Inspection on 17/01/06 for Linda Lodge

This inspection was carried out on 17th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Linda Lodge 24/01/08

Linda Lodge 07/06/07

Linda Lodge 05/10/06

Linda Lodge 12/05/05

Linda Lodge 25/01/05

Linda Lodge 05/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Linda Lodge 91 Worcester Road Sutton Surrey SM2 6QZ Lead Inspector David Pennells Unannounced Inspection 17th January 2006 11:30 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 Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 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. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Linda Lodge Address 91 Worcester Road Sutton Surrey SM2 6QZ 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) 020 8642 0343 N/A Ms Tina Freed Mrs Lynda Penfold Mrs Lynda Penfold Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Old age, not falling within any of places other category (0) Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 13 Elderly and 13 either elderly or aged 55 with mental ill health. One service user with a physical disability is also accommodated at the home and may reside there for as long as their needs can be fully met by the service. 12th May 2005 Date of last inspection Brief Description of the Service: Linda Lodge is a large extended family house situated on the west side of Sutton, being also roughly equidistant from Cheam Village. The house sits on a corner plot, a short walk to a bus stop that allows access into Sutton town centre within a few minutes. The surrounding environment is a pleasantly tree’d suburban ‘Surrey’ residential area. The entrance to the house is a pleasant space – where the manager has her bureau, and occasional chairs provide for those ‘passing through’ to sit and watch the world coming and going - access to the main staircase and kitchen is also through this area. The home offers single bedroom accommodation to twenty-two of the total maximum of twenty-six service users, half of whom are in the elderly category, and half of whom are over the age of 55 and have some form of past or present mental health difficulty. The two double rooms continued to be occupied by single persons at the time of the visit. Communal space is pleasant, and provides a choice of smoking and nonsmoking lounges, the latter adjoining the separate dining room area. A pleasant patio area with good garden furniture is provided directly off the smoking lounge. The home still has to address the need for certain aspects for fulfilling basic rerquirements within the ‘old age’ category of the home: the provision of a passenger lift / assisted access to the first floor, and a sluice-cycle washing machine, continue to remain significant outstanding deficits. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector conducted this unannounced inspection visit across a lunchtime and into the afternoon of a weekday, when the everyday life of the home was in process. Following some time interviewing service users (some over the lunch table) and walking around the home, the inspector was able to meet with the registered owners - Mrs Lynda Penfold (also the Registered Manager) and Ms Tina Freed - to review progress in meeting the previous requirements and recommendations set at the last inspections. The inspector left the house just after 4pm, having engaged with a significant number of both service users and staff. The inspector is grateful to the service users, staff and proprietors for their welcome, cooperation and hospitality during this visit. What the service does well: What has improved since the last inspection? Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 6 The proprietors have been working on paper work and both the home’s Statement of Purpose and the Service User Guide has been improved and is now assessed fit for purpose. The contract has been amended to meet a recommendation made at the last visit, and policies relating to ‘Access to files’ and ‘Sexuality & relationships’ have also been introduced. The proprietors have employed an occupational therapist to assess the premises in the light of the current service user category, and the resulting recommendations are being implemented. Radiator covers have been provided now for all the high risk-assessed areas of the home, and the proprietors have firm intentions to complete the work of covering all the remaining exposed radiators progressively. 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. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 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 Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4. Prospective service users now have access to a more comprehensive set of information both before and at the point of admission through a fuller Statement of Purpose and Service User Guide being available. Service users are provided with a contract stating terms and conditions of occupancy, with specific detail making clear conditions relating to a service user’s residence at the home. Service users can be sure that - both prior to, and on admission - sufficient information is gathered to ensure a suitable service can be provided at the home. The staff competency / training profile does not at present necessarily assure a potential service user who has a mental health diagnosis that the home is sufficiently ‘skilled up’ - through having a staff team with adequate mental health training / background - to fully support them. Linda Lodge does not provide intermediate care and therefore this standard is not inspected or assessed. