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Inspection on 01/08/07 for Lingdale Lodge

Also see our care home review for Lingdale Lodge for more information

This inspection was carried out on 1st August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

The home gives the residents a pleasant place to live in. The staff are very caring and committed to the care of the residents.The staffing levels are good which allows them time to spend with the residents either individually or in groups.

What has improved since the last inspection?

Sandwiches and biscuits are provided to give the residents something to eat between the teatime meal and breakfast. The bathrooms are clear of items, which could cause a hazard for the residents. Hot water temperatures are now checked in individual bedrooms. The person in charge of the home or area of the home now holds the drug keys.

What the care home could do better:

Care plans could be agreed with and signed by the resident and/or their families. They should make sure that the resident`s dignity and privacy is always maintained. The staff should be updated with moving and handling practices. Liquidised meals could be presented in a more appetising way. The complaints policy could be produced in alternative formats to allow people to understand it. Training should be given to the staff to make them aware of how to handle chemicals safely. Data sheets should be obtained to make sure that the staff handling chemicals, are aware of the correct way to use them. Where the care staff are doing cleaning duties in addition to their care work, staffing levels and infection control issues should be looked at. Cupboards containing chemicals should be kept locked. The staff employed should always have the correct documentation in place before they start work. The staff employed as care staff should be the minimum age recommended to give personal care.Care staff who are handling food should have basic food hygiene training. The staff should be given the opportunity of regular supervision at the recommended times. The acting manager should make an application to the Commission for Social Care Inspection to be the Registered Manager.

