Inspection on 22/02/06 for Linton Lodge

This inspection was carried out on 22nd February 2006.

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

Other inspections for this house

Linton Lodge 09/10/07

Linton Lodge 22/05/06

Linton Lodge 30/09/05

Linton Lodge 11/01/05

Linton Lodge 21/10/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Linton Lodge 97 Forburg Road Hackney London N16 6HR Lead Inspector Kristen Judd Unannounced Inspection 22 February 2006 9:30 nd Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 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 Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Linton Lodge Address 97 Forburg Road Hackney London N16 6HR 020 8806 5343 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) Mrs Florelda Willis-Barnes Mrs Florelda Willis-Barnes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th September 2005 Brief Description of the Service: Linton Lodge provides 24-hour residential care for six people with learning disabilities. Linton Lodge is located in a quiet residential road off Clapton High Road. It is easily accessible to Clapton, Stamford Hill and Stoke Newington British Rail links and shopping areas. The home is well served by bus routes on Clapton Road. Unrestricted on street parking is available. The property is a large, comfortable, homely Victorian terraced house with many original features. All service users have their own rooms with hand washbasin On the day of the inspection the home was fully occupied by 6 service users. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Wednesday morning. This inspection followed up the requirements made at the unannounced visit held on 30th September 2005. The registered manager was available for the majority of the inspection and detailed discussions were held. Samples of the homes records were examined. There were six service users placed at the time of inspection. There have been fourteen requirements made following this inspection. An unannounced inspection gives the Commission an opportunity to assess the home against the National Minimum Standards applicable to the service without the home having notice of the visit. A number of requirements were made at the last inspection nine of which have not been met and have been restated in this report with a new timescale for compliance. Unmet requirements impact on the welfare and safety of service users. Failure to comply by the revised timescale will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. Verbal feedback was given to the registered manager. The inspector wishes to thank the staff and service users for facilitating this unannounced inspection. What the service does well: What has improved since the last inspection? What they could do better: 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. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3, &5 The inspector believes that staff are clear about the service provision and what assistance is expected to be provided to service users. EVIDENCE: The Statement of Purpose in place that covers the aims and objectives services provided, accommodation how referrals should be made and information regarding complaints. A copy of the service users guide was accessible and is in a suitable format. The registered manager has developed an admissions policy, which clearly states the referral process, initial assessment stage; trail visits and introductory period for service users. The policy also provides guidance for staff stating what is expected on the initial visits in place. There had been one new admission, which was initially as an eight-week respite placement. There was an assessment from the local authority, which indicated that the service users required support with all aspects of personal care. Assessment documentation included reports from health professionals. The registered manager has developed a new contract/statement of terms and conditions however there was no record of it being issued to the resident. This therefore remains an outstanding requirement. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Care plans and the care planning process is currently inadequate and requires further improvement. EVIDENCE: Individual service user plans were examined during the inspection. Each file examined contained a service user profile that contained all the basic personal information as required. However the plans were still in the process of being updated, one clearly had information added by hand however it needed re writing to provide clarity. Plan of action and assistance from staff was confusing due to the format of the individual plans. The separate needs of service users were not clear. For example one service user plan refers to a project that she used to attend however staff confirmed that the project was not longer active. The individual service users plans must describe the services and facilities to be provided by the home and how the services will meet the changing needs and aspirations of the resident. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 9 It therefore remains an outstanding requirement that the registered manager must ensure that individual service plans clearly identifies the all of the assessed needs, how those needs are to be met and clearly describes any restrictions. There has been improvement in some of the risk assessments now in place. However through cross tracking between the risk assessment and the service users plans it was noted that the not all risks had been assessed. For example a service users inappropriate behaviour had not been risk assessed. The interaction between service users and staff was observed as being very positive and sensitive to their needs. Staff were able to talk with the inspector knowledgably about the individual needs of the service users. There was evidence to suggest that service users are involved in the day-today running of the home, participation in activities of daily living and involvement in choice of daily activities. Service users are encouraged to maintain their personal space, preparation of drinks dependent on their ability. The inspector was satisfied that service users are involved in the day to day running of the care home where possible given the dependency of each service user. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,&17 The inspector observed and was satisfied that staff provide service users with support to make choices and provide them the opportunity to access the community and take part in activities in the home which provides variation and interest for service users. EVIDENCE: The inspector continues to be satisfied through observations made during the inspection that staff encourage service users to be involved with many activities and organisations outside the home. All the service users attend some form of day services such as day centre and community groups. This is one of the homes strengths. Some of the service users attend activities five days a week and in the evenings. Additionally activity records reflected trips ice skating, bowling or service users being taken to the local pub. There is a weekly art club at the home and many of the art projects that service users have been involved in are on display. The registered manager arranges an annual holiday for service users. