Inspection on 13/09/05 for Linwood House Care Home

This inspection was carried out on 13th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Linwood House Care Home 01/10/08

Linwood House Care Home 06/07/06

Linwood House Care Home 12/12/05

Linwood House Care Home 02/02/05

Linwood House Care Home 27/07/04

Linwood House Care Home 18/03/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Linwood House Care Home 1 Mount Hooton Road Radford Nottingham NG7 4AY Lead Inspector Jayne Hilton Unannounced 13 September 2005 at 10:00 am th 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 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 Stationary 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. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Linwood House Care Home Address 1 Mount Hooton Road Radford Nottingham NG7 4AY 0115 978 6736 01159786736 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Prime Life Limited Acting Manager Claire Turner Care Home 13 (Thirteen) Category(ies) of Learning Disability (LD) - 13 (Thirteen) registration, with number of places Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9/02/05 Brief Description of the Service: Linwood House is a detached older property adjacent to the Forest Recreation Ground and on the tram route to Nottingham City Centre. Accommodation is provided on three floors. There is a private garden and ample space for car parking. Linwood House is registered to provide personal care for up to thirteen adults with learning disabilities. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 13th September 2005 by regulation inspector Jayne Hilton at 10am. The inspection concluded at 2pm. The focus of the inspection was on the requirements and recommendations set at the previous inspection and the standards not covered at the last visit. The methodology used was the examination of two service users care plans and associated records, complaints records, accident records, fire safety records, and other health and safety records, policies and procedures, staff rotas, and a tour of the building was facilitated. The manager and a staff member were spoken with and five service users throughout the course of the inspection. The outcomes for service users, is assessed as very positive. What the service does well: Prospective service users have the information they need to make an informed choice about where to live and have their needs assessed prior to moving into the home and can stay for trail visits. Service users needs are well met and they have a contract which details the terms and conditions of the placement. Service users needs are reflected in their care plans and are supported to be as independent as possible and to make decisions and participate in the daily life of the home. Information about service users is kept confidential. Service users have opportunities for personal development and are able to take part in age, peer and culturally appropriate activities at home and in the community. Service users rights are respected and they are supported with relationships. Service users said they enjoy their meals and have a choice. Service users receive personal support in the way they prefer and require and their health care needs are well met. Medicines management is well organised, and the ageing, illness and death of service users are handled with respect. Service users know how to complain and are protected from abuse. Service users live in a homely, comfortable and safe environment and service users rooms suit their needs and lifestyles and promote their independence. Toilet and bathrooms are adequate but would benefit from some personalisation. Service users have adequate shared space and the home is clean and free from offensive odours. Service users benefit from clarity of staff roles and they are supported by an effective, competent and well trained staff team, Service users benefit from a well run home with good quality assurance and monitoring systems in place, Service users rights and best interests are Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 6 safeguarded by the homes policies and procedures and the record keeping practices in the home is good. The acting manager is not yet registered but is due to undergo the assessment of fitness shortly, the standard cannot be assessed as met until this process has been finalised. 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. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 standard(s) 1-5 Prospective service users have the information they need to make an informed choice about where to live and have their needs assessed prior to moving into the home and can stay for trail visits. Service users needs are well met and they have a contract which details the terms and conditions of the placement. EVIDENCE: A statement of purpose and service user guide is in place which meets the standard fully. Service users have access to both and a copy of the inspection report is displayed on the notice board. Service users are admitted only after having their needs fully assessed and care plans are devised from this document. There are no reported or evident restrictions imposed on service users but the manager reported that if there was any needed to be implemented these would be fully documented in the individuals care plan. There was evidence that the needs of the service users are met by the services provided or accessed from outside of the home. Several examples of evidence was found in relation to this. There are no service users currently with specific cultural needs but the manager was confident that these needs could be provided for. There is a good level of training provision and the inspector observed good practice and interaction between staff and service users. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 9 Information on advocacy is displayed on the notice board and two people are waiting for assistance from an advocacy agency as there is a waiting list for this service. The homes statement of purpose refers to emergency admissions but is not specific regarding respite facilities and this should be included. The manager explained the process for trail visits, which included prospective clients visiting the home for a meal or overnight on a gradual process and a period of review after 6 weeks. The manager was advised to document trial visits and keep these either in the persons care plan if placement accepted or in a separate file for this purpose. Service users have terms and conditions, which meets the standard. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 standard(s) 6-10 Service users needs are reflected in their care plans and are supported to be as independent as possible and to make decisions and participate in the daily life of the home. Information about service users is kept confidential. EVIDENCE: Care plans are in place for each individual. Two care plans were selected for inspection and an other was sampled regarding specific information. Care plans are written clearly and monthly evaluations are taking place to review the plans. Signatures of service users were found on the care plans inspected and service users confirmed knowledge of this. There was evidence in care plans and from speaking with service users that they are encouraged to make decisions for themselves and that their rights are upheld. Service users financial records were not inspected at this visit. Service users have opportunities to participate in the running of the home, they reported that some help with daily housework tasks such as washing the pots and taking responsibility for cleaning their rooms. Service users are involved in recruitment practices and any new organisational policies are Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 11 presented for their views in residents meetings, which take place regularly. The quality assurance processes support this aspect also. It is recommended that service users views are documented regarding their involvement in the recruitment process. Risk assessments are in place and include appropriate risk assessments and strategies for those service users experiencing mental health issues and challenging behaviour. Risks are identified prior to admission wherever possible. A missing persons policy is in place. There is also a policy for confidentiality and the manager reported that this is promoted at induction and throughout supervision with staff. An example was given as evidence where a service users wishes had been respected and supported regarding rights of confidentiality. It was recommended that a copy of the homes confidentiality statement regarding sharing information be given to the day centre. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 standard(s) 11-17 Service users have opportunities for personal development and are able to take part in age, peer and culturally appropriate activities at home and in the community. Service users rights are respected and they are supported with relationships. Service users said they enjoy their meals and have a choice. EVIDENCE: There are various opportunities provided for service users and service users confirmed that they attend various social clubs and pub visits. There are no service users currently who wish to fulfil their spiritual needs. Some service users are employed by, the local authority, others attend a local employment training centre and some attend a day centre on a part time basis. Key workers assist service users with liaising with the benefits office. Service users are encouraged to be as independent as possible and voting was organised by postal votes recently. Staff, support service users outside of the home as required. A holiday is offered annually, this year the destination is Blackpool and the manager reported that they wish to extend the opportunity to going abroad next year. Group trips are arranged but one service user commented that she had not been on any group trips since living at the home. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 13 Service users spoke about their relatives and friendships in and outside of the home and there is a married couple residing at the home. The daily routines and house rules promote independence, individual choice and freedom of movement. One service user is currently monitored for their safety. Service users have door knockers on their bedroom doors and service users confirmed staff used these and that they have their own door keys. Service users were observed using these on the day of the inspection. There are no prepared menus, service users are offered a choice of what is available in the pantry one being a healthy option. Sometimes there are four different options available, service users confirmed this saying that the food is always good. They usually have sandwiches for lunch, which is prepared by night staff and each service user had chosen different fillings and had their favourite selection. Service users spoken with confirmed they go to bed and get up when they wish and that staff support them with their personal hygiene needs as required. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 standard(s) 18-21 Service users receive personal support in the way they prefer and require and their health care needs are well met. Medicines management is well organised, and the ageing, illness and death of service users are handled with respect. There is a need to implement a drug error policy and some good practice recommendations are made in relation to medication and for a nutritional chart to be implemented and weight charts to be amended. EVIDENCE: Service users spoken with confirmed they go to bed and get up when they wish and that staff support them with their personal hygiene needs as required. Each service users was observed to have their own personal style and the bedrooms examined reflected this also. One service user has a wheelchair for long distances and bathing hoists and grab rails are available around the home. Service users, are supported by a range of outside professionals including psychiatrists and psychiatric nurses as required and service users have designated key workers, who they choose. The healthcare needs of service users appears to be well met and all service users have their own GP and have an annual well person