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Inspection on 01/07/05 for Lowfield House Care Home

Also see our care home review for Lowfield House Care Home for more information

This inspection was carried out on 1st July 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Meals are well presented and offer people at the home a choice and variety of different foods. One resident said that `staff are very helpful, they will get you a drink whenever you need one and always ask what you want to eat at each meal time`. Resident`s comments indicate they hold the staff in high regard, one individual said that `the staff were friendly, helpful and always supportive`. The home provides residents with a bright, colourful and stimulating environment to live, work and play in. Care has been taken to offer individuals a range of different textures, shapes and sensory materials in all the communal spaces. One resident said that `you couldn`t find a nicer home to live in`.

What has improved since the last inspection?

Information about the home and what services and facilities it provides for people living there, has all been up dated and made available to the residents. This helps residents to understand what to expect from the home and the service. The homes policies and procedures have been improved and offer the staff guidance around practice, resulting in a safer environment for the residents. Staff have worked hard to create detailed and informative care records that reflect the care being given, the progress made by the individual residents, and which clearly show the residents choices, preferences and decisions about their daily lives. Residents are pleased with the way care is being given and said `the staff are very supportive and encourage everyone to be as independent as possible`.

What the care home could do better:

Regular recorded supervision of staff needs to be carried out at least six times a year to ensure that the staff receive the support and guidance they need to carry out their jobs to a high standard.

