. The routines of daily living are based mainly on the choices of residents.There is wide range of activities during the week which the residents interviewed said that they very much enjoyed. There are a wide range of activities provided which are provided by the “Activities lady”, and such activities include Brain Wave, Quizzes, Crosswords, Musical Bingo, Music and Movement. During the afternoon of the inspection a lively sing song took place. Visitors from religious organisation visit the home on a regular basis. Residents are informed of activities which are to take place. The Inspector recommends that a notice of the forthcoming activities be displayed so that residents will know in advance what is due to take place. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 14 Many residents are taken out by the relatives, some going to Bowls and others to the Green, others to the shops. Visits into the town are seen as the normal part of the residents week. One lady attends a local Day Centre. The home’s menus were seen they are varied, nutritious, and interesting. Special diets are provided but not recorded, and it is required that they should be. There are three choices of meals on any day. The residents interviewed spoke very highly of the meals provided. There are drinks available throughout the day or night. If needed the Manager would seek the advice of the Dietician. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17, &18 The home has a complaints procedure which is displayed in the home. Residents Legal rights are protected. Staff knowledge of Adult Protection, and the prevention of abuse, must be improved to ensure the protection of vulnerable people. EVIDENCE: The home has a detailed complaints procedure which is displayed in the home and is also displayed in residents’ rooms. Residents interviewed knew what to do and whom to see if they had a complaint. There have been no complaints the Manager said. One member of staff was questioned about this matter and she knew what she would do if a resident complained. The Proprietor and Manager said that they would act quickly in dealing with complaints. The legal rights of residents are protected, and the Manager would facilitate legal advice for residents if required, adding that from time to time solicitors do visit residents in the home. The Manager said that seven residents had chosen to use their postal vote in the recent election. At present the home does not have an adult protection procedure and it is required that it should have one, and that it should be known to all staff. One member of staff when interviewed was asked about this matter, but was in some doubt as to what action she should take. The Manager has arranged training for three senior members of staff in this matter. It is required that all staff receive training in Adult Abuse Awareness. See Requirements Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24,25,& 26 Resident live in a well-maintained environment. The residents’ rooms are of a high standard. The home is clean, pleasant and hygienic. EVIDENCE: The home overlooks the seafront at Hunstanton, and was originally a hotel. It is adjacent to the town centre with its various facilities. The home is suitable for its purpose. The building complies with the requirements of the local Fire Service and the Environmental Health Department. The standard of decoration is very good and the Proprietor ensures that there is on going maintenance in his home. At present there is not a written programme of routine maintenance, and it is recommended that there should be. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 17 The Inspector made a full tour of the home accompanied by the Manager. The residents rooms are furnished and decorated to a high standard. There is a carpet replacement programme for resident’s rooms, and six have been replaced this year. There are smoke alarms and calls bells in all residents’ rooms. The rooms were all very neat and tidy and odour free. There is good natural light in all residents’ rooms. Residents may have locks fitted to their door if they wish, but many prefer to leave the doors of their rooms open, and told the Inspector that “They like to see what is going on”. Residents are very proud of their rooms and told the Inspector so. The heating, lighting, water supply, and ventilation meet the environmental health requirements. Rooms are naturally ventilated. Rooms are centrally heated and the heating can be controlled by the resident. There are still 3 radiators which are not yet protected and it is required that they should be. This matter was made a requirement in the inspection dated29/12/04, and though arrangements have been made to have this work done, as yet it remains to be carried out. The corridors of the home were all neat, clean, and odour free. Fire doors and fire routes were free of obstruction. The home has a laundry which has a has an impermeable floor. There is an adjacent hand basin and sluice sink. There is both a domestic type washing machine and an industrial washing machine and they are regularly maintained. It is not known if the services and facilities comply with the Water Regulations and it is recommended that the Proprietor take steps to find this out. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29,30, There is an induction training, NVQ training, and ongoing training provided in the home but the home does not have a Foundation training programme. The home has a written recruitment policy, but needs to examine its interview practice. EVIDENCE: The Manager said that there were 4 members of staff who were in the final stages of completing N.V.Q. level II. Both the Proprietor and Manager are aware of the of difficulties of encouraging staff to undertake NVQ training, but are urged to do so. The staff who have undertaken this training are commended for doing so. It is recommended that the Proprietor and Manager continue to encourage, and support staff to undertake this training. The home has a recruitment policy. Two written reference are taken up, Police and POVA checks are carried out Interviews are carried out by the Manager. the Inspector recommends that there should always be at least two people carrying out interviews. Job descriptions, Terms and Conditions, are supplied. Successful candidates undergo a trial period in the home. At present the home has an induction training programme. It does not have a Foundation Training programme. It is recommended that it develops the Foundation Training programme. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 19 The home provides the following training, Fire Prevention Training, First Aid, Health and Safety, Food Hygiene, Infection Control, Care of Medication, and from time to time study session are held on specific matters. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,36,37&38 The home does not hold personal monies on behalf of residents. The home does not have a recognised Quality Assurance System. The home does not carry out supervision. The home needs to obtain all the documentation required by Standard 38. EVIDENCE: The Manager has worked in the home for fourteen years, and during that time has undertaken a wide range of training, but has not yet undertaken NVQ level 4, and it is her intention with the support of the Proprietor to do so. The home has devised a questionnaire/survey of the services it provides but as yet this has not been returned and collated, and it is recommended that it should be, so that the home can ensure that it is carrying out a quality audit. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 21 The home does not hold personal money on behalf of all the residents. Any items required are purchased, and the bill is then sent to the relative or solicitor of the of the resident. The system appears simple and effective. Mention is made of this in the Service Users Guide. At present Supervision is not carried out and it is required that it should be, as set out in Standard 36. A wide range of records required by regulation were seen during the process of this inspection. They are kept secure. The Proprietor Manager and Inspector went through all the items of Standard 38, which relate to the health, safety, and welfare of residents and staff. The home has some of the documentation required, but not all. The Proprietor and Manager are aware that the home must have all the documentation as set out in Standard 38, and undertook to obtain it. See requirements. In the inspection dated 29/12/04 a requirement was made concerning the temperature of hot water in bathrooms, this has since been attended to and the temperature has been reduced. In the same inspection a requirement was made concerning the surface temperature of 3 radiators, and as yet these have not been attended to. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x x x 3 2 3 STAFFING Standard No Score 27 x 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 2 x 2 x 3 1 3 2 Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 23 No 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. 2. Standard 15 15 Regulation Scd 4, 13. Scd 4, 13 Requirement it is required that Special Diets ar recorded It is required that the home has a written policy for the receipt,recording,storage, handling administration and disposal of medicines. It is required that Controlled Drugs are recorded in a Controlled drug register. It is required that Supervision for staff is carried out and recorded. It is required that the home has all the documentation as set out in Standard 38. It is required that radiators are guarded or have have guaranteed low temperature surfaces. It is required that the Manager arrange training for staff in Adult Abuse Awareness. Timescale for action 1/7/05 30/8/05 3. 4. 5. 6. 9 35 38 25 Sched 3 3 (i) 30/8/05 30/9/05 30/8/05 30/8/05 23, (p) 7. 18 18 (1) (c) 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 24 Lincoln Lodge 1. Standard 7 2. 3. 8 ,9 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 19 26 28 29 30 31 33 It is recommended that the elements of the care plans, assessment, implemetation and review, shoud be clearer and more distinct. The residents/relative should be involved in the reviews of their care. That dividers are put into the care plans so as to improve the management of these documents. The care plans should be kept in a locked container. It is recommended that; the home has a written policy on the prevention of pressure sores and that staff are trained in this matter. It is recommended that the staff update their knowledge and practice, in the receipt, administration, storage, and disposal of medicines. It is recommended that the home have guidelines for residents who self medicate. It is recommended that the home has a written plan of routine maintenance, renewal of the fabric and decoration of the premises, with records kept. It is recommended that the Proprietor take steps to enquire as to whether the Services and Facilities comply with the Water Supply (Water fittings) Regulation 1999. It is recommended that the Proprietor and Manager continue to encourage staff to undertake NVQ training. It is recommended that as a matter of good practice interviews should be conducted by at least two people. It is recommended that the Manager take steps to implement a Foundation Training programme. It is recommended that the Manager undertake NVQ level 4. It is recommended that the Manager collect and collate the results of the survey of services which was undertaken and make the results known to the contributors of the survey. Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 Lincoln Lodge I55 S27392 Lincoln Lodge V223040 310505 Stage 4.doc Version 1.30 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. 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