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 9 EVIDENCE: The inspector found that the Service user guide and statement of purpose had been revised and now was fit-for-purpose. The service user contract has also been revised to include the room type and number and to state more fully the rights and obligations of a service user resident at the home. Standard 3 was assessed at the previous inspection visit and was found met; the third (reiterated) judgement statement above reflects this. A concern raised in a requirement at previous inspection visits about the mental health skills-base of staff at the home (through evidence of individual staff member’s training / knowledge and abilities) remains an issue. The span of mental health-specific training and focus on this specific skills-base of care staff continues to be poor. The owners have accessed a talk from the visiting CPN (Community Psychiatric Nurse) and are seeking training input from the local authority; however it is essential that the management seek out / provide - and evidence - further mental health training for staff at the home. This is essential especially to prospective and current service users / relatives / placing officers. Both the Commission and prospective purchasers of the service will require evidence of staff members’ capacity to deal with situations that well may arise with this client category (which accounts for half of the service users at the home). Standard 6 does not apply to this home - Linda Lodge does not provide an Intermediate Care service. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 8. Service users can rely on the home having a plan of identified care needs set out in the home to assist in promoting their wellbeing. Service users can expect their health care needs to be fully met through community resources and the vigilance of the home, though some service users with mental health issues could expect a more concentrated focus on their support, through the provision of better recording and better-informed observation. Service users may rely on the home to properly manage their medication, through appropriate systems and well managed / supervised policies and procedures being implemented. Service users can expect to be treated with dignity and respect at the home; regard for privacy extends to sensitivity around being expected to share a bedroom, if necessary. Service users can be assured that at the point of serious illness, or death, they would be treated with dignity and their wishes – if shared and recorded, would be heeded. Surviving service users can expect to be quietly and sensitively supported to ‘come to terms’ with the loss of a friend or loved one. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 11 EVIDENCE: All this section’s standards were inspected at the last inspection visit and found ‘met’, except for standard 8. The above judgement statements are brought forward and reiterated from the previous report - the second paragraph reflecting the continued identified deficit in standard 8. This identifies the need to improve on reporting around mental health issues, and actively to work on improving such a focus, both in the care plans and the day-to-day notes. Care needs are now being better planned for - and expressed - in the care plan documents - though the need to keep a focus on social needs and satisfactions should continue to be stressed. The reporting on each service user in an holistic way also still requires improvement. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14. Service users can expect to enjoy a mixed programme of activity and leisure pursuits at the home; they are also encouraged to engage with the local community resources available to meet their own religions and cultural needs, where individually wished. Visitors can rely on a positive welcome to the home and are encouraged to remain involved with the care and attention given to their loved one. Service users can expect to be supported and encouraged to exercise their own choice, ensuring the retention of some control over their lives. Service users receive a satisfying, wholesome and nutritious diet - with the necessary need for adequate fluids being recognised alongside this good service. EVIDENCE: The above statements are brought forward from the previous report - where all standards but 14 were inspected and found ‘met’. The third statement covers Standard 14 - which was examined at this visit, and from evidence from service users and the owners of the home, the inspector concludes that this standard is also ‘met’. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None inspected on this visit. Service users and their supporters can be confident that complaints will be taken notice of and action taken at the first opportunity by the proprietors. Service users can be assured that they are safeguarded from abuse by the policies, the staff knowledge and the conduct of the home in general. EVIDENCE: Both key standards were inspected at the previous inspection visit and were found ‘met’. The two judgement statements above are reiterated from the previous inspection report. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25 & 26. The establishment is a safe, well-maintained, clean and homely environment. Communal areas are pleasant, though the entrance hall – used as a smoking area – exposes all service users to smoke whether it is their preference or not. Service users can expect to occupy a pleasant bedroom, individually furnished, and to access appropriate bathing and toilet facilities - and communal space. The home’s facilities lack a passenger lift or similar facility, requires covers on some remaining radiator surfaces, and a sluice-cycle washing machine (to promote infection control practice) must be provided. EVIDENCE: The premises continued to present as a homely and comfortable environment for service users to enjoy as their ‘own home’. All bedrooms seen at this and previous visits were individually furnished and welcoming. On touring the house the only issue raised with the owners was the need for the first floor carpet to be considered for replacement. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 15 Outstanding issues are of significant scale either in works or culture change. Smoking is allowed in the entrance / hallway area – through which most if not all service users walk through, to access the staircase / public telephone / bedrooms and hence passively inhale smoke in this area, despite the inner front door often being left open to help ventilate this area. The lounge closest to the garden (furthest away from the dining area) also allows smoking. A new service user to the home stated how pleased (and relieved) she was to be able to exercise her right to smoke in a communal space other than her own room. In the ‘spirit’ of current impending legislation, the inspector continues to request the proprietors reconsider the home’s smoking policy - and to designate only the front lounge and associated garden area as smoking zones, thus avoiding the use of the front hallway. It is, and has been, acknowledged that that this suggestion will perhaps hit the staff team most severely (a number of whom do smoke - and take breaks in this area), but the resulting benefit for the many non-smokers would be significant. The proprietors have now received a report from an Occupational Therapist who has visited and assessed the home (visit: 30/06/05 - report: 21/07/05), from the perspective of the registration categories – i.e. ‘older people’ and ‘older people with mental health issues (past or present)’. The owners are now committed to implementing the findings from this report. The absence of a lift or some form of transportation to the first floor of the home remains an outstanding issue - especially in a home registered for older people. The proprietors are again required to investigate and consult on the installation of an appropriate solution. Obviously the Fire Service (LFEPA) will also require consultation with regard to such a significant installation. The home has also taken steps to cover an estimated 60 - 70 of the hot radiator surfaces around the home. It is now mainly the communal areas that need still to be completed in this regard; these have been left to last on the basis of lower risk relating to risk assessments. A previously identified requirement – concerning the installation of a sluicecycle washing machine, thus allowing the promotion of best practice in infection control – continues to remain an outstanding issue. Although the incidence of incontinence continues to be relatively low, the fact remains that being registered for older people, the home should have such a facility available to address such (inevitable) incidents appropriately. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 30. Service users can be assured that staffing is provided at the home in line with agreed, currently adequate, levels. Staff training to NVQ level 2 or equivalent in Care must be stepped up to ensure that sufficient staff members are qualified to guarantee safe practices within the home. Staff members are recruited within the context of safe employment practices, including appropriate Adult Protection and Criminal Record Bureau checks, with this now being supported by the involvement of an Employments Law & Rights Consultancy practice. Training is provided to staff requiring such input, however the improvement benefits of a formally constructed Staff Training & Development Plan is yet to be achieved through formal development. EVIDENCE: Staffing at the home was clearly adequate, however the proprietors reported that they had lost some staff and were having some difficulty gaining CRB clearance for a couple of members of staff - and one had withdrawn, having been offered a post. A minimum of four care staff are available to service users during the day, two coming on early and two arriving a little later - and carrying the shift through to the evening, when two night staff are available throughout the night. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 17 The two registered owners were therefore providing direct care services themselves during this phase of short staffing. As a consequence of the departure of these care staff recently, the proportion of care staff qualified to NVQ level 2 in care has not achieved the 50 target by the end of 2005 - thus leaving the required standard unmet. Staff must be started on / recruited with NVQs to ensure the competence base is achieved. Standards 27 & 29 were met at the last inspection visit - and the judgement statements are reiterated above and reflect this in the first and third paragraphs. The home continues to lack a Staff Training & Development Plan – this area is the responsibility of the absent senior carer - who it is acknowledged will probably not be available to carry on the training-focused work she undertook for the proprietors. Such areas should be also within the remit of the manager / proprietors and - as such, when a senior is unable to provide the continuity in this regard, the proprietors must ensure that this is seamlessly taken over either by themselves, or by another responsible senior person. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 36 & 37. The registered manager / owner, though experienced in running care homes, has yet to commence a professional training course to suitably qualify to NVQ Level 4 in Management and Care - now required for competent managers. The home runs informally on a ‘listening’ basis, but would benefit by insights afforded by quality assurance audits both by service users and other stakeholders. Such ‘research’ would inform the formulation of a Development Plan and a Business and Financial Plan – both of which are lacking, currently. Service users can be assured that the general financial management of the home is sound and that the management of their monies held in safekeeping is secure and appropriately recorded. Staff members are not well supported in that they do not currently receive the one-to-one supervision nor ongoing staff meeting peer support they should, due to the absence of certain senior staff. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 19 The home ensures that policies and procedures essential for the smooth running of the home are in place - whilst a few others are in need of implementation to fully complete the homes procedures manual. The proprietors generally protect the health and safety of service users and staff, through maintaining the home in a safe and well-serviced state. EVIDENCE: The third and last judgement statements above relate to standards 35 and 38 reiterated from the last report, which found these two standards ‘met’. There was nothing to suggest that this was not also the case on this ensuing visit. The owner / manager and her sister the co-owner, were both intending in the past to enrol on a NVQ Management & Care Course to NVQ Level 4 (The ‘Registered Manager’s Award’). To date this has not happened and the home now finds itself with an unqualified manager outside the ‘grace period’ allowed by the minimum national standards. The owners are now challenged -by requirement - to ensure that they take immediate steps to gain a suitable management qualification as soon as is practicable. In the more recent past - with regard to staff training, staff support and staff supervision - the owners have relied on a senior staff member who was skilled and experienced in these areas (she was a qualified NVQ Assessor) to undertake and promote these aspects on their behalf. This arrangement appears to have come to an end, due to the incapacity of the senior carer, and now the management is confronted with taking over - and developing - these areas to a competent and adequate level for the future. The inadequacies identified in Standards 28 & 30 previously, and also in standard 36 herein, are attributable to the lack of a competent person to currently take on these tasks. Another area that requires strong development is that of Quality Assurance (‘QA’) and the associated forward planning, incorporating the outcomes of consultations and audits undertaken with service users, relatives and stakeholders. It was understood that a survey for service users and their families is being looked into. A resultant Business / Development Plan should also evolve and be able to ‘map out’ where a home is heading and how the goals will be achieved. The home sadly fails itself in this regard, as – as indicated by the slow development around access to the first floor by some form of passenger lift – newcomers to the home cannot be clear what the future holds for the home, without clear intentions in this respect being investigated and committed to. It is good to see the policies and procedures of the home developing into a set of useful and applicable policy statements. Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 20 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 X 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X 1 X X 2 1 STAFFING Standard No Score 27 X 28 2 29 X 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 1 X 1 3 X Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP4 Regulation 14 Requirement The manager must evidence the mental health skills base of staff at the home to the Commission. (Timescales of 30.10.04 & 15.10.05 not met.) Timescale for action 01/05/06 2. OP8 17 - Sch 3 A formal recording structure is required for mental health service user’s psychological health to be noted at the home. (Timescales of 30.09.04 & 15.10.05 not met.) 23(2)(b) The worn main corridor carpet on the first floor must be replaced. A proposal must be evolved, agreed by the proprietors, and communicated to the Commission as to how the home proposes to ensure that a lift of some form is provided to transport service users to the first floor level of the home. Such plans must also be submitted to the Fire Safety Section of the London Fire & Emergency Planning Authority DS0000007164.V278516.R01.S.doc 01/04/06 3. OP19 01/06/06 4. OP22 23(2)(n) 01/04/06 Linda Lodge Version 5.1 Page 22 for their comment & support. (Timescales of 30.09.04 & 15.10.05 not met.) 5. OP25 13(4) All remaining exposed radiators and hot water pipes in the home must be protected or replaced with low temperature surface units. (Timescales of 30.11.04 & 15.10.05 not met.) A sluice-cycle washing machine must be provided in the home. (Timescales of 30.12.04 & 15.10.05 not met.) Sufficient care staff must undertake NVQ training to ensure 50 care staff members are trained to Level 2 in Care, as soon as is practicable. (A recommendation in previous reports since 2002 now a requirement.) 01/06/06 6. OP26 13(3) 01/05/06 7. OP28 18(1) 01/06/06 8. OP30 18 A Training and Development Plan 01/05/06 must be devised for the home to indicate the establishment’s commitment to ensuring adequate staff training particularly in mental health issues. (Timescale of 30.11.04 & 15.10.05 not met.) The manager / owner(s) must 01/05/06 take steps to qualify to NVQ level 4 in Care & Management, as soon as is practicable. (A recommendation in previous reports since 2002 now a requirement.) An annual Audit of the service 01/05/06 provided must be undertaken, involving service users, families & friends and other stakeholders, DS0000007164.V278516.R01.S.doc Version 5.1 Page 23 9. OP31 9(1) (2) 10. OP33 24 Linda Lodge resulting in a Development Plan. (Timescale of 30.11.04 & 15.10.05 not met.) 11. OP34 25 A Business and Financial Plan must be put in place, be open to inspection, reviewed annually. (Timescale of 30.11.04 & 15.10.05 not met.) Formal staff supervision for all staff must be commenced, being of bi-monthly frequency - and providing the minimum content required by this Standard. (Timescale of 30.10.04 & 15.10.05 not met.) 01/05/06 12. OP36 18(2) 01/04/06 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 manager(s) should seek to qualify to NVQ level 4 in Care and Management, or equivalent, by the end of 2005. That the entrance area to the home should be designated a No smoking area, on the basis that many non-smoking service users have to experience / passively inhale smoke whilst waiting in / moving through / accessing stairs to their rooms. That policies and procedures regarding ‘First Aid’ & the ‘Homes are For Living In’ values-base (privacy, dignity, rights, independence, choice, fulfillment) should be put in place. 2. OP20 3. OP37 Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Linda Lodge DS0000007164.V278516.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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