Inspection on 17/06/05 for Longworth House

This inspection was carried out on 17th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longworth House 30/10/07

Longworth House 22/08/06

Longworth House 21/03/06

Longworth House 03/12/04

Longworth House 16/06/04

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 Longworth House Higher Ramsgreave Road Ramsgreave Blackburn, Lancashire BB1 9DJ Lead Inspector Janet Proctor Unannounced 17 June 2005 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longworth House Address Higher Ramsgreave Road Ramsgreave Blackburn Lancashire BB1 9DJ 01254 812283 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Julie Elizabeth Hayes Mr Steven Michael Hayes Care Home only Personal Care (PC) 28 Category(ies) of Old age, not falling within any other category registration, with number (OP) 28 of places Dementia - over 65 years of age (DE)(E) 2 female Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The service must, at all times, employ a suitably qualified manager who is registered with the Commission for Social Care Inspection. 2 The home is registered for a maximum of 28 service users to include: Upto 26 service users in the category of OP (over 65 years of age, not falling within any other category 2 named servcie users within the category of DE(E) dementia over 65 years of age Date of last inspection 03 December 2004 Brief Description of the Service: Longworth House is registered to provide personal care to 28 people from the age of 65 years plus. Two of these service user are also suffering from dementia.The registered persons are Mrs Julie Elizabeth Hayes and Mr Steven Michael Hayes. Mr Hayes undertakes the day-to-day management of the home. Longworth House is situated in a rural location, between Ramsgreave and Mellor, with general amenities being available in Brownhills, which is 5 minutes away by car or bus. More extensive facilities can be located in the local town of Blackburn, which is approximately 3 miles from the home. The property is detached, and stands in its own extensive, established and well-maintained grounds, with a panoramic view of the Ribble Valley from the back garden.Longworth House has increased the number of persons it can accommodate from 22 to 28. There have been 8 new bedrooms provided, all en-suite. An additional small lounge has also been created to supplement the communal space already provided in the existing two lounges and two dinning areas. Service users may use any of these facilities as required, and can use their own private bedroom as they wish. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 8 hours on the 17th June 2005. At the time of this inspection the manager was on holiday and a short follow up visit was made on 22nd June 2005 to access some documents that could not be located at the time of the inspection. The previous inspection was done on 3rd December 2004 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk . No additional visits have been made since the previous inspection. On the day of the inspection there were 25 residents at the home. Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to 9 service users, the Deputy Manager and 2 staff members. Wherever possible the views of residents were obtained about their life at the home. Due to memory and communication difficulties, some of the residents were unable to engage in conversation or make comment about their experience of living in the home. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well: What has improved since the last inspection? Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 6 A new carpet had been recently fitted in the ‘blue’ lounge and the residents who usually sat in that lounge were very pleased with the colour and pattern. They said that it “matches the chairs perfectly”. The number of carers with the NVQ level 2 qualification had increased so that there were now 40 of the care staff with this qualification. 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. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 6 The admission procedures were thorough and meant that residents had their needs assessed before moving into the home. Confirmation was given to them that the home could meet their needs. EVIDENCE: From the residents files viewed it was evident that a pre-admission assessment had been completed by the Deputy Manager before they moved into the home. She then made a decision about whether there was sufficient staff, equipment and other resources at the home to meet the needs of the prospective resident. Once this decision was made she wrote a letter to the prospective resident confirming that their needs could be met. This letter was ‘warm’ and ‘friendly’ in its tone and made a pleasant start to the relationship between the prospective resident and the staff at the home. There was always a senior on duty, who had relevant qualifications and experience in care. There had been a high staff turnover over the last few months. One such new member of staff said that she had ‘shadowed’ another member of staff at first and now felt competent to care for residents on her own. Residents spoken to were very complimentary about the staff and about how they met their needs. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 9 Longworth House did not provide intermediate care. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11 There was no clear and consistent care planning system in place to adequately provide staff with the information they needed to satisfactorily meet residents’ needs. Residents said they were treated with respect. The lack of detail in respect of dying and death meant that residents could not be assured that their wishes would be known and carried out. EVIDENCE: The plans of care are important documents as they direct staff on the actions that they need to take on a daily basis to meet the needs of the service users. Lack of accurate information in these can potentially lead to these needs not being met and/or inconsistency of care. The files for 4 residents were viewed. They all acknowledged the difficulty that the resident may have in settling into a new environment and how to reduce this. The information that was in the plans of care was not in enough detail to enable staff to know precisely what to do for the resident. The plans of care were not reviewed monthly and this meant that the information in them was not always accurate. The files seen showed that the plans of care were not completed in consultation with either the resident or their family. There were Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 11 some residents who could give their views and opinions on the kind of care that they wanted or needed. There were some assessment systems to enable residents’ health care needs to be assessed and identified. These included a nutritional risk and moving and handling needs. There were no assessments of the risk of developing pressure sores or a fall risk assessment. All of the residents spoken to were pleased with the care given to them by the staff. They felt that they were looked after very well. The residents said that the staff respected their privacy and gave examples of how they did this, “They always knock on the door” and “They treat me with respect”. Only one plan of care seen had good details of what the resident wanted in respect of dying and death. There was space on the contract for these details to be entered, but this had not been completed on the contracts seen. The control of medications was not fully assessed on this inspection. The Pharmacy Inspecting Officer will be invited to attend the next inspection so that a thorough assessment of the medication practices can be done. There was an oxygen cylinder in the lounge for a specific resident and one stored in the treatment room but there were no warning signs for these. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 The lack of recording of recreational activities meant that there was no evidence that residents’ social interests and needs were being met. The daily routines for residents matched their preferences and choices. Residents were able to have family and friends visit them. EVIDENCE: The residents said that they were able to make choices about aspects of their lives. They gave examples of choosing what time to get up and going to bed. One said “I go to bed at 9.00 pm but I could stay up later if I wanted”. They said they could stay in their room whenever they wanted to. Staff said that they encouraged the residents to make choices about their lives. Residents said that very little activities were done, although not everyone wanted to do activities. One resident said “The only thing wrong is that there’s not enough to do” and another said, “I can’t be bothered to do anything like that I just like to sit and watch television”. The assessment sheet in the plan of care detailed residents’ interests and hobbies and even stated their favourite author if they liked to read. The Community Library visited on a regular basis and residents said that staff ensured that their library books were returned and changed. The Deputy Manager said that activities were done with the residents and gave examples of: bingo; music; dominoes; nail care; and one to one discussions. Although there was an activities recording book, this had not been completed since October 2004. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 13 Visitors were able to come to the home at any reasonable hour. The service user’s guide stated that resident’s views on who they wanted to see would be respected. Residents could also go out and visit their families and friends if they wished. One resident said that her son came to visit every day or she went to his house for the day. Some residents had their own phones, which enabled them to be able to keep in touch with families and friends. Representatives from the Roman Catholic and Church of England churches took place every month and residents could choose whether to be involved in the services or not. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents and visitors had access to a clear complaints procedure and could be confident that their concerns would be listened to and acted upon. The lack of staff training in protection of vulnerable adults meant that there was the potential for abusive practices to be unrecognised and unreported. EVIDENCE: There was a complaints procedure on display on the notice board and in every bedroom. The procedure was clear and set out the time scale in which a response would be given. There was a book for the recording of complaints received at the home. The last entry for this was made in January 2002. No complaints had been made direct to the Commission. All of the residents spoken to said, “I’ve no complaints” and said that they would go to the Deputy Manager or Mr Hayes if they had. They said that they would not be worried about bringing anything to their attention as “they are wonderful, they can’t do enough for you”. A recommendation was made at the previous inspection for the Protection of Vulnerable Adults procedure to be made more explicit to staff. This was in order that they are aware that they must in all cases of allegations, suspicions or incidents, inform the Social Services and the Commission for Social Care Inspection before taking any in-house investigation. Staff had not received any formal training in Protection of Vulnerable Adults to supplement their understanding of the procedures. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 23 and 26 Residents were very happy with their accommodation at the home and lived in a safe, clean, and well-maintained environment. EVIDENCE: As recommendations were made at the previous inspection for standards 22 and 23, these were monitored on this inspection. A risk assessment on the use of handrails in the corridor had not been completed, as recommended for standard 22. A protocol to demonstrate the discussions and actions when a place became available in a shared room had not yet been completed, as recommended for standard 23. All areas of the home were seen to be clean, and well decorated and furnished. Mr Hayes did the basic repairs to the home and contractors brought in for more complex or specialised repairs. Staff wrote details of any item for repair on a slip of paper and put this on the notice board. There was a repair book, which was completed by Mr Hayes when he had done the work. The last entry in this was December 2004 although work had been done in the meantime. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 16 Every resident spoken to was pleased with their bedroom and the lounge areas of the home. A resident said that she liked to sit in the ‘green’ lounge, as it was quiet and more private. Another resident said how she had brought in her own bedroom furniture and this “makes it more like home when I wake up in a morning”. The external grounds of the home were large and had flower beds, lawns and patio areas. There were several seating areas for residents. The residents said that they enjoyed sitting out in the gardens for the views and the fresh air. An Environmental Health Officer had visited the home in May 2005 and some requirements were made. A return visit by this Officer recorded that the majority of these had been completed. Some recommendations in this report had still to be completed. The home was clean and odour free at the time of the inspection. The systems for maintaining hygiene included procedures for infection control. There was a separate laundry room, which had sufficient equipment to meet the laundry needs of the number of residents accommodated. Residents said that their laundry was returned on time and in a good condition. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. Staffing levels did not always meet the agreed minimum, meaning that residents’ needs may not be fully met. The recruitment procedures were not thorough and did not ensure the protection of residents at the home. There was no evidence that all staff were provided with sufficient training at the start of their employment to competently undertake activities expected of them. This has the potential to result in residents being placed at risk or their needs remaining unmet. EVIDENCE: There was a duty rota showing the name of staff and the hours they worked. This was difficult to read for some days due to he use of liquid paper and the amendments made to the rota. The Deputy manager said that there had been a high turnover of staff recently and this had caused some difficulties in providing adequate staffing for the home. The minimum number of staff was generally being maintained, but at the expense of some staff working a high number of hours each week. The staffing difficulties had also meant that the Deputy Manager had been involved purely in care work and some aspects of management were falling behind. At the time of the inspection the number of staff on duty met the minimum required. The duty rota for the previous week showed some gaps. The Deputy manager said the Manager would have worked these shifts. The staff spoken to said that they sometimes worked “with two”, which is below the minimum number of staff for the number of residents accommodated. Staff also said that when there were two staff on “it’s difficult to manage”. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 18 The files for three recently employed members of staff were viewed. These showed that the recruitment procedures had deteriorated since the previous inspection. Although a POVA First, CRBs and references were being sent for, the new employee was commencing work before the information was returned. Some of this was due partly to the staffing difficulties, which had resulted in the Manager taking the risk of employing people before all checks were properly completed. One file also contained a reference from a peer, rather than the employer. There was no evidence in the files of the three recently employed members of staff that they had received any Induction training. One member of staff spoken to who had been employed very recently said that she had ‘shadowed’ another more experienced member of staff for a few days. She had been shown how to use equipment and emergency procedures e.g. fire. The number of carers with NVQ level 2 or equivalent had increased, with 40 now having the qualification. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34, 36, 37 and 38 Staff were not being appropriately supervised with the potential that they might not fully understand their roles and responsibilities. There was a lack of important information on staff, as full and complete records were not kept at the home. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: As requirements had been made at the previous inspection for standards 33 and 36, these were monitored on this inspection. The findings from residents’ surveys had not yet been collated into a document for others to read, as required by standard 33. Regular formal supervision for care staff had not yet been commenced, as required under standard 36. Recommendations were made at the previous inspection for standards 31, 33 and 34. At the time of this inspection: the Manager had not completed the NVQ Level 4 qualification (standard 31); an annual development plan had not yet been formulated and more formal audits done (standard 33); and a business and financial plan was Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 20 not available for inspection (standard 34). As demonstrated under Standard 29 in this report, full records, as