Inspection on 30/09/05 for Linton Lodge

This inspection was carried out on 30th September 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 20 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 22/02/06

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 30th September 2005 9.45 Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V256979.R01.S.doc Version 5.0 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.V256979.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 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.V256979.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Friday morning at 9.45am. This inspection followed up the requirements made at the unannounced visit held on 11th January 2005.The inspector spoke with one service user and two staff members during the inspection. A tour of the environment was undertaken and samples of the homes records were examined. There were six service users placed at the time of inspection. There have been 20 requirements and 1 recommendation made following this inspection. Some of the requirements have been carried over, as they could not be assessed at this inspection, as the registered manager was not available. This needs to be taken into account when reading this report. However some requirements are clearly mot met. 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. Unmet requirements impact on the safety and welfare of service user’s and staff. Failure to comply with requirements will result in the Commission for Social Care Inspection considering enforcement action to secure compliance. Verbal feedback was given to the senior care staff by telephone at the end of the inspection. The inspector wishes to thank the staff and service users for facilitating this unannounced inspection and actively contributing to the regulatory process. What the service does well: What has improved since the last inspection? What they could do better: The registered manager must focus on the outstanding requirements as a matter of urgency. Care plans and risk assessments must be in place to ensure that staff are fully aware of the service users needs and how those needs are to be met. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 6 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.V256979.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3&5 No progress has been made to show that a proper assessment is completed prior to people moving into the home. This failure could have had serious repercussions for the health and welfare of the resident concerned. EVIDENCE: Staff could not provide a copy of the homes Statement of Purpose at the time of inspection. A copy of the service users guide was accessible and is in a suitable format. There had been one new admission, which was initially as an eight-week respite placement. The service users file contained basic information only. The homes assessment form retained on file was totally blank. There was an assessment from the local authority, which indicated that the service users required support with all aspects of personal care, however there was no further detailed information. Additionally the risk assessment was blank and no care plan had been developed. Without this information it is difficult to assess whether the home can meet the needs of the service user. There was no evidence of a formal admissions policy in place. The inspector repeats the recommendation that the registered manager formalise an admissions policy / procedure. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 9 The registered manager must ensure the service users are admitted only on the basis of a full assessment undertaken by people competent to do so. A copy of the homes contract/statement of terms and conditions was not available for inspection. There was no evidence that contracts had been has been implemented. This therefore remains an outstanding requirement. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,&9 Limited progress has been made on improving care plans, as such staff are unable to deliver appropriate care to service users in line with assessed health and social care needs. This potentially places service users at risk. EVIDENCE: Three 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 as previously stated one of the files did not contain a care plan at all. The service user had been admitted to the home on the 7th September and as such it is expected that some work would have commenced on developing a care plan 23 days after admission. The inspector was informed that the care plans were in the process of being updated, one clearly had information added 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. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 11 The third plan showed no evidence that it had been updated since the previous inspection. The separate needs of service users were not clear. 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. Through the tracking of information it was note that a review held last year highlighted that one service users required 2:1 support from staff in the community. This was not recorded on the care plan and no risk assessment was in place regarding accessing the community. The inspector was also extremely concern regarding an incident in June 05 between two service users in the home. There was no evidence of any strategies in place to ensure that this type of incident was not repeated. There was no risk assessment in place following the incident and no evidence of follow up or guidance being provided for staff on how to deal with this type of situation. As previously stated the new admission to the home had no risk assessments in place. On balance the interaction between service users and staff were observed during the inspection as being positive and sensitive to their needs. Staff spoken to talked with the inspector knowledgably about the individual needs of the service users. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 ,16 &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. Some of the service users attend activities five days a week. Additionally activity records reflected trips ice skating, bowling or service users being taken to the local pub. The home has on display many of the art projects that service users have been involved in. The inspector was informed that holidays are arranged for service users annually. All service users had been to Colchester on holiday in the summer. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 13 Service users were seen to move around the home without any restrictions. Records indicated family involvement and contact arrangements. Staff informed the inspector that families could visit them in their own bedrooms or the communal areas of the care home. One service user goes home regularly at weekends. The service user on respite is being escorted to visit his family weekly. The ethos of the home is to encourage service users to be as independent as possible independent on their support needs. Service users are encouraged to undertaken simple household tasks in the home on a rota basis. On the day of inspection one service user was observed hovering the stairs. Such tasks are documented on the service users files. 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 noted that fresh foods frozen had not been dated. Additionally there were frozen chocolate mousses these were removed as they clearly stated that they were not suitable for home freezing. In addition both freezers required defrosting. Fridge and freezer temperatures were checked and recorded daily. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected 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. Staff must be fully trained and competent before being permitted to administer medication. 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.V256979.R01.S.doc Version 5.0 Page 15 The inspector made six 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. It was noted that there were no signatures on the medication sheets for two days in regards to two of one service users medication. Staff stated that the service users would have been given the medication. It remains an outstanding requirement that the registered manager must ensure that all medication is recorded accurately. There is no record of homely medicines and as such could not be deemed as correct at the time of inspection. It remains an outstanding requirement that the homely remedies must be accounted for in line with the medication policy. The registered manager must address these issues as a matter of urgency. As stated staff were unable to access policies and procedure that should have been amended since the previous inspection as such the requirement with regard to the death and dying policy to include ageing and illness will carry forward to the next inspection. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 The inspector is not satisfied that staff are fully aware of their responsibility in reporting incidents of abuse. 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 has been one complaint since the previous inspection. Through the tracking of information on service users files it was noted that there had been an incident between two service users. The incident indicated that there had been a physical attack by one service user on another. From the recordings it indicated that staff had difficulty in dealing with the situation. This is an incident that should have been notified to the Commission for Social Care Inspection without delay. There was no indication that Adult Protection procedures were followed, or that the Commission being informed of the incident. The inspector informed the Local Authority Adult Protection co coordinator at the time of inspection. During discussions with staff the inspector was informed that the behavioural specialist was involved with the service user however there was limited documentation to evidence this. Staff could not provide the inspector with the Adult Protection policy at the time of inspection. Additionally during discussion the inspector was not Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 17 satisfied that staff were fully aware of their responsibilities or the content of the Abuse policy. 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.V256979.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected 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 a member of staff. 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. Although staff stated that none of the current services use this 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. The premises are comfortable, bright, and airy. There is sufficient light, heat and ventilation. Furnishings and fittings are of adequate standard. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 19 There are two minor repairs that require attention: The leak in the ground floor toilet must be investigated and repaired. The missing tiles in JE’s en suite must be replaced. The staff share the cleaning within the care home, service users are supported by staff to maintain their own rooms if required. As previously stated in this report the inspector observed a service user maintaining communal areas during the inspection. All of the individual rooms seen had been personalised and were comfortable. All of the communal areas and service users bedrooms were of adequate cleanliness and hygiene. There is a small laundry facility in the basement. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34&36 It is the inspectors view that staffing levels may not be adequate at certain times of the day, this potentially puts service users and staff art risk EVIDENCE: Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 21 As the registered manager was not available for the inspection some of the staff records were not accessible. Therefore some of the previous requirements with regard to staff files and supervision records have been carried forward to the next inspection. 