check and routine chiropody, eyesight tests etc. These were all documented fully within the care plans. The nutritional needs of service users are assessed and weight recorded, however the inspector recommended that an intake chart be set up for one Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 15 service user who s losing weight and the weight record chart be amended to include action taken for observed weight loss or gain. Medication management is well organised and there is a signed statement by service users regarding staff administering this. A metal cabinet stores the medication securely and the temperature of the room and fridge is taken and documented. Controlled drugs are appropriately managed. Staff, undertake the safe handling of medicines training and competency assessments are made routinely by the manager. Training from the pharmacist supplements this training. A Medication policy is in place but this needs to be expanded to include a policy for drug errors and which informs staff to notify the CSCI of any drug errors. The manager reported that there had been an error in administration since the last inspection and although it appears that appropriate action had been taken it had not been reported to CSCI. It is recommended that a medication profile is included in the care plans, which provides a running and instant record of medication review, changes and reactions. Prescribed as required medication [PRN] used for behaviour or mental distress is well documented and staff, are directed as to when and how this should be used. A staff signature sheet should be implemented for those staff authorised to administer medication. Some service users are aged over sixty five years and their ongoing needs are assessed on a 6 monthly review process to ensure the home can continue to meet those needs. Policies and procedures are in place for dealing with dying and death and information is provided within care plans of service user’s wishes upon death are recorded where they wish to discuss this. The manager explained that organisational support was good and that bereavement counselling was available should it be needed. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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 standard(s) 22, 23 Service users know how to complain and are protected from abuse. EVIDENCE: There is a comments, complaints and concerns policy displayed in the home and service users confirmed that they knew how to make a complaint should they wish to. There are two recorded complaints since the last inspection, which was from a neighbour complaining of service users being noisy in the garden. The manager agreed to try to establish a positive relationship with the neighbour where possible. There are policies in place for adult protection and staff, have undergone training in adult protection. A recent referral had been made regarding a service user assaulting another service user and the home appear to have implemented appropriate measures to prevent re-occurrence. The manager agreed to follow up this issue with social services and report back to the inspector of the outcome. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 17 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 standard(s) 24-30 Service users live in a homely, comfortable and safe environment and service users rooms suit their needs and lifestyles and promote their independence. Toilet and bathrooms are adequate but would benefit from some personalisation. Service users have adequate shared space and the home is clean and free from offensive odours. There is a radiator, which needs a cover if the bed is to remain in the present position and the Environmental Health officer needs to be consulted about the laundry facilities in the cellar and the boiler. EVIDENCE: The home is domestic in character and appears comfortable and adequately furnished. The décor was satisfactory, although some areas of paintwork were worn. Some areas have been redecorated since the previous inspection and new furniture purchased. The home is close to local amenities and is accessible for all service users residing at the home. The furnishings are domestic in type and most radiators were observed to be of the low surface temperature type. One radiator in a service users room is not of this type and the bed was pushed up to the radiator, which could present a risk. A cover must be provided if the service user wishes to have her bed in this position. There is a Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 18 shared handyman who attends the home on a weekly basis and a property audit is carried out annually. There are no CCTV cameras. Bedrooms examined appeared to meet the needs of the individuals and were clean and personalised. A list of furniture and equipment in each room was seen in individual care plans. A cordless telephone is available which service users can take into their rooms for privacy. Toilet and bathrooms were adequate but would benefit from some personalisation and refurbishment. A smoking lounge and kitchenette is provided. The main kitchen was fitted with a range of modern units. Bath Hoists and grab rails are sited in the home but there are no service users with poor mobility currently. One service user requires a wheelchair for long distances but can manage in the home. No lift is available to upper floors. The home was observed to be clean and smelled fresh apart from the remnants of smoke from the smoke lounge. The laundry facilities are based in the cellar. The washer does not have a sluice facility installed. As there are some continence issues identified the provider should consider purchasing a washer with a sluice facility. The sink in the laundry is used for both hand washing and drainage and it is recommended that the Environmental Health Officer be consulted regarding this and the damp and condensation observed in the area. The boiler casing is looking worse for wear and the inspector recommends that the EHO is asked for advice as to its safety and the health and safety poster is to be updated.. There are three freezers sited adjacent to the laundry room which all required defrosting. Gloves and aprons were observed, and a policy is in place for infection control, although staff, have not undertaken training in this area. The issues, raised at the last inspection regarding extension cables and trailing cables is resolved. Some garden furniture was noted to be stored under the fire escape, which should be removed. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, Service users benefit from clarity of staff roles and they are supported by an effective, competent and well trained staff team. EVIDENCE: All staff have an induction and job description and receive a welcome pack with copies of policies and procedures. A copy of the General social Care Councils Code of Conduct is issued to staff on employment. There are no volunteers used at the home currently but the manager is clear that any volunteers would need to undergo the necessary recruitment processes as employed staff. The manager reported that she supervises staff every two month however records of this were not inspected at this inspection. The training provision for staff appears adequate and staff are reported to be working to achieve NVQ2. Mandatory training is provided for staff on an annual basis but this needs to include infection control. Staff, have also received training in diabetes care. LDAF [Learning Disability Accreditation Framework] The staffing hours for the home are based 210 hours per week with additional support provided on a one to one basis for one service user. The manger uses a proportion of the 210 hours for management duties. As care staff, undertake cleaning and domestic duties with assistance from service users. The manager should actually work 90 of her time as supernumery to undertake the Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 20 responsibilities of management and as required under the Care Standards Act. That said the team appear to be well supervised and organised. The rota shows that a minimum two care staff are planned to be on duty at all times. An, extra staff member, being on duty from 5 to 8 pm each evening. At night there is one night support worker awake and one sleeping in. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39, 40, 41, Service users benefit from a well run home with good quality assurance and monitoring systems in place, however there is a lapse in the service users survey and this needs to be reinstated. Service users rights and best interests are safeguarded by the homes policies and procedures and the record keeping practices in the home is good. The acting manager is not yet registered but is due to undergo the assessment of fitness shortly, the standard cannot be assessed as met until this process has been finalised. EVIDENCE: The acting manager is shortly to undergo the process of assessment for fitness to be registered. She has almost completed the Registered Managers Award. There was evidence of quality monitoring within the home and the manager is working with the Quality Tree folder, which was seen in the home. Service users surveys have been previously carried out but there was no evidence of feedback regarding the previous survey carried out which was more than eighteen months ago. The provider undertakes Regulation 26 visits as required Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 22 by regulation. Staff meetings take place on a regular basis and minutes of these were seen. The organisation provides the necessary policies and procedures and staff get an individual copy. Records inspected including accident records fire safety records, Portable appliance tests were all satisfactory. It is recommended that a new type accident book be obtained. Fire risk assessments were evident. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 23 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Linwood House Care Home Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 2 x 3 3 3 x x C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 24 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 YA20 Regulation Medicines Act, 12, 13, 37 Requirement A drugs error policy must be implemented and any incidents of drug error must be reported to CSCI Timescale for action 13th November 2005 2. 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. 4. 5. 6. 7. 8. Refer to Standard YA1 YA8 YA10 YA19 YA19 YA20 YA20 YA22 Good Practice Recommendations Add information regarding respite care provision to the Statement of Purpose and Service Users Guide. Document service users involvement in the recruitment process Provide the day centre with a copy of the confidentaility policy Add an action to be taken coloumn on the weight record Implement an intake chart for the service user who is losing weight Provide a list of sample staff signatures for medicine adminstration Include a medication profile in care plans and document medication reviews, changes and any adverse reactions etc. Endevour to make contact and promote a positive relationship with the neighbour discussed at the inspection C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 25 Linwood House Care Home 9. 10. 11. 12. 13. 14. 15. 16. 17. YA23 YA 24 YA24 YA30 YA30 YA33 YA33 YA39 YA41 Chase the adult protection referal and bring to a conclusion Remove the garden furniture from under the fire escape Take apropriate action regarding the bed sited next to a radiator. Consult with the Environmental Health Officer regarding the issues identified in the report and inform the inspector of the outcome Defrost the freezers x3 Review the staffing levels of support staff regularly, in consideration of tasks undertaken in cleaning and catering The manager should work 90 of her time on management duties Reinstate the service users survey and provide feedback for service users Obtain a new style accident book which is designed for data protection. Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Edgeley House Tottle Road Riverside Business Park Nottingham, NG2 1RT 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 Linwood House Care Home C03 C53 S2297 Linwood V246058 130905 Stage 4.doc Version 1.40 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!