Inspection on 18/01/07 for Loddon House

This inspection was carried out on 18th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Loddon House 20/01/06

Loddon House 30/06/05

Loddon House 04/02/05

Loddon House 05/08/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Loddon House Loddon Court Farm, Beech Hill Rd Spencers Wood Nr Reading Berkshire RG7 1HT Lead Inspector Ruth Lough Unannounced Inspection 18 January 2007 11:30 th Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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 Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Loddon House Address Loddon Court Farm, Beech Hill Rd Spencers Wood Nr Reading Berkshire RG7 1HT 0118 988 4647 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) jay.dixon@new-support.org.uk www.new-support.org.uk New Support Options Limited Mr Jay Benjamin Dixon Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2006 Brief Description of the Service: Loddon House is a residential care home offering twenty-four hour personal care to four adults who have learning and associated behavioural difficulties. The home is a two-storey building and is not able to provide a service to people with severe physical disabilities, as there is no lift access to the first floor. The home has six single bedrooms, which have wash hand basins, but do not have en-suite facilities. The home is situated in a quiet residential area close to the town centre. There are local facilities within walking distance of the home. The home has its own vehicle and service users are able to access public transport, as appropriate. Current charge per person is £1641.68 per week. Service users pay extra for some outings, toiletries and personal shopping. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit that took place over a day. The inspection included a review of information provided by the home prior to the visit. The documents and records that were available on the day were used as part of the information gathering. Questionnaires were sent to service users previous to the visit but were not returned. Service users opinion of the service was obtained, where able, during the visit. Discussion with and observation of the management and care staff was also included. Service users who live in the home have been together for a considerable length of time. They all have varying social and support needs and some have limited communication difficulties. Staff have developed various different methods of interpreting and implemented communication with the service users. What the service does well: What has improved since the last inspection? What they could do better: The staff need to improve how they help service users to make sure they have good health. They need to make sure that they write down how they do this and the help they give to them to care for themselves. They should also look at the way they protect service users from risks and how often they are checked to see if they meet their needs. The also need to record how they listen and act upon service users concerns and comments so that they can improve how the service is run. They need to find ways of telling service users about how they check they are getting a good service and the results of their findings. The service users should have a clean home with furniture and fittings kept in a good condition. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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 Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. The home has a suitable process in place to enable a thorough assessment of service users needs for prospective new admissions. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are given information about the home in the Service User Guide that is provided in the necessary format to meet their needs and abilities. Copies of which are kept in the individuals care files. The home has not admitted a new service user since the last inspection process and the current service users have been living in the home since 1993. The home has an assessment process and document tools to use to record and support gathering information about service users needs before they come to live there. The assessment process includes obtaining information from the referring social service department, family and any professional practitioners involved in service users care. They are able to offer the opportunity of trial visits and stays for prospective service users. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 Quality in this outcome area is adequate. The care plans are focussed on achieving good outcomes for service users living skills and daily lives. The care plans do not reflect fully the care and support required to be provided by staff or that the risks to achieving these have been reviewed regularly. These judgements have been made using available evidence including a visit to this service. EVIDENCE: The service user plans, the accompanying risk assessments and associated records for 2 service users were reviewed. The information in the service user records varied in detail and content. One record had sufficent information to provide staff with some knowledge about the service users life history, medical and health needs and life skills. The other record did not reflect the service users specific health needs or how these effected his lifestyle. What they do record well for service users to understand is how they like to live, their choices and preferences. They need to improve how they give staff instruction of how to provide their personal care in particular in conjunction with the l Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 10 Limitations of the service users physical health needs, abilities and mental health. There is a formal annual review of the service users care and wellbeing carried out by the funding local authority, professional practitioners, the home staff and relatives or supporters. Service users take part where they are able or want to be involved. The staff have implemented risk assessements for service users daily activities, medication and behaviour. Both service users have a high number of risk assessments in place. The recorded reviews of these appear to be sporadic and not as part of the annual review of care with some not having documented that these have been reassessed for over 2 years. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. Staff support service users to continue with activities and employment where they wish and are able. But they need to record greater information of how they support them to do this. The service users are provided with a variety of meals that meets their choices and preferences but may not necessarily meet their nutritional or health needs. These judgements have been made using available evidence including a visit to this service. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 12 EVIDENCE: The service users living in the home are aged between 58 and 77 years of age. Three of the service users have part-time employment and all are supported to continue with activities where they are available. The service users are supported by staff and personal skills coaches for a range of occupations from making Poppies for the British Legion, assisting with glass collecting and tidying up at a social club and leaflet delivery. The service users attend day centers, clubs and are supported individually for activities inside and outside the home. These vary from movement to music, life skills, games, creative workshops, art/crafts and conservation workshops. The care plans had minimal information of how the service users were supported by staff to carry out their employment or the individuals plan of their activities. One service user was enthusiatic about the work he did and the art that he had done. Another about going shopping with a carer. One service user is given the responsibility with assistance of day services to shop on behalf of the home on a regular basis. None of the service users have expressed any religious beliefs or requested to be part of any local faith meetings or activities. The staff support the service users to continue with family links, some of the contact and information is recorded in their care plans, but not all. Staff were able to give greater verbal information about service users relationships, friendships and their families involvement with their lives. Service users are supported with their daily routines, independence and choices of how they wish to live by staff. This is through choices in taking part in communal activities, with their own key to their bedroom door and involvement with household tasks where they are able. Service users made a joint decision to care for a cat who arrived at the home as a stray and staff have given assistance with this. Staff in the home appear to have good relationships with the service users with the way they interact with them and encourage them to continue with their activities. The home has a recorded planned menu that is flexible to change to meet the social activities and service users wishes. Service users are offered a mixed variety of meals and snacks during the day and staff record in the daily records what the service users have eaten each day. Service users likes and dislikes for food are recorded in their care plans and they are consulted about what they would like to eat before the meal. Their care plans do not show that the nutritional needs are not recorded or assessed regularly by staff. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is adequate. The home should improve how its written records give staff specific instruction to provide personal care, monitor and meet their health needs and that they are reviewed regularly. They should begin to seek further information from the service users and their families about their choices of how they wish to be cared for and where they would liked to be cared for as they grow older. These judgements have been made using available evidence including a visit to this service. EVIDENCE: Some of the service users choices and preferences for personal care are recorded in the care plans. However, how the personal care is to be provided by staff is not specific enough in the recorded care plans. This is with particular reference to the changing needs of the service users as they grow older. The service users are assisted to obtain medical support from their GP, opticians and chiropody and these contacts are recorded in the care records. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 14 What is not evident is that their health needs are monitored or reviewed by the staff or that some specialist support has been obtained for some very specific health needs. One service user has an eating disorder, possibly associated with his learning difficulties, that is recorded in the care plan and has some accompanying risk assessments. However, the service users care plan showed that the staff do not monitor his weight or nutritional needs regularly. The manager stated that service users weight is assessed by the GP at the annual health check. The consultation is recorded although details are not identified. Service users are provided with their medication by staff that have received training to do this. There are medication policies and procedures for staff to follow and secure facilities for the medication to be stored. None of the service users are able to administer their own medications or require controlled drugs. The service users living in the home are aging and their health and personal care needs may change. The home has sought some information about their care after their death but have not explored recording their wishes of how they want to be cared for and where they wish to be as and when their health deteriates. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. The home listens to service users concerns and acts upon them but need to improve how they record and monitor these. The home has suitable systems in place to ensure that service users are protected from possible abuse. These judgements have been made using available evidence including a visit to this service. EVIDENCE: Service users were seen during the inspection visit to be able to approach the staff and make comments or concerns that they had and staff responded well with guidance and actions. The home has a complaints policy and procedure in place that is given to service users in the Statement of Purpose and the Service User Guide. Service users are provided with a pictorial summary format of the main points from the procedure. The policy and procedure are compliant to the regulations. The home records formal complaints in a record book but have not put processes in place to monitor for auditing purposes the timescales of investigations, outcomes and actions taken. They do act upon daily concerns from the service users that may be recorded in their individual care plans but these are not monitored effectively for trends or common themes. The home and the commission have not received any complaints since the last inspection visit. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 16 The home has policies and procedures in place regarding the protection of vulnerable adults, ‘whistle-blowing’ and how to refer concerns to the local authority. The staff are given instruction about abuse in the induction programme and have had training to follow this up periodically. Staff can always obtain support and advice from the provider’s senior management team. There have not been any referrals to the local authority with concerns about the service users since the last inspection visit. Staff spoken to, had a good understanding of how to keep service users protected from possible abuse and what action they should take if they have concerns. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. The home is suitable for the service users current needs but should ensure that all areas are kept clean and hygienic and the furniture is of a good condition. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated off the main road and has a secure perimeter fence and gates to prevent service users leaving the home without the support, protection and knowledge of staff. The building is not purpose built but a converted family home with additional space on the ground floor to provide 2 bedrooms, office and assisted bathroom. There is also a dining room, lounge and a utility room to the rear of the kitchen. Upstairs there are 3 bedrooms and a staff sleepover room with shower and toilet. The bathroom and toilet upstairs is shared by the 2 service users who have bedrooms there. Three of the service users are very mobile and are able to use stairs, one has restricted mobility. The garden is to the rear and side of the building and is mainly laid to lawn with some seating for service users to use. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 18 Service users bedrooms are of moderate size with the exception of one which is smaller and suits service users needs and wishes. Service users are provided with the necessary furniture and fittings in their rooms and are assisted to personalise them if they wish. The home is furnished very minimalistically in the communal areas. The manager stated that it was deliberately furnished this way as to ensure the safety of service users and staff. Some of the soft furnishings and carpets are in a very poor condition both in the specifically in one service users bedroom and in the communal areas. The manager did inform the inspector that replacing the carpets and furniture and redecoration for these areas are in the planned renewal programme for this year. The staff are responsible for the cleaning and maintaining of the hygiene in the home. The standard of hygiene is variable with some areas such as the lounge furniture and carpet and the carpet in a service users bedrooms very stained and soiled. The bathrooms, kitchen and some of the bedrooms are tidy and clean. The laundry area is accessed from the kitchen and from the hallway it has a suitable washing machine and tumble dryer to meet the demands of the home. The manager stated that any soiled linen is not taken through areas where food is stored or prepared. The staff are unable to leave liquid soap and paper towels un attended in bathrooms and toilets because of the behavioural problems of one service user. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,34 and 35 Quality in this outcome area is good. The deficits in permanent staff have been addressed by the use of a consistent team of bank and agency staff who understand and have good knowledge of the service users. The staff are recruited appropriately and are provided with the induction and training to carry out their roles. These judgements have been made using available evidence including a visit to this service. EVIDENCE: A copy of the staff rota was supplied by the home. It shows that the usual staffing levels to provide support to the four service users is 3 in the morning, 2 in the afternoon and 1 waking and 1 sleepover at night. The rota does not provide the staff’s full names or who is in charge of the home at any one time. What is shown is that there is a high number of agency or bank staff required to support providing a safe service to meet the needs of the individuals. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 20 Over an 8 week period in October and November 138 shifts have been provided by additional staff either bank or agency. This had improved at the time of inspection as another member of staff had been employed. The manager did inform the inspector that the staff used from the agencies and bank were a regular team that understood and had good knowledge of the service users and that if new to the home they were given time to read the care plans and records before working with them. The other staff team members have been in working at the home from 4 months to 3 years with the majority of the latter. The home employs 4 senior and 5 support workers in addition to the manager and deputy manager role. The manager also informed the inspector that he was leaving to take up an area managers role soon and that the deputy manager was on maternity leave and no decision had been put in place to replace his role as yet. The current practice is of central head office is responsible for the recruitment and employment of staff for the home. All original copies of employment records are held there and the home is supplied with copies of the key information such as application form, passport and visa, photo, references and criminal records check. Two employees information was reviewed, one employed in the last 4 months another had been working in the home for over 2 years and both had the required information. The manager stated that prospective staff are invited to an informal visit to meet the service users to observe how they interact with them and that none of the service users are able to take part or wish to be involved in any formal interview and selection process. The staff are provided with an induction programme on commencement which includes all the mandatory health and safety, abuse and some information specific to working with service users with challenging behaviour - there is a new programme Our Approach just implemented which is intended to be been provided to all staff to review that they all have the necessary information to carry out their roles. A training needs analysis tool is in the process of being carried out with all staff by the manager. There is a regular training programme centrally run by the provider which is accessed by the manager when a training need is identified. The home gave information that 4 members of staff of 10 had attained NVQ2 or above. The training that has been provided to staff since the last inspection, apart from revisiting the induction programme, has been fire and medication. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is managed and run appropriately ensuring that service users and staff are protected by the safe working practices. The home should look at further developing its quality assurrance processes and how it provides information back to service users and documents how they are using them to develop the service. These judgements have been made using available evidence including a visit to this service. EVIDENCE: The manager has been working in his role for over 8 years and has gained a good knowledge and understanding of the service users living in the home. He has continued with updating the required health and safety madatory training as and when required. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 22 He has NVQ 4 and Registered Managers Award relevent to his management role and has been provided with updates through the provider to maintain his knowledge. The home has a quality assurrance process that seeks service users opinion of the service both through recording in the service users records and in a more formal way by an annual questionnaire. The staff record service users opinion in their care plan about what they like and dislike and any concerns they may have. The records from the annual service users survey show that time and consideration was taken with them to seek their opinion and that staff recorded their responses well. What the home need to improve is how they bring this information together, provide findings to service users and how they use this to develop the service. They do have regular supervision meetings with staff, some staff meetings and try to get feed back from relatives and visitors if they are able. Service users are not able to take part in formal meetings and their opinion is sought during individul discussions where able. There are several systems in place for reviewing the administration of the service which include an audit of the management of service users monies, head office regulation 26 visits and information that is routinely submitted about complaints, incidents and accidents. The review of service users care and support needs being met is carried out on annual basis in conjunction with social services and families. However, some of the care plans do not reflect that these and the accompanying risk assessments are reviewed in between. All policies and procedures are provided by the provider and are reviewed regularly. The home has systems in place for safe working practices and the welfare of service users and staff. They are provided with good information in the policies and procedures in the home and during the staff induction and regular training. There is a regular programme of fire training, drills and fire safety checks. Staff have a brief summary of information about each service user to give to fire officers should an emergency occur that is left in a prominent position by the fire exits. Checks for the emergancy lighting, central heating and electrical equipment have been carried out. The home does not have a mains gas supply and all heating and hot water is provided by oil - the tank is in the rear of the garden and is fenced off from where service users may be. The recent new bathroom lifting equipment has not required a safety check as yet. Staff are given information about the control of substances hazardous to health regulations and all cleaning materials and detergents are locked away securely. All staff employed have been given first aid training that is provided in the induction programme and renewed when necessary. There is good recording of accidents, incidents and injuries to both service users and staff. The home has good evidence of these being reported to the relevent responsible bodies such as RIDDOR and Health Protection. Risk assessments are in place for safe working practices but some safety information for staff is only displayed in limited places where the service users are unable to access. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 2 3 X 3 X X 3 X Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6, YA18 Regulation 15 Requirement Timescale for action 31/03/07 2 3 YA9 YA19 4 YA30 That the care plans give information for staff of how the care tasks are to be carried out with service users and are reviewed regularly. 13.4 That the risk assessments are reviewed regularly. 13 That the home ensures that service users health needs are identified and strategies put in place for them to be met and documented in the their care plans. 23 (c), (d) That the home ensures that the furniture and carpets are kept clean, hygienic and in a reasonable condition. 31/03/07 31/03/07 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA17 Good Practice Recommendations That the home evidence that the meals and menu plan provided meet the nutritional needs of the individual. DS0000011378.V325364.R01.S.doc Version 5.2 Page 25 Loddon House 2. 3 4 YA22 YA31 YA39 That service users concerns and complaints are monitored for quality assurance purposes. That the home rota indicates who is designated in charge of the home when the manager is not on duty and the staff full name is recorded. That further development of the processes for quality assurance and how they provide the information obtained back to service users. Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Loddon House DS0000011378.V325364.R01.S.doc Version 5.2 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!