Inspection on 21/11/06 for Longwood Lodge Nursing & Retirement Home

This inspection was carried out on 21st November 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Longwood Lodge Nursing &... 15/10/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Longwood Lodge Nursing & Retirment Home 61-63 Queens Road Oldham Lancashire OL8 2BA Lead Inspector Mrs Fiona Bryan Unannounced Inspection 21st November 2006 09.30 X10015.doc Version 1.40 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 Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.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 Older People. 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. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longwood Lodge Nursing & Retirment Home Address 61-63 Queens Road Oldham Lancashire OL8 2BA 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) 0161 627 5868 0161 627 5868 Eaglecrest Care Management Ltd Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (24), Physical disability of places over 65 years of age (24) Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 43 service users to include: *up to 24 service users in the category of PD (physical disability under 65 years *up to 24 services users in the category of PD(E) (physical disability over 65 years of age). *up to 22 services users in the category of OP (old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. No service user may be admitted into the establishment under the age of 55 years. No more than 30 service users may be admitted into the establishment who require nursing care. The registered manager to be supernumerary for a minimum of 16 hours per week. A minimum of 259 qualified staff hours to be provided per week. A first level registered nurse to be on duty 24 hours a day. A minimum of 686 care staff hours to be provided per week 2. 3. 4. 5. 6. 7. 8. Date of last inspection N/A Brief Description of the Service: There are 43 beds in total at Longwood Lodge; the home is registered to provide nursing care for up to 30 service users and personal care for a further 13 service users. The home is owned and managed by Eaglecrest Care Management Limited, which is a private organisation. A registered nurse is currently in the process of applying to be registered as the manager. Fees for accommodation and care at the home range from £313.88 to £487.90 per week. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Further details about the services the home provides are available in its statement of purpose and service user Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 5 guide both of which are provided on request and displayed in the reception area of the home. Longwood Lodge is a detached Victorian property that has been extended. It stands in pleasant gardens overlooking Alexandra Park. An open seating area at the front of the building allows service users to enjoy the view in a safe and peaceful environment. Accommodation is provided over two floors and consists of 31 single rooms and six double rooms, all with en-suite facilities. Access to the first floor is provided by two lifts. Within the home there are also a number of communal rooms in which service users can socialise, dine and participate in activities. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included an unannounced visit to the home took place on Tuesday 21st November 2006. Time was spent talking to residents and staff and observing the home’s routine and staff interaction with residents. Three residents were looked at in detail, looking at their experience of the home from their admission to the present day. A partial tour of the building was conducted and a selection of staff and residents’ records was examined including records of care, medication records, employment and training records and staff duty rotas. Since the last inspection the home has been sold to a new provider who has been registered with the Commission For Social Care Inspection (CSCI). The deputy manager for the previous owner has applied to be registered as the new manager. What the service does well: What has improved since the last inspection? This was the first inspection for this service provided by the new owner. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 6 Quality in this outcome area is adequate. Inaccuracies in the home’s statement of purpose may mislead prospective residents’ about the services the home can offer. Contracts are given to all residents so they are aware of the terms and conditions of their residence at the home. Assessments are undertaken of all residents prior to their admission so that the home can confirm it can meet their needs; however care must be taken that residents are only admitted if their needs are within the categories the home is registered to accept. This judgement has been made using available evidence including a visit to this service. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home’s statement of purpose has been amended to reflect the change of ownership that took place earlier this year. It was reported that the new statement of purpose had been given to all current residents and a copy is displayed in the reception area for visitors to the home. However parts of the statement of purpose could be misleading, for example it says that the home can care for residents with “varying degrees and types of dementia, but not service users with very aggressive behaviour”. The home is not registered to accept residents who need to be cared for primarily because they have dementia; therefore the above statement is somewhat misleading. On examination of one resident’s care file the inspector was in some doubt as to whether the home had the correct registration category in which to accept the resident, according to their assessment of need, although the resident’s needs in practical terms were being met. The inspector felt that other parts of the statement of purpose said what the home would like to do or may do in the future but did not accurately portray what actually happened at the home at the moment. For example it said that residents would be encouraged to have access to and contribute to the records of their own care and that the home would provide a range of leisure and recreational activities to suit the taste and abilities of all residents but the home did not always meet these ideals in practice. Three residents’ care files were examined and appropriate contracts were provided for all three and assessments from Oldham Social Services had been obtained. Intermediate care is not provided at Longwood Lodge. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. Care plans do not always provide staff with the information they need and risk assessments do not always accurately identify potential risks. This means that residents’ personal, health care or social needs may not be met. Procedures for dealing with medicines protect the residents. Residents felt they were treated with kindness and respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ care files were viewed. Although all residents appeared well presented, comfortable and well cared for, there were shortfalls in the documentation so it was not always evident how the home was planning to meet and monitor residents’ needs. The manager acknowledged that some care plans were not up to date and put this down to the additional time Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 12 pressures caused by the change of ownership and the introduction of new systems. There were a mixture of pre-printed care plans and plans that had been individually written. The pre-printed care plans were often not then tailored to individual needs and were therefore not person-centred and some care plans were vague or contradicted other care plans in place for the resident. On occasions two care plans had been written to address the same identified need, which was confusing and made the files more difficult to read. Care plans to address residents’ social care needs were very limited. A separate sheet at the back of each residents’ care plans was signed and dated to say that all care plans had been reviewed monthly; however some information on the care plans was not entirely accurate. None of the care plans had been signed by the residents to indicate that they had been discussed and agreed with them and residents that were spoken to did not seem to be aware that a care plan had been written for them and said they had not seen it. Risk assessments had been undertaken to assess the risk of residents getting pressure sores but there were no recognised tools in use for nutritional risk assessment or falls risk assessment. The manager said that the new owner was going to supply new documentation, which would include these assessments. Residents had been weighed monthly. Health care services such as opticians, podiatrists, dentists and GP’s had been accessed for residents. Procedures for the administration of medicines were thorough and satisfactory. Residents said they were treated well by staff and felt their privacy and dignity were respected. One resident said that she did not like male carers helping with her personal hygiene and this was clearly documented on her care plan. Staff were aware of her wishes. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. Although efforts are made to provide social stimulation this area needs to be improved to meet all residents’ social, cultural and recreational needs. Visitors are encouraged and welcomed into the home and feel supported by staff. Residents have some choice over aspects of their daily lives. Dietary needs of residents are well catered for with a balanced and varied selection of food available that generally meets residents’ tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the present time an activities organiser is employed by the home for 16 hours per week. Staff said that group activities such as bingo and quizzes are arranged and the activities organiser also spends time with residents on a oneto-one basis, chatting with them and doing manicures. Some residents were content and able to entertain themselves with reading, watching television and Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 14 listening to music. One resident loved her room and enjoyed spending time looking at the view from the window. However, staff felt that the provision of activities and social stimulation was an area that could be improved and some of the residents said they were bored at times and the days could be tedious. The new owner is planning to introduce new working patterns from January 2007 and the manager said that when the staffs’ hours change the activities organiser’s hours were going to be increased to 32 hours per week. Training run by Age Concern, in providing activities for older people had been booked for the activities organiser. Although the home operates a key worker system, carers described this role as being mainly a practical one in terms of helping residents to keep their rooms tidy and ensuring that their stocks of toiletries etc are maintained. As discussed previously in this report, care plans to address the social care need of residents were very limited and more thorough care planning for the residents’ social needs and development of the key worker system could help in creating person centred social activities tailored to individuals’ preferences. Residents confirmed that in general they were able to get up and go to bed when they wished and were able to stay in their rooms or use the lounges as they preferred. Residents said that their friends and families were made welcome and could visit the home at any time. Lunch on the day of the site visit was a choice of either liver and onion or fish pie, with carrots, broccoli and potato wedges. A sample of the fish pie was tasty and appetising. The atmosphere during lunch was pleasant and relaxed with staff helping residents discreetly. Dining tables were attractively set with flowers, condiments and cups and saucers. Mixed comments were received about the food from residents. One resident said they were often served too much and they found it over facing. Another resident said the food was “OK”, whilst another resident said the meals were “very good”. Many residents seemed unsure as to whether there was a choice but a small number said they had chosen from the menu and the manager said the care staff spoke to all the residents each afternoon and discussed the menu but some residents forget by the time the meal came. Menus were displayed on the back of the dining room doors but none of them actually had the correct day’s menu displayed. The home operates a four-week menu, which offered a good variety of meals and choices. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 15 Residents confirmed that they were offered hot drinks regularly throughout the day and jugs of juice were available in all the lounges. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. The home has a satisfactory complaints system and residents feel that any complaints would be listened to and acted upon. Staff require training to ensure that all residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a satisfactory complaint’s procedure. Residents said that if they had a complaint they would speak with the manager and were confident that any issues would be dealt with properly. Examination of the complaints record indicated that complaints had been investigated and responded to appropriately. Staff said that prevention of abuse was discussed with them during induction, but were uncertain as to the different types of abuse that might be encountered. Although staff were clear that they would report suspected abuse to the manager, further training in this area is needed to ensure that all staff would recognise abusive situations and take action appropriately. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 25 and 26 Quality in this outcome area is good. The standard of the environment within the home is good, providing residents with a safe, clean and homely place to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises found that the home was clean, tidy and in a good state of repair. Residents were satisfied with the standard of cleanliness in the home and said that their rooms were cleaned daily. Residents liked their rooms and said they had been encouraged to personalize them with photographs, ornaments and mementos. Privacy screens were provided in the double rooms. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 18 Communal space included three lounges and three dining rooms. These rooms were cosy and comfortable, reflecting a normal home environment with a range of styles of armchairs to suit different residents’ needs. Suitable aids and adaptations are available in the home. Two new electric hoists have been purchased. The home employs a maintenance person who works full time. Since the new owner took over the top floor hallway and landing has been decorated. Rooms are redecorated as they become vacant prior to the next resident moving in. A maintenance programme has been developed and future plans include the repaving of the car park and installation of a disabled shower. Since the new owner took over full checks have been made of the water system in the home to ensure it complies with health and safety regulations for the prevention of Legionella. Longwood Lodge has a comprehensive policy to prevent the risk of cross infection policy and undertakes screening of new admissions to the home to detect MRSA. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Staffing levels were sufficient to meet the needs of the residents. The home meets the standard for the percentage of care staff who have completed NVQ training. Recruitment procedures protect the residents. A comprehensive training programme is provided but the induction programme needs to be brought in line with Skills for Care training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of the staff duty rotas indicated that the home provided sufficient staff to meet the needs of the residents. Since the change of ownership it was reported that a number of staff had left and the home does use agency staff for approximately seven shifts per week. However the manager said that the same agency was generally used and Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 20 attempts were made to maintain continuity by asking for the same staff to return and cover shifts. There are plans to change the shift patterns in January 2007. Historically the home has always provided more staff than the minimum levels expected by the CSCI, as the dependency of many of the residents is high. The proposals to change the shift patterns will result in a reduction of staffing hours from the current levels. However the inspector was assured that the minimum staffing levels would be met and the impact of the new working systems would be monitored and shared with the CSCI. The manager needs to consider the dependency of the residents when determining shift patterns and staffing levels; the inspector had some concerns that reducing care staff hours from the present levels will compromise the standards of care and leave less time for the nursing staff to deliver training and keep essential records up to date – concerns about the accuracy of care plans and risk assessments have already been identified previously in this report. Of the 24 care staff employed at the home 15 have achieved NVQ level 2; of those 3 are now undertaking NVQ level 3 and a further 3 care staff have commenced NVQ level 2 training. Staff personnel files were examined and all contained all the information and documents required to ensure that their suitability to work in a care home had been established. New staff confirmed that they had received induction training, which covered topics such as employees’ rights and the home’s policies and procedures. New employees then work with a senior carer and are expected to complete a booklet, which the senior carer will sign to indicate that they have met the required competency in each area of their job. However, the current induction package needs to be brought in line with the Skills for Care induction process. The manager was aware of this and said that the company was in the process of reviewing the induction training to ensure it met the Skills for Care standards. A training programme is in place for mandatory health and safety topics and other training is also provided to ensure that staff have the skills and knowledge to care for the residents properly. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. The manager is well supported by senior staff and is competent to manage the home. There are systems in place to enable residents to offer opinions about how the home is being run. Residents’ financial interests are safe guarded. Staff must ensure they follow manual handling policies to protect themselves and residents. This judgement has been made using available evidence including a visit to this service. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home changed ownership in May 2006 and the previous deputy manager is now in the process of applying for registration as the manager. Staff and residents said the new manager was approachable and maintained a visible presence around the home, working alongside nurses and carers. A regular visitor to the home said they felt that the change in ownership had had minimal impact on the residents and the new manager was maintaining standards very much as they had been previously. The manager said that she had spoken with all the residents and staff on a one to one basis, keeping them informed of any changes that came about as a result of the change of ownership. The manager said she was planning to hold a residents/ relatives meeting in the near future and was continuing to send out satisfaction surveys to a random selection of residents and relatives every four months. The responses to these surveys were displayed in the reception area of the home. Eaglecrest Care management Limited have appointed an operations manager who visits the home regularly to support the manager and ensure that the home is running well on behalf of the owner. A report of his visits is supplied to the CSCI. It was reported that the company were developing an audit system. This needs to be done to ensure that the quality of the service provided by the home is monitored and the home is run in the best interests of the residents. The new manager has continued to send out resident satisfaction surveys to a random selection of residents and relatives every 4 months and responses were displayed in the reception area. The administrator reported that most residents in the home are assisted with their finances by their families. Oldham MBC deals with the personal allowance for seven residents and the money for these residents is paid into a separate bank account specifically set up for this purpose. Invoices were available for all transactions. Sundry expenses are paid for by the company in advance and an invoice sent to the family. A clear audit trail was evident for residents’ monies. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 23 Records showed that regular checks were made of the building and equipment to ensure the health and safety of staff and residents. Staff were observed moving one resident from a wheelchair to a chair using poor manual handling techniques. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 3 X 3 X X 3 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP4 Regulation 14 Requirement The registered person shall not provide accommodation to a service user at the care home unless ….the care home is suitable for the purpose of meeting the service user’s needs in respect of health and welfare. (The manager must confirm that the needs of the resident identified during the inspection, fall with the categories of registration of the home or apply for a minor variation). The registered person shall after consultation with the service user or a representative of his prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. (Care plans must be person-centred and set out in detail the action which needs to be taken to ensure that all aspects of the health, personal and social care needs of the resident are met). The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as DS0000067233.V317465.R01.S.doc Timescale for action 31/12/06 2 OP7 15 31/01/07 3 OP8 13 31/01/07 Longwood Lodge Nursing & Retirment Home Version 5.2 Page 26 4 OP18 13 5 OP30 18 6 OP38 13 possible eliminated. (Recognised risk assessments for nutrition and falls must be undertaken for all residents). The registered person shall make 31/03/07 arrangements, by staff training or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. (Specific training in the prevention of abuse and safe guarding adults’ procedures must be provided to all staff). The registered person shall 31/03/07 ensure that persons employed to work at the home receive training appropriate to the work they are to perform. (Induction and foundation training must meet Skills for Care specifications). The registered person shall make 31/12/06 suitable arrangements to provide a safe system for moving and handling service users. (Practice must be reviewed to ensure that residents are moved appropriately). 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 Refer to Standard OP1 OP12 OP27 Good Practice Recommendations The registered person should ensure that the home’s statement of purpose accurately describes the services the home offers. The registered person should expand and develop the key worker system to maximise person centred care and assist in meeting residents’ social, cultural and spiritual needs. The registered person should ensure that the dependency DS0000067233.V317465.R01.S.doc Version 5.2 Page 27 Longwood Lodge Nursing & Retirment Home of residents is considered when determining any changes to the current staffing levels. Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Longwood Lodge Nursing & Retirment Home DS0000067233.V317465.R01.S.doc Version 5.2 Page 29 - 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!