CARE HOME ADULTS 18-65 Lowfield House Care Home Cornwall Street Kirton-in-Lindsey Gainsborough DN21 4EH Lead Inspector Eileen Engelmann Announced 1 July 2005 at 9:30 am st 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lowfield House Care Home Address Cornwall Street Kirton-in-Lindsey Gainsborough Lincolnshire DN21 4EH 01652 648835 01652 648835 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) Prime Life Limited Mrs Patricia-Ann Atkin Care Home with Nursing 20 Category(ies) of LD Learning Disability (20) registration, with number PD Physidal Disability (20) of places Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2005 Brief Description of the Service: Lowfield House is owned by Prime Life Ltd. The home is registered to provide care for 20 adults aged 18-65 that have a learning disability and additional physical and nursing needs. The home is situated in a residential area of Kirton-in-Lindsey and is close to local shops and amenities. It has a large private garden and a sensory garden. The home has 18 single bedrooms and one double bedroom; all bedrooms have a wash hand basin. There is a range of communal rooms and facilities including a large conservatory and a spa bath. At the time of the inspection the home was seen to be in good repair. Decoration in communal areas was bright and colourful and the bedrooms reflected the needs and personalities of individual service users. The home employs nursing and care staff. A qualified nurse is on duty at all times. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out with the manager, staff and residents of Lowfield House. The inspection took 7 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Staff and residents were spoken to in an informal manner and their comments and viewpoints are included within this report. What the service does well: What has improved since the last inspection? Information about the home and what services and facilities it provides for people living there, has all been up dated and made available to the residents. This helps residents to understand what to expect from the home and the service. The homes policies and procedures have been improved and offer the staff guidance around practice, resulting in a safer environment for the residents. Staff have worked hard to create detailed and informative care records that reflect the care being given, the progress made by the individual residents, and which clearly show the residents choices, preferences and decisions about their daily lives. Residents are pleased with the way care is being given and said ‘the staff are very supportive and encourage everyone to be as independent as possible’. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 6 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. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 standard(s) 1, 2 and 5. All residents have a full needs assessment carried out and are given enough information about the home and its facilities before admission, for them to be confident that their needs can be met by the service. EVIDENCE: Since the last inspection the home has made adjustments to the statement of purpose and service user guide (in line with agreements made in the 13th January 2005 meeting with Prime Life and the Commission for Social Care and Inspection). These documents are made available to residents on admission, are on display within the home and can be given out to anyone making a request for these. Information within the service user guide is produced in a format suitable for the client group and presented in a colourful and easy to read style, which uses pictures to make the content interesting and understandable for the residents. One resident spoken to was able to show a clear understanding of what services and care were on offer at the home and was satisfied that he had been given enough verbal and written information from the staff/manager before deciding to come into the home. Each resident has their own individual file and all those looked at included a needs assessment completed by the funding authority and also one from the home. Discussion with the manager indicated that she is in the process of ensuring all residents are booked in for a review of their care plan with their Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 9 social worker, the home staff and relatives. At the time of this inspection over 50 of these have been completed. The home has produced a statement of terms and conditions for private paying residents, which meets the required standard, but this document has not been given to funded individuals. Discussion with Louise Hayward from Prime Life Limited indicated that the company is currently working on the development of a suitable format that can be given to all residents on admission. This is an outstanding requirement from previous reports and must be given priority in the home’s action plan for this inspection report. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 standard(s) 6, 7, 8, 9 and 10. Improvements have been made to the way in which staff record, review and risk assess the care needs and expectations of the residents, and individuals are consulted on and participate in this process. EVIDENCE: Since the last inspection the staff have updated all the residents care plans onto a new format. Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. All of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. One resident said that ‘the staff are fantastic, they help me with my care and are always there if I have any concerns or worries’. This individual has a very independent nature and his preferences for care, likes/dislikes and choices are very clearly documented in his care plan. The majority of the residents in Lowfield House are very dependant and would have limited capabilities of contributing to the development of the service and associated documentation. However, talking to three individuals throughout Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 11 the day indicated that they are included wherever possible and their views are listened to. New staff are introduced to the residents and those who can input are asked for their opinions about the individual staff members. There are house meetings held every 4-6 weeks with a mixture of staff and residents attending. Their opinions and views are open to discussion at the meetings and feedback is given from manager on issues dealt with from previous meetings. Minutes are kept in a file in the office, with staff and residents being offered a copy if wished. Policies and procedures are also discussed at the meetings and are reviewed in the same way. One individual said that he can talk to his key worker on a one-to-one basis about his care and that the manager is always available if he needs to discuss anything of importance in a more private way. Staff enable residents to take responsible risks in their daily lives, one individual is now mobilising independently following a risk assessment being completed and the information put into the care plan. This is a very personal goal for the resident and has boosted their morale and self-esteem. The resident has a good understanding of his/her personal limitations and abilities and recognises that when he/she feels unwell then assistance from staff is needed. Staff spoken to displayed a good understanding about the need to maintain confidentiality with respect to resident information. Individual records are kept locked away and secure and residents spoken to are satisfied that information given in confidence is not shared with others against the wishes of the individual. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 standard(s) 12, 13, 14, 16 and 17. Residents are provided with choice and diversity in the meals and activities provided by the home. Individual wishes and needs are catered for and people have the option of where, when and how they participate in both eating and leisure activities. EVIDENCE: Residents are able to take part in a variety of valued and fulfilling activities, both in-house and within the community. One individual reported that he enjoys going to the Brigg resource centre and doing sewing when he is there, he also attends the Gateway and Brigg social clubs once a week. The staff take residents out into the community on day trips with the home’s minibus or hire a larger bus from Quest. Residents said that they had enjoyed a trip to York Railway Museum recently and were looking forward to other outings. Popular destinations mentioned were Bowling, Lincoln and Scunthorpe as well as visiting The Deep in Hull and going to the sea-side. On average the home tries to arrange at least three trips out a week so everyone has the chance of getting out. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 13 The manager said that there has been a holiday to Spain arranged for four residents and one individual spoken to is really looking forward to this. The resident said that there is a golf course nearby and he is hoping to be able to watch the players, as he is passionate about sport, but unable to participate himself. Residents spoken to are very happy with the way that staff look after them, they felt that they are given choices in their everyday life and staff respected their privacy and dignity. Observations of the interaction between staff and residents showed that there is a good relationship between the two groups of people based on trust and friendship. A number of people living at the home were spoken to and everyone who commented on the food said how good it was. Menus seen offer the residents a balanced and varied diet, with meal times being flexible enough to accommodate individual preferences and give staff time to assist those who need help with feeding and drinking. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 standard(s) 18, 19, 20 and 21. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. The medication at the home is well managed promoting good health. EVIDENCE: Information, within the care plans looked at, shows that each resident has their own preferred daily routine including their choices and wishes regarding care giving. Discussion with the staff indicated that they have a good knowledge and understanding of the care needs of each individual and how they like this care to be given. One resident was able to describe his care needs and reported that staff are quick to offer help where needed but also respected his wishes to be as independent as possible. All the individual care plans seen during this visit clearly document the visits and input each resident has received from various outside professionals, including local GPs, diabetic nurses, epilepsy nurses, chiropody, dentist, optician and hospital outpatient clinics. Staff spoken to, said that they would accompany the resident’s to any appointment or support them to attend independently if wished. Information within the care plans indicates that the resident’s health is monitored on a regular basis and any concerns are promptly referred to the appropriate specialist. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 15 The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. At the time of this inspection none of the residents were able to self-medicate and those individuals spoken to were happy with the way that staff carried out the task of administration. Checks of the medication records and the system used showed that these are up to date, accurate and well managed. Staff have received medication training from the pharmacist supplying the home and the manager is looking at booking staff onto an accredited training programme. Information about the residents and families wishes regarding death and dying has been recorded into the care plans seen during this visit. The manager said that this is a very sensitive topic and the home will send out a letter asking for specific instructions from the family where the resident is unable to discuss the issue with staff, or it would be inappropriate or too distressing for the resident to ask. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 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 standard(s) 22 and 23. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the manager acts quickly on any issues raised. EVIDENCE: The home has a complaints procedure that residents and staff are aware of and are confident of using if needed. The complaints records show that there has been one complaint made since the last inspection and this was around a laundry issue, which has been resolved by the manager. One resident spoken to said ‘Pat (the manager) comes round to see me most days and will talk to me about any niggles I may have. She tries to solve them immediately and will get back to me if she needs to take time to resolve them’. The manager reported that the policies and procedures on Protection of Adults from Abuse (POVA) have been up dated and the No Secrets documentation is now available for staff in a handy A5 size, which is used as a training tool. The staff newsletter of June 2005 included information about No Secrets and whistle blowing to ensure all staff are aware of the procedures to follow; those staff spoken to displayed a good understanding of their role and responsibilities regarding this aspect of care. They are confident about reporting any concerns and certain that any allegations would be followed up promptly, and the correct action taken. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 28 and 30. Residents are provided with a safe, comfortable and clean environment. They are able to personalise their own rooms, and the provision of door locks means that their personal belongings can be kept secure. EVIDENCE: The home décor is bright and cheerful with corridors decorated with a variety of different themes and textures to capture the interest of the residents. The people living at the home have two lounges to relax in and work is progressing to turn the second lounge into an activities centre with rugs on the floor and different equipment and resources for creative and therapeutic activities with the residents. Staff and residents are also decorating the ‘spa room’ with 3 D effects, using a jungle effect as the main theme and creating tactile images on the walls. Outside of the home the residents have a large enclosed garden to walk in. This area is well maintained and includes a lawn, planted areas with mature shrubs and trees that offer shade and privacy and a patio area with a range of tables and chairs for residents to sit at and enjoy the better weather. Information given by the manager indicates that the corridor carpets are due to be renewed later on in July 2005. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 18 There is a large conservatory for use by the residents and a range of comfortable seating is provided in this area including beanbags, one resident was so relaxed in this area that she fell asleep whilst taking part in the inspection. Bedrooms are decorated to suit the tastes and choices of each resident and each one is provided with a suitable door lock for privacy. Different styles of furniture and the personal belongings of the residents makes each room individual and welcoming. One individual is registered blind and has a set of chimes near his doorway to let him know when anyone comes into his bedroom. The home is clean, warm and comfortable and no malodours were present. Domestic staff are employed for cleaning tasks, but care staff carry out the laundry work. Policies and procedures are available for the control of infection. And there is a separate laundry room with washing machines that meet disinfection standards. The laundry is kept locked when not in use and a sluicing facility is situated on the first floor. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36. The staffing level of the home is satisfactory, but formal supervision of the staff is not always meeting the required standards. This practice could potentially place the residents at risk. EVIDENCE: The staff team at Lowfield House has a good skill mix of workers, which includes Registered General Nurses, Learning Disability Nurses and care workers. All individuals have access to the Prime Life Limited training department and can take part in a range of different learning sessions. Information given by the manager indicates that Prime Life Limited is accredited with BILD to deliver LDAF training to its staff and that 43 of the care staff have achieved NVQ 2 and 3 with a further five staff doing the training. The registered manager and the deputy manager are in the process of completing their Registered Managers Award in care and management. Information in the staffing rotas shows that there is one nurse and three care staff on duty during the day shift (8am to 8pm) and one nurse and two care staff at night. There is a mix of male and female care staff, with the majority of employees being female. One new male staff nurse is joining the team shortly. Observation of the staff and residents indicated that different Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 20 communication techniques are used to establish a good rapport between all parties, and resident wishes are understood even if they have difficulty with speech. The home has a recruitment policy and procedure that the manager understands and uses when taking on new members of staff. Checks of two staff files showed that police/CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. One staff member whose file was looked at is from another country and has undergone all checks necessary for foreign workers including work permits, passport and immunisation records. Nurses at the home undergo regular registration audits with the Nursing and Midwifery Council to ensure they are able to practice. The inspector recommended that as good practice the interview records are kept in the staff files and that the general health check for new workers should include information about TB immunisation status. The home has a rolling staff-training programme offering staff access to mandatory training and some specialist subjects linked to the needs of the service users. Inspection of the training records showed that a wider range of specialist training should be developed and implemented, to improve staff knowledge of the client group and illnesses related to their conditions. The manager said that staff have attended a number of in-house training sessions, however these have not been documented within the training files. Discussion with the staff indicated that nurses are supported by the company in keeping their registrations current through regular updates of their knowledge base and they have access to nursing journals and other publications containing the latest changes in the care industry. Staff supervision files show that individuals are not receiving formal supervision six times a year. This practice must be improved on to ensure that staff receive the support and guidance they need to carry out their jobs to a high standard. Discussion with the staff indicated that the manager or deputy are around on a daily basis to offer informal advice and help where needed. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40, 41 and 42. The management of the home is satisfactory overall, but the lack of an electrical wiring certificate could potentially place residents at risk. EVIDENCE: Resident meetings are held on a regular basis and minutes are circulated to people living in the home. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. The home has a Prime Life Limited Quality Assurance system in place and audits of the service are carried out on a regular basis. No annual development plan has been created from the results of these audits and time was spent discussing this with the manager. A quality assurance book has been devised to invite comments from relatives and visitors to the home; this is currently kept next to the signing in book in the entrance area. The residents have completed satisfaction questionnaires and the head office Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 22 publishes the results of these. Policies and procedures are up dated and reviewed as an ongoing practice and action is being taken to ensure the requirements of the inspection reports are met. Discussion with the manager indicated that staff and residents are able to discuss the home’s policies and procedures through attending meetings, reading newsletters and as part of the supervision process for staff. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. Residents are aware that they can access their personal records as and when they wish to do so. Maintenance certificates are in place and up to date for the utilities and equipment within the building. The only one not seen was an electrical wiring certificate for the home. Discussion with Louise Haywood from Prime Life Limited indicated that the company feels that this check is covered by the PAT tests, however the inspector asked that written confirmation of this is sent to the Commission from a qualified electrician. Until this is received the requirement for the electrical wiring certificate will remain on the report. Training records show that staff have attended safe working practice up dates and inspection of the accident books revealed these are completed in full and are up to date. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 4 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lowfield House Care Home Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 2 3 3 2 x 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 24 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 5 Regulation 5 Requirement The registered manager must develop and agree with each prospective service user a written and costed contract/statement of terms and conditions between the home and the service user (given timescales of 29/10/02, 5/3/03, 30/9/03, 31/3/04, 31/10/04, 1/4/05 were not met. All staff must receive regular recorded supervision at least six times per year (pro-rata for part time staff) and receive an annual appraisal (given timescales of 29/10/02, 5/3/03, 30/9/03, 29/02/04, 31/10/04 were not met). An electrical wiring certificate must be obtained for the home (given timescale of 1/4/05 was not met). Timescale for action 1/10/05 2. 36 18 1/10/05 3. 42 13 1/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 25 Lowfield House Care Home 1. Standard 34 2. 3. 35 39 As good practice the manager should keep the staff interview records in the staff files and the general health check for new workers should include information about TB immunisation status A wider range of specialist training should be developed and implemented, to improve staff knowledge of the client group and illnesses related to their conditions. The registered manager should ensure there is an annual development plan for the home, based on a systematic cycle of planning-action-review, reflecting the aims and outcomes for residents. Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 26 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Lowfield House Care Home 20050701 Lowfield House IR J54 v221216 s2793.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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