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Inspection on 01/03/07 for Lingdale Lodge

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

This inspection was carried out on 1st March 2007.

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 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 staff care well for the residents and they live, in a pleasant environment. All the residents, visitors and staff spoken with were happy and positive about the home, the food, activities and the care given. The staff appeared to be committed to the care of the residents and were observed spending individual time with them and delivering good care. `It`s a nice place to live` Staffing levels are good and the staff spoken with were aware of protecting the residents from abuse, the medication policy and the care needs of the residents. This makes sure that the residents receive the right care given safely.

What has improved since the last inspection?

The staff have all had fire training, fire drill and practice given to them. They are all now aware of what to do if a fire happens. These areas of training have all been recorded. Fire points, which have been tested, are now identified individually. This makes sure that the residents will be as safe as possible if there is a fire. The staff have had health and safety training and have been supplied with equipment so that they can do the jobs safely. This will protect the residents and the staff from harm. Care plans and staff records have been reorganised, which makes sure that information can be found and used correctly. This will make sure that the residents will have the right, up to date care given to them. The cook has been given the opportunity of attending a course to increase her knowledge of the dietary needs of elderly people. This will help in providing the residents with good nutrition and giving them the right diets such as diabetics. All of the staff have now had training in safeguarding adults, which will protect the residents from any abuse. The staff induction programme has been updated to give them the right training for the residents to have the proper, safe care. The staff have had an appraisal of their work, which helps to identify where there may be personal and training needs.

What the care home could do better:

The findings of the inspector during the visit were discussed with the senior carer at the end of the visit. The staff should have the opportunity of the required amount of supervision to allow them the time with their line manager to discuss work and training issues. Consideration should be given to changing the times of the last meal of the day to shorten the time between the teatime meal and breakfast. The bathrooms should not be used as storage areas as this practice could cause a hazard for the residents and the staff.Bins, which contain used incontinence pads, should have a lid on them, which will help reduce the spread of infection and avoid unpleasant smells. The health and safety records for hot water temperatures could have more detail as to which areas had been tested. This would show that all taps had been checked to protect the residents from being scalded. The residents should be seen regularly by a doctor to make sure that their medicines are right and to check their general health. The staff should have updated moving and handling training to make sure that they are using the best methods of moving the residents. This will make sure that the residents and the staff are kept safe when the residents are moved. The staff should receive training in the Control of Substances Hazardous to Health and have information about chemicals given to them. This will make sure that they a safe when handling the chemicals used in the home. The keys for the drug trolleys should be kept with the person in charge. This will make sure that only the people who should use the medicines do so.

