Inspection on 11/07/06 for Lomack House

This inspection was carried out on 11th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lomack House 26/11/08

Lomack House 13/10/05

Lomack House 03/05/05

Lomack House 29/11/04

Lomack House 18/05/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 Lomack House 29-33 Elstow Road Kempston Bedfordshire MK42 8HD Lead Inspector Mrs Louise Trainor Unannounced Inspection 11th July 2006 14:00 Lomack House DS0000014938.V300895.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 Lomack House DS0000014938.V300895.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. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lomack House Address 29-33 Elstow Road Kempston Bedfordshire MK42 8HD 01234 840671 01234 840671 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) Lomack Health Co Ltd Vacant Care Home 9 Category(ies) of Learning disability (9), Physical disability (9), registration, with number Sensory impairment (1) of places Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2005 Brief Description of the Service: Lomack House was registered in August 2001 and provides care for nine adults with learning disabilities. The two-storey detached home was converted from two private dwellings. The home does not have a passenger lift. Lomack Health Company manages the home. The home is located in the quiet Kempston residential area of Bedford. The accommodation consisted of nine single bedrooms, a conservatory, a spacious lounge, dining room and a kitchen. There were bathing facilities and toilets on both floors. The staff and the managers office were situated on the ground floor, and there is a staff sleep- in room on the first floor. The home had a large, attractive garden to the rear of the home. This was well maintained and used by staff and service users. The home presently has one vacancy, as one service user has moved on to another home that can meet his needs more effectively. The fees for this home range from £800.00 per week to £1600.00 per week. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two planned Key Inspections planned for this service for this year. Lead Inspector Louise Trainor carried out the inspection between the hours of 14:00 hours and 19:00 hours on the 11th of July 2006. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the services provided. The process considers the home’s capacity to meet regulatory requirements and minimum standards of practice. Both the Manager and Deputy Manager have recently left their posts at this home, and there is presently a Protection of Vulnerable Adult (POVA) investigation in progress following allegations that were made prior to their departure. One of the Senior Carers, who has been working in the home for four years has been acting as Deputy Manager during this crisis period in the home, and has demonstrated her proficiency and competence in supporting the service users and staff team admirably. The General Manager for Lomack Health Co was present for part of the inspection to assist where necessary, and the newly appointed manager for Lomack Health Co’s sister home was present throughout. . During the inspection the inspector was able to talk to all the service users, except for one, and all the staff that were on duty on that day. Three of the staff were formally interviewed and their personal files inspected. Three service users were ‘case tracked’. This involved scrutiny of their files and interviews. Unfortunately on the day of the inspection there were no relatives / advocates available for interview. The inspector had a full tour of the premises accompanied by service users and staff during the inspection, and viewed various documentation relating to recruitment, medication management, training and complaints were examined. Observations of care and staff / service user interactions also formed an important focus for this visit. The inspector would like to thank all staff and service users for their support and assistance during this inspection. What the service does well: The home provides a clean and homely atmosphere for its service users. There is a warm and friendly feel to the home, and staff / service user interactions are, familiar, stimulating and supportive. This is well balanced with dignity and respect, which was demonstrated throughout the visit. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 6 The staff team is well established, and all appear enthusiastic and committed to their jobs. They have all had extensive training in a wide range of topics, many relating to specific needs of the client group they care for. Service users are given choices and encouraged to take control over as many aspects of their lives as is realistically possible within the constraints of their disabilities. All service users have detailed care plans. These clearly have the service users’ personal preferences and choices incorporated. The care plans are regularly updated and reviewed to accommodate changing needs, and there is evidence to show involvement and agreement from the service users. Over the recent weeks there had been serious allegations made relating to finances within the home, which had affected all the staff and service users quite considerably. The Responsible Individual for the service has managed this incident formidably following the Protection of Vulnerable Adults policy and procedures. Meetings have been held with service users, to explain to them exactly what has happened in their home, in a way that they understand, and extra support is ongoing to ensure they have continuous reassurance. Their safety and protection is clearly a priority. Six of the eight service user residing at Lomack House attend day centres, five days a week. Service users are an integral part of the homes routines, and they are involved in all aspects of daily life, such as shopping, planning meals, cooking, cleaning and leisure activities. Staff are well supervised by senior management, and annual appraisals are carried out and recorded. What has improved since the last inspection? All service users have full risk assessments completed on them. These are recorded in writing and in picture form to ensure service user understanding. All service users have personal monies kept in the home. All transactions are clearly recorded, dated and signed. Receipts for any purchases are also signed. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Quality assurance questionnaires have been sent out to service users and their representatives. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 7 However there is no evidence to show action plans that have been implemented to reflect the results. 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. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 8 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 Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 9 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, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users information and assessments are thorough and detailed, and pre admission visits are practice to ensure service user’s needs will be fully met. EVIDENCE: All the three service user files that were examined had a contract agreement that had been signed by the service user to say that it had been explained to them and they understood it s content. Each service user also had a signed accommodation agreement. There was a copy of the Service User Guide and the Statement of Purpose pinned on the service users information board in the downstairs hallway. The Service User Guide was produced in pictorial format to ensure service users had a clear understanding of its’ content. The Statement of Purpose is a thorough document that clearly details all information relating to life in this home. It does however require updating to remove the ex managers personal details from the document. Prior to admission to the home, trial overnight and weekend visits are planned to ensure that service users ‘fit in’ and that all their needs can be fully met. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 10 Relationships are maintained even when service users move on to further accommodation. One service user that had recently moved to a home more suitable for them was due to visit for tea with his key worker, the week of the inspection. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. All service users have clear care plans in place, which contain detail of personal choices and preferences. Rigorous risk assessments have been carried out and are duplicated in picture form to enable easy understanding for the service users. EVIDENCE: Files of the three service users ‘case tracked’ had clear detailed care plans in place. These included personal choices and preferences. These were all regularly reviewed and updated. One service user also had a ‘Pathway to my Independence’ in his file; this was completed in a format that was understandable to him. Another service user has been working on a Life Map. The majority of documentation in the service user files was prepared in a pictorial format, so they could be easily understood. Most of the documents were clearly signed by the service users to indicate it had been explained to them. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 12 Throughout the visit, service users were seen to be exercising choice and control over their own lives. Two of the service users were noted to be in their night clothes at 17:30 hours, and when the inspector asked them why this was, they both said that they worked outdoors all day and when they came home they just liked to have a bath and relax. Some of the service users were talking about holidays that they had just had, or were due to have. One service user talked about his holidays in Hunstanton. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are encouraged to participate in a wide range of developmental and leisure activities within the home and local community, involving families and friends. Their responsibilities are recognised by the team that care for them and they are treated in a respectful and dignified manner. EVIDENCE: Only two of the service users do not attend day centres each day. It is their preference not too. Six of the service users go to day centres everyday during the week. Some attend the Adult Training Centre and others Bedfordshire Garden Carers. The service users that were spoken to were all enthusiastic about their jobs. Some of the service users attend evening activities such as The Sparkle Club, where they meet with friends from other establishments in the county. One service user said “I like to chill out with my friends at Sparkle Club on Wednesdays.” It was clearly the highlight of her week. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 14 She was proudly showing off some new additions to her wardrobe that she had purchased earlier that day on a shopping trip. All the service users have responsibilities within the home. They are involved in the menu planning, shopping and have an allocated day to cook. One service user said. “I help the staff to cook, I love to cook, I do it on Saturdays, I love to cook chicken curry, pizza, spaghetti bolognaise and fish and chips”. She seemed very content and comfortable with her life in this home. They are also responsible for helping to keep the home clean and tidy. Two of the service files seen, boasted certificates of achievement in various subjects such as: numbers, vocabulary and asking questions. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 15 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, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a robust medication policy in place, and all service users have a completed questionnaire relating to their level of understanding of medication and its requirements. EVIDENCE: All service users have a fully completed and signed questionnaire in their personal file that reflects their level of understanding relating to medication. This includes: can they read the label, and do they know why they need the medication? MAR sheets were viewed for all service users, and there were no missing codes or signatures, and this corresponded with the tablets left in the blister packs. All doses of medication given are clearly signed by two members of the staff team. All service users have a personal choice form completed and signed in their file, and this includes a question relating to whether they prefer male or female staff to assist them with personal care. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 16 Meal times are generally a ‘family’ social occasion and service users are encouraged to eat in the dining room with the staff, however one service user prefers to sit at a single table, alone for her meals. This is respected. There was a relaxed atmosphere throughout this home, and staff interaction with service users was supportive, friendly and respectful. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are encouraged to contribute their views and feelings on all aspects of daily life in the home and there is a robust and effective policy to protect them from abuse. EVIDENCE: There is a service user suggestion book, pinned to the notice board in the hallway on the ground floor. This contains various entries, including ideas for day trips. One of the most recent was a day trip to Wickstead Park. A group photograph in the entrance demonstrated what a great time everyone had had during this trip. Service users became very excited and animated when talking about this trip. One service user proudly showed the inspector a radio that someone had bought for him on this trip. Service users also have a meeting once a month, giving them the opportunity to put forward their own ideas, as well as keeping them fully informed as to what things are happening in the home and how they maybe affected. Minutes from these meetings were viewed. There has recently been a Protection of Vulnerable Adult (POVA) investigation instigated within this home, relating to financial issues. This matter was dealt with very efficiently and effectively, removing the alleged perpetrators immediately to safe guard the service users. The Responsible Individual and General Manager then held a meeting for all service Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 18 users, bringing in all the staff to give extra support, and explained to them exactly what had happened and who had been affected. It was clear from the service users during the inspection, that they were fully aware of what had occurred, and although some had been quite profoundly affected, they were now being very well supported. This was the only complaint / allegation logged since the last inspection, and although still under police investigation, full and clear records were available to illustrate action taken so far. There were risk assessments relating to self- harm in place for one service user that was case tracked. She had had a problem with this in the past. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. This service provides a clean, comfortable and safe environment for those who live here. Personal areas are decorated to the service users choice and furnished personal assets to compliment the service users individual needs. EVIDENCE: This home was clean and homely, with a friendly, welcoming atmosphere when you entered. The home is well decorated throughout, and new furniture has recently been purchased for the communal area. The main lounge is equipped with a forty -two inch television, a computer system and various other activity facilities. The dining area is equipped with substantial dining tables and chairs, to accommodate ten people very comfortably, and the conservatory has a quiet relaxed seating area, and is furnished with various house plants. There is a good sized garden to the rear, which is mainly laid with lawn and equipped with garden furniture. The kitchen is a good size and was very clean. It is fully equipped with modern conveniences including a microwave oven, and a kettle. These two items have Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 20 an easy to follow instruction sheet, laminated on the wall, as service users regularly prepare their own breakfast and snacks. Cross infection and food safety are addressed by the presence of colour coded chopping boards and ‘the ten golden kitchen rules’. There is appropriate fire safety equipment in place. There is a well- stocked pantry for non-perishable foods, and a weekly shop is done to purchase fresh produce. All groceries are checked on arrival to ensure there is no damaged or out of date stock delivered. Fridge and freezer temperatures are recorded daily. There are ample toilet / showering /bathing facilities in this home, and all appear clean and hygienic. Three service user bedrooms were visited, and all were decorated in a very individual way. All had items individual to the service users interests, for example one had an organ and a computer, and another had a television with free view facility and rows of DVD s and CD s. One service user had just been out shopping with her Key Worker and was very excited about the planned delivery of her new wardrobe and dressing table that she had just chosen. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 21 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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staff within this service have a robust training and supervision programme so that service users can benefit from the support of a well skilled, knowledgeable team. EVIDENCE: The staff team at this home presently consists of eleven support staff, some of which are senior carers. This is an enthusiastic and committed team that have worked well to cope with the loss of their manager and deputy manager over recent weeks. The home will be recruiting to these two vacant posts in the near future. Meanwhile the team is being supported by the Business Manager for Lomack Health Co and the manager from a ‘sister home’. This team have been well supervised. Records show that 1:1 supervision has occurred on a monthly basis for all staff. The staff are well trained, and continued personal development is very evident from the personal staff files. The file of the senior carer, who is presently acting - up as manager for this home, was examined by the inspector. She has achieved her NVQ 2 & 3, and Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 22 has attended a long list of training courses. Subjects include: Dementia, Occupational Health and Safety, Epilepsy, Autism Awareness, Food Hygiene, Challenging behaviour, POVA, POVA Advanced, Medication Management, Infection Control, Sexuality / relationships, supervisory development and numerous others. She is also a qualified First Aider. The two other files that were viewed by the inspector also contained numerous certificates, indicating that training is plentiful and a priority in this service. There is a recruitment policy in place, however the most recent appointment to the service indicated this had not been fully adhered to. There were two references in place from tutors, however there was not one from her previous employer. This was the first full time appointment for this member of staff, but her previous part time employer should have been approached. There was another discrepancy noticed in this file. The staff members’ family name had been changed some years ago. Reasons were explained to the inspector, however there was no written evidence to support this; therefore although her passport and driving licence corresponded with her CRB clearance, the name on her birth certificate did not. This discrepancy was being rectified whilst the inspector was present. All other staff files that were viewed contained all appropriate documentation. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are robust policies and procedures in place to ensure that service users are protected. EVIDENCE: There are robust policies and procedures in place. All staff are trained in mandatory subjects and many have attended training in specific subjects such as Epilepsy, Autism and Challenging Behaviour, ensuring they are well equipped to manage problems that they may encounter with this client category. Service users are presently feeling ‘let down’ by the staff involved in the present investigation within the home. However they are clearly well supported, and the service provider has ensured that all appropriate action has been taken to reassure and protect the service users from further distress. Families and advocates have also been fully informed of the situation in the home. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 24 Service users have recently completed survey questionnaires, and service user meeting minutes indicate that their views are important. However there was no evidence of a development plan during the inspection. Service users appear well cared for, and all those who spoke to the inspector, with the exception of one, expressed how happy they were. One service user however, remained distraught at the loss of one member of staff in particular, and is in need of constant reassurance from everyone around her. Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 26 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 YA34 Regulation 19(1)(b) Requirement The registered person shall not employ any person without first obtaining all documents specified in paragraphs 1-7 schedule 2. The registered person must produce an annual development plan for the home, relating to quality assurance. Timescale for action 30/09/06 2. YA39 24 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Lomack House DS0000014938.V300895.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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