Inspection on 06/12/06 for Loring Hall

This inspection was carried out on 6th December 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Loring Hall 14/02/06

Loring Hall 16/05/05

Loring Hall 08/02/05

Loring Hall 03/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Loring Hall 8 Water Lane Bexley Kent DA14 5ES Lead Inspector Keith Izzard Unannounced Inspection 6 December 2006 10:30 th Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 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 Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 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. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Loring Hall Address 8 Water Lane Bexley Kent DA14 5ES 020 8302 9302 020 8302 8686 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) Oakfields Care Ltd Mr John Parker Care Home 16 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (1) of places Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 place registered for category LD(E) relates to named service user only. 14th February 2006 Date of last inspection Brief Description of the Service: Loring Hall is a large two storey, listed building set in spacious grounds. The home was registered on 27th February 2004 to provide long term care for sixteen service users who have a learning disability. At the time of inspection the home was half full, having accommodated eight service users on a staggered basis since the summer of 2004. The property is very well furnished and the accommodation of a high standard. All service user rooms are single and have en suite facilities. The home is split into two self- contained units with a potential for eight service users to occupy each of the units on the ground and first floor. There are other communal areas within the building that allow for a range of occupational and recreational facilities in addition to the individual units. The existing management team has a good level of experience in learning disability and the indications are that a good level of training will be provided for care staff, all those in post are undergoing NVQ level 2 training. The proposed range of activities for service users is extensive and the grounds offer considerable potential for occupational therapy and to develop work skills. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this unannounced inspection was completed over eleven hours on 5/12/06 & 7/12/06. Five members of staff and the manager assisted the Inspector. All the residents were seen in the home as all ten currently accommodated were at home on the days of inspection. The service was last inspected in February 2006. The inspection included a review of information received about the service, a tour of the premises, inspection of records, talking to and observing residents’ interaction with members of the staff team. Following the inspection contact was made with relatives and other interested parties to get their views of the service. These were all positive. A visiting senior care manager was also spoken to on one of the inspection days and he spoke highly of the service provided by the home. There was a happy and positive atmosphere in the home on the days of inspection and residents appeared well cared for by staff members who were observed to be both caring and professional in their approach with residents. What the service does well: Records seen were well maintained and care plans were up to date. Care plans reflected resident needs and showed how these were to be met. Staff spoke respectfully about the residents and showed insight and knowledge into their needs. The home had access to a mini-bus, which helped with outings and transport in general for the residents. Attention was given to ensuring the environment and equipment provided was safely maintained. All bedrooms were used for single occupancy, which afforded the residents privacy. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose has been updated but the Service User Guide must be produced in a suitable format for those with communication difficulties. Prospective service users’ needs are comprehensively assessed EVIDENCE: Standard 1 In response to a requirement made in the previous inspection report dated 14/02/06, the home now has an updated Statement of Purpose that meets the Standard. However, the Service User Guide must be produced in a suitable format for those with communication difficulties. See Requirement 1 Standard 2 The Inspector viewed two recent pre-admission assessments in service users’ care plans, and these were very detailed, and showed that sufficient information was recorded before a decision was made to offer a placement to the service user. The assessments indicated that information was taken in Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 9 regards to different aspects of daily living, communication needs, and social preferences, and included health needs and evidence of assessing compatibility with other service users. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments viewed were up to date, comprehensive and reviewed on a regular basis and showed that residents were involved and family or representatives and professionals involved had been invited. Residents were involved in decisions about them, supported to be as independent as possible and records about them were handled appropriately to maintain confidentiality. EVIDENCE: Standard 6 Three care files and individual plans were examined in respect of service users. Individual plans were comprehensive and involved service users and their representatives, including family or advocates and other professionals Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 11 involved. These plans are reviewed with outcomes clearly stated and agreed by all participants. Records seen were comprehensive and up to date. Residents’ records included risk assessments. In view of the dependency level of some of the residents in the home staff need to assist them with