CARE HOMES FOR OLDER PEOPLE Lingdale Lodge Lingdale East Goscote Leicestershire LE7 3XW Lead Inspector Thea Richards Unannounced Inspection 1st March 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.V331839.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.V331839.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 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.V331839.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. 8th January 2007 3. 4. 5. Date of last inspection Brief Description of the Service: 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. Lingdale Lodge is a large 48- bedded purpose home built on one level, corridors with the bedrooms, lead off the central area that contains the main lounge. 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. 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. The home is situated next to Primrose Residential Home, which is also part of the Broadoak group of homes. The home can provide care for older persons both with a physical frailty and those with dementia. The weekly fees range from £275 to £420 approximately - this information was provided before the inspection. There are additional costs for individual expenditure such as hairdressing, newspapers, outings and private chiropody. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that was concluded with an unannounced visit to the home. Before the visit the inspector spent four hours reviewing the previous inspection report and information relating to the home received since the last inspection on the 8th of January 2007. The visit took place on the 1 March 2007 from 10:00 and lasted three and a half hours. During the course of 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 two residents living at the home. This was done by talking to the residents themselves, talking with staff giving their care and by checking the records of their health and welfare. With their permission, the inspector looked at their rooms as well as looking at the communal living areas. The inspector also checked other issues to do with the running of the home. These included health and safety, management and staffing areas. During the visit the inspector spoke with other residents in the home, staff, visitors and a senior carer. The inspector also observed how the staff cared for the residents. What the service does well: The staff care well for the residents and they live, in a pleasant environment. All the residents, visitors and staff spoken with were happy and positive about the home, the food, activities and the care given. The staff appeared to be committed to the care of the residents and were observed spending individual time with them and delivering good care. ‘It’s a nice place to live’ Staffing levels are good and the staff spoken with were aware of protecting the residents from abuse, the medication policy and the care needs of the residents. This makes sure that the residents receive the right care given safely. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The findings of the inspector during the visit were discussed with the senior carer at the end of the visit. The staff should have the opportunity of the required amount of supervision to allow them the time with their line manager to discuss work and training issues. Consideration should be given to changing the times of the last meal of the day to shorten the time between the teatime meal and breakfast. The bathrooms should not be used as storage areas as this practice could cause a hazard for the residents and the staff. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 7 Bins, which contain used incontinence pads, should have a lid on them, which will help reduce the spread of infection and avoid unpleasant smells. The health and safety records for hot water temperatures could have more detail as to which areas had been tested. This would show that all taps had been checked to protect the residents from being scalded. The residents should be seen regularly by a doctor to make sure that their medicines are right and to check their general health. The staff should have updated moving and handling training to make sure that they are using the best methods of moving the residents. This will make sure that the residents and the staff are kept safe when the residents are moved. The staff should receive training in the Control of Substances Hazardous to Health and have information about chemicals given to them. This will make sure that they a safe when handling the chemicals used in the home. The keys for the drug trolleys should be kept with the person in charge. This will make sure that only the people who should use the medicines do so. 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.V331839.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5, (6) is not applicable in this home Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are well assessed prior to moving into the home by the completion of a pre-admission assessment by an experienced member of staff and by Social Services where appropriate and a visit to the service. This makes sure that the resident and their families know what care they will receive. EVIDENCE: The inspector checked the care records of two of the residents (with their permission) who were case tracked. All of the residents had 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 comprehensive Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they can get the most suitable care. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 10 Completed assessments were present in the files, identifying the residents’ care needs, before they were admitted to the home. Care plans showed that they contained the needs of the resident which had been identified in the original assessment. The staff spoken with said that they usually knew what the resident’s needs were before they were admitted to the home. The care plans seen had been agreed by the residents or their families. The residents spoken with told the inspector that they had a visit from a member of staff from the home before they were admitted. They said that they were given the opportunity to visit the home before they came in. They also said that when they came in to the home they had a month’s trial to see if they liked it. This makes sure that that the staff in the home have the the right information before the resident is admitted so that the resident gets the best care. It makes sure that the home can meet the residents needs. It also makes sure that the resident meets someone from the home who they can recognise. This 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. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans, but the residents could be put at risk with lifting methods. EVIDENCE: Care plans for two residents were ‘case tracked and were found to contain good individual evidence of care, which reflects the care being given to the residents. This includes 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. One of the files looked at had no record of the resident having been seen by a doctor for over a year. Older people should be seen more often to make sure Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 12 that their health needs are being met and to look at the medicines that they are taking. The residents spoken with said that they could see a doctor whenever they needed to. They also said that they saw the other health professionals when they needed to. 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. The careplans have been reorganised and the the information needed is now much easier for the staff to find. This will help with the staff being able to give the right care to the residents. The staff spoken with were aware of the care needs of the residents and the residents and the visitors spoken with were happy that all care needs were being met. 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. A resident spoken with who administers their own medication was happy with the policy. In the main office in the area where most of the residents live the keys to the medicine trolley were stored in an open box attached to the trolley. This practice is not safe as the keys were available for anybody to remove. The senior carer on duty was advised about this practice and she made arrangements for the keys to be locked up before the end of the visit. This practice was seen at the last inspection in the area where those residents with dementia live and the acting manager was advised that this was not a safe practice. At that time she removed the keys from that area. The inspector observed residents being treated with dignity and respect when staff spoke with them. The staff were observed sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 13 Staff seen giving care, which included moving and handling the residents, did so giving the residents privacy and dignity. The staff were seen to be using handling belts and lifting residents under their arms. This practice could damage the resident and the staff should be updated in moving and handling methods. The residents spoken with were happy with the way staff treated them and said that they were very kind. ‘It couldn’t be better’ Two visitors spoken with on the day of the visit were very happy with the level of care being given, they had had the opportunity of visiting the home prior to their relative being admitted and had a visit from a member of staff from the home. Lingdale Lodge DS0000001730.V331839.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): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement is made using available evidence including a visit to the service. Residents have their social, spiritual needs met with their nutritional needs almost met. EVIDENCE: There was evidence of some activity being provided for the residents. On the day of the visit there was a bingo session in the morning. Then, suitable music was playing, 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 who remain in bed or in their rooms have television, radio and talking books. Two of the residents told the inspector that the staff spent time talking to them when they could. