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Inspection on 30/11/05 for Lindum Park House

Also see our care home review for Lindum Park House for more information

This inspection was carried out on 30th November 2005.

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

The inspector 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

From reading residents files and talking to residents, it is clear that their needs are met at this home. Residents were seen to be relaxed and enjoyed good relationships with their care workers. The home provides a place of safety to residents where they can choose to stay in and play board and card games or if they choose go to a day centre or shop in the city centre. One resident has a full time job. Residents informed the inspector that they discussed their needs with care workers who were supportive and kind. Good recruitment practices were in place ensuring that only suitable staff were employed.

What has improved since the last inspection?

One of the two requirements made in the last inspection was addressed, as was the one recommendation made. The homes risk assessments were seen and were found to reflect the risks posed by individual residents. Care plans were seen to have been signed by a number of residents agreeing to their plan of care and any restriction that the risk assessment imposed on them. Prospective residents are now written to confirming whether the home can meet their needs or not. The manager undertakes a care needs assessment with social workers prior to any admission to the home.

What the care home could do better:

Lindum Park HouseDS0000002377.V268407.R01.S.docVersion 5.0Page 6The home`s complaint forms should be amended to include a place for a residents signature, confirming that they feel their complaint has been satisfactorily addressed. The home must fit radiator guards and thermostatic controls. This was a requirement at the last inspection. The home must be proactive in training 50% of its staff to National Vocational Qualifications in care, level two. The home must undertake regular quality reviews and post the outcomes on the residents notice board.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Lindum Park House 1-2 Lindum Road Lincoln Lincs LN2 1NN Lead Inspector Mr Doug Tunmore Unannounced Inspection 30th November 2005 10:00 Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 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.V268407.R01.S.doc Version 5.0 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 and 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.V268407.R01.S.doc Version 5.0 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) United Health Limited Mrs Carol Anne Kirkham 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.V268407.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 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. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observations of care practice. This was a very positive inspection with the manager, staff and residents very open to the inspection process. A partial tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 6 The home’s complaint forms should be amended to include a place for a residents signature, confirming that they feel their complaint has been satisfactorily addressed. The home must fit radiator guards and thermostatic controls. This was a requirement at the last inspection. The home must be proactive in training 50 of its staff to National Vocational Qualifications in care, level two. The home must undertake regular quality reviews and post the outcomes on the residents notice board. 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 Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The homes policies and procedures have not been updated to reflect the change in practice regarding admission procedures. EVIDENCE: The home has introduced its own prospective residents admission form, which, assesses the care needs of residents coming into this home. The manager stated that she now visits all prospective residents and works closely with their social worker or health care worker. Only one resident was admitted prior to the Care Standards being introduced, with another resident being admitted in 2005. This residents file had a comprehensive assessment undertaken by a social worker. A letter was also sent to the resident confirming that the home could meet his needs. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 9 The homes policies and procedures do not reflect the current practice of the manager or other staff undertaking assessments of care needs prior to the admission of residents. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 Most residents are actively involved in their plan of care. Residents are supported in taking risks and maintaining their independence. EVIDENCE: There was evidence in residents files that care assessments and risk assessments are continually updated, which most residents are involved in and they are encouraged to sign their care plans. A number of residents, for their own reasons, have refused to sign their care plans or other documentation relating to their care. One resident confirmed that she has not seen her care plan and has not signed it. The resident stated that ‘if I have a problem doing something, my support worker will help me with it’. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 11 Those risk assessments seen on residents files identify the likelihood of risk and the level of any specific risk. These risks include misuse of medication, levels of distress and use of weapons. A carer commented that he was aware of the risk assessment for each resident and acted accordingly if certain challenging behaviours manifested itself. It was observed during lunch that a resident was becoming agitated and care staff were seen to be sensitive in the way they approached this resident. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Service users have to engage in a range of leisure activities within the community and the home. EVIDENCE: Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 13 It was seen during the inspection that both residents and staff engage in social dialogue as equals. One resident commented that they play board games with care staff as a regular event in a relaxed and friendly atmosphere. The homes activities file was seen and showed that outings are undertaken to seaside resorts on the east coast, local public houses and shopping in the city centre. A number of residents went on holiday to Norfolk and stated that they enjoyed this experience. Those residents with whom the inspector played dominoes, confirmed that they are happy with the activities they undertake, especially playing board games and with the staff joining in. One resident confirmed that she goes shopping regularly and when requested a carer will go with her and give advice on something she wishes to buy. She also said that ‘I structure my days, by doing a bit of cleaning in my own room, washing and dusting’. On the day of the inspection this resident also helped in the serving of meals to other residents. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Service users receive personal support in line with their assessed needs. EVIDENCE: All rooms have lockable doors and residents have a key to their rooms to ensure privacy. One carer commented that we knock and wait for permission to enter a residents bedroom. Care plans seen highlighted that residents have a ‘preferred carer’ to help with the personal care of residents. This is based on friendships and gender as well as the expressed wishes of a resident’s. Care plans also showed who required support and how that support should be given. Comments made by a carer highlighted his knowledge base relating to the care required in undertaking intimate care without eroding a residents independence. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 15 A resident confirmed that carers are sensitive to her needs and ‘do answer my questions and let me manage on my own’. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents are not empowered by the complaints process. EVIDENCE: No complaints have been received by the home since the last inspection. The homes service users guide was seen which gave information to residents and relatives concerning making a complaint. The service users guide now needs to be amended to reflect the change in the name to the Commission for Social Care Inspection. The residents are not empowered by the homes complaint 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. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Residents are protected by robust recruitment practices. Staff do not receive training specific to the needs of this client group. EVIDENCE: Recruitment practices were in place and two staff files contained all of the documentation required by law. However, it was found that in one file, interview notes of a care worker employed at the home had not been kept for possible future reference. The home has a copy of the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 19 social care homes. The manager confirmed that she has given the General Social Care Councils booklet to all carers. The homes training plan was seen and found to identify those training needs of carers and its training plan for 2006. One carer confirmed that he is to undertake a number of courses in 2006. However, all courses highlighted relate to statutory training and not training specific to this homes client group. The carer confirmed that he did not have a National Vocation Qualification (NVQ) but was keen to undertake any training relating to mental health provision. During discussions with the carer and indirect observation made during this inspection it was apparent that he carried out his role in a sensitive and caring manner. The manager said that none of the care workers had National Vocational Qualifications (NVQ) training in care level 2. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42. The current management structure will not be in place in the near future. Appropriate checks are carried out to ensure the safety of residents. The home is not pro-active in undertaking quality monitoring checks. EVIDENCE: Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 21 During the inspection the registered manager informed the Commission verbally that she would be leaving this home in January 2006. The home has no deputy manager or senior carer to take over, if a replacement is not found. The home does not conduct, on a regular basis, an in-house quality assurance check or report. The last survey was carried out in January 2005, with three residents questionnaires were given out and one returned. The questionnaires were seen and consisted of three pages of multiple questions and choice of answers. Consideration should be given to a more resident friendly questionnaire that is used throughout the year to address separate issues such as food, personal care support or daily living. The manager stated that audits/surveys are not posted on the notice board for the information of residents and visitors. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. Risk assessments are also available for the risk posed by radiators, which do not have thermostatic controls or radiator guards. There was also evidence that fire alarm, fire drill and emergency lighting checks are carried out. Staff also receive fire training as part of the homes initial training and as a regular training event. The homes induction training shows that ‘policies and procedures are read by staff and that they inform practice’. 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.V268407.R01.S.doc Version 5.0 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 2 23 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 x CONDUCT AND MANAGEMENT 37 2 38 X 39 2 40 X 41 X 42 2 43 x Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 X X X 3 X 3 X X X X x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X x Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 23 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 home must amend its policies/procedures to reflect that the home must carryout a pre-admission assessment with or with out other agencies (The timescale of 01/09/04 not met) The home must have a complaints procedure, which empowers residents. The information in the homes homes service users guide needs to be changed to reflect the the inspectorate which is The Commision for Social Care Inspection. (This past recommendation made on timescale of 11/07/04 has not been met) The registered person 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 registered person must give notice in writing to The Commission as soon as practicable when a person DS0000002377.V268407.R01.S.doc Timescale for action 15/06/06 2 3 YA22 YA22 22(2) 22(2) 20/02/06 20/02/06 4 YA35 18 (c ) (i) 20/02/06 5 YA37 39(b) 10/01/06 Lindum Park House Version 5.0 Page 24 6 YA39 24 (a)(b) 7 YA42 13(4) ceases to carry on or manage the care home and what arrangements have been made to ensure the smooth running of the home. The registered person 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 home must fit radiator guards and thermostatic controls to ensure the safety of residents (Timescale of 15/12/04 not met) 20/02/06 20/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA32 YA34 Good Practice Recommendations A minimum ratio of 50 trained staff members to NVQ level two excluding the registered manager should be available in the home by 2005. The home should keep all documentation including interview notes of all staff employed at this home for possible future reference. Lindum Park House DS0000002377.V268407.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Park House DS0000002377.V268407.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!