Inspection on 18/08/05 for Lindum House

This inspection was carried out on 18th August 2005.

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

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

Other inspections for this house

Lindum House 14/03/08

Lindum House 03/08/06

Lindum House 04/01/06

Lindum House 27/09/04

Lindum House 19/05/04

Lindum House 26/11/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Lindum House 84 Bath Road Old Town SWINDON Wiltshire SN1 4AY Lead Inspector Bernard McDonald Unannounced 18 August 2005 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lindum House Address 84 Bath Road Old Town Swindon Wiltshire SN1 4AY 01793 525299 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 Nathan Maysey Mr Nathan Maysey Care Home 20 Category(ies) of LD Learning disability - 20 registration, with number LD(E) Learning disability - over 65 - 20 of places Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The maximum number of service users who may be accommodated at any one time is 20 The home must not admit any service users aged 65 years and over Service users admitted in the range 18 - 65 (category LD) may remain in the home after attaining their 65th birthday subject to the home being able to continue to meet the needs of the service user Date of last inspection 27 September 2004 Brief Description of the Service: Lindum House is a large detached property on the Bath Road in Old Town Swindon. The home is arranged on four floors and there is a detached bungalow in the grounds. The home offers accomodation and care to twenty men with learning disabilities. The bungalow accomodates four men who are working towards more independent living. The home provides a mix of single and double bedrooms. There is a dining area and kitchen in the basement which is also used as a communal meeting area. There is a small lounge on the top floor and a large craft room that is used for in house daytime and evening activities. There is a minimum of three staff on duty at all times and two staff provide sleeping in cover at night. Service users have the opportunity to go on holiday and a range of holidays is offered to meet individual needs and preferences. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over eight hours. A member of the Commission’s business services team accompanied the inspector. The inspector met with 15 service users and had opportunity to meet with them in private to obtain their views on the service they receive. The inspector viewed all communal living areas and the majority of service users bedrooms in the main house. In addition the inspector viewed all areas of the bungalow. The inspector examined four service users care plans including risk assessments. In addition the inspector looked at four staff recruitment records and met with five members of the staff team. Policies and procedures for the protection of service users were also examined. The manager and registered provider were available for the majority of the inspection. One requirement had not been met from the previous inspection and a further requirement had only been partly met. What the service does well: Service users benefit from detailed care plans that clearly specify how their needs should be met at the home. In addition service users are being supported by staff to access a range of health care services to ensure their health needs are met. The home provides service users with a variety of activities both within the home and in the wider community. Service users commented that they are able to go out with staff and have a choice of things to do. The service supports staff to achieve National Vocational Qualifications (NVQ) to ensure staff are sufficiently trained to meet the needs of service users. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: This inspection has identified eight requirements and made seven good practice recommendations where the home can make improvements. A number of these requirements and recommendations relate to the overall environmental standards found at the home. Although several improvements have been noted there still remains a lot of work to be done to improve the overall appearance of the home for the benefit of all service users. Four service users bedrooms were without water to their sinks due to ongoing problems with the plumbing. Work was still outstanding to one toilet that was in need of repair following the installation of the boiler. One service users bedroom in particular needed a new window and more suitable flooring to eliminate the odour that was also noticed at the previous inspection. The inspection has identified that staff require training in the use of “as required” medication and a record should be kept of any medication that is returned to the pharmacy. Further improvements are required to ensure the safety and welfare of service users. This requires the home to assess the risk of window openings above the basement floor and to take action to reduce any risk identified. Water temperatures are being regulated but no checks were being made by the home to make sure the temperatures remains safe. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 7 To improve outcomes for service users in the bungalow it is recommended specific hours be allocated to enable staff to support the service users in the preparation of meals. 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. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4, 5. Prospective service users are able to try out the home before moving to ensure their needs and aspirations will be met. Service users are provided with the terms and conditions of their stay in the form of a contract. EVIDENCE: The manager stated only one service user had been admitted since the last inspection. Examination of records demonstrated the home had received a community care assessment detailing the needs of the service user together with a single care plan. The manager confirmed the service user had opportunity to visit the home prior to moving to meet with staff and service users and view the accommodation. Discussion with the service user confirmed this practice and that he also had opportunity to go on bowling trips and have a meal out before making a decision to move to the home. The service user care plan was reviewed one month after moving to the home and the service user did confirm their involvement in developing their plan of care. The records contained a written contract specifying the service user was entitled to a three-month trial placement before deciding to make a permanent move to the home. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 10 The contract specified the fee payable, what is included in the contract price, house rules and what the home provides for you. In addition an addendum to the contract is provided for service users who live in the bungalow. The service user had signed the contract. A minor alteration is required to the home contract to change the name of the Commissions address from NCSC to CSCI. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9. Service users are involved in developing their care plan and personal goals and being are supported to make decisions about their lives and take responsible risks. EVIDENCE: The inspector examined the care plans of four service users. All care plans demonstrated the service users involvement in developing the plan. The care plans were detailed and provided clear guidance for staff on how service users wished to be supported. The home does operate a key worker system and discussion with the staff demonstrated some insight into the needs of service users. Staff confirmed they are involving service users in sign along communication methods and although slowly getting off the ground some improvements have been noted, although the majority of service users are able to make their needs clearly known. Where the care plan has described restrictions on choice and freedom a risk assessment has been completed. Risk assessments examined were reflected in the care plans of service users. One service users who was particularly vulnerable in the community and at risk from offending had a risk assessment Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 12 that looked at ways of minimising the risk while being aware of the service users right and choice. Discussion with the service user demonstrated they were aware of the risks associated with accessing the community and the reasons for restrictions on staying out late. Staff were aware of the contents of the risk assessment and had signed the backs of the assessments to demonstrate their understanding. Risk assessments are being routinely reviewed ever six months. Discussion with service users confirmed they are able to make decision and choices in their everyday life. One service user had decided to visit their relative and another service user was planning to go into town. There is a relaxed and friendly atmosphere at the home interactions between service users were positive and supportive. One service user stated they “liked it” at the home and several service users, commented they were happy living at the home. Advocacy information was available at the home and on display in the dining area. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 17. There is a good activities programme in place, which ensures service users are involved in their community. Service users are supported to maintain contact with people who are important to them. Service users are able to enjoy a healthy diet but opportunities to promote independence in the preparation of meals are being missed. EVIDENCE: The manager confirmed two service users are involved in work experience programmes and several service users attend the local day care centre. In additional five service users attend the over sixties club. Discussion with service users confirmed they enjoy going to the day centre and would not want to change it. In addition the home specifically employs a daytime activities worker who is responsible for ensuring service users have access to nonsegregated community activities. Discussion with service users confirmed they are able to go to coffee mornings, trips into town and help with some personal shopping. In addition records show trips out to the cinema, meals out, bowling and trips out to the park and coast in the homes mini bus. A record is kept of service users involvement in activities to ensure all service users have opportunity to participate and no one is left out. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 14 Discussion with one service user who is involved in a gardening project in the community has been able to pursue this interest at the home and has been given a small piece of land where he has been able to grow his own strawberries. A number of service users are able to access the community independently and the home is situated close to Swindon centre and local bus routes. The home is supporting service users to maintain contact with their friends and relatives. One service user visits their relatives on a regular basis other service users are provided with support to write letters and make telephone calls. The manager confirmed there are no restrictions on visitors, friends or relatives visiting the home. Following a requirement made at the last inspection the manager has redecorated the kitchen and dining room area. This area is the main communal area where you will normally find service users interacting with staff or sitting watching television or making themselves a drink. The manager stated that menus are not normally planned to far in advance preferring instead to plan a day or two in front which allows the home time to adjust the menu for the weather. Records of meals served at the home showed a varied diet being offered including an alternative at the main meal. Fresh fruit, biscuits and drinks are also available throughout the day. Meal times are flexible, relaxed and unhurried and take account of service users activities and routines. Several service users confirmed the food was “good” and when one service user was asked what would happen if they did not like what was on the menu they replied, “ I would get something else.” The main home also provides meals for the four men in the bungalow and is one area of independence that could be promoted if staff were allocated specific hours to work with service users in the preparation of meals at the bungalow. The manager stated that he would put this into action on the next staff rota. The inspector met with all service users in the bungalow who stated they are happy with the current mealtime arrangements but would also like some support to prepare meals of their own. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. Service users health needs are being met but the home is failing to ensure their medication procedures are sufficiently robust for “as required” medication. EVIDENCE: The home provides a flexible approach to all routine activities at the home. Service users confirmed they are able to lie in and go to bed when they want. There are no aids or adaptations to assist with independence and non are needed. The overall view from service users is that staff are well liked and supportive. Service users care plans provides evidence that health care needs are being addressed and health action plans have been completed. Records demonstrate service users have regular check ups with the dentist, optician and chiropodist. Service users are also supported to attend health care appointments with specialist consultants. The inspector examined a sample of medication records held at the home. The records show that medication was being recorded correctly when administered and a separate record is kept of medication received at the home. There was no record kept of any medication returned to the pharmacy and it is requirement that one is kept. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 16 The inspector found one service user had been prescribed Epistatus. Discussion with the staff confirmed this medication had been changed due to staff having been required to receive training to administer Stesolid. However it is also a requirement that staff are trained in the administration of Epistatus and the Commissions pharmacist will be contacting the home to offer further advice. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. The home is striving to ensure service users are protected from abuse and that their views are listened to and acted upon. EVIDENCE: The manager confirmed the home has received no complaints since the last inspection. The home has a complaints procedure that will initially respond to a complaint within 48 hours. One service user was asked who they would complain to if they were not happy about something and they replied “Nathan or Claire”. Discussion with staff confirmed they have received training in the protection of vulnerable adults. Copies of Wiltshire and Swindon “no secrets” guidance were on display in the staff room. Discussion with staff confirmed they would have no hesitation in reporting any incident that affects the safety or welfare of service users. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, , 29, 30. The overall standard of the home has improved but further work is required to ensure service users fully benefit from a home that is comfortable, safe and hygienic. EVIDENCE: The home is situated in its own grounds close to Swindon town centre. The inspector viewed the majority of service users bedrooms and all communal living areas. In addition the inspector viewed all areas of the bungalow. The main home accommodates 16 service users with a further four service users accommodated in the bungalow. The bungalow was furnished and maintained to a good standard in comparison to the main home. There was a toilet seat required for one of the toilets in the bungalow and this was brought to the attention of the manager during the inspection. Following a number of requirements made relating to the environment at the last inspection the inspector noted a number of improvements to the overall Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 19 fabric of the building. The communal stairs and hallway carpet had been replaced. The heating system has also now been replaced and a number of new radiators have been installed. A number of service users bedrooms had been decorated and new bedroom furniture had been purchased and new carpets fitted. However there is still one requirement that remain outstanding and one requirement that had not been fully met. These relate to a strong odour in one service users bedroom and finishing off the plumbing work at the home. The inspector was advised four service users bedrooms do not have any water connected to their sinks due to delays in the plumbing work. It is a requirement that work is completed as soon as possible and within one month of the inspection. In addition one toilet remains out of action due to the installation of the new boiler. Repairs must now be completed within the specified timescale. Toilets and bathrooms were situated close to communal living areas and service users bedrooms and all had been fitted with suitable locks to ensure privacy to service users and access to staff in the event of an emergency. The inspector noted a strong odour in one bedroom. The inspector was advised this is mainly due to the incontinence of the service user. The inspector found the service users bed needed to be replaced and when this was brought to the attention of the manger a new bed was ordered. It is recommended new floor covering that is more easily cleanable is considered for this room. It was also noted that this room had a large aluminium sheet fastened to the wall. The manager stated this was fitted because the service users enjoyed sticking objects to the wall and they had bought the service user a number of magnet stickers however, none were on display. The use of this sheet needs to be reviewed and if after the review it is considered to be in the service users best interest for it to remain then at the very least it should be painted a suitable colour to reduce it’s impact. The window in this bedroom was also broken and needs to be replaced. The inspector viewed the majority of service users bedrooms and overall service users commented very favourable on the facilities provided in the home. One service users stated they were “very happy” with their bedroom and another service users said they had “everything they needed”. No aids or adaptations were currently required at the home. The laundry area was situated in the basement well away from food preparation areas. The home has a commercial washer and dryer and staff are responsible for service users laundry. Infection control guidelines were in place but no staff had completed infection control training, it is recommended that this is provided. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34. Improvements in the staffing levels at the home has brought benefits to service users and ensures they are supported by a competent and qualified staff team. Safe recruitment practices are being followed. EVIDENCE: The inspector examined four staff recruitment records of the most recently appointed members of staff. The records contained a satisfactory criminal records bureau clearance at enhanced level. The recruitment records contained all the necessary information required by regulation for the protection of service users. Discussion with staff confirmed supervision is normally provided by the manager and examination of records show staff are receiving supervision six times a year. The inspector examined the rota for the home and found there have been some improvements made to the staffing levels. There are now normally three staff on duty throughout the day and staff confirmed this is allowing staff to spend more time with service users. In addition four members of staff have now completed NVQ2 in care and one member is working towards the award. A further member of staff having completed NVQ2 is now working towards NVQ3. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 21 One member of staff who has been at the home for almost a year is completing the learning disability award frame work training (LDAF) to underpin their induction training at the home. Discussion with staff demonstrated a good awareness of the needs of service users and how they wish to be supported. Staff commented that they thought they had a good staff team and provided a good standard of care to service users. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42. The management team is making every effort to ensure service users benefit from a well run home but need to improve the overall health and safety standards of the home to ensure service users welfare. EVIDENCE: The inspector met with both of the registered providers one of which is the registered manager. Both of the registered providers are completing the registered managers award and NVQ 4 in care, which they hope to complete by the end of the year. There have been a number of improvements noted throughout this inspection and gradually the providers are improving documentation, policies and procedures and improving overall outcomes for service users. There still however remain number of safe working practices that need to be improved upon. The home is ensuring water temperatures are regulated close to 43c to prevent any risk of scalding to service users. However the home is Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 23 not testing the water temperatures on a regular basis to ensure the water temperature remains safe. It s recommended this is put into place. The inspector found windows in service users bedrooms that did not have restricted openings which present a risk of injury to service users. This was brought to the attention of a member of staff during the inspection. It is a requirement that all windows above the basement level have a risk assessment competed and action must be taken where any risk to service users is identified. General risk assessments were in place but it is recommend that staff sign to demonstrate they have read and understood the contents. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 2 x N/A 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 2 Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lindum House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 25 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 20 Regulation 13(2) Requirement Timescale for action 01/09/05 2. 3. 20 24 13(2) 16(2)(k) The registered person must ensure a record is kept of any medication returned to the pharmacy. The registered person must 01/10/05 ensure staff receive training in the administration of Epistatus. The registered person must 01/10/05 ensure the bedroom identified at the inspection is free from odour. This was a requirement at the previous inspection and compliance must now be achieved within the revised timescale. The registered person must ensure the four service users bedrooms without water connected to their sinks is repaired. The registered person must ensure the broken window in the service users bedroom identified during the inspection is replaced. The registered person must repair the toilet seat in the bungalow. The registered person must repair the toilet on the first floor. The registered person must 4. 26 23(2)(c ) (j) 01/10/05 5. 26 23(2)(b) 01/10/05 6. 7. 8. 27 27 42 23(2)(b) 23(2)(b) (j) 13(4)(a) 01/09/05 01/11/05 01/10/05 Page 26 Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 (b)(c ) complete risk assessments on all window openings above the basement level and where any risk to service users is identified then action must be taken to reduce the risk. 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. 5. 6. 7. Refer to Standard 5 17 26 26 30 42 42 Good Practice Recommendations The registered person should change the contact address on the contract from NCSC to CSCI. The registered person should allocate staff hours to support service users living in the bungalow in the preparation of their meals. The registered person should consider replacing the floor covering in the service users bedroom identified during the inspection with a more easily cleanable floor covering. The registered person should review the use of the metal sheet on the wall in one service users bedroom. The registered person should ensure staff receive training in infection control. The registered person should ensure all staff have read and understood risk assessments held at the home. The registered person should test the hot water temperatures a minimum of once a month to ensure the continued safety of service users and keep a record for inspection. Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Suite C, Avonbridge House Bath Road CHIPPENHAM Wiltshire SN15 2BB 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 Lindum House D51 D01 s3208 Lindum House v225364 180805 Stage 4.doc Version 1.30 Page 28 - 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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