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. However through the tracking of the homes records the inspector noted that on the 28/9/05 one staff member was on duty. Staff stated that all the service users were out of the home however on further discussion it became apparent that once the service users had returned the staff member in question was still lone working for between one and one and a half hours. Given the level of support that the service users require this is unacceptable. Minutes for staff meetings were seen for May 05, June 05 and September 05. The content of the meetings were good; items that were discussed were as follows: Staffing Service users holiday Day to day issues. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,40&41 The manager was present during this inspection however recordings being inconsistent reflect poorly on management. EVIDENCE: The registered manager had to leave the country at short notice for family reasons and so was unavailable for this inspection. The inspector acknowledges that may have impacted on the result of the inspection. As previously stated this meant that some of the previous requirements made could not be assessed, as the inspector could not access records. Therefore the previous requirement with regard to financial records has been carried forward. Some of the recording was inadequate and so this area needs further improvement. Care plans need clarity so that the individual needs and how those needs are to be met are clear. Gaps were also noted within medication records. Records regarding accidents were seen, however recordings were incomplete. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 23 Additionally the incident previously mentioned resulted in a staff member sustaining a minor injury, no accident report was completed. Service users’ finances and petty were seen which were being recorded accurately and were deemed correct. As previously stated in this report the inspector noted that there had been an incident recorded that had not been notified to the Commission of Social Care Inspection under Regulation 37. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 1 1 x 2 Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 x x 1 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 2 2 x 2 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Linton Lodge Score 3 3 1 2 Standard No 37 38 39 40 41 42 43 Score x x 2 2 1 x x DS0000010275.V256979.R01.S.doc Version 5.0 Page 25 no 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 YA1 Regulation 4.1 Requirement The registered manager must ensure that the statement of purpose includes relevant details in regards to the home as laid out in Schedule 1 Regulation 4 .1(c) of the Care Homes Regulations 2001. (Timescale of 31.12.04 not met) The registered manager must ensure the service users are admitted to the home only on the basis of a full assessment undertaken by people competent The registered manager must ensure that the home can demonstrate the capacity to meet the assessed needs of service users admitted to the home. The registered manager must ensure that costed contracts/ statement of terms and conditions must be changed to reflect the current legislation (Care Homes Regulations), and must be signed by all relevant parties. (Timescale of 31.12.04 not met) Timescale for action 30/11/05 2 YA2 14.1(a) 30/11/05 3 YA3 14.1 30/11/05 4 YA5 17 30/11/05 Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 26 5 YA6 15.1.2 6 YA9 13.4 7 YA17 16.2(i) 8 YA20 13.2 9 YA20 13.2 10 YA21 24 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 11.1.05 not met) 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 homely remedies be accounted for in line with the medication policy. (Timescale of 30.11.04 not met) The registered manager must update the death policy to include aging and illness. . (Timescale of 31.12.04 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) 30/11/05 30/11/05 30/11/05 30/11/05 30/11/05 30/11/05 11 YA23 13.6 30/11/05 Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 27 12 YA23 13.6 13 14 YA27 YA33 23.2(j) 18.1 15 YA34 19.1 16 YA36 18.2 17 YA39 25 The registered manager must ensure that all staff are adequately trained with regard to Adult Protection and are fully aware of the home policy. The registered manager must address the minor reports as stated in this report. The registered manager must ensure that there is adequate staff levels maintained at all times to meet service users needs. 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 persons working in the care home are appropriately supervised and records are available. (Timescale of 31.12.04 not met) The registered manager must ensure that business and financial plans of the home are available for inspection. (Timescale of 31.12.04 not met) The registered manager must ensure that policies and procedures are in place to meet the requirement as set out in Appendix 3 of the National Minimum Standards.(Timescale 31.3.05 not met) The registered manager must ensure that all incidents that are notifiable are forwarded to the Commission without delay. 31/12/05 30/11/05 30/11/05 30/11/05 30/11/05 30/11/05 18 YA40 24 30/11/05 19 YA41 37 30/11/05 Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 28 20 YA41 17.1.2.3 The registered manager must 30/11/05 that all records detailed in The Care Homes Regulations 2001 and accompanying Schedules are kept as required. (Timescale of 31.12.04 not met 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 Refer to Standard YA2 Good Practice Recommendations The inspector recommends that the registered manager formalises the admissions procedure. Linton Lodge DS0000010275.V256979.R01.S.doc Version 5.0 Page 29 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.V256979.R01.S.doc Version 5.0 Page 30 - 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!