all aspects of daily living. Where risks were identified procedures and care plans reflected how these were being managed. Additionally, clinical meetings with CLDT are also taking place, in which specialist individual support with complex health problems are dealt with. Standard 7 Care provided for three residents was tracked through care plans and other documents such as daily diaries and the communication book used by staff members. In all, four service users were interviewed; three, who were able to communicate, said they were involved with decisions affecting their lives and staff members encourage them to give their views. Interaction between staff and service users, observed by the Inspector, demonstrated choice being encouraged by staff members in relation to the activities that service users were engaging in. The level of communication difficulties of some service users is such that staff members find it very difficult to meaningfully engage service users in participating in the running of the home and contribute to policies and procedures, please see Standard 39. See Requirement 5 On a daily basis staff do make attempts to involve service users and this was evidenced in the daily diaries, the activities file and within tasks for staff listed in their shift plans. Five staff members interviewed said they endeavoured to involve residents in decision making based on their individual communication and comprehension. This is inevitably restricted by the severe communication difficulties of some of the residents and depends heavily on staff interpretation and historical knowledge of residents’ likes and dislikes. Staff members were observed communicating with residents and involving them in whatever was going on in a professional and caring manner. Standard 9 Risk assessments were undertaken with resident involvement, and records showed clearly how risks were managed. They had been updated on a regular basis and assessments are readily available for all staff members including newer staff who may be less familiar with service users’ needs. Any restrictions placed are few and would be for the safety and welfare of service users, for example not leaving the home unaccompanied. Evidence was available from the service users’ records examined that they are enabled to express choice in what they do and staff record these occasions. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 11 None of the residents has been assessed as being able to sustain full time employment and none attend local day centres; however, the provision of occupational activities was subject to a recommendation made at the previous inspection. The manager has assessed who might benefit from day centre type activities and has written to Bexley Council requesting places for a number of service users. This will now be subject to a panel decision and require some negotiation with the placing authorities in respect of obtaining suitable funding. Standard 12, 13 &14 Evidence was available from the care files of service users that opportunities are being made available for the personal development of residents. An Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 13 activities folder records what activities are provided for individual service users. Evidence was available that a good range of fulfilling activities and outings are provided from the care records examined and from residents’ comments received. The home has established contact with two local colleges and some service users attend arts and crafts activities and music and movement; one resident attends for cookery. Recent referrals have been made for two service users to attend Life skills courses. Other activities include music sessions in house, trampolining, gym sessions, horse riding, bowling and visits to places of interest. Standard 15 Staff members actively support and encourage family contact but two service users have no such contact and the home has made referrals for advocates but without success currently. Through the various activities and outings provided residents are provided with some opportunity for meeting with other people outside of the home; however, staff report that there are no relationships of significance for any of the residents other than their family. Appropriate risk assessments were identified in respect of expressed sexuality, or vulnerability in this area, on all three individual care files that were examined. Standard 16 Residents were enabled to choose their own clothes and hairstyles, when accompanied by staff members on shopping tips. Residents were also supported to choose their own decoration and personal items for their own rooms and to participate, or otherwise in activities of their own choosing. Residents were supported to maintain positive relationships with their family. One resident who did not have family had been referred to the local advocacy service and has an appointee from the placing authority to deal with his finances following representation made by the manager of the home. Standard 17 Varied and nutritious meals were provided to meet resident preferences and a rota of meals provided was seen over a period of four weeks; a good supply of both fresh and frozen food was seen stored in the home. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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 this service. Residents’ needs were being met based on their assessed need and with the involvement of the resident. Residents were supported to access health services appropriately and had these provided either in the home or attended local clinics and surgeries. EVIDENCE: Standard 18 All bedrooms in the home are single occupancy, which provides privacy for the residents. Care plans seen showed how personal care needs were to be met. It was not possible for one resident to comment on whether this suited them or not because of the extent of their communication difficulties; likewise they were unable to give feedback about any aspect of the service. However three other service users commented that they were well and appropriately cared for. Daily records were kept to show what care was provided by staff members and what achieved by service users independently. Residents have varying needs in relation to the amount of physical care they Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 15 need some assistance with. This is clearly described within care plans and in some instances amounts to prompting to ensure that tasks are completed to maintain personal hygiene. There are two female residents who only receive personal care from female staff and there are always females on duty, including the night shift. Standard 19 Care plans and daily records showed how personal care was provided. Five staff members interviewed spoke with knowledge and confidence about residents’ individual needs and preferences. Residents were supported to access health services appropriately and these were provided either in the home or by attendance at local clinics and surgeries. Evidence was available from care files and daily diaries in respect of service users that a wide range of health and related professionals are commissioned to attend to health needs on a regular basis, including Speech and Language Therapists, Psychiatrist and Psychologist. Standard 20 The system for medication was examined and was mostly well managed. None of the service users are able to deal with their own medication and all staff members who deal with it are trained to do so and their training is recorded. All staff members who deal with medication had received recent training from the supplying Pharmacist, Boots. Three MAR sheets were examined and recorded appropriately and tallied with the blister packs that were retained in a lockable cabinet on each unit. External medication was not stored separately and a separate area/shelf within the cabinet must be provided and also bottles and creams have the date they were opened clearly marked on the containers. See Requirement 2 One new service user requires a controlled drug that was separately locked away within a specific container and the manager has ordered a specific log to record this controlled drug; it was noted that, as required, two staff members witness the giving of this drug on each occasion and both signatures are recorded to evidence this. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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 this service. Adequate procedures were in place to ensure complaints were appropriately managed and to ensure protection for residents. EVIDENCE: Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 17 Standard 22 The home had policies and procedures in relation to complaint management. A system was in place to record complaints made about the service. Three complaints had been made logged since the previous inspection in February 2006 all were made by staff members, the most serious was inappropriate use of the mini bus and resulted in the member of staff being dismissed as this could have compromised service user safety. The matter was appropriately reported to CSCI under regulation 37. The other two were complaints from staff about other staff and did not involve service users, the Inspector was satisfied that the complaints were dealt with appropriately; within the context of disciplinary proceedings instituted by the manager. No other complaints had been received, nor were any submitted to the Commission. A pictorial complaints leaflet is currently being drafted by the manager to assist service users with communication difficulties, and it is recommended that this be implemented as soon as possible and incorporated into the new Service User Guide. See Standard 1 See Requirement 1 and Recommendation 1 Standard 23 Just prior to the previous inspection, the Registered Provider noticed a discrepancy in relation to an income support payment to one service user. This matter was appropriately reported under regulation 37 to CSCI and adult protection procedures implemented with the local authority. The matter was fully investigated and the outcome was an acknowledged mistake by the Department of Works and Pensions. Subsequently the Registered Manager has obtained an appointee from the placing authority to take responsibility for the finances of this service user. The system for dealing with the finances of residents was examined in respect of three service users. The individual recording of pocket money was seen to be well organised and accountable as both the ledger and individual wallets containing cash tallied and receipts had been obtained where possible. A previous requirement that all service users’ personal financial records be dealt with by the registered manager had been complied with. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 18 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home was clean and hygienic throughout. EVIDENCE: Standard 24 All areas of the home seen were clean, tidy and free of unpleasant odours. Bedrooms were nicely personalised and the home suitable to meeting the needs of the residents. Christmas decorations were being put up and it was noted that several service users were being encouraged to assist in this. Standard 30 On the days of inspection the home was clean, bright and airy and free from offensive odours throughout. Systems are in place to prevent the spread of infection. Overall, it was noted that the laundry area was satisfactory, although very cramped, with adequate equipment for dealing with soiled articles. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 19 Domestic cleaning materials are stored in a locked cupboard and COSH procedures are readily available for staff members performing domestic tasks. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 20 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and cared for by competent and qualified staff members who act as a team to meet their needs. Recruitment practice was satisfactory. EVIDENCE: Standard 32 Training records for three staff members were seen and this showed that a good level of training had been provided and was being planned for the future. Induction training had been provided for all new staff and foundation training following this. The home has already achieved the required minimum of 50 trained to NVQ Level 2. From observations made of care worker practice and the evidence of training provided for staff the Inspector felt that, overall, there was a good level of skills and experience and that those staff observed had the requisite attitudes and characteristics necessary to adequately support service users. Staff members were observed to be respectful and caring in the way they were relating to service users. It was equally evident that service users were Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 21 content within their environment and responding positively to any staff interventions, such as assistance with eating, or engagement in activities. Standard 34 Three personnel files were examined for more recent staff recruited and recruitment practice was found to be in accordance with the requirements of Regulation 19 and Schedule 2 of the National Minimum Standards excepting that not all had received two references as required. See Requirement 3 Standard 35 Training records for individual staff members were seen and this showed that a good level of training had been provided and was being planned for the future. Induction training had been provided for new staff and foundation training following this. Overall, a comprehensive spread of training had been provided for staff members and included annual updates in fire training. However, all staff require training in moving and handling. See Requirement 4 Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 22 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 this service. Service users benefit from a well run home. Surveys of relatives and professionals views on the running of the home must be publicly available and residents meetings introduced as soon as practicable. The health and welfare of service users are promoted and protected EVIDENCE: Standard 37 The Registered Manager is experienced and has the necessary NVQ4 qualification. Staff members interviewed stated that he is approachable and supportive and would not hesitate to discuss any concerns about the home or the welfare of service users with him. Communication within the home was of a good standard with team meetings held regularly and the manager, overall, Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 23 complies with the requirements of Standard 37. The manager has undertaken training in order to update his own skills and knowledge. Standard 39 Regulation 26 reports are regularly completed on a monthly basis, as required and copies sent to the CSCI. The Inspector received feedback questionnaires from all service users and three visiting professionals and also comments noted within the visitors book and care reviews. These were all positive. However, the home must conduct its own surveys of relatives and professionals views on the running of the home must be publicly available and residents meetings introduced as soon as practicable on a regular basis, this was a previous requirement and must now be complied with. See Restated Requirement 5 Standard 42 A number of records to do with safety and maintenance were seen by the Inspector and were found to be up to date and well recorded. The manager confirmed that all staff had annually updated fire training. In respect of other checks the implementation of fire drills, alarm tests and checking of fire prevention equipment was recorded and up to date. A recommendation made at the previous inspection that the fire risk assessment for the building should be reviewed was complied with. Evidence, was available in the records retained that routine servicing and testing had taken place on the electric, gas and water systems and corresponded with the information provided by the manager in the Pre Inspection Questionnaire. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 24 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 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 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 2 X 3 X 1 X X 3 X Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 25 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 YA1 Regulation 4& Schedule 1 Requirement The Registered Person must ensure that an updated Service user Guide is produced in an appropriate form for service users with communication difficulties. The Registered Person must ensure that bottles of medicine and medicinal creams are labelled with the date on which they were opened and stored on a separate shelf. The Registered Person must ensure that two references are obtained in relation to all staff prior to appointment. All staff must receive mandatory training in moving and handling. The Registered Person must ensure that surveys of the views of residents, their relatives, advocates and involved professionals regarding the quality of the service provided are conducted annually and available for reference. Regular service user meetings must be set up as soon as possible. DS0000051557.V292029.R01.S.doc Timescale for action 01/04/07 2 YA20 13 01/02/07 3 YA34 19 01/02/07 4 5. YA35 YA39 18 24 01/04/07 01/04/07 Loring Hall Version 5.1 Page 26 Restated requirement: previous timescale of 01/06/06 not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA22 Good Practice Recommendations The Service User Guide and complaints procedure should be produced in a format suitable for those with communication difficulties as soon as practicable.. Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Loring Hall DS0000051557.V292029.R01.S.doc Version 5.1 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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