Inspection on 13/12/06 for Lindsay Hall Nursing Home

This inspection was carried out on 13th December 2006.

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 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

Lindsay Hall Nursing Home 12/11/08

Lindsay Hall Nursing Home 31/01/06

Lindsay Hall Nursing Home 08/06/05

Lindsay Hall Nursing Home 07/01/05

Lindsay Hall Nursing Home 27/07/04

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

CARE HOMES FOR OLDER PEOPLE Lindsay Hall Nursing Home 128 Dorset Road Bexhill On Sea East Sussex TN40 2HT Lead Inspector Debbie Calveley Key Unannounced Inspection 13th December 2006 09:00 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 Lindsay Hall Nursing Home DS0000014014.V323779.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. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindsay Hall Nursing Home Address 128 Dorset Road Bexhill On Sea East Sussex TN40 2HT 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) 01424-219532 01424 222660 Info@galleoncare.co.uk Galleon Care Homes Limited Lynda Foster Care Home 38 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (38) of places Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only service users who have a dementia type illness and /or mental disorder are to be accommodated. Service users should be aged sixty (60) years or over on admission That no more than thirty eight (38) service users are to be accommodated 31st January 2006 Date of last inspection Brief Description of the Service: Lindsay Hall is a Care Home providing nursing and personal care and accommodation for 38 older people with dementia. It is owned by Galleon Care Homes, who also own two other homes in the area. The home is situated in a quiet residential area of Bexhill-on-Sea close to local shops, churches, pubs and other community facilities. The building is a large, spacious home, providing a light and airy positive environment for its residents. There is a lift in the premises to reach all three floors and has assisted bathing equipment and hoists to assist transfer. There is a large garden to the rear which is accessible to service users and car parking for visitors at the front of the building. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2006 range from £498 to £735, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Lindsay Hall will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 8 hours on the 13 December 2006. There were thirty-eight residents in residence on the day, of which eight were case tracked and spoken with. During the tour of the premises ten other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the service users guide, statement of purpose, care plans, medication records and recruitment files. Four members of care staff, two trained nurses and the chef were spoken with in addition to discussion with the Registered Manager. The pre-inspection questionnaire was received back from the Registered Manager on the 21 November 2006 completed in full. Comment cards received from seven residents/ relatives were generally positive and indicated that both groups were satisfied with the services provided. One comment card was received from a social and healthcare professional, and seven staff surveys were received from staff. The information contained in the returned surveys has been incorporated into this report. What the service does well: The comprehensive Statement of Purpose and Service Users Guide give prospective residents and relatives the information required enabling them to make an informed choice about where they live. The residents were not able to discuss their views of the Service Users Guide, but family members spoken with confirmed that they had read a copy and had found it helpful. The residents’ representatives were complimentary regarding the standard of care that is received in the home. The home was found clean, safe and well maintained, which is appreciated by the residents and their relatives. Lindsay hall provides an environment that is comfortable and homely and gives residents and their families the opportunity to personalise their bedrooms. The atmosphere of the home is pleasant with good interaction seen between residents and staff. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 6 The care staff have a good understanding of the residents needs and preferences and respond in a considerate manner to these. The relatives and representatives are welcomed to the home and are kept informed of any changes and are complimentary about the service provided at Lindsay Hall. The care plans are comprehensive and there was evidence of regular review and clear directions for staff to follow to provide a consistent approach. Residents are encouraged to remain as independent and mobile as long as possible within a risk assessment framework. Wheelchairs are only used as a means of transfer. Satisfactory arrangements are in place to safeguard service users finances. The home works closely with health care professionals to ensure that resident’s health care needs are being addressed. Flexible routines are an important part of daily life at the home with residents choosing when to get up and go to bed. There is a variety of good nutritious food offered and fresh fruit is readily available. Good practice was observed throughout the inspection in respect of promoting the safety and well being of the residents. Comments gathered from surveys include, ‘The staff are Lindsay hall’, ‘ I am pleased to say I’m happy with the way mum is looked after’, ‘ I’m very happy with the care given to my Aunt at Lindsay Hall’, ‘Overall the care home provides a very good level of care, most staff appear to very caring with patients and friendly to visitors’. A staff member commented ‘ The things that I like in this home is the way they treat the residents nicely by giving them their right, choice and dignity’. What has improved since the last inspection? What they could do better: There were no requirements made following this inspection. Areas to improve were discussed, and were discussed as recommendations of good practice. These include: A system of updating resident photographs on a regular basis as some residents have changed considerably since admission and are not able to confirm their identity. This is important when bank staff/agency staff are administering medications. That a more in-depth risk assessment with an action plan for staff to follow is developed for those residents unable to use the call bell facility. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 7 The communal facilities were discussed and as mentioned previously the residents would benefit from communal areas on each floor for those residents not as physically able as others. Feedback from relative surveys identified that the supper menu would benefit from review. Feedback from staff surveys indicated that they would benefit from one extra carer at night, this is currently under review. 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. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: There is a range of well-documented information about the home and the services it provides. This includes a Statement of Purpose and Service User guide. Each resident is provided with a copy of the Service User Guide on admission to the home. A social care professional that had recently visited the home confirmed that relevant information was provided to a prospective residents relatives. It was confirmed whilst talking to residents and their families that the contract arrangements were clear and understood. Three families stated that they had Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 10 been aware of the social services contract and had been fully involved with the admission to the home. A review of the care documentation confirmed that pre-admission assessments are completed, and are currently completed by the manager or a senior nurse. The information contained in these assessments is then used to provide the basis of the care documentation in the home. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. Two relatives confirmed that they were consulted about the pre-admission visit and were given the opportunity to attend. The manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the Registered Nurses employed have attended relevant courses to deal with the needs of elderly people with a dementia type of illness. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent and provides staff with the information they need to satisfactorily meet residents’ needs. The staff have a good understanding of the residents individual needs. Medication practices are safe and competent. EVIDENCE: Five care plans were viewed, and were found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The risk assessments were clear and were seen to have been reviewed on a regular basis. The home have a range of paperwork available to monitor tissue viability, and the prevention of skin breakdown, e.g. nutritional scoring, “waterlow” score, and monthly weights. These were seen to be completed in full and reviewed regularly. The home have devised a monthly review of all residents weight and any that have lost weight are then followed through with a plan of action and monitored. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 12 There is little evidence of resident/representative consultation in individual plans and this needs to be encouraged. Two residents spoken with confirmed that they were informed of changes to their relatives’ condition and consulted with regarding the plan of care, ‘ The staff always tell me what’s happening and how my relative is, I don’t have to ask’. From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the residents were met. Specialist equipment was found in place where required, e.g. air mattresses, cushions and various hoists with different slings. The clinical room was clean, tidy and well organised. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. Also viewed were the books for returning controlled medication and the medication for disposal. The Medication Administration Charts (MAR) were found correctly completed. A self-administering policy is in place, but there were no residents at this time self-administering their medication. The controlled medication register was viewed and is well maintained, it is a recommendation that regular random checks are made. All residents medication charts have a photograph for identification, however some residents bear little resemblance to the resident, a system for updating and dating photographs would benefit bank staff and agency staff in ensuring a residents identity. The staff were seen caring and offering support to residents with dignity and respect and the atmosphere was calm and inclusive. One relative said that ‘ the staff were always polite and cheerful to both residents and visitors and that they always felt welcome’. Another relative said ‘ the staff are great, very kind and understanding’. The residents were dressed appropriately and in well-laundered co-ordinating clothes. Attention had been taken by staff to their hair and personal hygiene. One very positive observation was that the residents are positively encouraged to remain as mobile as possible, not one resident was seen in a wheelchair. Lindsay Hall Nursing Home DS0000014014.V323779.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff endeavour to ensure that residents have choices in most areas of their lives and that they remain in contact with friends and relatives. The meals provided are good offering both choice and variety and catering for individual needs. EVIDENCE: The lifestyle within the care home is kept as flexible as possible to reflect the varying needs of the residents living there. There is a full time co-ordinator that works full time between three homes in the area. The majority of activities for the residents are one to one due to their varying mental health needs, however the residents are taken out on regular trips, photographs were seen of the residents enjoying their latest trip to the Hastings shopping centre. An example of the activities/trips offered are: shopping trips, home visits to families, meals in pubs drives to the sea front and country side, relatives are invited to join the trips. The staff were seen interacting with residents positively throughout the inspection, sitting and talking to them and reading their letters to them. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 14 Records viewed evidenced that relatives are contacted regularly, informing them of changes in the residents care. Relatives confirmed that this is the case during the inspection. The manager said that it is often difficult for residents to make choices because of their mental impairment, however staff encourage them to make choices that they can make decisions over, such as what time to get up and go to bed or what to wear. The menus were seen and demonstrated a well-balanced and nutritious diet. The menus rotate on a four weekly basis and offer a variety of meals. Feedback from surveys and from people spoken with said the ‘food was good’ ‘excellent food, always hot’ ‘my husband really enjoys the food’. It was commented from a number of sources that the suppers lack creativity and are monotonous. The introduction of a supper cook would benefit the residents. Due to their disabilities, many of the residents receive a soft or pureed diet and this was discussed with the cook. She was knowledgeable regarding the nutritional needs of the residents living at Lindsay Hall. The staff inform her of any changes in appetite so she can fortify their meals and ensure that they receive build up or an alternative supplement. The mid-day meal was observed both in the dining area and in the resident’s bedroom; the meal was attractively presented and was enjoyed by the residents. Staff were seen offering support and assistance discreetly and with patience. It was noted that many family members visit to feed their relative lunch, which is invaluable to them. Lindsay Hall Nursing Home DS0000014014.V323779.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that complaints and any allegation or suspicion of abuse made would be managed appropriately. EVIDENCE: The home has a clear complaints procedure and a copy of this is readily available in the home. A system of recording complaints was demonstrated to the inspector during her visit to the home. There has been one complaints received recently to be processed using this system. Relatives and visiting professionals spoken to confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. A high percentage of residents living at the care home are in the latter stages of dementia, and therefore lack capacity to make an informed decision about many aspects of their lives. They are reliant on others to safeguard their rights and act in their best interests, which the home do competently. The home has relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The management team has a clear understanding of adult protection guidelines and have initiated this procedure appropriately in the past. Lindsay Hall Nursing Home DS0000014014.V323779.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, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and safe environment for those living there and visiting. Resident’s and their families are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: Lindsay Hall is an adapted older style building with accommodation situated on three floors; a shaft lift is fitted to assist access for those with mobility problems. The tour of the premises demonstrated that all areas were well maintained and decorated and furnished to a good standard. The communal areas have been discussed at previous inspections as there is only one lounge/dining are for the thirty-eight residents, a lounge are on each floor would benefit the residents. However the staff ensure those residents that are well enough do spend time in the lower floor dining/lounge area. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 17 It was also discussed that one resident on the second floor is isolated by the bedroom being outside the glass surrounding the landing. There are adequate communal bathrooms and shower rooms in the home with specialist equipment, which enables frail residents and those with a physical disability to enjoy the facilities available. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. A call bell facility is provided in all areas, and those residents that can use it appropriately have access to it, however a more in-depth risk assessment in their care plan is needed with an appropriate plan of action to ensure their safety and well being is maintained at all times. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. All radiators are guarded. There was evidence of residents and their relatives being encouraged to personalise their rooms with their own belongings and bits of furniture. The bedrooms are clean, comfortably furnished and pleasantly decorated with soft colours. It was noted that there are a large amount of divan beds in place, it was confirmed that they are being replaced with high/low nursing beds on a regular basis. The standard of cleanliness in the home was good, the relatives spoken with said, “ the cleaning team is good, the home always smells good” “the cleaning is always first class”. It was noted that one bedroom had lino covering and not carpet, and when discussed the manager confirmed it would be reviewed. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Sluice and laundry areas were found clean and safe. The home provides a good laundry service. Lindsay Hall Nursing Home DS0000014014.V323779.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are adequate to meet the needs of residents. The home has robust recruitment procedures in place to safeguard the welfare of residents. EVIDENCE: The staffing rota was viewed and the staffing levels were seen to be sufficient to meet the needs of the residents at this time. It was confirmed by the manager that there is flexibility of the staffing levels and they are adjusted according to the changing needs of the residents. Surveys received from staff stated that they would like one more carer at night, this was discussed in full and the manager is considering an extra carer staying on until 11 pm and an extra carer coming on an hour earlier in the morning as these are the busiest times and this would allow the staff to work in pairs and the trained nurse free to administer medications and write the notes. Not all residents were able to discuss the staff levels but were seen to be comfortable with the staff and there was laughter and positive interaction between staff and residents. Relatives visiting were appreciative of the staff and had no concerns regarding the amount of staff ‘the staff work hard, they are kind and attentive’ ‘ my relative has been here for five years and the staff are wonderful’. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 19 Staff files of five employees were viewed and evidenced that the home management team follow robust procedures when employing staff. They contained the required information and demonstrated that the appropriate induction training had been completed in respect of the job they were to undertake in the home. Staff interviewed confirmed a high satisfaction with the training provided and stated that recent training was interesting and informative. Seven staff surveys received stated that they were satisfied with the standard of training provided. ‘ The training provision has massively improved over the past two years’ ‘ excellent staff training’ ‘ provide us with training’. Staff and records seen confirmed that they had undertaken compulsory training such as manual handling, adult protection, first aid, and food hygiene and fire safety. In addition specialist training in understanding dementia, end of life and managing challenging behaviour is also undertaken. There are study sessions provided monthly. NVQ training is available and staff are encouraged to complete this, at present 36 of staff have an NVQ qualification, with further care staff enrolling next year. Lindsay Hall Nursing Home DS0000014014.V323779.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, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of this home is good with effective systems in place to protect residents. EVIDENCE: The Registered Manager is a Qualified Dual Registered General/Mental Health Nurse and has the experience to run the home effectively with a strong support management structure. The management structure of the home is strong, competent and has clear lines of accountability. There are quality assurance systems in place and the organisation send out surveys to families and friends of the residents to gain feedback on the service provided. Staff meetings are held regularly, but resident meetings are not appropriate with the residents living in the home at this time. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 21 Residents’ financial interests are safeguarded by the homes policies and procedures. All staff spoken with were aware that they must not be involved in any financial matters of the residents, they also said that they would not accept money or gifts from residents or their families. The Registered Manager is a Qualified Registered General Nurse and has the experience to run the home effectively with support from the Responsible Individual. A deputy manager completes the management team. The management structure of the home is strong, competent and has clear lines of accountability. The manager is aware of the shortfalls in the care planning, medication and meals and is taking appropriate action to address them. Evidence was seen of her audit of the care plans and medication administration. The feedback from residents, relatives and staff indicated that they felt supported and were able to approach the management team at any time. The ethos of the home is to focus on the residents and the staff were observed doing this. Regular staff meetings and resident/relative meetings are held and records of the meetings are kept. The staff mentioned the staff meetings and how beneficial they were and the staff felt that areas of improvement they put forward were acted for the benefit of the residents. These form part of the quality assurance systems in the home. One resident mentioned that they attended the resident meetings and thought it gave them the opportunity to discuss the running of the home and areas that could be improved. Residents’ financial interests are safeguarded by the homes policies and procedures. All staff spoken with were aware that they must not be involved in any financial matters of the residents, they also said that they would not accept money or gifts from residents. The residents spoken with said they had no worries regarding their financial status, and felt they were supported in managing their affairs efficiently. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. Staff were able to discuss the training they received and said that they were kept up to date with changes to policies in connection with fire safety and health and safety. The staff are issued with certificates yearly for Manual Handling, twice yearly for Fire Safety and Food and Hygiene. The home has a comprehensive set of policies and procedures, which govern the running of the home. All relevant legislation and procedures are in place in respect of Health and safety. The manager confirmed that regular supervision sessions take place and all staff spoken with also confirmed that they receive regular supervision. Throughout the inspection good practice was observed in regards to ensuring the safety and well being of the residents when being moved around the Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 22 building. The accident forms were seen and had been correctly completed with appropriate referrals made as necessary. As mentioned previously staff need to ensure that all residents have access to a call bell facility in communal areas and in their bedrooms or a risk assessment with an appropriate plan of action for staff to follow. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP9 OP15 OP22 OP23 Good Practice Recommendations That photographs of residents in the medication charts are dated and changed as their condition/appearance changes. That the supper menu be reviewed. That a risk assessment and plan of action for individual residents that cannot use a call bell facility be developed, to ensure the residents safety and well being. That the amount of communal space for residents is reviewed. Lindsay Hall Nursing Home DS0000014014.V323779.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Lindsay Hall Nursing Home DS0000014014.V323779.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. 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