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 11 Service users were seen to move around the home without any restrictions. Records indicated family involvement and contact arrangements. One service user goes home regularly at weekends. The most recent admission to the home visits his father fortnightly who is also in a care home locally. The registered manager informed the inspector that a Christmas dinner was held at the home for service users and their families. The inspector was also shown photographic evidence of the Christmas party that was held for service user and staff. The ethos of the home is to encourage service users to be as independent as possible in line with assessed needs. Service users are encouraged to undertaken simple household tasks in the home on a rota basis. Some service users are able to go out without assistance. This to was observed during the inspection. There are three meals offered daily when service users are present in the home, with additional drinks and snacks. Meals are recorded in a daily diary; these records were evidenced during the inspection. Kitchen and food storage premises were inspected, these were found clean and hygienic. The inspector was concerned as there were foods stored in the fridge, which were out of date. The inspector was informed that this belonged to a staff member. Further concern was raised as eggs were dated ‘best before 24/1/06’. In addition it was noted that fresh foods such as chicken, bread and buns had been frozen but not dated. Therefore there remains an outstanding requirement in place. Fridge and freezer temperatures were checked and recorded daily. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 20 &21 It was the inspectors view was that medication was not being accurately administered; this must be addressed as a matter of urgency. EVIDENCE: The ethos of the home and through observation during the inspection the inspector was satisfied that the service users are supported to maintain their personal identity and choice. The inspector observed the staff team assisting service users sensitively throughout the inspection. Service users were not restricted as to when they got up and staff were observed as being flexible regarding daily routines. Service users’ require a range of support with personal care from prompting supervision to assistance with regards to bathing and assistance with toileting. Information was seen during the inspection in regard to service users having access to medical appointments. Evidence was seen by the inspector on service users’ files of appropriate referrals being made to health care professionals. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 13 The medication policy was seen at the time of inspection and cover guidelines for handling, homely remedies and disposal of medication. The inspector made four spot-checks all of which were incorrect at the time of inspection. The problems continue to occur as carry over figures for medication was not recorded. Additionally a quantity of 28 tablets for one-service user had not been entered as received by the home. On arrival at the home the inspector noted that there were medicine pots in the kitchen with service users names marked on them Staff stated that they fill the pots in the office and then bring them to service users at breakfast time. This is deemed poor practise as errors could occur. It therefore remains an outstanding requirement that the registered manager must ensure that all medication is recorded accurately. The registered manager must address these issues as a matter of urgency. The relevant policy regarding ageing and illness is now in place which highlights that any changes in need will be assessed and details of how these needs can be met by the home recorded. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Clear guidance must be available for staff to respond to allegations of abuse effectively and efficiently in order that service users are protected. EVIDENCE: The complaint procedure is in place. A pictorial format is available for service users. The complaints log indicated that there have been no complaints since the previous inspection. The Protection of Resident from Adult Abuse policy was seen during the inspection. The policy is brief and basically states that any incident must be reported to the registered manager and the duty to refer to the police and the Commission for Social Care Inspection. The home must further develop an adult protection policy and procedure, including whistle blowing. The adult protection procedures must link and refer to the adult protection procedures of London Borough of Hackney. Additionally during discussion with staff the inspector was not satisfied that staff were fully aware of their responsibilities or the content of the Abuse policy. A staff member interviewed was given scenario; the response was poor as the staff member stated that they would speak to both the victim and the alleged perpetrator. The staff member also stated that she would ask the perpetrator to apologise to the victim. Finally the staff member stated that they would tell another staff member of the allegation. The staff member in question stated that they had not received any Adult Protection training. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 15 Service users have their finances managed by staff. Records seen were accurate at the time of inspection. A spot check on monies in the home was undertaken which was correct at the time of inspection. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 &30 It is the inspector view that at present the environment is suitable for purpose. EVIDENCE: The home is situated in a quite residential area and is in keeping with the local community. It offers easy access to local amenities and transport links. A tour of the premises was conducted with the registered manager. The inspector was satisfied that the premises are suitable for the stated purpose, and it is accessible to service users. There is no lift however there is a chair lift fitted to the staircase, which is not operational. The registered manager states that this would be in use if a service users required the facility. The office is situated on the first floor. There is no separate visitors room available. The home has a small garden with patio area is available. Parking in the area is unrestricted. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 17 The premises are comfortable, bright, and airy. There is sufficient light, heat and ventilation. Furnishings and fittings are of adequate standard. The staff share the cleaning within the care home, service users are supported by staff to maintain their own rooms if required. All of the communal areas and service users bedrooms were of adequate cleanliness and hygiene. There is a small laundry facility in the basement. The inspector was informed that the registered manager is hoping to make some improvements to the outside of the home in the coming year. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35&36 Issues around training and supervision must be addressed to ensure care provision to service users is of the highest standard. EVIDENCE: The home always has at least 2 members of staff on duty during the day when all service users are in the home. At night there is one sleep in night. This is deemed appropriate to meet service users needs. The staff rota was observed which reflected that there were two staff members on duty however one of which was not present in the home. The staff member on duty stated that the staff member had a private appointment and was unclear of when he was due to return. The inspector was informed that the registered manager was on her way to the home. As there were three service users present in the home as such staffing was at an adequate level. However the staff rota must accurately reflect staff working. The inspector also noted that some staff work extremely long shifts up to 16 hours a time. The registered manager should monitor staff hours to ensure the service provision is not affected. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 19 The inspector spoke with one staff member who stated that she had received training for food hygiene and key working. A requirement has already been made in relation to Adult Protection training. A newly appointed staff member had not received any training, this is of particular concern as the staff member application form highlighted that he had no previous experience of care work. There is a need for all staff to completed mandatory training for example fire safety, first aid, and lifting and handling. The registered manager stated that all staff have completed or are undertaking the NVLQ2. However there remain training issues. Two staff files were examined as previously stated there was concern, as a new staff member had no experience at all and had received no training. This raises concern with regard to competent and qualified staff being in the care home. The registered manager stated that the staff member does not work alone while completing induction. The inspector was unable to meet with the staff member and as such this standard will be fully assessed at the next inspection. Training issues must be addressed. One file only contained one reference and the staff member had a student visa the inspector noted that the staff member was on shift for 44.30 hours plus three sleep in duties. The second file contained no photographic identity, the two references were not verified and there was no Criminal Bureau check. The registered manager stated that this was in place but was at the other home. Therefore it remains an outstanding requirement with regard to staff files. A team meeting was held the day prior to the inspection, minutes were seen which reflected relevant issues were being discussed. Items that were discussed were as follows: Inspection Care plans Day to day issues. Outings. The registered manager informed the inspector that a format for recording supervision has been developed however the programme of formal supervision is still in the process of being set up. As a result the remains an outstanding requirement. This matter must be addressed as a matter of urgency. The inspector acknowledges that this is a small home and that the registered manager often supports staff on an informal basis however supervision needs to become structured and records maintained. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 ,42 &43 The unmet requirements from the last inspection, reflects poorly on the conduct and management within the home. EVIDENCE: The registered manager has an informal approach to the management of the home. As a result, the atmosphere within the home appeared calm and friendly. The inspector is satisfied that the registered manager has a knowledge of the National Minimum Standards however there are concerns given the content of the report, which the registered manager must address as a matter of urgency. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 21 The inspector acknowledges that there has been some improvements noted in the homes recording however further improvements are required in the following areas to keep records up to date and valid: Risk assessments. Care plans. Staff files. Medication Supervision records Requirements have been made against individual standards. Service users’ finances were seen which were being recorded accurately and were deemed correct. The registered manager/provider is consistently in the home and monitors standards. Due to unforeseen circumstances over recent months she has to attend to other commitments, which has impacted on the smooth running of the home. The inspector was informed that there is a clear commitment to address outstanding issues in the coming months. The inspector was informed that the business plan was still being finalised. The registered manager was able to inform the inspector of the plans for the coming year, which include some external works. However it remains an outstanding requirement that the registered manager must ensure that business and financial plans of the home are available for inspection. Health and Safety certificates were seen. The electrical system was last checked 3/2/01 valid for five years and is now overdue. The registered manager stated that there were some minor works being carried on following which a new certificate would be issued. Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 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. 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 3 2 3 3 3 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 3 x x 2 2 Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 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 YA5 Regulation 17 Requirement The registered manager must ensure that all service users have signed contracts in place. The registered manger must ensure that care plans are completed in accordance with the policy and clearly identifies the all of the assessed needs, how those needs are to be met and clearly describes any restrictions and agreed with service users. (Timescale of 31.12.04 not met) The registered manager must ensure that individual risk assessments for service users are carried out and recorded. (Timescale of 28.2.05 not met) The registered manager must ensure that all fresh food is dated when frozen and that they are deemed appropriate for home freezing. (Timescale of 11/01/05 not met) Timescale for action 30/04/06 2 YA6 15.1.2 30/04/06 3 YA9 13.4 30/04/06 4 YA17 16.2(i) 31/03/06 Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 24 5 YA20 13.2 6 YA23 13.6 7 YA23 13.6 8 YA33 18.1 9 YA34 19 The registered manager must ensure that all medication is stored and recorded accurately. (Timescale of 30/11/04 not met) The registered manager must ensure that the Adult Protection Policy be developed to include actions taken by the home and ways of reporting adult protection issues to relevant authorities. (Timescale of 31.12.04 not met) The registered manager must ensure that all staff are adequately trained with regard to Adult Protection and are fully aware of the home policy. (Timescale 31/12/05 not met) The registered manager must ensure that staff rotas accurately reflect staffing within the home at all times. The registered manager must ensure that staff work in line with any visa restrictions in place. The registered manager must ensure that records for all employees comply with Regulation 17 and the accompanying Schedule of The Care Homes Regulations 2001. (Timescale of 31.12.04 not met) The registered manager must ensure that all staff completed mandatory training. The registered manager must ensure that persons working in the care home are appropriately supervised and records are available. (Timescale of 31.12.04 not met) 31/03/06 30/04/06 31/05/06 30/04/06 31/03/06 10 YA34 19.1 30/04/06 11 YA35 18.1 31/05/06 12 YA36 18.2 30/04/06 Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 25 13 14 YA42 YA43 23.1 25 The registered manager must forward a copy of the electrical safety report to the Commission. The registered manager must ensure that business and financial plans of the home are available for inspection. (Timescale of 31.12.04 not met) 30/04/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Linton Lodge DS0000010275.V283476.R01.S.doc Version 5.1 Page 27 - 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!