Inspection on 05/09/05 for Loxwood House

This inspection was carried out on 5th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Loxwood House 30/09/08

Loxwood House 16/11/06

Loxwood House 10/01/06

Loxwood House 02/03/05

Loxwood House 06/07/04

Loxwood House 01/08/02

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Loxwood House 17 Old Shoreham Road Hove East Sussex BN3 6NR Lead Inspector James Houston Unannounced 05 September 2005 08:30 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 and 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. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Loxwood House Address 17 Old Shoreham Road Hove East Sussex BN3 6NR 01273 503586 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) Loxwood House Limited Mr Peter Mallinson and Mrs Angela Mallinson Care Home 12 Category(ies) of Learning disability, 12 registration, with number of places Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults with a learning disability who have been assessed as requiring residential care are to be accommodated. 2. The maximum number of service users to be accommodated is twelve (12). 3. Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Date of last inspection 2nd March 2005 Brief Description of the Service: Loxwood House is registered to provide accomodation and personal care for twelve adults with learning disabilities. The registered providers and managers are Peter Mallinson and Angela Mallinson. The home is located in Hove, with good access to local transport and amenities. Loxwood House is a large detached property set out over three floors. There are eight single bedrooms and two shared bedrooms and a range of communal space. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the mornings of the fifth and fifteenth of September 2005. Before the inspection the inspector read records held on the home by the Commission of Social Care Inspection and prepared to those sections of the standards to be covered at that visit. The actual inspection of the home took 5.7 hours in total. The second visit was necessary because some records needed for the inspection were not available on the first occasion. The inspector made a tour of most of the premises, and read a variety of policies, procedures and records. The owners, three staff and six residents were spoken with. Twelve residents were living in the home on the day of the inspection. What the service does well: 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. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4 and 5. The home provides full information to prospective residents and their representatives to inform their decision about coming to live in the home. The home meets the needs of those living there. Prospective residents have the opportunity to visit the home. The home has a contract with each resident. EVIDENCE: The home has a statement of purpose and service users’ guide which gives full information. A necessary amendment was made during the inspection. From discussion with staff and residents and examination of records it is clear that staff individually have the skills and experience to meet the needs of residents. Observation confirmed that they are able to communicate with residents. The owners said that they would not admit any resident whose Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 8 needs they could not meet. Arrangements have now been made for all residents who have been placed in the home by Brighton and Hove City Council to be reviewed in November 2005 and evidence of this was seen. The home encourages prospective residents to visit and/or stay before admission. The owners said that this process has varied according to the individual needs of residents. Residents are admitted for a trial period. The home does not make emergency admissions, but has on occasion admitted a resident over a foreshortened time scale where this was needed and could be achieved. The home has drawn up terms of conditions of residence. It also has a contract with the responsible placing authority for each resident. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8 and 9. Comprehensive care plans and risk assessments are kept and regularly reviewed. Residents are involved in the day to running of the home. EVIDENCE: The care plans of four residents were examined in some detail. One plan was not signed as the owners were awaiting consultation with a representative. It is recommended that it be signed in any event. Plans were seen to be regularly updated. The owners said that they review the plans of residents over 65 monthly. The home does not operate a key worker system. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 10 Residents meet regularly on an informal basis with staff and owners and also have regular minuted meetings. Residents do not attend staff meetings. They complete user satisfaction questionnaires. Residents are asked to give informal feedback on prospective staff members who are being considered for appointment. Risk assessments are completed, and staff confirmed that these are available to them. Records inspected showed that these are reviewed with the relevant placing authority and with the family. Staff said that they give advice and guidance to residents as needed. The home has a suitable policy regarding action to be taken in the event of a resident going missing. Staff confirmed that they are familiar with it. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13, 15 and 17. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 12 Residents are enabled to maintain and develop social and communication skills. Residents undertake valued activities and this will be developed over time. The home participates in the local community. Visitors are made welcome. Meals and mealtimes promote the health and well being of residents. EVIDENCE: Residents have opportunities to learn and use practical life skills. They have varied programmes at the day centres which they attend, and they spoke about these with enthusiasm. An older resident attends an appropriate day centre. Residents have access to appropriate professional guidance. Residents have opportunities to fulfil any spiritual needs. The owners said that no residents are at present engaged in paid supported or volunteer jobs. Residents take part in valued activities, and the recent quality assurance exercise elicited a range of responses, and these are being reviewed. The owners said that a member of staff is about to start “floating hours” to give the opportunity to residents to be assisted to do more valued activities with staff. Staffing is currently increased for two evenings when residents are out later at clubs/activities. Staff said that the staff group is knowledgeable about local resources. The home has its own transport and residents are taken out. No residents use public transport or go out independently currently. Residents said that visitors are made welcome. Staff said that visitors are made welcome and given a cup of tea. The home keeps a record of food served and this was inspected. It gave an up to date record of meals provided and alternatives given. Residents’ likes and dislikes are noted. The owners said that special diets are catered for. Residents said that they like the meals. Previous inspections refer to the level of participation of residents in food preparation at the home. The owners said that they plan to involve residents more in some aspects such as the preparation of sandwiches. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20. The home makes effective arrangements to meet the care needs of residents. The medication systems are thorough. EVIDENCE: Staff said that residents are given personal support in private, and are given guidance and support as needed about personal hygiene. Staff said that residents eat in their rooms if they are not well. Most residents get up early during the week to go out to day centres, but can stay in bed longer at weekends. Residents’ medicines are securely stored. The record of medicines administered was inspected and found to be fully kept. Staff who handle medicines said that they had had suitable recent training from a pharmacist and records inspected confirmed this. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) 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 suitable arrangements for dealing with complaints made to it. The home’s procedures and processes are designed to protect residents in the event of any allegation of abuse. EVIDENCE: The home now has a suitable complaints policy available to residents. Necessary modifications to it were made during the inspection. No complaints have been received by the home in the last year, and none has been received by the Commission for Social Care Inspection. The home has a system for dealing with any complaints received. Staff confirmed that they have received training in adult protection and records inspected confirmed this. Suitable training will be arranged for a recently recruited staff member. Staff confirmed that they are aware of the home’s whistle-blowing and adult protection procedures. The procedures have been invoked in respect of one resident in the past year. Matters were swiftly resolved with the home playing its full part. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26,28 and 30. The home offers spacious and attractive accommodation. The bedrooms and communal areas are well presented. Laundry facilities are suitable. EVIDENCE: The home offers safe, comfortable and airy accommodation. The premises offer access to local amenities, transport and local support services. They are well maintained. Staff said that items needing attention are dealt with swiftly. The premises have been redecorated inside and out since the last inspection. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 16 The building meets the requirements of the local fire officer and environmental health officer. Residents said that they like their rooms, and that they are able to personalize them. A resident said that when the home was redecorated recently they were able to choose the colour of their room. Residents are able to bring in their own possessions. Residents confirmed that they are able to lock the doors to their rooms if they so choose and were seen to do so. The home has two large communal areas. Both are well furnished and decorated, and lighting is domestic in style. The kitchen is domestic is scale. There is a well-sited office/sleeping in room. Review of the facility for storing staff belongings is recommended. The home has a laundry suitably located away from food preparation and serving areas. It is suitably equipped. The home was found to be clean and tidy throughout. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,35 and 36. Residents are supported by competent and qualified staff. Some attention to provision of core training is needed. Staff are regularly supervised to assist them to meet the needs of residents, but not to the recommended frequency of at least six times per year. EVIDENCE: Residents said that they like the staff group. Since the last inspection the home has attained the recommended level of NVQ qualification. The home has six staff. Two staff hold NVQ level 3 in care and a further member has attained NVQ level 2 in care. Staff show enthusiasm for training and for example a staff member is proposing to undertake further training in Makaton. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 18 There is evidence that staff receive a variety of training and a fire lecture by an outside speaker took place during the inspection. The record of staff training was made available and the training given to those spoken to was checked. The owners said that they provide their own induction for new staff and staff spoken to confirmed this. The owners plan to put staff on a nationally accredited induction course when places are available. A recently appointed staff member needs refresher training in manual handling. Staff confirmed that they receive regular supervision, but records inspected that showed that this was not to the recommended frequency of at least six times per year. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,and 41. The owners have extensive experience and are undertaking relevant training. The home has strategies for enabling residents and staff to voice issues, and quality assurance mechanisms. Policies and procedures and records are satisfactory. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 20 EVIDENCE: Both the owners have owned and managed the care home since 1985. They share the responsibilities of registered provider and manager roles. Mrs Mallinson trained as a nurse but no longer maintains her registration. Mr Mallinson demonstrated that he has commenced the registered managers award and reported that he hopes to complete it early in 2006. Both undertake periodic training from time to time to maintain and update their knowledge and skills. Residents said that they like the owners and staff. The home has regular staff meetings and residents meetings at which issues which affect the way in which the service is delivered can be raised. Copies of minutes of these meetings were made available to the inspector. Since the last inspection the home has introduced a quality assurance mechanism and questionnaires have been completed by residents, their families and relevant stakeholders. The outcomes are being used to inform planning for the future of the service. Staff confirmed that they have access to the home’s policies and procedures, and that they are familiar with them. There is evidence that the policies are regularly reviewed. It is recommended that they are signed by the registered managers. Those records inspected were found to be up to date and well kept. Residents have access to their personal records. Not all records required to be available in the home for inspection were available on the first day of the inspection. They were made available on the second occasion. A requirement has been made about this. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 3 3 Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x 3 2 3 x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING 3 x 3 x 3 x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x 3 x x 2 2 2 3 3 3 3 x x Version 1.40 Page 22 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Loxwood House Score 3 x 3 x 37 38 39 40 41 42 43 H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 35 41 Regulation 18(c)(1) 17(3)(b) Requirement Provide training in manual handling for a staff member. Keep required records at all times available for inspection in the care home by any person duly authorised. Timescale for action 31 December 2005. Immediate. 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. Refer to Standard 12 36 Good Practice Recommendations Work over time with residents regarding activities. Give formal recorded supervision to care staff at least six times a year. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. Loxwood House H-59-H10 S14210 Loxwood House V238874 050905 Stage 4.doc Version 1.40 Page 24 - 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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