CARE HOMES FOR OLDER PEOPLE Lingdale Lodge Lingdale East Goscote Leicestershire LE7 3XW Lead Inspector Thea Richards Unannounced Inspection 1st August 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lingdale Lodge Address Lingdale East Goscote Leicestershire LE7 3XW 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) 0116 2603738 F/P 0116 2603738 Mr John William Nunn Mrs Barbara Elsie Nunn *** Vacant *** Care Home 48 Category(ies) of Dementia (9), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (10), Old age, not falling within any other category (37), Physical disability (8), Physical disability over 65 years of age (8) Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one under the age of 55 years may be admitted to the home. Service user numbers - PD & PD(E) No one falling within the categories PD or PD(E) to be admitted to the home when there are already 8 persons falling within categories/combined categories PD or PD(E) already accommodated within the home. To be able to admit the person of category MD(E) identified in correspondence from the previous registration authority dated 5/4/2000. To be able to admit the named persons of category DE named in variation application number 55170 dated 10th September 2003. To be able to admit the named persons of category DE(E) named in variation application number V11211 dated 25th August 2004. 1st March 2007 3. 4. 5. Date of last inspection Brief Description of the Service: Lingdale Lodge is a large 48- bedded purpose home built on one level. It is a care home providing personal care and accommodation for 48 older people with a physical frailty and/or mental health needs. The home is owned by the Registered Providers Mr and Mrs Nunn and is part of fifteen homes owned by the Broadoak Group of Care Homes. There is a central area that contains the main lounge, with corridors leading off it with the dining rooms, small lounges and the bedrooms. The residents with dementia live in a separate wing with their own staff. This gives them a family environment with people who they know well. There is a well- maintained garden where the residents may sit in the better weather. The home is set back off the main road in a quiet location of East Goscote and is close to shops, and other amenities in the village. It is easily accessible by car or public transport and there is parking available in the grounds. The home is situated next to Primrose Residential Home, which is also part of the Broadoak group of homes. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 5 The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone or fax. The current level of fees range from £275.00 to £420.00pw. There are extra charges for hairdressing, chiropody, newspapers and personal items. This information was provided prior to the inspection. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit the inspector spent six hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 3rd March 2007. The visit took place on the 1st August 2007 and lasted four hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with a senior carer, staff, the residents and the families. The inspector spoke with the manager on the telephone on the 2nd August 2007. What the service does well: The home gives the residents a pleasant place to live in. The staff are very caring and committed to the care of the residents. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 7 The staffing levels are good which allows them time to spend with the residents either individually or in groups. What has improved since the last inspection? What they could do better: Care plans could be agreed with and signed by the resident and/or their families. They should make sure that the resident’s dignity and privacy is always maintained. The staff should be updated with moving and handling practices. Liquidised meals could be presented in a more appetising way. The complaints policy could be produced in alternative formats to allow people to understand it. Training should be given to the staff to make them aware of how to handle chemicals safely. Data sheets should be obtained to make sure that the staff handling chemicals, are aware of the correct way to use them. Where the care staff are doing cleaning duties in addition to their care work, staffing levels and infection control issues should be looked at. Cupboards containing chemicals should be kept locked. The staff employed should always have the correct documentation in place before they start work. The staff employed as care staff should be the minimum age recommended to give personal care. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 8 Care staff who are handling food should have basic food hygiene training. The staff should be given the opportunity of regular supervision at the recommended times. The acting manager should make an application to the Commission for Social Care Inspection to be the Registered Manager. 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. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using the available evidence. Residents’ needs are assessed prior to moving into the home by an experienced member of staff, by Social Services where appropriate and a visit to the service. However, the care to be given is not always agreed to by the resident or their family and all the needs are not always identified, which could lead to the wrong care being given. EVIDENCE: The residents whose care plans were checked had all received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply. Providing a thorough Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they can get the most suitable care. Completed assessments were present in the files, identifying the residents’ care needs, before they were admitted to the home. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 11 Care plans showed that they contained the needs of the resident which had been identified in the original assessment. One of the files did not contain some important information that the inspector was told about. The senior staff in the home did not know about this information. The staff spoken with said that they sometimes knew what the resident’s needs were before they were admitted to the home. All of the care plans seen had not been agreed by the residents or their families. The residents and the family spoken with told the inspector that they had a visit from a member of staff from the home before they were admitted. They confirmed that they were given the opportunity to visit the home before they came in. They said that when they came in they had a month’s trial to see if they liked it. This should make sure that that the staff in the home have the the right information before the resident and that they can meet their needs. It also makes sure that the resident meets someone from the home who they can recognise, which makes the move into care easier to manage for them. The current registration certificate from the Commission for Social Care Inspection (CSCI) and up to date details of insurance cover were displayed in the entrance of the home. The reports from the CSCI are available in the manager’s office. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is adequate. This judgement is made using the available evidence including a visit to the service. The staff meet the care needs of the residents as identified in the care plans, but the residents are not always treated with the dignity that they should expect and could be put at risk with some of the lifting methods. EVIDENCE: The care plans for the ‘case tracked’ residents and were mostly found to contain good individual evidence of care, which reflects the care being given to the residents. The care plans include a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. The residents and the family spoken with said that they were happy with the medical care that was being given. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 13 A visiting chiropodist told the inspector that he found the staff to be very caring and the residents well looked after. The residents were seen to be taken to their rooms for treatment, to give them privacy. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Medication records for the case tracked residents were in order. Medicines are only administered by the manager or senior care staff in this home. Staff were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager completes monthly audits of the medication records to make sure that they are being completed correctly. The above makes sure that the residents are protected with the correct medicine administration. The residents spoken with were happy that they got the right medicines at the right times. There is a policy and risk assessment in place for the residents who look after their own medicines. There are no residents taking their own medicines at this time. The staff were seen to be sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. When the staff were seen giving care, there were some incidents seen, when the residents were spoken to and treated without the dignity and privacy that they should expect. Staff seen moving and handling the residents, did not always use the correct methods to do so and were seen to be using practices which could damage the resident and/or themselves. The residents spoken with were happy with the way staff treated them and said that they were very kind. Two visitors spoken with on the day of the visit were very happy with the level of care being given. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is good. This judgement is made using available evidence including a visit to the service. Residents have their social, spiritual and nutritional needs met. EVIDENCE: There was evidence of some activity being provided for the residents. There was suitable music playing during the visit, with some staff joining in and singing along with the residents. The residents spoken with said that they enjoyed the activity. Some of the residents spoken with felt that other activities could be provided to give them a change from bingo or videos. The residents spoken with told the inspector that the staff spent time talking to them when they could and this was seen by the inspector. The home does not employ a dedicated activities organiser, but there are enough staff on duty to make sure that activities always happened. Taking part in activities is recorded on the daily record in the careplan but is not very clear. The manager could consider giving activities a separate sheet in the careplan. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 15 There is a choice of two main meals available every day and diabetic meals are provided. The cook has been on a course run by the Leicestershire dietetic service which she said had helped her with her knowledge of other diets. Most of the residents spoken with said that they enjoyed the food and were happy with the choices. The inspector spent time with the residents at lunchtime in the dining room and all the residents said that they were enjoying their meal. Liquidised diets could be presented in a more attractive and appetising way. The teatime meal is served at 4:30 with sandwiches and biscuits offered at suppertime, this makes sure that the residents can have something to eat between tea and breakfast at 8:00 in the morning. The meals that the residents have eaten are recorded in the careplans together with weight charts which makes sure that weight gain or loss can be checked. Visitors are made welcome in the home and some regularly take their relatives out. This was confirmed by visitors spoken with who told the inspector that they were made very welcome at any time. The inspector saw the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. These practices ensure that the residents maintain contact with the community and their families and that views for improvements can be considered. There is a monthly church service within the home and communion can be arranged. The local Roman Catholic church arranges visits for those residents of that faith. There are currently no residents in the home with different cultural or ethnicity needs. Local members of the community also attend the services which gives the residents a good contact with local people. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there are no records of any complaints having been received since the last inspection on the third of March 2007. The complaints policy is only produced in a standard format and other formats such as large print or other languages could be considered. This would make sure that as many people as possible could read it. The residents spoken with were happy that they would speak to the manager or a member of staff if they had a problem and that it would be dealt with. Visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The Commission for Social Care Inspection has received no complaints or concerns since the last inspection on third of March 2007. All the staff have now received training in ‘Safeguarding Adults’. The staff spoken with were aware of the procedure to follow and would be prepared to ‘whistle blow’ if they thought there was a need to. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 17 This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to the service. The residents are mostly protected by the policies and procedures in the home to provide a safe environment. Some practices, such as unlocked cleaning cupboards, could put the residents at risk. EVIDENCE: Lingdale Lodge is a purpose built home that is part of the Broadoak group of homes and is situated in the same grounds as Primrose Lodge. There is a small reception area that leads to a large lounge. The lounge is a balustraded area with a corridor around it. There are several lounges, which give the residents, a choice of sitting areas. The bathrooms are clean and free from inappropriate items, which could present a hazard for the residents. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 19 There was a slight odour noted in some communal areas particularly in the area where the residents with dementia lived. There was evidence of cleaning activity in progress. None of the staff spoken with could confirm that the home had its’ own carpet shampoo machine. This could mean that areas which need cleaning are not done as soon as they could be and if shared with other homes could have a risk of infection being passed on. In the area where the residents with dementia live, the care staff do the cleaning. If this is to continue the staffing levels and the infection risk need to be assessed. With their permission the case tracked residents bedrooms were viewed by the inspector. They provided good accommodation with en-suite facilities of a W.C. and wash-hand basin. Some had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. There are three shared bedrooms. There was evidence of a track on the ceiling between the beds, which shows that privacy could be provided with a curtain if the room was being shared. There was evidence of equipment such as hoists and special mattresses having been provided to help in the care and comfort of the residents. The domestic staff spoken with said that they had not received any training for the chemicals used in the home and that there were no data sheets for them to find information about how to use them safely. A cupboard containing cleaning products was seen to have a key but was left open throughout the visit. This could cause danger for the residents who are able to get into the cupboard. There were no further outstanding safety or maintenance issues seen on the tour of the premises. The registration certificate from the Commission for Social Care Inspection was displayed in the reception area. The current inspection report is available in the managers’ office. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is adequate. This judgement is made using the available evidence including a visit to the service. The residents’ needs are not always met or their safety protected by the recruitment policy and the training. EVIDENCE: There is evidence of a good skill mix of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough numbers of staff on duty to look after their needs. Two staff files were looked at by the inspector and the required information was complete in one of them. This included evidence of identification, adequately completed application forms, two written references and a Criminal Records Bureau (CRB) check. The second file did not contain any references and the CRB had been obtained after the member of staff had begun working. There was no evidence in the file of a POVA first having been obtained. This is a document to say that there is nothing on a persons record that would stop them working in care and can be used whilst waiting for the full CRB. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 21 The member of staff was also under the recommended age for carers giving personal care. There was evidence of staff training including induction and the staff spoken with confirmed that they received regular training in moving and handling. There was the availability of non mandatory courses which the staff could access such dementia training and infection control. The staff had not had training in the Control of Substances Harmful to Health (COSHH). This was confirmed by the staff spoken with and had been recommended at the last inspection. Care staff who were handling food had not had the Basic Food Hygiene training. This was again confirmed by the staff spoken with. Thirty five per cent of the staff had completed a National Vocational Qualification(NVQ) in care at level two or above. There were records to show that several more staff were about to commence the training. The acting manager holds an NVQ level 4 in care and in management. The National Vocational Qualification is a qualification for care staff to ensure that they receive training in the needs of the resident group whom they are caring for. There had been a first aid course held for the staff and there were records to show which of the staff had attended it. This will make sure that the staff can cope in an emergency situation. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome group is poor. This judgement has been made using available evidence including a visit to the service. The residents live in a home, which provides for their needs, with some safety systems in place, but with a lack of staff training or supervision. EVIDENCE: The acting manager was not available during the visit to the home. The acting manager has been a care home manager for 27 years, most recently at the sister home which is next door to Lingdale Lodge. She has completed National Vocational Awards at level four in both care and management. This makes sure that managers have the skills which they need to manage a care home. She has no administrative support in the home Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 23 but is supported by the company’s head office where all the administrative tasks are done. There has been no application made to the Commission for Social Care Inspection for the acting manager to become the Registered Manager. The Registered Providers Mr J. W. Nunn and Mrs B. Nunn now need to address this registration issue, as it is an offence under the Care Standards Act 2000, S.11 (1). This is a process to make sure that managers are ‘fit’ people to manage a service. The Senior carer on duty was available for the inspector throughout the visit. The staff receive training to protect them from any abuse. This was confirmed by available records, the senior carer and by staff spoken with. There was evidence of appraisals having been done since the last inspection on the third of March 2007, which was recorded in a file and confirmed by the staff spoken with. There was no evidence seen that regular supervision for the staff was being done. This was confirmed by the staff spoken with. This was a recommendation at the last inspection on the third of March 2007. The senior carer confirmed that a programme of supervision was starting. This should happen at least four times a year, this process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. . The manager holds regular meetings with the residents and the staff as well as one to one discussions, both to pass information on and to listen to their views and opinions. There are annual quality questionaires sent out to residents and their families to gain their views about the home. This allows the manager or the responsible person to respond to the residents and the staff’s needs. Residents finances are handled by their families with the home holding some monies on their behalf for incidental expenses. This is handled by the manager and there are always two signatures to confirm any transactions. The residents are well protected by the financial policies in the home. Records for the maintenance of fire equipment and testing of water temperatures were found to be in place. There are records in place to show that fire drills and fire instuction have taken place. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 24 This was confirmed by the staff spoken with. There is no evidence of COSHH (Contol of Substance Hazardous to Health) training or information describing chemicals and how to use them in the home. Members of the cleaning staff spoken with said that they had not received any training in these areas. This was a recommendation at the last inspection on the third of March 2007. The staff spoken with had not received training in basic food hygiene, although they were handling food on a regular basis. The accident book was inspected and found to be complete and in order. There were copies of accident forms present in the residents careplans. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 2 X 2 Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP29 OP29 Regulation 29 (1) 29 (3) Requirement That all staff have two satisfactory written references before they start working. That all staff have a Criminal Records Bureau check completed before starting work, or a POVA first to work supervised. That all staff receive training in COSHH (Control of Substances Hazardous to Health The Registered Provider must appoint a Registered Manager to manage the service. Timescale for action 02/08/07 02/08/07 3. 4. OP30 OP31 18 (1) 11 (1) 14/09/07 30/08/07 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 OP4 OP7 Good Practice Recommendations The residents and/or their families should agree with and sign the care plans to make sure that they are aware of the care to be given. All of the residents needs should be identified, documented and a risk assessment completed. DS0000001730.V340546.R01.S.doc Version 5.2 Page 27 Lingdale Lodge 3. OP8 4. 5. 6. 7. 8. 9. 10. 11. 12. OP10 OP15 OP16 OP26 OP27 OP27 OP30 OP36 OP38 The staff should be adequately supervised when completing moving and hand handling to make sure that they are using the methods that they have been instructed to. The residents should receive dignity and privacy when receiving care and being spoken with. Those residents needing a liquidised diet should have it presented in as appetising way as possible. The complaints policy could be made available in alternative formats when it was needed to make it readable and understandable for everyone. Where the staff are combining cleaning and care duties consideration must be given to the possible spread of infection. Staff providing personal care should be over 18 years of age. Where staff are undertaking cleaning duties in addition to care duties, an assessment of the required hours should be made. Staff handling and serving food should complete basic food hygiene training. The programme of staff supervision is improved and increased to meet the required standard. All chemicals kept and used in the home should be kept in a locked cupboard at all times. Lingdale Lodge DS0000001730.V340546.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Lingdale Lodge DS0000001730.V340546.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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