Inspection on 12/02/07 for Lindum Park House

This inspection was carried out on 12th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lindum Park House 11/09/06

Lindum Park House 30/11/05

Lindum Park House 11/07/05

Lindum Park House 28/02/05

Lindum Park House 13/09/04

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

CARE HOME ADULTS 18-65 Lindum Park House 1-2 Lindum Road Lincoln Lincs LN2 1NN Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 12th February 2007 09:30 Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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 Lindum Park House DS0000002377.V329208.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 Adults 18-65. 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. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindum Park House Address 1-2 Lindum Road Lincoln Lincs LN2 1NN 01522 545099 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) Lindum@unitedhealth.co.uk United Health Limited ** Post Vacant *** Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th September 2006 Brief Description of the Service: Lindum Park House is a large three storey, semi-detached, Georgian, grade 2 listed building, which has been adapted to provide accommodation and services for seventeen residents with mental health needs. The home has single bedrooms and a self-contained flat on the top floor, two lounges and a large dining room. United Healthcare Ltd owns the home and provides support through the companies Operations Manager. The home is situated in the centre of the city of Lincoln with all the local facilities available to the residents. The local bus and railway stations are close by and the home is within easy reach of all the citys main shopping areas. Although the home is close to the city centre, it has a small garden and yard, which is used by the residents. The home has a flat rate of current charges, which is £348.00. . Additional costs are made for hairdressing and chiropody. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by the Commission for Social Care Inspection (commission) including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the commission in 2006. The site inspection consisted of case tracking a sample of two residents records and assessing their care. The inspector spoke with two of the residents who were being case tracked and joined two other residents for lunch. The inspector also spent time with the acting manager and a carer. In the September 06 inspection one community psychiatric nurse was spoken to and an approved mental health social worker was also contacted, both of whom had clients placed at this home. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? What they could do better: Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 6 1. The homes pre-admission care needs assessment needs to reflect that the provider would meet residents expressed hopes and aspirations. 2. Daily/weekly notes must be kept up to date to chart any events or outings that residents might undertake. 3. Those residents over sixty-five years of age should be reviewed to ensure that their primary care needs are being met. 4. Risk assessments relating to self-medication of medication by residents must be signed by the resident agreeing to the risk that they take. 5. Medication sheets must reflect medication given to residents who self medicate. 6. The home does not have a complaints procedure, which empowers residents. This requirement was made in November 2005 and September 06. No action has been taken. 7. Staff at this home have not had training specific for this client group. This requirement was made in November 2005, September 06 and February 07. No action has been taken. 8. The homes training profile does not identify when fire training has been undertaken or a proposed date for this training. A senior carer stated that she has not had formal fire training. 9. The provider needs to find out from the Fire & Rescue Service as to how many fire alarm tests are required. 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. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a care needs admission assessment, but does not refer to resident’s aspirations and how they would be met. Residents are given a copy of the providers’ service users guide to inform of the home’s services . EVIDENCE: This inspection found that the home now has a pre-admission care needs assessment for recording prospective residents needs. However, this document needs to reflect the residents expressed hopes and aspirations, which would be met by the provider. More information also needs to be recorded under the headings of this document relating to the everyday needs of residents. The acting manager stated that a recent admission of a resident was undertaken in which the client’s community psychiatric nurse was involved. He commented that the prospective resident was assessed in house during her visit. The resident in question was also being case tracked and confirmed that she had visited the home with her psychiatric nurse to have a look around before agreeing to come and live at the home. She also stared that she ‘had a very good welcome and that everybody has been kind to me’. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 9 Two residents files seen contained their written contract, giving their terms of conditions of occupancy with the provider. Files also contained letters confirming that the provider could meet their needs The commission sent residents questionnaire forms to the home in 2006 and one was returned. The questionnaire showed that this resident wanted to move to this home and had enough information about the home before moving in. The residents written comments were; ‘I was told to look around two homes to see if I would like to visit and stay in one. This house was shown and I saw a lot of the rooms. I thought the other home would be too much’. Another comment was, ‘it seemed well situated and the garden was nice’. The provider’s action plan received after the inspection undertaken in 2006 evidenced that company policy confirms that pre-admission assessments are carried out for all potential residents. All residents have a contract and terms of conditions. Intermediate care is not provided in this home. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Annual reviews do not take place for all service users to insure that all residents primary care needs are met. Daily record sheets are not kept up to date to keep an accurate record. Residents feel that they have the freedom to come and go as they wish. EVIDENCE: A review of all information available prior to this inspection and a previous key inspection carried out in September 06 at this home, evidenced that residents had an individual detailed care plan. This inspection found that those care plans of two residents who were being case tracked had been reviewed on a regular basis and reflected the changing needs of the resident. The resident had signed one of the care plans seen. One of the residents spoken to was Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 11 aware that they had a care plan. The second resident had only been admitted in December 06 and was unaware of her pre-admission assessment but said that she had a care plan, but couldn’t remember if she had signed it. The daily notes in one residents file was seen and it was found that the last entry was made on the 18/06/06. Daily/weekly notes must be kept up to date to chart any events or outings that reflects on the care received by that resident. Residents reviews were available, with a number of residents, who are under sixty five years of age, having been reviewed recently by an approved social worker from the mental health team. A previous inspection carried out in September found that residents over sixty-five years of age should be reviewed to ensure that their primary care needs are being met. Risk assessments seen in two residents files identified those risks to residents who travel alone or go into town. Both residents spoken to confirmed that they come and go as they please and lead a busy life outside of the home environment. It was seen at previous inspections and this visit that a number of residents came and went as they wished. It was also seen that there was friendly banter between residents and care staff throughout the day. The manager stated that regular house meetings are not held due to issues that arise with some residents being unable to cope with this type of meeting. The provider has now introduced suggestion slips which are placed in the foyer and a locked letter box in which these slips can be placed, so maintaining confidentiality. No suggestions have been received in the two weeks in which this initiative has been in operation. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users had busy and varied lifestyles, with opportunities to engage in a range of leisure activities. Residents are encouraged to keep in touch with relatives and friends. EVIDENCE: A previous inspection of this home undertaken in September 06 found that outings and various activities take place. Numerous residents confirmed at that inspection that they go into town shopping as and when they choose. One resident who has an interest in trains stated that he catches trains to various places and last year he went to Market Rasen for the day unaccompanied and had a walk around the town and then returned home. Two residents who were Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 13 being case tracked confirmed that they had an active social life inside and outside of the home. One showed the regulator his diary in which appointments had been made to visit the hairdresser. He also had a ticket for a forthcoming event at the Theatre Royal. This resident stated that he visits his brother and mother and is to attend his brothers birthday party soon. Another resident said that she visited friends regularly and shops at the Nomad Trust for clothes, as they are cheap there. This resident also said that she is to visit her mum and her social worker is going to take her. Activities are now undertaken between this home and another within this company. Both staff and residents confirmed that they play bingo with residents from West Dean. During the Christmas festivities both homes had parties in which residents played host to their peers. In 2006 two residents joined up with West Dean to go on holiday to Bridlington. A senior carer confirmed that residents go for trips out in the minibus in the summer to the east coast and local outings to garden centres, Whisby wild life centre and local public houses. The manager confirmed that a holiday to Butlins is being planned for 2007 where residents will go together from both establishments, if they so wish. The acting manager confirmed that one resident has a full time job. A social worker was contacted in September 06 and made positive comments regarding the acting manager who was trying to encourage residents to be more independent. One residents questionnaire returned to the commission showed that she usually made decisions about what she did every day. Her written comments reflected that,‘ I clean my bedroom, I do my own washing and want to do a little helping at dinner time’. Residents seen at this inspection stated that they clean their own bedrooms and do their own washing, as well as help with the dishes and setting the tables for meals. The regulator joined residents for lunch and engaged a number of others who said that the meals are good at this home and they have their main meal at lunchtime. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all residents have been actively involved in their care plans relating to risks involving self- medication. Residents health care needs are met and personal support is only given to residents with their consent. Appropriate records of medication are not kept. EVIDENCE: A previous inspection has shown that all rooms have lockable doors and residents have a key to their rooms to ensure privacy. A senior carer had commented that ‘we knock and wait for permission to enter a residents bedroom’. Care plans seen highlighted that residents have a ‘key worker’ to help with the personal care of residents. This is based on friendships and gender as well as the expressed wishes of a resident. A senior carer stated at this inspection that things are much better now, as residents have more of a routine which helps with their sleep patterns and taking medication on time. One resident stated that he does not need support with washing and bathing as he can do it for himself. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 15 Observations made by the inspector were that residents are able to express their needs and during this inspection appeared happy and free to do so. The pharmacist inspection carried out on the 29/03/06, showed that administration records, storage and stock control were good. However, an examination of residents medication sheets at this inspection showed that carers have not used the legend at the bottom of the medication sheet, which is a ‘D’ for medication given to a resident who is out all day. Those residents who self medicate had not signed their risk assessments agreeing to the risk that they take in the self-administration of their own medication. The homes training profile showed that the majority of staff had undertaken medication training on the 02/05/06. A staff member confirmed that she had undertaken medication training. One resident stated that she does not administer her own medication. Past inspection have evidence that residents health care needs are met. The homes daily records showed that a chiropodist visits the home and residents visit their G.P when required. Two residents confirmed that they see their GP, and the psychiatrist, with appointments made six months in advance. One residents personal diary evidenced that he had an appointment to see the chiropodist. A visiting Community Psychiatric Nurse (CPN) was seen in September 06 and confirmed that she visits her client and holds reviews, which are not attended by carers from this home, at the request of her client. She confirmed that her client has lived in this home for many years. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are not empowered by the complaints process. Only one member of staff has undertaken adult protection training. EVIDENCE: Previous inspections carried out on the 30/11/05 and September 06 found that residents are not empowered by the homes complaints format, as it does not have a space for the signature of a resident/complainant to signify whether they are happy with the way the complaint process has been undertaken or the outcome. The providers action plan sent to the commission after the September 06 inspection recorded ‘complaints procedure amended’. This has not been actioned within the home. The acting manager stated that the amendment to the complaints form would be undertaken. The acting manager stated that there have been no complaints since the last inspection. The homes pre-inspection questionnaire from 2006 also shows that no complaints have been made last year. The entrance to the home has the homes service users guide and complaints forms for those residents/visitors Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 17 who wish to make a complaint or suggestion. Both residents spoken to stated that they had no complaints and that staff are kind to us and we feel safe. There were appropriate policies and procedures in place regarding the protection of vulnerable adults. The staff training profile evidence that only one carer had undertaken adult protection training. The providers action plan stated that adult protection training would take place by the 22/12/06,using a training provider who uses question papers/questionnaires, which are sent back to the trainer for marking. No action has been taken regarding this requirement to date. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 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 and clean environment. EVIDENCE: A previous inspection undertaken in July 05 and September 06 found the home to be clean with no unpleasant odours detected. Two residents showed the inspector their rooms and other areas of the home including the dining room, kitchen, office and the toilet/bathroom were also seen during this visit. Not all of the bedrooms were seen, as some service users were out and others did not want them to be seen. Two bedrooms seen were large, with one newly decorated and both bedrooms had been personalised by the occupants. The residents expressed satisfaction with their rooms. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 19 A residents questionnaire received in 2006 stated that ‘the home is usually quite clean and tidy’. All residents and staff spoken to confirmed that residents are more active in developing independent living skills. The home currently employs a cleaner who works twenty hours a week. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected by robust recruitment practices. Staff do not receive training specific to the needs of this client group. EVIDENCE: A previous inspection carried out in September 06 found that the homes recruitment practices were in place and contained all of the documentation required by law. A cursory inspection of one carers personnel file was undertaken and it was found that appropriate checks are undertaken to ensure the safety of residents. Each worker in the home has been given the General Social Care Councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. The homes training plan was received by the commission and found to be up to date. The training record identified those care workers who had undertaken statutory training in 2006 and those carers who required a training input. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 21 Evidence was seen that the provider has engaged skills training brokers to assess and find a training agency to undertake National Vocational Qualifications (NVQ) training for carers at this home. Evidence was seen that all carers have been elected to undertake either NVQ level 2 or level 3. A senior carer confirmed that she is to undertake NVQ training level 3. This home does not meet the 50 required for staff to be trained to NVQ level 2. One senior carer was also able to demonstrate a clear understanding of her role and responsibilities. Previous inspections have shown that the providers have not promoted training for staff specific for this client groups needs, this requirement is still outstanding. The providers ‘proposed a more realist ic timescale’ for carrying out this requirement of the 28/02/07. This inspection found that this timescale has not been met. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate checks are not carried out to ensure the safety of residents. The home is not pro-active in undertaking quality monitoring checks. EVIDENCE: The acting manager has experience in working with clients who have had a wide range of social care needs. This includes people with a physical, mental health need or who are elderly mentally infirm. He has NVQ level 3 in mental health care and is currently undertaking the registered managers award. He has also undertaken statutory training as required. The past two inspections of this home have seen a steady and positive change in the culture of this home. Residents are encouraged to be more independent Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 23 and are enabled to maintain friendships and access community facilities. During the September 06 visit one resident informed the inspector that he hoped ‘John’ the acting manager stays at the home because he is friendly and is doing things for the residents. Two other residents made similar positive comments at that time. A previous inspections of this home found that the home does not conduct an in-house quality assurance check or report based on the views of residents as to how this home is managed. The acting manager confirmed that in house surveys are not undertaken and posted on a notice board for the information of residents /relatives or visiting professionals. The providers have not addressed this issue and this requirement is not met. However, the acting manager commented that he would set up a quality questionnaire on a six monthly basis specific to individual residents views. This process would include visiting health care professionals as well as social workers. Previous inspections have found that there are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. The homes fire log was seen and evidenced that in 2006 weekly fire alarm checks were undertaken. January and February 07 alarm checks have become limited to one or two checks a week (given that we are only half way through February). The homes training profile does not identify when fire training has been undertaken or a proposed date for this training. A senior carer stated that she has not had formal fire training. A letter was seen from the Fire & Rescue Service who are visiting on the 15/03/07. The acting manager needs to ascertain (a) the frequency of fire alarm tests and (b) required fire training for carers. The commission needs to be informed of the outcomes of these issues. Certificates were available showing that gas safety inspections have been carried out, electrical wiring checks, and portable electrical equipment checks. Window restrictors are fitted to all first floor and second floor windows and some of the ground floor windows. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 2 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 X 2 X X 2 x Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 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 YA2 Regulation 14 Requirement The registered provider must ensure that that care needs assessments include the goals and aspirations of residents. The registered provider must ensure that Daily/weekly notes are kept up to date to chart any events or outings that reflects on the care received by that resident. The registered provider must carryout reviews on all residents to ensure that their primary care needs are being met. The registered provder must have a complaints procedure, which empowers residents. (The timescale of 20/02/06 or the 16/11/06 has not been met) The registered provider must ensure that persons employed to work at the care home receive training appropriate (specific to this client group) to the work they are to perform.(The timescale of 20/02/04 and the 16/11/06 has not been met) Timescale for action 25/04/07 2. YA6 15 25/04/07 3. YA6 15 25/04/07 24. YA22 22(2) 25/04/07 5. YA35 18 (c ) (i) 25/04/07 Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 26 6. YA39 24 (a)(b) The registered provider must establish and maintain a system for reviewing at appropriate intervals the quality of care provided at the care home and inform residents of the outcomes of any survey undertaken. .(The timescale of 20/02/04 and 16/11/06 has not been met) The registered provider must ensure that risk assessments are available and regularly assessed for residents who self medicate. This inspection found that a resident had not signed her risk assessment. (Timescale of 16/11/06 not met) The registered provider must make arrangements for the accurate recording of medication that is given to residents who partially self medicate. (Timescale of 16/11/06 not met) 25/05/07 7. YA20 13(4) 25/04/07 8. YA20 13 25/04/07 9. YA23 18(c)(i) 10. YA42 23(4) 11. YA42 23(4)(d) All staff must receive safe 25/05/07 guarding vulnerable adults training. (Timescale of 16/11/06 not met) The registered provider must 15/03/07 liaise with the Fire & Rescue service regarding the testing of fire appliances. The registered provider must 15/03/07 make suitable fire training available to carers and liaise with the Fire & Rescue service regarding appropriate training. Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Lindum Park House DS0000002377.V329208.R01.S.doc Version 5.2 Page 29 - 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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