required for standard 37 were not being kept. Records of fire drills were kept. Fire alarms and emergency lighting were checked regularly. Fire safety training had been done in November 2004. There was a fire risk assessment for ‘high risk’ areas only. Water temperatures were checked by Rentokil and specimens taken for Legionella. There was a current electrical installation certificate. There were stickers on appliances to state that the Portable Appliance Testing had bee done in November 2004 although there was no schedule for this. There was a Gas Safety certificate dated April 2005 in respect of all gas appliances. The bath hoists and mobile hoist had been serviced in January 2005. The lift had been serviced in March 2005. Risk assessments for safe working practices were not completed. The Manager said that staff had received training in health and safety issues but these records could not be easily accessed at the time of the inspection. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x 2 2 x x 3 STAFFING Standard No Score 27 2 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x 2 2 x 2 2 2 Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 22 Yes 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 OP7 Regulation 15(1) Requirement Each resident must have a written plan as to how their needs in respect of their health and welfare are to be met. Wherever practicable the resident or their representative should be consulted about the details in their plan of care. The plan of care must be kept under review. The health care needs of all residents must be assessed and identified in the plan of care. This should include the risk of developing pressure sores and of falls. Where risks are identified there must be directions in the plan of care on how to reduce or manage these. That all staff receive training in Protection of Vulnerable Adults. There must at all times be suitably qualified, competent and experienced persons working at the care home to meet the health and welfare needs of the residents. Satisfactory recruitment procedures must be followed, including obtaining a reference Timescale for action 17th October 2005 17th October 2005 17th October 2005 17th October 2005 2. OP7 15(1) 3. 4. OP7 OP8 15(2)(b) 15(1) 5. 6. OP18 OP27 13(6) 18(1)(a) 17th August 2005 From date of inspection 7. OP29 19 From date of inspection Page 23 Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 8. OP29 19 Schedule 2 18(1) (c )(i) 24 9. 10. OP30 OP33 11. OP36 18(2) 12. OP38 12(1) 13(4) from the previous employer and the reasons for leaving. There must be evidence that a POVA First check has been undertaken for new members of staff before they are permitted to commence employment. There must be a record of structured Induction and Foundation training for all staff. That a document that includes the findings of the most recent service users survey is produced. This information must be made available to current and prospective service users, their representatives and the Commission for Social Care Inspection. (Timescale of 28/02/05 not met) That all care staff receive formal supervision at least 6 times per year. (Timescale of 31/01/05 not met) The registered persons must carry out risk assessments for all safe working practice topics, with findings being recorded. (Time scale of 31/12/04 not met) From date of inspection From date of inspection 17th November 2005 17th October 2005 17th October 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP9 OP11 OP12 OP18 Good Practice Recommendations That there are warning signs on the doors of the rooms in oxygen cylinders are stored or used. That wishes in respect of dying and death to be recorded. If the resident does not wish to discuss these, a record of this to be in the plan of care. That a record is kept of the activities actually provided and the residents involved in these. That the procedure for Protection of Vulnerable Adults be made more explicit for staff. F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 24 Longworth House 5. 6. 7. 8. OP19 OP19 OP22 OP23 9. 10. 11. 12. 13. 14. 15. 16. 17. OP27 OP28 OP31 OP33 OP33 OP34 OP38 OP38 OP38 That confirmation is sent to the Commission when the recommendations in the Environmental Health Officers report been completed. That staff enter the details of any repair needed directly into the record book. The record of repairs undertaken should be kept up to date. That a risk assessment be undertaken on the lack of provision of handrails in the corridors. It is recommended that the home develops a protocol to demonstrate the actions and consultation undertaken when a place in a shared room becomes available, to ensure as far as practicable that the remaining resident has made a positive choice to share. That liquid paper is not used on official documents and records. That 50 of the care staff NVQ level 2 or equivalent by 2005. That the person undertaking day-to-day management of the home obtains NVQ level 4 in care and management by 2005. That the annual development plan is reviewed for the forthcoming twelve months and made available for inspection. That more formal audits are undertaken and records retained of these. That the business and financial plan is open to inspection and reviewed annually. That the Lancashire Fire & Rescue Service is consulted about the appropriateness of the work based fire risk assessment. That there is a schedule to demonstrate the applicances that have been PAT tested. That details of the health and safety training undertaken by staff is forwarded to the Commission. Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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 Longworth House F57 F07 S9451 Longworth House V228870 170605 Stage 4.doc Version 1.30 Page 26 - 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. 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