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 15 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 so that is clearer that the resident has taken part in an activity. There is a choice of two main meals available every day and diabetic meals are provided. The cook had a limited knowledge of other diets but said that she has been booked on a course run by the Leicestershire dietetic service in April. Most of the residents spoken with said that they enjoyed the food and were happy with the choices. Two of the residents said that the choices were not very good and that a lot of mince was used. The inspector observed lunchtime in the dining room and all the residents said that they were enjoying their meal. The last meal of the day was at around four o’ clock which is very early although the inspector was told that the residents were offered biscuits at seven o’ clock, if they wanted them. Four of the residents spoken with felt that there was a long gap between those meals and said, ‘we can get the carers to get us chips from the shop if we want to’ ‘I have biscuits and chocolate in my room if I need them’ What the residents had eaten at the main meals were recorded in the careplans but not if they had anything at suppertime. If the residents do not have anything to eat at suppertime there are sixteen hours before the breakfast. This is too long a gap to maintain adequate nutrition for elderly people. Consideration should be given to giving the residents their tea-time meal later in the day. 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 observed 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 that she is on duty. 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. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 16 There is a monthly church service in 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.V331839.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this 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 eighth of January 2007. 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 eighth of January 2007. All the staff who 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. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Lingdale Lodge DS0000001730.V331839.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): 19, 21, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are mostly protected by the policies and procedures in the home to provide a safe environment. Some practices, such as equipment in bathrooms, could put the residents at risk. EVIDENCE: 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 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. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 19 There are several lounges, including a smokers’ lounge, which enable the residents, a choice of sitting areas. Most of the bathrooms are clean and free from inappropriate items, which could present a hazard for the residents. A bathroom, in the area where those residents with dementia live, was being used as a storage area for wheelchairs, incontinence aids and mops and buckets. This could cause a hazard for the residents and the staff. At the previous inspection this practice had been brought to the attention of the acting manager, however, those items remained in the bathroom. This was brought to the attention of the senior carer on duty in that area and she removed all the items before the end of the visit. The bin in this bathroom, which contained used incontinence pads had no lid on it, which causes an odour and residents are able to get into it. This practice will cause a spread of infection, as it will encourage flies into the home. 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. They had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. There are three shared bedrooms. Two of these are being used as single rooms and one is being shared by a married couple. 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 a slight odour noted in some communal areas particularly in the area where the residents with dementia lived. This had improved since the last inspection visit. There was evidence of cleaning activity in progress. The home does not have a carpet shampoo machine in the home, but rely on the head office providing it when it is needed. This could mean that areas which need cleaning are not done as soon as they could be. There was evidence of equipment such as hoists and special mattresses having been provided to help in the care and comfort of the residents. There were no further outstanding safety or maintenance issues noted on the tour of the premises. The cleaning person who does some of the day to day maintenance in the home told the inspector that he had received some health and safety training and had been provided with some steps to use when changing light bulbs. Lingdale Lodge DS0000001730.V331839.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): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are met and 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 cater for their needs. Two staff files were looked at by the inspector and the required information was complete in all the files. This included evidence of identification, adequately completed application forms, two written references and Criminal Records Bureau checks. 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. 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. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 21 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 appropriate 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. The staff files hold all the necessary records and have now been reoganised so that the information is easier to find. There is an induction process in the home, which has been updated and now gives the staff the necessary training to make sure that they can look after the residents properly. Lingdale Lodge DS0000001730.V331839.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): 31, 33, 35, 36, 37, 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which provides for their needs, with some good safety systems in place. 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 ensures that managers have the required skills to manage a care home. She has no administrative support in the home but is Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 23 supported by the company’s head office where all the administrative tasks are done. The Senior carer on duty was available for the inspector throughout the visit. The staff receive training to equip them to care for the residents safely whilst protecting them from any abuse. This was confirmed by available records, the manager and by staff spoken with. There was evidence of appraisals having been done since the last inspection on the eighth of January 2007, which was recorded in a file and confirmed by the staff spoken with. The senior carer confirmed that a programme of supervision should be 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 senior carer told the inspector that the senior care staff were going to receive training in the supervision of staff. This training will allow them to supervise some of the staff which will give the manager more time to spend in other areas. 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. These did not show which individual rooms had been tested for the water temperatures. There are records in place to show that fire drills and fire instuction have taken place. 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. A member of staff working in an affected area said that she had not received any training in these areas. Lingdale Lodge DS0000001730.V331839.R01.S.doc Version 5.2 Page 24 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.V331839.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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 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 2 X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 2 2 Lingdale Lodge DS0000001730.V331839.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP8 OP8 OP15 Good Practice Recommendations The manager makes sure that all of the residents receive a regular medical review. The manager makes sure that the staff are using the correct moving and handling methods That consideration is given to altering the time that the tea -time meal is served to give a shorter period between tea and breakfast. To keep bathrooms clear of unnecessary items and to provide a lid to the clinical waste bin to maintain a safe environment for residents and staff. That there is further improvement in the systems to keep the home free from odours. That the manager is made aware of her responsibilities for maintaining a safe home with suitably trained staff. The programme of staff supervision is put into place and DS0000001730.V331839.R01.S.doc Version 5.2 Page 27 4. 5. 6. 7. OP21 OP26 OP31 OP36 Lingdale Lodge increased to meet the required standard. 8. 9. 10. OP37 OP38 OP38 Individual rooms to be identified when checking water temperatures The manager should make sure that all the staff receive COSHH training and that data sheets are provided for every chemical used in the home. The manager should make sure that the person in charge of the shift holds the drug trolley keys. Lingdale Lodge DS0000001730.V331839.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 Lingdale Lodge DS0000001730.V331839.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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